— Posted in Health
Knee pain after knee replacement
Do you know that Many People Still Have Knee Pain after Knee Replacement surgery?
Knee pain can interfere with daily tasks. Most people reach that point where knee replacement surgery is inevitable if they want to have their knee completely functional again. Thankfully, to modern medicine, this type of orthopaedic medicine has the biggest rate of success. Unfortunately, the knee joint is not eternal. Arthritis is the main reason why knee joint is wearing out but there is nothing that can prevent it at 100%. Patients who undergo the surgery know that their knee bone is rasped and the metal part is inserted. For cushioning, the surgeon will position plastic parts. If the metal is the only thing that the surgeon uses then the movement will not be smooth. If it is not smooth, the patient will feel pain. However, 10% of patients still experience pain after their knee replacement surgery.
What might be a possible reason for knee pain after the knee replacement surgery?
- Major infection is the first reason but what if the infection is a subtle one. It will cause continuing discomfort and the patient will feel a slight pain in the knee after the surgery. A higher temperature is a sign for infection so if you notice change better contact with your surgeon;
- Fracture is the second most popular reason;
- Loosening of the implant is another reason for pain. Fortunately, this might happen years after the surgery, so if you experience pain right after the procedure probably the reason is another one;
- Unfortunately, kneecaps are important and often under the pressure. That’s why sometimes we experience pain in the kneecap after the surgery, too;
- Bad functioning of the knee because of poor alignment. Alignment depends on the surgeon experience and expertise so before lying under the knife make sure you have chosen not only the best brand implant but the best surgeon, too.
Finding what is causing knee pain is half of the solution. People always focus on possible treatments without realizing that the best treatment will be clear right after defining the reasons.
It matters how hard the pain is
That’s why your doctor will want to ask you how bad the pain is. Actually, from the pain level and the situations that provoke it, he will be able to find out the reason. For example, many people feel pain early in the morning when they wake up. This type of pain is temporary and it vanishes gradually after the surgery. If it continues then the implant has become loose. Kneecap pain is revealed when the patient feels discomfort climbing stairs.
Your doctor will require a physical exam so prepare yourself for some squatting and jumping. In addition, he will examine carefully the knee and see if the problem has appeared because of bad alignment or infection. If he can’t find anything disturbing but you insist that the pain is real then he will send you to X-ray. If X-ray doesn’t show any signs of trouble, then MRI and bone scan follow. Stress radiographs can show ligaments and if there is some trouble with them. In addition, some laboratory tests will show if there is an inflammation or infection. Unfortunately, the procedure is not a pleasant one. The doctor will insert a needle into the patient’s knee and will withdraw knee fluid. It will show the level of infection. The benefit is that white blood cell can be analyzed together with bacterial cultures and gram stain.
What type of questions will my doctor ask about the pain in the knee?
Having ready answers is the best thing, every patient can do. The surgeon will want to know how bad the pain in the knee is from 1 to 10. Is the pain sharp, or it appears little by little? If it is sharp, it will stop you from doing things. Make sure you know exactly when your knee replacement surgery was. This is important because the cause depends on the possible side effects of the surgery. In addition, you will have to explain if the pain is constant or it appears from time to time. Orthopedic surgeons are great experts in bone pains so yours will be able to determine the cause only by exact answers. For example, pain that is sharp is usually caused by fractures or injuries. Continuing, stable pain is a sign of wearing out the implant.