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Doctor insights on: Hip Pain After Total Knee Replacement

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I am 31 with avn in both knees and hips I recently had a total knee replacement. Is there anything I can do to stop the progression?

I am 31 with avn in both knees and hips I recently had a total knee replacement. Is there anything I can do to stop the progression?

Depends on the cause: There are several conditions that cause avn. Corticosteroid use is the most common. Once the bone has lost the blood supply, there is a regenerative process that starts and can lead to pain and collapse of the articular surface. This will depend on the extent of involvement in the affected joint. Not all cases go on to joint replacement as some will resolve over time. ...Read more

Dr. John Michalski
414 Doctors shared insights

Total Knee Replacement (Definition)

Total knee replacement: a surgical procedure in which damaged parts of the knee joint are replaced with artificial parts. They cap the end of the thigh bone, under surface of the knee cap and the top surface ...Read more


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Please help! What is the physical therapy protocole for total hip and total knee replacement?

Please help! What is the physical therapy protocole for total hip and total knee replacement?

Activity progression: Recovery from hip replacement is straight forward. The pain is easily managed with medications and rapidly eases. Most patients can walk with a walker or crutches within hours of the surgery. The muscles in the hip will rapidly regain their function. Specific exercises strengthen the abductor and flexor muscles and can be done at home or with pt. Gait will improve over the next few weeks. ...Read more

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What is the typical physical therapy protocol for total hip and total knee replacement?

What is the typical physical therapy protocol for total hip and total knee replacement?

Strengthening, etc: The cornerstone of therapy protocols following hip and knee replacement centers on gait training and strengthening. Hip replacement patients should focus on walking, abductor and gluteal strengthening, while knee replacement patients should focus on range of motion of the knee, quadriceps strengthening program. ...Read more

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I had a total knee replacement on the right side 6 months ago and now my right hip is very sore. I had it xrayed with no result.

I had a total knee replacement on the right side 6 months ago and now my right hip is very sore. I had it xrayed with no result.

Hip pain: Some disorders of the hip like tendonitis or chronic sprain won't show up on simple xrays. It's possible that simply walking improperly has strained muscles around the hip. Also arthritis or cartilage derangement may be present and not detectable by convention xray studies. Your orthopedic surgeon may order more imaging, steroid injections, physical therapy, etc after another examination. ...Read more

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10 weeks ago I had a left total knee replacement and now I have a dull, achy pain in my left hip and left foot ankle. What could this be?

10 weeks ago I had a left total knee replacement and now I have a dull, achy pain in my left hip and left foot ankle. What could this be?

Expected pain: The postop course after a knee replacement is challenging! Pain can often be up and down the entire leg. A rare but real concern can be that of a blood clot which can occur for up to 6 weeks out. Any such concerns should be conveyed to your treating surgeon asap. Let me or her know and get direction in what to do next! ...Read more

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Still having pain after total knee replacement 6 months ago, please help?

Still having pain after total knee replacement 6 months ago, please help?

Pain after TKR: There can be multiple reasons for persistent pain after tkr, scar tissue contracture or impingement, infection, malalignment, instability, loosening, infection, etc. You need to consult with your surgeon for evaluation of this problem. ...Read more

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Can gazelle be used after total knee replacement?

Can gazelle be used after total knee replacement?

Yes: I'm assuming you are referring to the low impact exercise machine. A gazelle would be very good exercise, as would most other low impact machines such as an elliptical, stationary bike, etc. Generally anything that isn't high impact is a safe option for exercise and sports participation after knee replacement. You should avoid high impact activities such as running, jumping, etc. ...Read more

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What are the exercises after total knee replacement surgery?

What are the exercises after total knee replacement surgery?

Strength and motion: Patients lose 30-50% of muscle strength after tka and have to exercise to regain that strength. Leg raising, walking, and progressive exercises to improve the quadriceps function will help. Motion exercises include bending the knee to regain flexion and full extension (straightening). These should be done 3-4 times/day. Bending, biking, and pulling on the leg in flexion will help. ...Read more

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I was wondering what are the exercise after total knee replacement surgery?

I was wondering what are the exercise after total knee replacement surgery?

You will do many: Different exercises. However, there are two main areas that a pt will work with you. First, you will need to work on stretching your hamstrings, making sure you get your knee in full extension. The second, which is very close to this, is quadriceps strengthening. Overall gait stabilization is also important. Pre-surgery exercises programs have demonstrated success in better post-surgery outcomes. ...Read more

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Is it safe to have arthoscopic surgery after total knee replacement?

Is it safe to have arthoscopic surgery after total knee replacement?

Yes: Not sure if you mean the same knee or not. The opposite knee is not a problem. Occasionally it is appropriate to do an arthoscopy of the replaced joint for scar tissue. Always worried about any surgery in presence of a total joint replacement. ...Read more

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Is it normal for the kneecap to be wiggly after total knee replacement? (1 week since surgery)

Is it normal for the kneecap to be wiggly after total knee replacement? (1 week since surgery)

Potentially: I would discuss any concerns with your surgeon, but there certainly is some degree of healing that must occur in the patella after a knee replacement. The patella is actually inverted inside out to expose and replace its undersurface with a polyethylene bearing surface, then the medial aspect of the quadriceps mechanism, which helps in tracking of the patella, must be divided and then repaired. ...Read more

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What makes the knee so stiff after total knee replacement?

What makes the knee so stiff after total knee replacement?

Scar tissue: After a knee replacement, achieving maximum knee motion is often a race against your bodies natural healing process. Though your pre-operative range of motion can ofter predict your maximum expected post-op range of motion, aggressive physical therapy is crucial to achieve the best result. ...Read more

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How long till my knee feels better after total knee replacement?

How long till my knee feels better after total knee replacement?

How long: Usually start feeling better by 4weeks, will take longer if more significant arthritis and deformity. ...Read more

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What can we expect as far as recovery after total knee replacement?

Research: The orthopaedic community continues to improve outcomes through a variety of avenues. It is necessary to speak to your surgeon directly. After surgery, most people spend 3-4 days in the hospital, and then go home or to an extended rehab stay. Therapy is typically 8-12 weeks. Weight bearing is started immediately, with a rapid transition from a walker to a cane to independant activity. ...Read more

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How come I still have so much pain two years after total knee replacement?

How come I still have so much pain two years after total knee replacement?

Many things: There are a number of things that can cause pain. Infection should be ruled out first. If it is not infected, xrays should be done to verify the components are not getting loose, a bone scan is also a possiblity. A rare cause is metal sensitivity, but this is controversial. Sometimes impinging scar tissue in the knee can cause it, or it can be refered pain from the hip. ...Read more

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Why can you not jump after total knee replacement?

Why can you not jump after total knee replacement?

Not Advisable: Every stress put across a total knee replacement subtracts from the longevity of the replacement. Smart exercise as discussed with your orthopedist and your physical therapist is advised. ...Read more

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What would cause knee locking up after total knee replacement?

What would cause knee locking up after total knee replacement?

Knee locking: You should have this discussion with your surgeon. If he does not give you a satisfactory answer and solution, it is okay to get a second opinion. ...Read more

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What is involved in knee manipulation after total knee replacement surgery?

What is involved in knee manipulation after total knee replacement surgery?

Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read more

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What are the chances of getting bursitis after. Total knee replacement and is it common?

What are the chances of getting bursitis after. Total knee replacement and is it common?

Fairly: It is not terribly uncommon, especially with the hips. The recovery from a total knee replacement does involve some degree of limping, favoring one leg over the other, and not uncommonly causing a bursitis of the hip. Thankfully they usually it resolves over time as recovery progresses. ...Read more

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How can you sleep on side after total knee replacement surgery?

How can you sleep on side after total knee replacement surgery?

Pillow: There is no physical reason preventing you from sleeping on your side. You might try a pillow between your legs if you find it uncomfortable while your knee recovers. ...Read more

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Strengthening muscles after total knee replacement revision, what to do?

Strengthening muscles after total knee replacement revision, what to do?

Your PT should be --: Able to help you, as he/she'll be able to determine which (or all)muscles need to be strengthened in your thigh (both quads ; hamstrings). They'll be gauging your response to the pt and giving you a home exercise program, all in an effort to rehabilitate you, to attain the best function you can achieve after rev surgery.
Do them religiously ; you'll enjoy the results of the surgery.
Good luck. ...Read more

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After total knee replacement, how long would I be on pain relievers like oxycodone?

After total knee replacement, how long would I be on pain relievers like oxycodone?

Difficult to known: Some patients do not need more than a few days of oxycodone after a knee replacement, whereas several often need the medication for several months. ...Read more

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What would cause a thickness/swelling/pain above the knee cap 5 yrs. After total knee replacement along with meds for RLS are not working now?

Not from RLS: Your symptoms are complex and need interview and exam but seems not related to rls. The nature of RLS is progressive so discuss with treating physician to consider optimizing your treatment plan. ...Read more

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My mother has pateller cluch after total knee replacement, which is better for her-either othroscopy or open excission?

My mother has pateller cluch after total knee replacement, which is better for her-either othroscopy or open excission?

Either can work: Patellar clunk syndrome occurs when fibrous scar tissue grows around the patellar implant in posterior stabilized total knee implants. The scar tissue catches in the recessed box of the femoral implant when the knee flexes and pops or clunks when the knee extends. It can be painful and treated with either arthroscopic or open removal with great success. ...Read more

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What to expect after total knee replacement?

What to expect after total knee replacement?

Post TKA: Surgical pain. Lots of physical therapy. Improved alignment. Use of motion machine. Start with walker and progress to cane and stairs. Lessening of pain. ...Read more

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Can knees lock up after total knee replacement?

Yes, but not often: Knee replacements can feel like "seizing" or "locking up" on rare occasions and they are usually not due to the device. The most likely phenomena you are experiencing is either "crepitus" or "clunk" which is when scar tissue surrounding the front of the knee gets trapped within the device creating a sensation of locking up. When severe enough, it can be alleviated by removing that scar tissue. ...Read more

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How long does pain last after total knee replacement?

How long does pain last after total knee replacement?

May not be complete: Some are fortunate to have the surgery and shortly there after once the wounds healed, they have no pain at all. Many will have great improvement of pain, but never completely resolved after the replacement surgery. It is a big surgical procedure with significant risks/benefits, so do your research and discuss with doc thoroughly. Good luck to you. ...Read more

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How much time on two crutches after total knee replacement?

How much time on two crutches after total knee replacement?

Recovery: Typically is about 2-3 months. It is an inpatient surgery you are in the hospital 2-3 days and then either go home with PT or to Rehab. You are up walking either the day of or after surgery. Stitches out at two weeks. Typically off crutches in 3 weeks once you can stand walk with good quad strength. ...Read more

Dr. Frederick Buechel, jr. md
447 Doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone (femur), the upper end of the shin bone (tibia) and the undersurface of ...Read more


Dr. Jimmy Bowen
695 Doctors shared insights

Hip Pain (Definition)

Depending upon who is using the term, hip pain may be limited to pain coming from the hip joint itself, or it can describe pain from a number of different causes in the ...Read more