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lower back pain after total knee replacement surgery (Page 1)

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After having total knee replacement (TKR) surgery on both knees in separate surgeries, I am experiencing severe pain in my left buttox and lower back. Physical therapy hasn't helped much and the prescribed exercises don't seem to help. Sitting for any length of time is miserable. Has anyone who had TKR surgery experienced this problem? Prior to my TKR sugery I had no buttox or back pain The pain is excruciating at times.
Red
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First Helper redraider
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replied April 29th, 2009
Lower back pain post TKR
41/2 months post TKR I am experiencing muscle spasms and pain on both sides of my lower back. Is there a connection to the TKR?
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replied November 16th, 2011
Hi,
no,I have not experience that connection to the TKR(total knee replacement)..
You also be know that the backbone is the largest bone of our body but don't knowledge about that connection of TKR.
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replied March 9th, 2012
A year before my bilateral tkr I started reformer Pilates because my back, feet and knees were killing me. My instructor quickly noted my body was out of alignment, particularly the right side. Although I hadn't thought about it I shouldn't have been surprised given the condition of my knees. By the time I underwent surgery, four weeks ago, I was in good shape and am now recovering quickly. As soon as I receive the Dr's approval I'll return to Pilates. These exercises will help my body to adjust to it's new alignment and, I hope, prevent the back problems you are all experiencing.
I think it's understandable that people develop back problems after TKR. It takes years for the knees to deteriorate, throwing the body out of its natural alignment. During that time the body slowing adjusts to this misalignment in the way you sit, stand, etc. Suddenly, through TKR, your body is no longer misaligned but your back, hips and buddocks haven't been trained to this new alignment. My solution is reformer Pilates. Yours maybe fitness instructor, physiotherapy, etc. whatever it is, you need to do it frequently ( I go three times a week) and consistently. I couldn't believe the difference it made to my back and feet, even with my bad knees and I hate working out!
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replied August 21st, 2012
Partial knee replacement
I also found Pilaties the best thing I could have done before my partial knee op. it has given my core the strength to cope with the exercises and strenghthen my legs and lower back which I have always had a problem with. My lower back still gives me problems now and again. It's my first visit to my Physio this afternoon and feel pretty good seen as my op was just under three weeks ago. I can walk without sticks. I am still in a bit of pain but not taking pain killers during the day so feel pretty good. Hate working out too!! Pilaties is gentle but builds up control and strength
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replied April 29th, 2009
Community Volunteer
My husband had total knee replacements...This was followed last year by a hip replacement..This was one side only...Before the hip surgery he found, and the Orthopedist agreed, that you walk different...Your legs are now strong and the hurt is not in them that used to be....However, saying this your back does not know it...It is used to the pain of yesterday and sometimes damage has been done that affects even your muscles in your back and rear end or your hips...I believe they say that knee pain ultimately starts in your back...Good posture is the name of the game...or maybe it's "don't age"....

I wish I could tell you that there is a magic cure, but I can't...At least your knees are strong and that is so important...I know, I live in pain....I cannot have knee replacement's because of bad circulation....

Good luck,
Caroline
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replied November 12th, 2009
I am 12 weeks post operative of TKR of my right knee. I'm a 72 year old female. My biggest problem at his point is my lower back. I can't stand for long periods of time or walk without sitting down to rest the back. I had hoped by now that would be subsiding, but even with 110 ROM and walking without a cane, it doesn't do much good if there is no endurance.
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replied July 22nd, 2012
I am now three years post operative and 73 y/o and your situation sounds EXACTLY like mine. Have you found relief? I have put up with this for three plus years and would like to find a solution. I have corrected for leg-length issues, but nothing has helped. What, if anything, has helped resolve this problem for you?
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replied November 20th, 2009
Had both knees replaced and two and a half months later my knees are grinding? What is with this????
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replied February 19th, 2010
Total Knee Repacement causes back pain
I had total right knee replacement and one month later had right lower back pain. A MRI showed severe L5 disc damage from a 30 year old accident that ruptured that disc. The lower back pain has progressed to unbearable 24/7. I can not sit nor lay in bed without severe pain.
It has now only been two months since my TKR and I can walk, drive and stand with no knee pain. But my back is killing me and doctors don't seem to understand that kind of pain for those activities (sitting and laying down) can really wear a person down. The doctors current train of thought is that muscles in my back are spasming and gave me muscle rexaers. Current status - Whenever my right leg hurts (bearable), my back pain is unbearable. Only warm wet heat (Hot Tub) gives me relief.
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replied November 21st, 2011
Help
so true even i had my both knee replacement its 3months now but my back hurts, and the Dr can not find any salution to it.The Dr has given me belt for my back, to wear when ever i m on my leg, please, if anyone can find the cure for the back or any excise to ease the pain will be sooooo greatful.
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replied February 26th, 2012
Hip/Buttock Pain post TKR - Medical Staff Don't Understand
Almost 6 months, post right TKR. Woke up from surgery with excrutiating pain in my hip and buttock. This pain was/is worse than the knee surgery pain. My surgeon did xrays and an MRI, some degenerative disk disease but "nothing remarkable, You'll be okay." I've done PT stretches for 6 months, massage therapy, chiropractic adjustments, heel lift in shoe on shorter leg, pain meds, muscle relaxants....and a steroid injection in the piriformis muscle. No relief! I agree that physicians don't have an understanding of how debilitating this pain can be. Sitting, standing, walking, bending...everything hurts from my hip to my ankle. The only thing that helps is lying on the floor. Hard to have a life from there. I go back to see my primary care doc this week for a reassessment. It is so disappointing. My knee is doing great for the most part and now this.
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replied September 30th, 2012
My situation sounds very much like yours. Left knee replacement was going well for 2 months but now my lower back is..... stopping me from living. Right knee replaced 2 years prior... excellent resulys. I had lower back surgery 21 yrs ago to repair 2 discs in lumbar region. I would like to hear your progress.
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replied February 19th, 2010
Experienced User
I would think that either You all are experiencing back pain due to being laid up and having muscles spasams due to that and the muscles getting weeker or is it possible that now one leg is longer than the other with the total knee replacement? It would not hurt to go and have regular xray of your back and make sure you are straight in the hips..Its just a suggestion.
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replied March 18th, 2010
back pain & total knee replacement surgery
I had a total knee replacement 1/2009 and a month later lower back pain arrived. Doctors believe that my leg length changed which caused my facet joints to rub on each other causing the inflamation. It's supposed to settle down on it's own but I've seen no improvement in 12 months. Without my pain med tramadol, my back becomes enflamed pretty quickly. Ice behind my back when driving is very helpful! I still wonder if the violence of the TNR surgery has messed up a back that was in great shape previously!? Dave
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replied March 21st, 2010
Experienced User
Davetoth, have a regular xray and make sure your length is correct..If not, go to the chiropractor to get the heel lift and get one for every shoe!!
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replied July 6th, 2010
Re: lower back pain after total knee replacement surgery
redraider wrote:
After having total knee replacement (TKR) surgery on both knees in separate surgeries, I am experiencing severe pain in my left buttox and lower back. Physical therapy hasn't helped much and the prescribed exercises don't seem to help. Sitting for any length of time is miserable. Has anyone who had TKR surgery experienced this problem? Prior to my TKR sugery I had no buttox or back pain The pain is excruciating at times.
Red


I experience the same problem and would welcome any advice. Am I doomed to spend my life with a chronic pain condition, even though my knees are now replaced? It would be difficult to choose between the two things! Will I ever walk unaided and normally again?
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replied April 9th, 2012
This all is very interesting to me!
I had a feeling, I had both knees in jan of this year, partial replaced!
Now I have all this back problem and sciatic, listen there is a real problem here?
I have never suffered from back pain, now this.
I will investigate and get real answers!
This is not right at all, don't u agree?!
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replied July 18th, 2012
I've experienced the same type of pain in my buttox & hip. Had a shot in my hip and it helped temporarily but now the pain in the buttox is back. Sitting is miserable for sure. Try some hamstring stretches. That seems to help a bit. I'm still having pain in my knee tho and it's been nearly 3 months. Pain wakes me at night. That's the only time I take a pain pill tho.
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replied September 6th, 2010
I had TKR 8/2006. Starting in 12/2009 my buttocks began hurting. This has progress to my lower back, resulting in sever acute pain! My right leg is now 1.3" shorter than my left. Every activity or exercise aggravates the pain level. Heel lifts do NOT help. I am getting ajustments once to twice a week and have started stem cell treatments in Ensenada Mexico. No, insurance does NOT cover. Nothing can be done with the short leg. The Doctors NEVER tell the patients the whole truth, IMHO.
I take the following drugs every day: Celebrex, Robaxin (PM only), Tramadol(AM), Trazodone(PM), Tylenol X2. There are too many of "us" experiencing this condition for the Medical Community to ignore it. IMO, the Droctors need to come clean and tell us the truth and NOTHING but the truth regarding the painful situation they have put "us" in. The knee no longer hurts but we are wheel chair bound. That's my story, Polly
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replied April 9th, 2012
U are so very right! This is total bs, I am not going to accept this,
Talk to an attorney? Look at form I signed, before surgery? They probley got u there!
I have a real bad feeling about this!
I supposedly had a top notch surgeon?Sad!
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replied July 5th, 2014
I finally found out my severe back pain after TKR was due to sacroiliac joint injury probably due to the surgery. It is very difficult to treat and often the pain lasts forever. I have to use a walker 18 months after TKR. I am going to buy a scooter or wheelchair soon. I wish the best for you. Keep your hopes up. Go the Pt if possible and try water Aerobics.if you can. It helps me to keep from getting too stiff.
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replied September 10th, 2010
Oct 6 2010 will be my 1 year anniversary of simultaneous bilateral knee replacement. Having suffered the consequences of arthritis in both knees, severe joint erosion and rotation for 30+ years, I have experienced nothing short of a miracle. Without any real options since the Syn Visc injection ceased working, i went into the surgery with no real goals except being able to recapture my previous level of activity but without the pain.
Almost 12 months later I have far exceeded those goals. I"m playing tennis (and have been for 6 months!) better than I have in 10 years. I can walk my dogs, climb the stairs, work in my garden, hike Mt Rainier, lift the 40+lbs dog food bags out of the trunk etc etc etc.

I've had foot pain, ankle pain, hip pain, sacrum pain etc essentially because all of these areas having to adjust to the huge changes since my surgery. Continuing with my activity level is the only thing that seems to help. Can I complain? Absolutely not. Logically reviewing what's happened to my body in the last 12 months, I could expect nothing less.

Is it perfect? No, of course not, what is? Is it better? Undoubtedly. Will it get better? I am certain it will and I have new goals already set. Don't give up. Attiitude is everything. Good luck!
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Users who thank sueamash for this post: Gigi2  lilyfield 

replied December 9th, 2013
Well, thank you for that positive reply! I underwent tkr on right knee in 2010, Second replacement, Jan of 2013..I started my rigorious exercise program, on and off, 4 months after surgery. I'm about 65%"workable" after 11months, but still pushing it. I've got left side constant back pain, and the knees, both of them, are nowhere near 100%., but I'm still pushing it!
I've also tried Eastern medicine, which, in the couple of times I've tried it, seemed to work! that's Acupuncture. No one has mentioned that!! And medical doctors fail to mention it, due to the fact that they disregard it!!!
I suggest giving it a try.
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replied September 13th, 2010
Could be lower back nerve damage
You could have damage to the nerves in the lower back. I am coming up on post-op 1 year for my left TKR and 3 years right TKR. I had no problems with the right TKR, but the left TKR has been hell and I am far worse off than I was before the surgery and the worst decision I ever made in my entire life. I am now seeing a 3rd opinion ortho who is the only one that actually listens. After I described my symptoms she said, "I don't think it's your knee, I think it's the nerves in your lower back." So I am currently undergoing testing and diagnostics to figure out what happened. The back issues started the first week after the left TKR.
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replied September 25th, 2010
Prior to left TKR I had a painful knee but no back pain. Now 2 years later standing and walking cause agony within minutes. I am constantly looking for a bench to sit on to relieve the pain. Hate shopping as queueing to pay is so difficult. Hate taking painkillers but have to use them daily. Have a lift in left shoe but find no benefit.
What can I do to relieve this pain?
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replied September 27th, 2010
back pain after total knee replacement
I had T.K.R. April 2010 and my lower back is killing me day and night they put a neddle in my lower back to numb me hip down and I KNOW IT HIT A NERVE and now I am wishing I never had knee surgery.
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replied October 10th, 2010
I thought I was alone in this. I am 4 months and 2 weeks since my bilateral knee replacement. I had really bad arthritis and exhausted all other options.I did physical therapy, now I am going to be starting with water exercises. But I have noticed in the past 2 days a consistent pulling from my left hip to my buttocks to my lower back area. I was done with pain meds. and had to start taking Tramadol again. I am going to try my chiropractor and see if I get any relief. After the painful experience of the surgery I have to exhaust all possibilities. Sometimes I wish I had not done it. But, I am giving myself a year.
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replied October 18th, 2010
Muscle pain post surgery
I had similiar thing. Thought my tight leg muscles and butt was from all my exercise. LOL. I could almost feel lumps (I called them my apricots).. Doc finally sent me to a pain specialist I had trigger points. An injection of novacain in the painful places and complete relief of those issues. I am now two years post tkr and I still get pain if I stand too long or overdo it or sit too long. Deep tissue message while painful produces good relief for me.
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replied January 12th, 2011
buttock and leg pain post knee replacement surgery
I too had severe L buttock pain post L knee replacement surgery. It was sciatica and I couldn't sleep or sit or stand. Narcotics did not touch this pain. I went to my chiropractor for several adjustments 2 weeks post surgical and my surgeon recognized the need for a different medication and Rx Gabapentin for the nerve pain. All these and ice fixed the problem over a 2-3 week period. Now Im due for a right knee replacement and hope this sciatica doesn't rear its ugly head!!
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replied November 16th, 2011
Hi,
Knee replacement is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve the pain and disability of osteoarthritis.It may be performed for other knee diseases such as rheumatoid arthritis and psoriatic arthritis.
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replied January 17th, 2011
lower back pain
I had TKR of my left knee Feb. 2010 coming up on 1 year I have pain in my lower back and up and down my rt. buttock never had lower back pain before knee replacement, glad I had the surgery, but after reading all the other post there is something connected with the size of the new knee and back pain we all are not crazy.
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replied April 3rd, 2011
OMG I am so glad to see I 'm not imagining this. I had double knee replacement in July of 2010 and returned to work on February 1. I am an itenerant art teacher and one day I have 3 schools the other days I have two schools. I am using a rolling walker which I hate but figured I needed it untill this pain decreases. I have explained my pain as a result of having been wheel chair bound for six years. In my mind I thought well my body is saying, "you want to do what now?" "Walk...... I dont think so !". I also thought maybe a lot of it was in my head. As I said , I love my job but if I cant get this pain under control I may have to throw in the towel. Sad I am eligible to retire in February of next year so I was hoping to make it . Anyway thanks for sharing I know it's not all in my head. I had an MRI on Friday so I guess I will keep reading and take it one day at a time.
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