Knee Twitching please help ?

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My knew has been twitching for the past week and now it's started to feel weird please help !

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3 Replies

  • Posted

    From BoneSmart org...

    When Restless Leg Syndrome occurs after a TKR, it is usually related to the surgical procedure itself. It is unavoidable that some nerve bundles and possibly the superficial fibular nerve are injured. As you heal, scaring of neural and non-neural tissues occurs differently among different individuals. The various ways in which tissues heal following surgery is likely what determines whether a person develops RLS symptoms or not. It is normally a temporary problem that resolves itself with time. However, while it’s going on, RLS can be very uncomfortable and result in extreme fatigue because of lack of quality sleep.

    From the US National Institutes of Health (NIH)...

    Our results suggest that secondary unilateral restless legs syndrome may ensue from knee prosthesis surgery and that the symptoms are generated in the peripheral nervous system.

    Symptoms...

    * Strange itching, tingling, or "crawling" sensations occurring deep within the legs. These sensations sometimes occur in the arms.

    * Involuntary movement or jerking of the legs while asleep or while awake and at rest. If you are asleep when this happens, the movement wakes you up and keeps you awake as it continues.

    * A compelling urge to move the limbs to relieve these sensations.

    * Restlessness, pacing, tossing and turning in bed, rubbing the legs.

    * Sleep disturbance and daytime fatigue.

    So, it is possible to get RLS from knee surgery.  See your GP for a definitive diagnosis and treatment.  This could be temporary or not...can't tell.  Also, you need to know if it's definitely RLS.  I've personally had RLS for almost 20 years now.  Tried some Parkinsons and epilepsy meds.  No change and too many side effects.  Doc an I settled on 1 mg Xanax (Alprazolam) 15 minutes before bedtime.  Stopped all the twitching and let me get to sleep.

    • Posted

      Chico ,

      Odly for last two days I’ve had that in my non surgery knee . Last night all night .  So in addition to what I’m dealing with with the surgery knee this started .

      “Crawling “ is exactly how it feels . Creepy . That is a symptom of RLS?

      Debbie 

    • Posted

      When you read the whole abstract of the NIH research, it showed instances of RLS in both the operative and non-operative legs.  I didn't know about this until someone asked me a question about a TKR causing RLS.  Looks like it can.

      It's a horrible feeling.  Can't get to sleep.  I'll roll over and it starts on the other leg.  All you want to do is rub them and move them.  Like I said...20 years.  The small dose of Xanax stops the twitching within 15 minutes (hence taking it before and not AT bedtime) by relaxing those nerves and letting me doze off.  I tried diphenhydramine (generic Benadryl) but that didn't work for me just like the other RX meds.  See your GP and get something to calm those nerves.  I also avoid the nerve meds like Lyrica and Neurontin (gabapentin) because of the efficacy and gross side effects.  Work with your doc to find a solution that works for you.  Also, try a warm bath for 20 minutes prior to bed to see if that helps.  Works for some people.

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