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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes recurrent knee pain post knee replacement surgery?

Answered by
Dr. Kathy Robinson

General & Family Physician

Practicing since :1989

Answered : 3478 Questions

Posted on Tue, 6 Sep 2016 in Bones, Muscles and Joints
Question: I am a 67 year old female. I an 6'3" and weigh about 230 lbs. I was a former athlete so I have pretty good physical strength for my age. This Is my second knee replacement by the same very highly respected surgeon. My problem came as the result of inadequate and improper physical therapy, I believe. Because I was discharged on the Friday of the July 4th weekend, the I was informed that a physical therapist would not be able to come to mt home until the following Tuesday. The first visit was just to check my vitals, get my insurance info, and to see my range of movement and to change my
dressings. Two days later, the "exerciser" came and had me do a few exercises that I had done with the prior surgery. But, 7 days after my discharge from the hospital, he had me do 15 squats while holding on to the kitchen countertop. I felt severe , tearing pain in the knee. My knee is still warm to the touch and the pain is still really bad. The surgeon said to dismiss the therapist and continue therapy on my own. I have seen the surgeon a couple of times since the surgery and had an xray and an test for infection. Both seemed normal. But my pain gets so bad, even with pain meds, that I don't sleep well. The pain is constant, but sometimes more intense than others. Is it possible those squats done 2 days in a row, damaged the knee? Is there an MRI or CT scan than can spot damage inside the knee itself. Also, I am experiencing pain in the leg bone from about where the leg bone was cut off down to and including my ankle bone, Do you have any ideas about this or what tests need to be done to diagnose the cause of this lingering pain, It hurts so bad, I cry, Thank you in advance. XXXXXXX XXXXXXX XXXX, Arkansas.
Answered by Dr. Kathy Robinson 20 minutes later
Brief Answer:
so sorry this is going on

Detailed Answer:
It is possible that the early PT did some damage to the ligaments, tendons or to the cartilage withing the knee joint.
It is unlikely that it actually damaged the bone.
An MRI is what you need to see that type of soft tissue damage. It just will not show up on an xray.
I suggest that you go back to the surgeon, explain the extent and severity of your pain and ask for an MRI to be done.
I think this is the only test that will give you an answer. Only by finding the cause of the pain can they treat it adequately.
Again, I am sorry you are in so much pain
Please let me know if you have further questions.
Dr. Robinson
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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