You definitely need a second opinion. If your range of motion is not adequate at this point, that can lead to inflammation. Some of these conditions can be prevented or at least minimized, while others may not be as easy to modify. As long as you are pain-free and making good progress rehabilitating your knee replacement, I no reason for concern. Adequate nutrition may be present if the patient exhibits symptoms such as malnutrition, low protein levels, or other deficiencies. Salem KH, Lindner N, Tingart M, Elmoghazy AD. If left untreated, discolored legs can become a sign of vascular disease and cause other problems. If you follow your doctors advice and engage in moderate-intensity activities, you should be able to walk and move freely for the rest of your life. However, it is critical that you consult with your doctor before using any specific range of motion. 93, no. A 74-year-old lady represented to orthopaedic outpatient clinic. Yang, Steven, MD1; Dipane, Matthew, BA2; Lu, Conrad H., MD3; Schmalzried, Thomas P., MD1,3; McPherson, Edward J., MD2 Now, if I sit all day ( non active) and do this a few days, the pain and inflammation goes away. Knee warm, swollen, pink after knee replacement - yourOrthoMD I hit my ROM targets--130 flex and 0 straight. What are the signs that a knee replacement is failing? It usually allows much better/easier progression with PT/range of motion stretching. 2013;1(1):e10-e19. I have had 5 knee cap dislocations since surgery numerous buckling. Use ice to reduce inflammation. At least my old knee didn't swell and never hurt daily. I am walking about 2 km a day. @ Orlando Martinez This is a particular problem when the prior incision is located where it cannot be reused, so a new incision needs to be placed over the knee joint. There are some assistive devices/braces that can help you with motion at this point. It is worse than previous knee pain, and getting worse as more time goes by. As far as pain control- NSAIDS tend to work better than narcotic pain medication for post-surgical inflammatory pain. If it hasn't been done- consider aspiration of the knee to obtain synovial fluid for gram stain and culture. Assuming your surgery was fairly recent, I think you may be walking a bit too much. Different patients experience varying degrees of pain and inflammation ranging from almost none to quit a bit. My friends can not believe how well I could walk almost immediately. Hello, I had a TKR Sep 18, 2020 - it's been a little over 8 weeks. Thank you, A few of the common conditionsthat impact wound healing and strength include: For these reasons, most joint replacement programs will advise people to get these conditions under control prior to surgery. Dental Work If concerned, have your surgeon check you out in the office. The most common sensitivity is to nickel. It does not sound like you are reporting this. 2014, Article ID 202801, 2014. Drainage beyond 72 hours after wound closure, however, is not considered normal. Hernigou P, Poignard A, Nogier A, Manicom O. Rev Chir Orthop Reparatrice Appar Mot. If your surgeon has thoroughly evaluated your knee for any mechanical issues, and has ruled out infection and material sensitivity, then it appears pain management may be most appropriate. Just be sure to maintain long duration deep flexion stretching on a daily basis. I can not really give you much advice based on this. I would expect improvement for many months yet to come. I had PVNS for many years and eventually had a TKR in Jun 2017, the surgery went well and the knee has been good until now. Some more information would be helpful to me to help narrow down the differential diagnosis (list of possible explanations). Cortisone thanks. Depending on the results, simply choosing a different prosthesis could prevent a problem. These are just a few common issues that need to be evaluated and ruled out. Dark knees are usually not regarded as a health risk, and they are not known to cause health problems. Fluid enriched with the metallic debris causes effusion within the joint. Strengthening I have horses and this is my love. 2020 Jan-Feb;11(1):165-170. doi: 10.1016/j.jcot.2019.04.010. Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. I would appreciate any insights. Manipulation Under Anesthesia The average ALVAL score of the cohort was 3.1 1.9, of a maximum score of 10. 's or Consultants I had a private metal allergy test done and the results showed strong positives to Nickel 1 and 11 as well as 8 other positives. Tourniquet I agree with your plan to have your surgeon take a look. Is your recovery otherwise going well? Arch Orthop Trauma Surg. doi: 10.2106/JBJS.18.00134 2- Have you begun any new activities? 166170, 2006. This is noted bilaterally. This will improve with time. On 11/5/19 I had a meniscus repair to my left knee. 2013 I had TKR: prior to Surgery I informed Surgeon and Preassessment nurse and threatre nurse that I had metal alloy allergies: Unfortunatly I became very poorly. Other than the pain when I lie down or ice, it has been keeping me up at night and I haven't been able to sleep in about 3 weeks now. The doctor said to apply Mupirocin in my nose twice a day and I would be fine. I already had a psoas release (7 years ago) due to calcification of the tendon by the implant, psoas looks fine now. If the drainage is from the deeper part of the wound or is potentially infectious, surgery will likely be necessary for treatment. They preserve all the normal knee ligaments, and the rest of the articulating surfaces in the knee (which are presumably still normal.) I only take extra-strength Tylenol now because I cannot take narcotics. In most cases, a Bruising is performed at the site of the incisions. I also have like a spot that's puffy in just a small area like to left of my knee could that be fluid? My life has been ruined and every G.P. Hopefully, the offensive material is cobalt, chrome, or nickel. During the first few days, I gained 12 lbs in edema and was running a low grade fever. and nothing out of place. Total knee replacement and health-related quality of life: factors influencing long-term outcomes. Knee replacement - Mayo Clinic I had a TKR in August 2020 and am still having pain and swelling. It is usually hot first thing in the morning and after I have been sitting for a while. However, I have now had two separate and increasingly painful episodes where my TKR (rt knee) swelled and required icing and elevation, with a purple looking skin appearance like a giant bruise (15 cm x 15 cm) first time about 12 hours after initial swelling. A weakened immune system makes cellulitis more likely, as does advanced age. Rotator Cuff You may notice that the skin on your lower legs becomes discolored or appears bruised as you age. Blood work showed everything normal but CRP, which was 3x higher than the outer normal range. About 3 weeks post op I developed a rash on the operated leg. The reaction is initially confined to the soft tissues due to the elimination process of the lymphatics, but then this can become overwhelmed and the bone adjacent to the prosthesis can be affected and loosening occurs. In addition, the ALVAL score did not correlate significantly with either pre-revision or post-revision KSS or range of motion (0.061 < r < 0.365, 0.09 < p < 0.88). ROM is only improving slowly. Just trying to rule everything before undergoing another bi-lat surgery. He served as assistant team physician to Chivas USA (Major League Soccer) and the United States men's and women's national soccer teams. It is normal for the operative leg to be a bit swollen for several months following surgery. My doctor does not seem concerned, but I am wondering if what I am going through is something that can be attributed to an abrupt increase of activity (I did ramp up pretty quickly) or a sign that something is wrong? I have seen and treated it, but it is rare. My doctor finally got concerned and he did blood work and nuclear bone density test which shows inflammation. Because titanium allergy symptoms may be the result of other factors, it is critical to rule out any other possible causes before concluding that titanium allergy is the source. Sanna M, Sanna C, Caputo F, Piu G, Salvi M. Surgical approaches in total knee arthroplasty. The nerve lies close to the side of the knee during surgery.