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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Thigh Stiffness Limiting Hydor And Physical Therapy. Had Knee Replacement, Taking Anti Inflammatory, Pain Killers. Muscle Relaxant?

hello
I am 6 weeks post knee replacement and all is well except severe thigh muscle stiffness. This stiffness is reducing my ability to conduct successful knee hydor & physio knee theropy. Theropy objectives include knee joint bend. I am prescibed anti-inflamation and medium pain control medication(paracetimol) which is working fine. Just looking for strong muscle relaxing creams or lotions to apply through out day and evening . Unfotunatly there are so many on internet it becomes confussing and most seem to be for everyday aches and pains. What would you suggest? Please help thank you, Mike
Thu, 27 Jun 2013
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Orthopaedic Surgeon 's  Response
Hello Mike,
Thigh stiffness after TKR is not an unusual phenomenon .This happens due to pain at knee which leads to inhibition on stretching of thigh muscles.You should ask for good physiotherapy.In such cases i used to prescribe a combination of paracetamol with tramadol.You may ask for this from your doctor.

Hope this will help you.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.
Generally, a minimal amount of pain & stiffness of the thigh musculature will be present in a post TKR case. This usually results due to the formation of adhesions within the quadriceps muscle ( which is generally incised partly as a part of the surgery ) or quadriceps muscle getting adhered to the thigh bone (femur).
All the medications and gels will only kill the pain but are not going to resolve the stiffness. So the only way is to undergo vigorous physiotherapy which will clear the stiffness. Hope this helps
I find this answer helpful

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Have Thigh Stiffness Limiting Hydor And Physical Therapy. Had Knee Replacement, Taking Anti Inflammatory, Pain Killers. Muscle Relaxant?

Hello Mike, Thigh stiffness after TKR is not an unusual phenomenon .This happens due to pain at knee which leads to inhibition on stretching of thigh muscles.You should ask for good physiotherapy.In such cases i used to prescribe a combination of paracetamol with tramadol.You may ask for this from your doctor. Hope this will help you.