Excrutiating pain 4 wks after tkr
Posted , 7 users are following.
Hi All. Im now 4 wks into revovery and for some reason yesterday started getting dreadful pain down my thigh and into calf like a torn muscle type pain amd a soreness under the skin on top of my kneecap. I had yet another sleepless night as I cant get comfortable and the pain was worse than its ever been. Also have a lot of clicking going on inside and this is what makes the pain worse in particular place. I cant even lift my leg off the floor tho I was making quite good progress. I feel I have gone back to the beginning.Ive still not been seen by a physio so I dont know if Im doing too much or too little. Im on NSAIDs and paracetemol and cant take anything with codiene in. Is this normal to feel like this? I thought there was some light at the end of the tunnel but now I wish Id never had it done.
0 likes, 15 replies
moandrieu rose05408
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Rose, keep strong. The clicking sound is normal, we've all dealt with it and the fears that something is wrong. Is the pain in the back of your thigh? For me, it was very helpful to stretch out my legs, especially the backs of them. I'm guessing your pain will feel a bit more intense because you aren't taking a narcotic. While I didn't feel as if tramadol did much, I wasn't ready to give it up. A good night's sleep won't come for a while. Sometimes you'll get one that's better than usual, but unless you are taking a sleeping aid, there won't be many. Did you try asking for a prescription of Voltaren Gel? It is really very helpful. I'm praying you find some relief and can see that this wasn't a mistake.
-Mo
john_04330 moandrieu
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moandrieu john_04330
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John, I'm now at 22 months post op and I don't notice the clicking as much (or maybe I've just gotten used to it). Though, I have found out this past year (from a different surgeon) that my knee caps are going to eventually need replaced and one is worse than the other. What that means is I have that sort of grating sound that I had before my TKRs when I stand up and walk up stairs. I wasn't too excited to hear about that.
I do use Voltaren on my operated knees. I actually got it from my step-dad who was given it after he had his shoulder surgery. I've got planter fasciitis and one of the heels sometimes hurts so badly. I've applied a bit of it to the heel and I can sleep better. Here's what Voltaren is: Diclofenac is a nonsteroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. Diclofenac topical 1% gel (Voltaren Topical) is used to treat joint pain in the hands, wrists, elbows, knees, ankles, or feet caused by osteoarthritis. So I guess, because we still have some inflamation, (and I do almost anytime I walk more than 7,000 steps in a day) it works. Not sure why it helps my heel - unless it's just in my head. And if that's the case, I don't care, it works.
-Mo
rose05408 moandrieu
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moandrieu rose05408
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Yes, it's the same. And very good point. Research (at least in the USA) is a little mixed. Voltaren is the only topical NSAID available here. I don't think it's so much that it will interact, it's that you are getting a higher dose and there is a concern about the negative impact that may have on your body. Too bad, as I've really found great relief with applying it right to the spot.
-Mo
Oldfatguy1 rose05408
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Rose, this is a process and as you are finding out, different for everyone. You are experiencing some of the slowest healing parts of the entire proceedure, nerve damage.
Take pain meds as needed. If you need help finding the right stuff, talk to your primary care. You say You can't take opiates but didn't indicate why. You aren't so far out of surgery that you can just quit. Increase your fluid intake....you must stay well hydrated to heal properly.. Ice....frequently and elevate. Do your excercises but don't beat up on yourself. They are meant to heal not harm so go slowly.....very slowly. There are no gold stars handed out for being the 1st one done. I've been through complete rehab 5 times and 11 surgeries on my knee/leg. Each time it's different both in length and pain levels. Practicing your walk is important. Slow....flull stride......hit your heel , ball of you foot then toe with full bend now the other leg, same thing. Sure, you are going to look strange but it's very important. You were bb in real pain walking anyway you could to prevent that pain , now you are trying to work through it. Stay with the plan. 4 weeks is far to short of time to judge. 6 weeks should be your 11st benchmark and then 3 months....6months. Most Dr's will tell you the knee isn't yours for a year. Keep on keeping on....
rose05408 Oldfatguy1
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Oldfatguy1 rose05408
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Oldfatguy1
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pam92068 rose05408
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Rose, is the pain down the outside of you thigh and into your calf? I had an irritated..."angry" as my physical therapist called it...IT band. My pain came at 3 1/2 weeks....massage is what help this for me. Needs to be rubbed up from knee....I could not reach it myself...so used a wooden rolling pin. Rubbing hurts very much....but the relief after is totally worth it.
Pam
rose05408 pam92068
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pam92068 rose05408
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rose I get it it is worse when you move...LOL. Hopefully this will help.
pam
rose05408 pam92068
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Mkhp rose05408
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oh dear, you really need to make phisio (PT we call in the states) a priority. your symptoms sound like the normal healing process to me. Correct Exercises are extremely important, lots of water, lots of rest, eat well and healthy. If you read thru these forums, i think you will get a better idea of the "adventure of tkr". Keep a good upper lip and sense of humor. If your really concerned, also make an appt. with your doc. god bless, best..... kathy p.
rose05408 Mkhp
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