Pain on the Outside of My Knee Replacement

[@m.b.6113]

Hello Tony. Thanks for you videos. I can say I get a lot out of them. The outside knee pain you are describing was me. Exactly as you describe it. Slightly below or near the joint. Weeks after surgery I was getting to 110 degree flexion. But soon this pain became limiting. The pain radiated down these of my calf, like shin splints and into the heel of my foot. I spent from the time I woke up until about 3PM working it back to 95 or 100 degrees and could not go further. Because of Covid and my situation I could not attend PT for around 4.5 months and was doing what I could from home using your videos and others. Even after PT, I could see very very minor improvement. But still not back to 110. About 35 years ago I had extra articular ACL repair. Not a common or an effective repair. I really believe a lot of the problems I had were because of this. The surgeon chose to leave the repair and the hardware (2 screws) in place as they did not interfere with the new knee parts. Maybe the correct decision. I do not know. A few weeks ago I needed some unrelated minor surgery. They did a local anesthesia which basically numbed my lower body. During recovery, I took the opportunity to see if I could get more movement without the pain. I could achieve 120 degrees, maybe even 130 while still under a local. I heard a couple of minor pops and did experience swelling and bruising on the outside a few days later. But, now that pain is not stopping my progress, only the 6 months of limited mobility and tight tissue I am working through. So, basically I performed self manual manipulation. My question, if I had not done this, would it have eventually gone away or do you think this or another procedure would have been required? I just passed 6 months and am making better progress, but still have a ways to go to achieve 130 degrees flexion. Stairs are no problem going up, better than before going down but still not where I need it to be.

[@garyp1432]

Got to tell everyone about this. I went to Poland from Britain, because of our crap health system, for my surgery, 2 week all inclusive. This was not covered by the physios there. On returning home this side knee pain came on suddenly knocking me back and panicked by thoughts of failure of the new knee, for about 5 days I felt I was going backwards, sleeping was murder. Pain set my PT back. Now I’m back on track and thanks to you pal I realise it’s part of the process. You’ve been a great help thanks a lot. Bless you keep it up.

[@lauriem9350]

You are the best. I keep referring your channel. SO HELPFUL. I experienced that side of the knee pain but keep working it and it gets better and the pain goes away. The pictures and explanation makes it so more comforting to get thru this process! YOUR THE BEST!!

[@totaltherapysolutions]

That is awesome! I am so grateful you took the time to post this comment. I never know if anyone is listening.

[@choney8125]

Great video. I’m 6 weeks po and that lightning bolt pain is real. Omg

[@julierobinson1099]

I had a TKR (L) 2013 and just had the (R) done 5 weeks ago (Robot) I must say the new tech is far better as I have great movement and the scar is less invasive than the first! Tony the biggest issue is you must follow the Physios advice and do the exercises as directed! If they say only 10 bends as such than do only 10 do not push as each day we get stronger and it improves which I have can validate. No pain No gain! Trust in your own judgement and those who know what’s best and if you are in doubt ask don’t suffer in silence. I enjoy your videos they are right on! Blessings from Australia 🇦🇺

[@asharp6591]

Thank you for explaining this Tony. My surgeon said it was sciatica. Your explanation makes much more sense 5:07 makes

[@williamkunkel8293]

My name is Betty and I am 66 years old. My original knee replacement was 4 years ago and since it had become unstable my surgeon recommended a revision. That surgery was 6 weeks ago and I'm doing great with PT.....my flexion is 135 and extension is 0. Night time pain is intense and I had suspected my lateral knee pain involved the fibula. This video confirmed my thoughts and I thank you for sharing your expertise!

[@7000bass]

Thanks again Tony. March 16 and, in the UK, no physiotherapy or surgeon follow up. Have that front tibia pain but the fibula head is in pain and that’s where the clunking click comes from. I spoke to the surgeon on the phone and he says there’s no cause for alarm but will X-ray just to check, that was 5 weeks ago. Because of these times, you’re doing such a great service, so many of us appreciating your work on sharing your knowledge. Cheers my friend 👍

[@totaltherapysolutions]

Thanks so much! You have been such a great supporter of the channel and I always appreciate your comments.

[@class87srule]

My consultant showed me my x-ray and it's clear that there is no outward impingement on tissue but that any pain on either side is caused by the collateral ligaments having to get used to the new alignment of the joint. I said that the angle of my foot point out (varus?) was more than previously and he said that it had previously been incorrect and the positioning of the new knee had corrected it. The left/right side pain I 'have' experienced is diminishind so it in my case it must be a case of the ligaments having to get used to their new neighbour! I'm 4 months TKR - UK.

[@johnkinnane547]

It can be fibromyalgia and I say that at the age of 67 I’ve had two knee replacements and two hip replacements I suffer with fibromyalgia, rheumatoid arthritis and osteoarthritis I asked my surgeon about the constant pain I get in and around the areas of the implants, and he put it probably down to fibromyalgia which has a multitude of problems it can cause. Regards John

[@dazzlingpumppouches]

Thank you so much for these videos, these are the best . They pretty much hit the nail on the head as to what I have been feeling. I’m 14 months po and still uncomfortable right below the knee going across and side of shin feels like a shin splint. It also gets worst depending on the shoe I wear if they are too high at the sole I’m sure sure why that is.

[@kathyclark3168]

Another good video that gives answers

[@myronyoshioka8742]

Another great and informative video. Thanks

[@totaltherapysolutions]

Thanks for the support! I hope you are doing well.

[@christiinawilliams6217]

Tony totally love watching this today I’m 7 1/2 weeks out my knee replacement going to physical therapy I always tell them on the one side of my knee it’s very sensitive also when he tries to rub the scar tissue I always tell him why is it still so sore

[@totaltherapysolutions]

That's great that you have a therapist who will do hands on! Thanks for the comment.

[@judithsloan8617]

I'm so happy I found your videos. I wish I had found them sooner. I am having pain on the outside of the knee and my surgeon said it was the IT band and it will go away. He made a lot of sense. I'm 3 months postop and still have the same pain at a bit less of intensity. Any thoughts? Thank you so much!

[@meenadeem]

Thank you Tony, I am seeing my Dr. lets see what he has to say or even my PCP too.

[@totaltherapysolutions]

How did it go?

[@meenadeem]

@@totaltherapysolutions Thank you Tony. My PCP has ordered another X-ray and going to see me on Feb. 17th. Dr. Stoll thinks it could related to other medical issues. Let’s see.

[@dywagner7998]

That makes sense on the top of the tubular bone, because that is where it hurts and gets warm. My Doc has done all but an MRI, I still have this belted pain around my knee.

[@dywagner7998]

tubular!

[@lynetteprieto1434]

Hi Tony this video explains what experiencing presently there is pain on the lateral side of my surgical knee after a tkr one year ago I also feel as though there is something loose when am walking Great video as always keep up the good work

[@medicmike4906]

Hello, I am weeks out TKR I am having this pain and I will ask her and get back to you when I see her.

[@74ironman]

Tony is like the Dr Fauci of knee pain. Expert with opinions. For us to pick out what we want to hear.

[@careymartin7330]

Do you see better results and faster recovery with the lateral approach

[@owenthorsen8017]

I’m at 9 weeks after a complete knee replacement. I have pain on the top, pain down to the middle of my leg and pain all the way to my hip and thigh. When I walk for 20 minutes the pain(s) get worse and swelling grows to the point I have to struggle to flex my knee. When’s it time to see my doctor again?

[@specialized29er86]

12.11.22 - I have the pain on both knees and the right knee has settled down and the left knee is still coming along at 50% I was thinking maybe the tendon had torn and since the physio ladies weren't concerned I'm still doing the physio but with extra. Looking forward to my new Tens Unit arriving on Tuesday.

[@davidcoomber4050]

If you don’t know don’t guess, there is enough advice on social media on knee replacement ,I have yet to find an expert who has actually had a knee replacement

[@totaltherapysolutions]

Thanks for the feedback.

[@TheJackl317]

Hello I have been having extreme pain in my shin, calf, and inner side of my knee after TKR I had a serious break in the tabula and fibula bones and knee joint three years ago and several operations to fix those issues the tightness is very painful I exercise regularly and while I'm working out the pain gets a bit better but the pain returns soon after. During the original break the perennial never had been pinched by the broken bone back there they said looking at the x-ray that the bones had healed all the way through but I still have lots of pain in these areas very had to deal with 😭

[@starbsj]

Question??? Why do I have pain in my shine and ankle. Since the surgery they are very tender to the touch

[@totaltherapysolutions]

Yep, that is very common. It might be from the way your lower leg was secured during surgery or it might be from the way you have been walking since surgery. These symptoms will improve as you normalize the way you walk and spend more time on your feet. It is a slow process. Measure improvement with a calendar and not a stopwatch.

[@mccalljo]

Tony you have helped do much!! I have this pain. I also have clicking at the fibula not the knee cap. Can you give me some insights on this and how tgat big nerve can get pinched that loops through the fibula?

[@starjones7233]

Can you tell me if the numbness on the outside of my knee would cause me not to be able to walk without a cane or Walker. I'm not sure why I can't walk without the equipment how can I improve my walking?

[@starjones7233]

I'm having the same problem.

[@irmateesuarez8501]

Today is my 8th week post TKR. I can bend my knee 120 degree but I still have the feeling of tightness when I bend it. I developed keloids or adhesions on the incision site & this give me discomfort & tightness when I bend my knee. I cannot walk yet properly without a walking stick, still feeling heavy on my knee & become grossly swollen if I stand for a long time, I have muscular pains after standing even for just half an hour, but I can use the stationary bike already 2 days ago. I am concerned of the keloids because it is the one causing me pain stiffness & discomfort. Is there anything I can do with the keloids or adhesions. Thank you.

[@mariellehoule2987]

Hello, Thank you for all these informative videos. I had total knee replacement and everything was going great. I am a 72 year old active female and wanted to find out if some people get neuropathy! I have it on the inside of my leg up to my knee. I am taking Gabapentin 300 MG 3 times a day. At night mostly is when my leg bothers me, so sometimes I have a hard time to sleep because nothing can touch my leg. I am starting my 10th week on Wed March 17. I do have full range of motion. Sometimes my knee does feel like I have a weight on it, but I can function. So I just wanted to find out if you have had someone that has had neuropathy with total knee replacement. Thank you!

[@harrygruber2302]

Is a heat pad to put on the knee for pain?

[@jimlink1656]

I have pain on my left side of my left leg which I had a total knee replacement on my left leg. Now I have pain and my leg is

[@JS-lv6um]

Hi Tony. First I have enjoyed each of the videos that you have posted to help a group of people such as ours. TKR!! Very helpful. You are providing a service that is desperately needed. I had TKR 11 weeks ago and it has has gone splendid except for the topic of this video. I have 130+ degrees of Flexion but can't get past 7 degrees of Extension. When at that limit i have significant pain in the TibFib joint. It feels like at a that point I am hitting a mechanical limit. Could that be possible? Is there anything I can do to get pasted the limit I am experiencing? Thank you in advance for your help. PS. I can't seem to get any of my medical professionals to really listen to me. just sluffed off as "just need to do more Quad sets".

[@bradtodd7869]

Tony I've had knee replacements on both knees at different times in the past two years. I'm having lots of pain under my knee cap especially when going up or down stairs, or when trying to get up from a chair, toliet, etc. I've been told from a PA with my surgeon that my xrays are showing bone spurs under both knee caps which have been growing over the past year or so and are getting much worse. They said I need to have them removed so I said ok but are they most likely there now from an underlying condition and if so what could that possibly be???

[@isabellamcdonald9144]

I had a partial knee replacement 4 months ago, I have a lot of pain in my foot. Feels great like a red hot picker being pushed between my toes. What do you think ?

[@joansobsey4081]

I need some exercises or something I can do for this at home , please

[@totaltherapysolutions]

I will put something together.

[@harrygruber2302]

Is a heat pad good to put on a knee when you have pain

[@clintloewenstine2996]

Hello Tony, Great videos I have learned a great deal from the information you share. I am in the Cincinnati area. I am 52 and had right TKR almost 6 years ago, left TKR little over 2 years ago. Two different surgeons did my surgery. I have had pain on lateral side and in back of both knees in exactly the same locations since surgeries. Have had too many x-rays to count, only to have surgeon tell me knee itself is fine. Have not had an MRI since either surgery. Now I am being asked to see a pain specialist. I have no idea what I should do or where I should turn. Any advice you can lead would be appreciated.

[@Kellergirl]

Thank you for this. It explains a lot!

[@totaltherapysolutions]

Wonderful. Thanks for letting me know.

[@MrCharlescarlos]

what will i do with the do with discomfort? exercise, hot therapy, cold therapy, tens unit, massage.2 months now after TKR still experience discomfort both on the side of my right knee.

[@totaltherapysolutions]

Sorry Brett! Unfortunately lots of people continue to have those sensations for months and even into a year. Focus on the things you can control. Focus on the improvements you can measure. With time and consistency you should see some improvement.

[@brianmann7035]

Would a cortisone shot alleviate the pain?

[@totaltherapysolutions]

I don't think a surgeon would use cortisone because it may interfere with healing.

[@cristinadallesantro9332]

Can a tendon or ligament be rubbing the fibula or knee itself? When I bend my knee it’s like someone is plucking a guitar string on the side of my knee

[@totaltherapysolutions]

Yes! Absolutely. Fibers of the ITBand can do that. The hamstring tendon can do that as well.

[@patriciamalcolm2853]

Tony have nerve tenderness on one side of the incision. When the bedsheets or clothes rub the area it feels like sandpaper rubbing. Any tips?

[@totaltherapysolutions]

I like to desensitize it with either scar tissue massage (even if there is no scar) or rubbing a wash cloth on it a couple times a day. There is a video of someone using plastic wrap at night I think to get some sleep. Look at my video on scar tissue massage.

[@totaltherapysolutions]

I have a video on cupping too that might help.

[@louscarpato1440]

Patricia, I had the same after a double TKR. It went away after approximately 6 months.

[@frankloccke4313]

Hi Tony, Can explain why I have pain in the back of my knee when I bend my leg especially when I first get up. I’m now at 14 weeks post op TKR Thanks Frank

[@GabrielsTears]

Just the answer I needed. I am 4 weeks from surgery and my shin hurts really bad at times. I do have a question on ankle pain. My ankle feels like it is sprained and is still sore after 4 weeks. Is this normal?

[@totaltherapysolutions]

It is common, maybe not what I would call normal! You are likely walking totally different. You lower leg bone is likely lined up over your ankle differently than before surgery. That is putting all new strains on the ankle and with time your ankle will adapt to your new knee. It is like having a noise new neighbor. With time you start to acclimate.

[@GabrielsTears]

@@totaltherapysolutions Yes my legs were bow legged even as a child. Then when I developed arthritis my knee was way out of align. My shoes would always wear out on the sides first. Now my let is very straight. Thank you for the explanation. That helped ease my concerns. Everyone I ask said they did not experience that so it kind of worried me.

[@harrygruber2302]

During my operation they gave me a spinal that numb the knee until after the operation. I’m four weeks after the operation and still feel pain in that area, is that normal ? And what can I do to relieve it.

[@lawrencewolf8453]

Dr. Please can I grow new bones? I’m sorry I ever had knee replaced.is there any hope for me? Thank you 🙏

[@joansobsey4081]

I am 1 year and 6mo post op . I have pain all the time. It is lateral but also goes down front of knee as well. Does not hurt at rest. What physical therapy exercises can I do for it? I have excellent range of motion. It just hurts to walk. Please these KZbin videos do no good unless you can give me something to do about it

[@vonieisenbeis5432]

i have this pain---i was doing very well unil i started squats with my PT... now hurts while i am icing it---is that normal? icing used to feel good...now not only hurts while icing but after icing???

[@nataliejones7585]

Hi, Tony! I'm new to your site...but better late then never. Thanks for sharing your knowledge!I'm six weeks post op TKR. Having trouble reaching the 90° ROM that has been set for me. MUA has been mentioned to me, but on my last visit (this week) I have been given another three weeks to reach 100°-100° ROM. MUA is still a real possibility. Having had a THA, repair of femur, complete with rod and screws, and the TKR all on the same leg, my fear is possible femur fracture again. I may add that the two prior surgeries have left my quad muscles weak d/t some nerve damage which I think has impaired my leg strength. I will keep watching, maybe you'll address this issue.

[@Lyn4817]

Tony I agree with your logic of frontal knee pain. In the first couple of years I always said I could distinctly feel the cut off bone mass where it met the prosthesis, especially if I lent on it or it got so cold from being out doors in winter that I would take a bath, to warm my knees up to get rid of my bone pain. I have always suffered greatly from the cold. To the extent we now live in the tropics and viola, my knees don't suffer from cold any more. It wasn't the main reason we returned to the tropics after spending 15 years there. Knowing we wanted to retire to the tropics. Best think we could have done for my osteoarthritis. I wouldn't recommend it as a sea change for those who haven't experienced the worse of the tropics weather.

[@raghdahulaiba]

Hello, thank you for the clarification in the video. I have a question, why is the skin in the area of ​​the operation sensitive? And when do you recommend the second operation for the other knee, I am now in the third week and am still training on the right knee?

[@doramartinez1425]

I'm going to 2months in a half my knee still so stiff and I excerizing hurts I'm still in pain at nights wake up all hours I've tried everything aspirin don't help

[@sandraohara685]

Massaging helps

[@totaltherapysolutions]

It definitely does. Thanks for sharing.

[@timothycamarco8311]

Would that cause a clicking pain at the 30 degree mark? Or could that be a IT band syndrome

[@gailbates2235]

Oops! I found it!!!!!

[@totaltherapysolutions]

Awesome! You beat me to it.

[@rickwilliamson9248]

I'm getting pain right where you describe it. Xrays looked normal, so my surgeon thinks its my "IT (Iliotibial) Band." He thinks it's inflamed, so he prescribed ibuprofen and regular icing. My PT gave me a stretch to do. But interested if you have any ideas?