Doctor insights on:
Arthro Knee Surg
I have persistant knee pain 1 yr. After arthro. Knee surg. Is it ok to ride my bike on flatish trails in the woods?
Knee pain: Cycling & swimming are activities that allow knee motion without stress of full body weight, & frequent knee motion often reduces knee pain associated with arthritis or thinning cartilage. Pain that worsens during activity, or knee pain associated with clicking, significant swelling, locking or giving out should be evaluated by a musculoskeletal expert. See how you tolerate an easy ride 1st. ...Read more
50, f, had arthro. Knee surg. 1 yr. Ago. When I don't exercise knee feels ok. But going walking hurts after. Xrays mris look good. Want to loose weight?
May need PT: Its not uncommon to have knee discomfort or even pain many months after knee scope. Knee may have subtle motion loss or strength deficits. You may benefit from physical therapy. If you have tried pt and you still have symptoms, get another opinion. It's rare to have normal studies and have pain. Something maybe being missed. ...Read more
After arthro. Knee surg. Mri, xrays look good. Still hurts to walk 1 yr later. Is it ok to walk even though it hurts?
It's probably ok but:
I question the etiology for your pain/discomfort
if its just inflamed it should calm down with nsaids or a cortisone shot
if that doesn't work you still may have something wrong in your knee
i did a similar case a month ago and the patient had a meniscal tear which either wasn't treated or got worse since last year
she's now better. ...Read more
F, 50, two mri, xrays good, had 3rd opinion. Arthro. Knee surg. Yr. Ago. Will the pain go away? Hurts to walk. Biking is tolerable. 5'4 150lbs
Maybe.: Pain may never resolve completely, but hard to say as this 4th opinion is worth much less than the first three who have seen you directly. You have a complicated problem which may never be answered to your satisfaction. ...Read more
I am 49 yr. F, had arthro. Knee surg. 8 mos. Ago. Still having pain walking. 2 mris look good, slighr swelling, should I do cortisone or knee replace?
Had arthro. Knee surg. Yr. Ago. Went to specialist after. Xrays, MRI looked good. I still ice, take motrin. Help! 49, f.?
Hamstring Tendinitis: The most common cause of persistent knee difficulties after arthroscopic knee surgery (or any knee injury) is persistent quad weakness. This in turn causes a limp, which aggravates the hamstring tendons. Exercises to retrain the quad muscles can help. These exercises include straight leg raises, exercise bicycle, and gentle stairclimbing. Forcing yourself not to limp will also help. ...Read more
2 yrs. Since arthro. Knee surg. Shaved cartilage, MRI xray good. Still hurts exercising. Should I exercise regardless and ice after. Seen spe.?
No: It is important to understand the pain and it's cause. Most important is to engage in a comprehensive physical therapy program. Consider injectional therapies that may help with the pain and dysfunction of your condition which I presume in osteoarthritis and or a meniscal tear. Seek another opinion with a primary care sports medicine specialist. ...Read more
I have unexplained knee pain. Had arthro. Surg. Aug. 9, tried everything. Still major pain w/activity. Help seen many dr's?
..: This is a specific medical complaint which has already been operated on that should be seen and examined by an orthopedic surgeon, specifically a sports-orthopedist. ...Read more
Long list: Pain can also be referred from back or hip. Common inside knee pain could be due arthritis, medial meniscus tear, strain of the ligament (mcl), inflammation of hamstring tendons, bursitis, plica, or knee cap region wear/tendonitis. Pain outside may be due to arthritis, lateral meniscus tear, strain of ligament (lcl), itband syndrome, popliteus tendinitis, knee cap region wear or tendonitis. ...Read more
Many causes: A runner's knee is essentially pain in the knee but it can involve different structures like the problems with the bones (patella), tendons around the knee (IT band) or problems inside the joint itself. Depending on the severity of the pain, the presence or swelling, the treatment would be different. ...Read more
The knee is a complex joint with many different potential pain generators (meniscus, ligaments, cartilage, etc.) that may become damaged or inflamed.
A good history and physical exam by an experienced clinician can help identify the pain generator (s) and advise you on a treatment plan. ...Read more
Usually nothing: However it depends on severity. Severe knock knees can lead to early arthritis due to overload of one side of the joint. It may be treated in these cases with an osteotomy I realign the bones in a more favorable position. Often this is done gradually with external fixation to avoid nerve injury. ...Read more
Unfortunately not: Normal knee alignment spreads the forces of weightbearing evenly across both sides of the knee. Unfortunately, knock knees (aka valgus knees) and bowlegged knees (aka varus knees) overloads the lateral side (outside) and the medial side (inside), respectively. This overload can cause early wear of the cartilage as well as causing dysfunction of the patellofemoral joint (kneecap). ...Read more
See orthopedist: There could be many reasons for 'heat' in the knee. Injury, infection and inflammation are common reasons for heat. Both traumatic and non-traumatic causes such as sprains, strains, bursitis, tendinitis, early arthritis/wear/tear, ligament injury, meniscus tear, rheumatologic diseases can cause inflammation and 'heat'. See an orthopedic surgeon for clarity in diagnosis. ...Read more
Many reasons: The most common and likely cause of cracking/popping in front of the knee is an irritated or early wear of the knee cap cartilage or the surface cartilage of the thigh bone that it rubs. Other causes could include a meniscus tear, plica, patellar tendonitis etc. Some fluid build up in the knee causes cracking. Try therapy, antiinflammatories, ice and sometimes a knee sleeve. See orthopedist. ...Read more
Dangle and rotate:
If your knee is locking up, it usually means you have a meniscus tear. Sometimes letting it dangle over the chair and slowly rotating and bending it will free up the piece of meniscus that gets entrapped and blocks motion.
You need to see a surgeon an get it arthroscoped if it is locking up. ...Read more