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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Severe Pain In Knee Area Post Knee Replacement Surgery Indicate?

After right full knee replacement in June2014 knee was healing. In Oct severe onset of pain entire knee area. Starting with the left side of the right knee. Tried exercise, ice, heat, anti inflammatory, extra strength Tylenole and last oxycodone. No help History Low platelets and cirousis caused by fatty liver. Gallbladder and appendix were removed 1969. 1997 a rod and screws were put in the right leg to replace the tibia. During the knee replacement screws were removed. Rod stayed in place. June 2015 Orthoscopic surgery and analysis showed an inflamed film with iron deposits. Current medication: lisinoprol, metformin, omeperozole, Vit D and oxycodone 5mg (4x/day) Border line diabetes and blood pressure is under control. Before both surgeries platelets were given. Ongoing platelet count 38-45. Hope you have some ideas of where we start. I am contacting the Hematologist in the hopes she has some ideas. Thank you
Thu, 30 Jul 2020
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General Surgeon 's  Response
Hello,

Severe pain after knee replacement with need to take Oxycodone 4 times a day is not absolutely normal. There can be various possible issues such as:
- Problem with the prosthesis implanted
- Friction over the articulating surfaces
- Inflammed joining ligaments
- Foreign body reaction of self tissue
- Immune response to foreign body via T and B cells
- Others

A CT scan of the knee joint is best predictor of the underlying cause of pain of severe intensity to manage further guidelines of curing such debiliating pain.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Could Severe Pain In Knee Area Post Knee Replacement Surgery Indicate?

Hello, Severe pain after knee replacement with need to take Oxycodone 4 times a day is not absolutely normal. There can be various possible issues such as: - Problem with the prosthesis implanted - Friction over the articulating surfaces - Inflammed joining ligaments - Foreign body reaction of self tissue - Immune response to foreign body via T and B cells - Others A CT scan of the knee joint is best predictor of the underlying cause of pain of severe intensity to manage further guidelines of curing such debiliating pain. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon