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Charmoore 07-16-2011 04:37 PM

Total Knee Replacement PAIN
 
In just over a month I will be 1 year post op from a total knee replacement. I continue to have pain daily, and try to control the pain with Aleve, and when that does not work, Vicodin. I am unable to totally bend the knee as far as the good one, stairs continue to cause a great deal of difficulty and pain, excessive sitting and walking also cause pain and swelling. I am only able to work part days, as the knee swells and I need to spend a portion of the day with it elevated and iced. I had no idea that the total recovery time could be up to two (2) years.

I hear clicking when I walk, and some limping as well, which throws my hip out, and I have to see the Chiroprator to get realigned. When I rotate the leg to either direction while lying down or while elevated on ice, there is pain lateral and medial to the knee, as well as pain below the knee.

I originally blew out the knee on a rescue call, where I worked as a EMT, for a local rescue squad, and had to have a total of 7 surgerys on the knee. I had to resign from the department about 1 year after the original injury, because I could not kneel.

I was receiving W/C, (after the TKR), until the NP who had seen me once to refill a pain med script stated I "should' be able to return to work without restrictions. Oh so wrong. Part of my normal job consists of using stairs multiple times a day, as our office is on the lower level of our building, and it does not have an elevator. As well as a great deal of sitting and walking, and other part of my job consists of assisting elederly to transfer from one place to another, and this involves some twisitng of my leg and knee. I wish that I had been told that the total recovery time was going to be so long, because I am not a patient individual. When I returned to work ofter surgery I used the stairs twice a day, as directed. Minimal swelling was seen,

I have done all of the rehab that was ordered, and the surgeon stated he felt I returned to work too soon. (Difficult to stay away when you own the joint). I returned 2 months after surgery.

After the NP indicated "should" be able to return without restrictions, I have returned to my routine prior to surgery, only to find that the pain and swelling is getting worse from the use of stairs multiple times, and assisting with treansfers, and excessive sitting and walking I do as part of my NORMAL Pre-Surgery routine.

I am not the poster child for a knee replacement.

rosebud55 07-17-2011 02:18 PM

Re: Total Knee Replacement PAIN
 
Hi. I was wondering if your doctor checked to make sure you are not allergic to any of the metals in the new knee. I am allergic to nickel. Another woman at work had surgery and was having the symptoms that you describe. Come to find out she is allergic to nickle and there are small amounts of nickle in her replacement. The same replacement they were going to use on me. I had a knee replacement six weeks ago now and I do not have much pain anymore but still in therapy. I do not have any swelling. Feel badly you are having this much trouble and so I was just wondering if they did a metal test before using the replacement. Best wishes too

Charmoore 07-17-2011 02:29 PM

Re: Total Knee Replacement PAIN
 
When the MD found out about the allergy, what did they do? Did they do anther replacement?

rosebud55 07-17-2011 05:07 PM

Re: Total Knee Replacement PAIN
 
The woman at work had to wait four months before they did the redo of her knee. Something to do with the scar healing some before they redo it with a replacement that doesn't have any nickle. But she said that her knee swells, is painful and even though she did everything that therapy told her to, she was still in pain and didn't feel like she was improving. Kept returning to the doctor who did a metal strip test and found she was allergic to nickle.
I had a strip test done years ago when I had a reaction to hair dye so that is how I knew. But even before that test was done, I knew that some earrings and other jewelry caused my ears and neck to itch and get red if I wore them too long. So I wasn't surprised to learn I had a nickle allergy.
The signs that you describe sound a lot like the woman at work.
I feel so fortunate that I found out about her knee replacement prior to having mine done. I think they should test everyone for a metal allergy prior to having it done. Must have to do with insurance or something, I don't know.
This might not be the reason you are having a problem but it might be worth checking into just in case. I had no idea there was even traces of nickle in the replacement. Nickle is a common metal allergy I'm told.
I know you must be getting very discouraged at this point, I feel there must be a reason you are having these problems. Hope this is helpful and wish you the best.


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