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Patella Femoral Pain in Both Knees

CleoPetra

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Joined
Sep 30, 2026
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1
Age
68
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Male
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United States United States
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Hello-New to the forum and looking for guidance.
Had TKR on right knee end of March, 2026. For the past 4 months have had pain in the knee and lower quad in both knees. It aches going up and down steps, standing up and kneeling but not on level ground. Started during rehab doing sit to stand and squats and has not let up. Have tried rest, leg machine work, hip and glute exercises but nothing has helped. Even trying acupuncture now.
I welcome anyone who has dealt with this and how they overcame it.
Thank you.
 
@CleoPetra Hi and Welcome! And thank you for becoming an Insider!

Even though it’s been a while since your surgery, I will leave you our Recovery Guidelines. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.
(Administrative Note: For those reading this post, please be aware that these links are a premium service and only available to Insiders Club Members. To learn about membership, click here ).

Just keep in mind all people are different, as are the approaches to this recovery and rehab. The key is, “Find what works for you.“ Your doctors, PTs and BoneSmart are available to help, but you are the final judge as to the recovery approach you choose.

Knee Recovery: The Guidelines:

1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary.

2. Control discomfort:
rest
elevate
ice
take your pain meds by prescription schedule (not when pain starts!)
don't overwork your new knee.

3. Do what you want to do BUT
If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you.
If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.

4. Good Nutrition is essential for successful recovery:
Dietary Tips for Recovery
Nutrition Basics

4. PT or exercise can be useful BUT take note of these
BoneSmart view on exercise
BoneSmart philosophy for sensible post op therapy
**and please also read the Recovery myths below.

5. At week 4 and after you should follow this:
Activity progression for TKRs

7. If you want to use something to assist with incision healing and scar management, BoneSmart recommends hypochlorous solution. Members in the US can purchase ACTIVE Antimicrobial Hydrogel through BoneSmart at a discount. Similar products should be available in the UK and other countries.

8. Still need recovery aids? The BoneSmart Recovery Shop offers BoneSmarties best-loved recovery products at great prices.

The Recovery articles:
The importance of managing pain after a TKR and the pain chart
Swollen and stiff knee: what causes it?
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling
Heel slides and how to do them properly
Chart representation of TKR recovery
Healing: how long does it take?

Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?

**Recovery myths:
Myth busting: no pain, no gain
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in the majority of BoneSmart’s forums, we ask that each member have only One Recovery Thread. This policy makes it easier to go back and review the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
 
It aches going up and down steps, standing up and kneeling but not on level ground. Started during rehab doing sit to stand and squats and has not let up. Have tried rest, leg machine work, hip and glute exercises but nothing has helped.
It sounds to me like you may be doing these exercises before your knee is healed enough to do them, especially since you feel this pain in both legs. We all recovery on different time lines and even if your PT thought you were ready for these, it seems maybe you were not.

Take a break, rest, ice and elevate, and give your body time to get over this temporary set back. Healing from a TKR can take a full year, or even longer, for some of us.

Also, please tell us the actual date of your surgery so we can complete a signature for you. :flwrysmile:
 
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