Lower back pain 22 week post TKR

Posted , 5 users are following.

Hi All,

Well 22 weeks post TKR back to work full time now and coping better but knee swelling to be expected. Managing that the rehab exercise and even the tiredness now ( tiredness is normal in the NHS LOL !!! ) RA niggles controlled too.

However now getting a nagging lower back pain goes after a night sleep but comes on as the day goes on. I do walk a lot im my job probably 2-5 miles a day. It does not radiate down my leg and have had sacro -iliac pain years ago after a gardening strain. This is not the same and feels like a nagging  inflammed toothache.  Its not so bad on my days off when not walking as much. I am wondering if anyone else has had this problem and if its to do with tmy new gait post TKR?? Probably see a physio or Chiropracter to see if itmis an alignment  problem. My extension is still at only -9  but bend fime  but I do not limp.

Seeing my surgeon tomorrow so will mention it to him.

Happy rehab all Jan


0 likes, 7 replies

7 Replies

  • Posted

    Excuse typos too fast as usual!
  • Posted

    More than likely to do with gait or the way you are standing. Everything's changed since TKR. Ask your surgeon when you see him just to be sure.



  • Posted

    It sounds unpleasant Jan - hope you can get it sorted before too long!  Let us know what the surgeon says:-)
  • Posted

    Jan, I passed week 24 post-op recently. I was having lower back pain similar to yours for 6 weeks. I visited a chiropractor who diagnosed my back issue was due to my new knee leg which is now longer than my other leg. He recommended a heel lift, result, problem solved. It took about three weeks walking with the heel lift for my spine to rebalance itself. Hope this helps.
    • Posted

      I think this issue is something that most people who get a knee replacement need to check on.  Before I had the first knee done that leg was shorter because the arthritis had caused it to bend outwards and it actually caused a curvature of the spine - it was only when that was picked up that it was pointed out to me that the leg was 2cm shorter than the other one!  (Strangely, when I looked at photos that had been taken during that period, I was definitely leaning to that side, when I thought I was standing straight!), so got loads of shoes raised on that foot.  After the op, that leg was slightly LONGER than the other one!  So now I'm not wearing any raisers but waiting for the next one to be done to see where leg lengths end up.  But as well as the physio measuring from the hip to see length, I was told if you stand normally in front of a mirror shoulder height can be an indication too.  I was told to raise my heel step by step, gradually rather than all in one go, so I did that before having the shoes raised at the shoe menders.

    • Posted

      Thanks that makes sense I had a large valgus deformity pre op. Saw Orthopod and physio yesterday. They think it's due to being back to work and still not at 0 degree extension although massively better than pre op! They said that all is adjusting to the new gait. If no better in a month to go back to physio.

    • Posted

      Thanks I will try that if no improvement. We have a good Chiropractor in our village too . I am at about -9 ( much better than pre op) extension still working on it. So my operated leg still a bit shorter than the other but no limp.

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.