grinding, clicking of knee replacement and ugly scar

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DAJ

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Hello everyone!! I've been off the forum and busy getting back into life. I saw the specialist for my 3 months check. I told him about the stitch sticking out and not healing and suggested his assistant did a bad job of stitching me up. He just said knees heal ugly as the scars bend. I don't agree.

I also asked him about the constant click and mechanical crunching when I bend and extend my leg in one, i.e a kick. He said it's not going to go away. That's what knee replacements do and the knee cap he put in is grinding because my thigh muscle is non existant and I should do 2 hours of exercise a day to strengthen it. Well I disagree. My opinion is that had both been done in one, instead of having a knee replacement when my osteotomy plate removal scar was barely healed, maybe my muscle wouldn't be so shot.

Anyone else having grinding clicking in their knee? I have no problem with bend and pain, just this and my ugly scar. I was operated in October 2013. after a plate removal in June 2013.

What exercises should I do to build up thigh? He said squats are out. I have no access to swimming pool.
 
My partial knee also clicks and grinds, but not as much as it did before the surgery. Leg raises, lunges, mountain climbers and yes squats will all develop the quads. "No squats" per the OS--well, that's fine, but you and he should realize you are already doing PARTIAL squats every blessed time you sit down and get up. So are you to be avoiding THOSE squats due to your knee???? I expect he is thinking full squats with a ginormous weight on your shoulders or something--ending with your butt almost touching the floor and knees at full flexion. What is more reasonable is to do chair squats--hold a counter or table edge if you need to for stability, lower your fanny until it touches a chair seat, stand back up, repeat. You'll feel it but I doubt if it will make your knee implant fall out. Two hours of exercise a day--hmm, dont think you need to go to that extreme.

The scar will look better with time. That or you'll get used to how it looks.
 
Hello DAJ,
So good to hear from you :) I am 9 months from LTKR. My knee clicks also, but it doesn't
Hurt. Sometimes when I'm walking I sing a song to it :heehee: Mostly I ignore it.
Can you ride a recumbent bike ? It really helps with the thigh muscle. My Osteotomy
Scar is uglier than my replacement scar, I am proud of both & will show anyone who asks :egypdance:
Your scar will fade with time.
I am glad you are getting on with your life :SUNsmile:
Sincerely,
Diana:flwrysmile:
 
I feel like the Tin Man sometimes with 2 TKR. It's mostly in the morning I notice it. I think things will settle eventually as tissue heals. The clicking I hear is mostly the plastic. Glad it's not hurting.
 
I actually mentioned to my specialist that my physio had me doing partial squats with back against the wall. He said no. Rather do straight leg raises. I can do a hundred of these even holding for 20 seco ds at the top seems to have little effect.
 
@jeano Im always amused by Americans using the word fanny. For us non American British, Fanny means the lady part and thats definately not touching the floor no.
 
@DAJ How wonderful!!!
From now on I can tell people to do things with their fanny and crack myself up laughing in the process and they will have no idea why! What a visual! Though I have seen some pictures of ladies squatting with heavy weights where in fact the fanny in the Brit sense of the term is getting pretty close to the floor!

Re the leg raises: Are you holding for 20 seconds when the leg is about 2/3 of the way up? Lowering slooooowly? Might be time to add some ankle weights if its possible to do high reps like that. I could do a gazillion leg lifts myself immediately postop so assumed I had strong quads.
 
It's also worth remembering that in Britain a butt is what we shoot arrows into, but sorry, we digress.
So back to Daj, a lot of us seem to think our new knees click or feel wrong, but it must take a very talented surgeon to actually make one do that. As the weeks and months go by, we just ignore it and it goes away.
 
Yes, the clicking can be a nuisance and is not uncommon.

Straight leg raises with ankle weights will build up your quad. You have "Arthrogenic Muscle Inhibition," very common to TKRs. The body senses the knee is not OK and spares the knee by weakening the signals to the quad. I was given another exercise for this as well. Hold your leg straight out (with ankle weight), bend it 15 degrees, then straighten. Or the partial squat against the wall involving 15 degrees of bend. I was given these two exercises by a physiatrist, which is a doctr of rehab medicine. You do three sets of 10 each day. You have to keep this up for weeks or months. Not a week or two of 2-hour sessions.

Grinding I don't understand but will tag someone who can speak to that: @skigirl.
 
Daj, lots of knees make noise but a lot of them go away at about 3 months. If you are hearing a noise when you kick out, I wonder---I had that problem and it turned out that my spacer was not quite big enough. My knee was a little "loose"---very little, but it still made a difference.

A second opinion might make you feel better---you might get more info. from the second doc
 
Hi All, just checking Inn, How are you Diane? Im at the halfway mark now 6months have passed since they gave me my knee. I just flew home to my family in March 16,000 kms a 12 hour flight via Paris. I asked for asssistance which is IMO the best thing about having bad knees!! Travelling with assistance though airports!!!!!

It was wonderful to see my new grandchild and my children and hold him and get up and down without help. Still does a bit of that grinding when I stand up, but no pain at all so that's good. I'm going to try walking more from this week up to 2kms and see how it goes. My scar is still butt ugly as far as I'm concerned. My doc's assistant should work in a butcher shop the way he sewed me up! Hope it will fade cos it's still purple.

Spring is here and I'm in the garden planting out vegetables. So hope you are all enjoyong the same. Big hug from me bonesmarties! xx
 
I also asked him about the constant click and mechanical crunching when I bend and extend my leg in one, i.e a kick. He said it's not going to go away. That's what knee replacements do and the knee cap he put in is grinding because my thigh muscle is non existent and I should do 2 hours of exercise a day to strengthen it. Well I disagree.
So do I.
What exercises should I do to build up thigh? He said squats are out.
Walking is by far the best exercise. You could also do some abduction lifts, wall slide squats, sit/stand off a dining chair and then without the chair!, leg lifts with a slow raise and lower, knee lifts while standing. Honestly, the choice is endless! And the best ones don't need a gym or a pool!
My opinion is that had both been done in one, instead of having a knee replacement when my osteotomy plate removal scar was barely healed, maybe my muscle wouldn't be so shot.
Did he use the same scare for both? Perhaps you could post a photo for me.
 
Some of us take longer than others for the scar to fade--mine seemed to take forever, but it did.
 
This is helpful for me to read the information contained here. I am also having clicking noises and feelings from my new TKR which was done on Feb 3. I don't see the surgeon until June 3 but it sounds as if this is a normal issue that may or may not go away??
 
I must be fortunate as I hear no noise when I bend my knees. I am now 10 plus months Post Surgery. My scars are pretty ugly and I will never wear anything above the knee ever again... but those battle scars are SO WORTH IT for the relief from pain I now have and have got my life back.
 
This is helpful for me to read the information contained here. I am also having clicking noises and feelings from my new TKR which was done on Feb 3. I don't see the surgeon until June 3 but it sounds as if this is a normal issue that may or may not go away??

My new knee is over two years old and it still makes clicking noises. Nothing is loose and there is nothing wrong with it, so I just ignore the noise. I think it's because soft cartilage has been replaced by hard metal and plastic.
 
@gazelle7777. I'm so glad I found you! You gave me so much hope a month or so back when I was feeling desperate! You said something similar to "at 7 months you'll feel better and by 10 months (where I am) amazing!" Well. Thank you! It's something I'm hanging on to and I quote you to myself every day! What a long and disillusioning journey it is! I'm now 5 months and SO much better, but still can't walk much without feeling wiped out/knee swollen and pain. How much/ far can you walk now? (Or maybe you aren't a walker?). I used to walk for miles, but have had to opt out of my walking group of good friends! It's hard! I'm hanging on for that 10 month 'amazing'!! ;)


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