What should I do if my total knee replacement of 2 1/2 years begins to make "clicking " & "popping " sounds?
See your surgeon. Clicking in knee replacements is very common as the parts are metal and plastic (polyethylene). Popping may indicate some swelling or fluid build up in the knee. You should see your knee surgeon or knee replacement specialist to have it evaluated.
See your surgeon. As an artifical device some clicking can be normal, especially in certain designs. New onset of clicking or popping can be a sign of laxity or "patella clunk syndrome". Patella cluck syndrome occurs when scar tissue develops around the patella and gets caught between the patella and femoral components when the knee flexes. It is not harmful but can be annoying and removed with surgery.
If painful get seen. Non painful clicking and popping sounds are not worrisome. It can be common to hear clicks. If you are having pain with these sounds call your surgeon and get a checkup. Scar tissue can develop and be the cause of the pain. Arthroscopy to improve the symptoms by trimming out the scar tissue is possible and this is an outpatient procedure with two small incisions.
I had a total knee replacement three months ago. My knee locks up, is extreamly stiff, clanks, and makes popping noises. It is not infected. Why?
See your surgeon. Check in with your orthpaedic surgeon if you are still having issues. Knee replacement can have a lengthy recovery. Your doctor can check you for problems that may benefit from treatment.
May be unstable. The knee is still recovering from surgery at 3 months and it is common for patients to experience stiffness when getting up from a chair or bed. They may also notice some clicking noise at times. Locking up or clunking is not common and could indicate instability in the knee. This means the implants are not tracking correctly and the knee is not balanced correctly.
After a total knee replacement is it normal to hear a sound like cracking knuckles when walking or moving the knee sideways?
Yes. The soft tissues that glide over the implant with movement may make sounds. If there is pain or swelling then evaluation would be reasonable.
Get evaluated. This issue needs evaluation. The two major causes are infection and loosening. See the orthopedist who performed the replacement if possible but see someone.
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.
You need to. Follow up with your orthopedist. This could be related to your knee replacement but it could also be something new. Either way you need to follow up with your physician for a re-evaluation. You can certainly take Ibuprofen or acetaminophen for pain in the meantime, as long as you have no medical condition that would prohibit either of these medications, but you need to be checked out.
I had a total knee replacement three years ago I have done two marathons and walk and swim every day. I'm having significant pain. Is this normal?
Not normal. There are people with new knee replacements who do complete triathlons successfully. Although a person may have knee pain (even without a joint replacement) for a few days after a marathon I would not expect you to have severe pain for weeks after an event. Occasionally the hardware of the new knee replacement can loosen resulting in pain symptoms. Please follow up with your orthopedic doctor.
What would cause a cyst to form under my knee cap? Is there any help for nerve pain one year after total knee replacement?
Arthritis. A cyst under the patella (kneecap) will often develop as a result of articular cartilage degeneration which can occur with arthritis or other conditions that lead to damage of the cartilage. These can be found in any joint. The cyst is a fluid filled cavity that will often connect with the joint at the area of cartilage damage. If the cyst has occurred after tka it is likely something else.
Several possibilitie. These are the things that can all of a sudden cause pain at any time with a total knee of any age: tendinitis, bursitis, stress fracture, contusion, muscle strain or pull, bacterial infection, viral infection, medication reaction, soft tissue pinched between the implants, loosening of the implant from the bone cement, wear down of the bearing causing inflammation reaction to plastic particles.
8yr TKA. Check x-ray for loosening or infection.
Severe knee pain in the evening when resting. Pain is in medial aspect of knee. I was told I need a total knee replacement 2 years ago?
Knee pain. Night resting pain, intermittent swelling, stiffness--all very common for knee arthritis.
See your doctor. Pain at rest is a common symptom of arthritis in the knee. It can come from bone swelling or joint inflammation and vary in intensity from day to day. Most people with knee arthritis will feel pain on the medial side. Medications or injections may provide temporary relief. Partial or total knee replacement may be indicated. An orthopedic surgeon can help you.
My husband had total knee replacement 14 years ago. It looks like his knee cap has now dislocated. Is this serious or not?
Yes. Please go see an orthopedic surgeon soon.
Possibly. If he is having pain he should see his surgeon and get an x-ray. It could be loosening of the patellar implant, fracture, or dislocation of the patella. It may need surgery to repair.