I had tkr over 9 months ago and, while I have good ROM I also have constant soreness, stiffness after periods of immobility, swelling, numbness and hot spots as well as zingers from nerves. I am one of those patients whose surgeon and pt subscribed to the the no pain, no gain treatment and my knee was constantly forced into severe positions from day 2 post op until I was released at 4 months. My knee swelled grossly from day one and my pain was severe with little pain management. My surgeon doesn't prescribe anything but Tylenol past week 2. I was just wondering if anyone has any advice. I do all normal activities; walking, climbing stairs, driving, housework and gardening, etc. Plus I try to keep up with gentle exercises to maintain my Rom but I pay a price daily! Is this permanent?