Clicking

Posted , 9 users are following.

I’m 15 weeks post op on TKR. Im walking 2-3 miles per day, the last couple weeks I’ve noticed a clicking sensation on my walks, it comes and goes depending on my stride. Has anyone else experienced this? Is it normal? 

0 likes, 10 replies

10 Replies

  • Posted

    This is very common. All of the ligaments, tendons etc have not fully strengthened to so they aren't holding the prosthesis as tight as they need be. Keep doing exercises on a reg basis an everything will be fine. Take a look at some of Chico Marx's writings and you will find additional comments. I had trouble with it after my last bout with staph. I had to go 4 months with the leg in a soft cast, no bending and toe touch weight bearing. It took me almost 2 years for the noise making to go away.

    Hang in there and keep the exercise program going.

  • Posted

    I had same problem but my surgeon said it would go and in the main it has  due to muscle strengthening.
  • Posted

    You might experience some sounds like that for 12-18 months.  At 2+ years for me, it's pretty rare but every once in a while...........

  • Posted

    Are you sure you should be walking this far! I'm 11 weeks now and I do all my exercises, knee bends, cycling, swimming/exercise in the pool, up and down stairs and walk for about half an hour with my dog and find this is plenty.

    Always Ice after exercise.

    Sue

  • Posted

    It's never about distance...it's always about steps.  Get a fit bit or other pedometer.  The software will chart your steps every day so you can see your progress.  If you go past what the knee can take on a given day, note the number of steps.  Back off, recover and resume gradually.  At 5 weeks, I did 8,200+ steps one day and paid for it with a balloon knee for days.  I only needed that one time to learn my lesson.  Kept track of my steps all the time.  No repeats.  Was doing 11,000+ steps (>5 miles) by 8 months with zero consequences.  Gotta track your steps.

  • Posted

    90RevolutionsPT - 2009-03-25 2:58 PM

    In the clinical setting, it is common to feel and hear the crunching under the kneecap. This crunching, known as crepitus, is due to increased fluid under the kneecap and/or changes in the cartilage below the kneecap. The initial crunching isn't related to pain because the tissue is not innervated by the nerves. If no nerves are present, pain can not be felt. All of us age and when you engage in endurance events, it is most likely that this crunching will develop. The problem is when this crunching is progressive. As the cartilage breaks down, pain can develop because the deeper tissue is innervated by the nerves. As the tissue further breaks down, more damage can occur. Some reports suggest that the lateral retinaculum (tissue on the outside of the kneecap) becomes irritated and painful. Diagnoses, such as patellofemoral stress syndrome and chrondromalacia patella, have been used to label this crunching when it is painful.

    In summary, you should not worry about the crunching but consider it your check engine light. Sometimes if I see the check engine light of my car turn on, I continue to drive without assessing the problem. As I continue to drive throughout the week and the month, I begin to notice that the car is not running well. Eventually, it stops running and I'm sitting in the mechanic's garage. My point is to assess whether there is a cause to the crunching before it can become a problem. Many things, such as hip weakness, VMO weakness, increased Q angle and foot dysfunctions, have been suggested to cause the problem.

  • Posted

    Mine clicked now and then right up to a year.

    It hardly ever does now, and I quite miss it! 😀😁😊

    Sounds like you are doing well! Well done, it's a long haul! Everyone different but Lots of interesting experiences here on the forum!

    You can choose older posts by picking through the page numbers shown on the KNEE PROBLEMS main page. Look to the right of the page subtitle "All discussions in this group" and you will see page 1 but flick on the arrow to see other previous pages also.

    You may like to go to my profile by clicking on the image next to my name. I kept a journal of my own knee replacement journey, and I have been told by several people they found it helpful to read, or skim through. It's got a lot of general information in it, and gives you one person's experience right from hospital to the 12 month mark!

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