PKR 16 post-of partial knee replacement right knee and it's worse than pre-surgery

mmh

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I was religious in going to PT 3 times a week for 6 months. Dr. and PT therapists were shocked at my recovery according to flexibility and strength, but sadly I'm still at a 7 when I go up and down (stairs, sitting on and getting up from the toilet, chairs, etc.). I can walk and hike (downhill and uphill hurt but are manageable), play tennis, etc. but the flexing kills me at a certain angle. It's worse than before surgery. At 12 months an MRI and X-rays were taken and they show no inflammation or rejection of materials or slippage of any kind. Dr. was stumped and her only suggestion was to go to another PT person. My gut tells me this is not PT related. Out of desperation, I used a Shaman who told me I have little to no synovial fluid and that is what's causing the pain. He put me on Herbal tea and I'm wearing a copper sleeve. That was 1 month ago and so far I've had no relief. I was supposed to have the L knee done but that is definitely on hold as the two knees now feel exactly the same.
 
@mmh :welome: to BoneSmart, If you could give us the exact date of your surgery we can do a signature for you.
Regarding the problem with your knee, could you not get a second opinion from a different surgeon, I will ask one of the senior moderators to advise you x
 
2/1/19 surgery date. Covid hit so second opinion didn't happen but question how that would help as what other diagnostics could they use other than MRI and exrays?
 
@mmh
Welcome to BoneSmart, glad you joined us!

Sorry to hear you have having challenges with your PKR.

When walking up and down hills, walking sticks may help take pressure off of your knees and help to reduce the irritation that appears to be occurring.

Recommend you seek a second opinion for your PKR, from a surgeon specializing in Revisions, they have the education and background to determine what is happening with troubled knees. Look for a surgeon specializing in complex joint reconstruction or revisions. They should have no relationship with your present OS, not even golf buddies.
An OS doing you second opinion will use a physical examination, new x rays, your MRI, and their experience with troubled knees to determine what is going on with your knee.

Thanks for your surgery date, I will add it to your signature.
 
Is the pain in the knee itself or more in the tissues around the knee?
 
So if I am correct , you are 15+- months post op? Yet still have some issues with knee? I am only about 17 weeks post op, yet still have aches under knee , the walking downstairs aches, and any length of time walking, gardening, etc knee isn’t happy... PKR doesn’t mean a quick rehab..it takes time...you might be on the longer side of it, but you are playing tennis and hiking! Think of the positives!
not sure I would place much credence in a shaman, and the whole copper Infused stuff is a shady concept, to say the least..BUT, if it works for you, all is good..Time is our best friend, and if you are making incremental Improvements, as it seems you are, all is going well
 
There is a good chance you have chronic inflammation from all of the PT those first 6 months. My surgeon guarantees it happens and says you CAN overdo things after TKR in those early months. He sees it all of the time as a Revision/Reconstruction specialist. You can actually create adhesions from overdoing things. A chronically inflamed is a hot knee. The hot tissues dry out, causing the tissues to stick together (to adhere, which is where the term adhesive and adhesion comes from). I had it happen in 2016 due to months of aggressive PT. My TKR surgeon mentioned above had to spend 45 extra minutes in my knee cutting it out last year when he did that TKR.
 

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