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Suggest Treatment For Knee Pain And Swelling After A Knee Arthroscopy

Posted on Sat, 23 Apr 2016

Question: Knee arthroscopy 14 weeks ago. Meniscus was trimmed and loose bodies removed. Knee still swollen and painful. Can't do stairs very well. Recent MRI shows bone marrow edema, some leaking cysts, and a large tear. Second opinion MD is concerned mostly about the bone marrow edema. Am on naproxen. Arthritis starting to set in. I'm 68 years old and very active. Still in PT. Knee is much worse after this surgery. Pre-op MRI showed horizontal cleavage tear of meniscus. Current MD is an orthopedic surgeon at New England Baptist Hospital in XXXXXXX Should I seek a third opinion? I've been suffering too long. Thought the surgery would have made everything OK. Now, it's worse than ever. Please advise. Thank you. XXXXXXX P.

Answered by Dr. Dr. Naveen Kumar Sharma (1 hour later)

Brief Answer:
Arthroscopy can increase pain in osteoarthritis

Detailed Answer:
Hello,
I have studied your case. I have seen such problems many time in my practice. Arthroscopy causes washing of pain substances in knee so initially there is decrease in pain but when patient increases activity some time there is more pain and swelling. That is suggestive of advance knee arthritis. I have following suggestions for you.
1. You can get steroid and hyaluronic injection in knee for pain relief.
2. Avoid sqautting and sitting cross leg.
3.Knee cap can be worn.
4. Physiotherapy in form of static quadriceps exercises.
5. If there is severe pain then you should also rule out infection. It can be done by blood tests and knee fluid examination.
I hope this answer will be useful for you. Let me know if there is any other followup questions. thanks

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar