Ocassional Acute Knee Pain After Hip Revision. Why? Posted: 08-20-05 16:55pm
I'm a 56 year old man and last week I had
a total revision of my right hip. I have
had a few hip revisions over the past 25
years, but this is this the first time
that I have experienced ocassional acute
pain right above my right patella. The
pain occurs as I am shifting weight from
my good leg to my affected leg. It also
occurs when I am sitting and try to raise
my affected leg. It also occurs when the
knee is hit from behind.
Note: my right leg was 1.5 cm shorter than
my left before the surgery and is now 1 cm
longer.
I have two theories, either of which might
explain the pain: one is that I have an
overstretched adductor muscle that is
being stressed where it attaches at the
patella. I say this because I can press
a trigger point on the adductor in my
posterior thigh and recreate the pain at
the knee.
The other theory is that my quads were
overstretched during the procedure and
this tightening is pressing down on the
patella which, in turn, is grinding
against the tissue beneath it (remember,
these are the knees of a 56 year old man
with a long history of osteoarthritis in
the hips and shoulders ... So there's
likely some arthritis in the knees, too.)
does anyone agree with one or the other of
these two theories? Is there a better
explanation? How long should I expect
this acute (but ocassional) pain to last?
I have asked my surgeon, but he's of the
opinion that it's the adductor and has
only opined that the knee pain "should go
away" in a few weeks or a few months.
Any help or input is appreciated.
Kevin
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Sonrisa
New User, Becoming EHEALTHy
Joined: 17 Nov 2005 Posts: 3 Location: Illinois
Post Op Knee Pain Posted: 11-17-05 06:51am
Hi kevin. I had a thr one year ago this
week - and the post op knee pain was one
of the worst parts of my recovery and I
have 30 year old knees!
My theory was also that it was worked over
too hard during the procedure in order to
get that new joint in.
It was certainly longer than one week for
the knee pain to go away. In fact, I was
taking my pain meds primarily for the knee
for several weeks. Even though it's just
my experience, the knee pain did
eventually go away.
Hang in there - things will get better!
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carolina12
New User, Becoming EHEALTHy
Joined: 12 Feb 2006 Posts: 1 Location: n/a
Knee Pain Posted: 02-12-06 14:00pm
I am a 27 year old who had her right hip
replaced in 2003 due to traumatic
avascular necrosis (i fractured my femoral
neck, and the blood vessels never
re-connected, creating a loss of blood
supply to the femoral head) I didn't
recieve my diagnosis and subsequent hip
replacement surgery until 1.5 years after
the fracture occured. During that time,
my hip was deteriorating and my right leg
lost some length. I continued to walk on
it, in severe pain, until my diagnosis was
received. Since getting the surgery, I
occasionally experience acute pain
beginning in my knee and radiating up the
middle of my thigh. I have not recieved
a professional opinion on it, but my
intuition tells me that the muscles were
injured as a result of walking on un-even
legs and a muscle group trying to protect
the hip joint and compensate for the hip
pain. It only comes back occasionally
and strengthening and stretching the knee
and thigh muscles seems to help. If your
legs are still uneven in length, you might
want to try an orthodic insert in the shoe
of the shorter leg. I've found that
striving for balance ans symetry have done
wonders in my recovery.
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towerskin
New User, Becoming EHEALTHy
Joined: 20 Feb 2006 Posts: 1 Location: blackpool
Re Knee Pain Posted: 02-20-06 16:35pm
I am a 30 year old male I had a hip
replacement when I as 17 an uncemented
total hip replacement, I have occasional
pain which last for a few days. Recently
I have started a new job and on my feet a
lot because my right leg (replaced hip) is
2.5cm shorter then the left im am getting
severe pain in that leg up from the knee
to the hip. I have read your posts above
and will try my insert for my boot (which
I have not used for a number of years)
hopefully it will make things easier as I
haven’t considered the shorting to be
the route of the pain (as nothing has
shown up on my x rays)
chris
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DSLDAW
New User, Becoming EHEALTHy
Joined: 27 Mar 2006 Posts: 4 Location: Winter Haven FL.
Knee Pain After Hip Replacement Posted: 03-27-06 14:14pm
At 30 I had 2 bilateral hip
replacements.I'm 33 now and am having
the same occasional knee pains.One hip is
ceramic on ceramic.That
was the first hip done and let me tell
you,i love it.No problems or pain.
The other one was a minimally invasive
prcedure with a tried and true-
poly on steel unit.The recovery was
remarkable.Witin a few months,
i was back at work as a mechanic.I have
had nothing but problems
with knee and thigh pains.Sometimes I
can't even stand on that leg
because of the excruciating pain.It almost
feels like the bone on bone
pain from avn,before my surgeries.The
heavy lifting and being on my
feet all day,proved to be too much,even
with pain meds.I have been
out of work for 8 months.My pain
management doctor said that knee
and thigh pain was normal for what I went
through.Why do I always
hear about how every one that has had hip
replacements,never is in
pain or in the situation i'm in?The knee
pains are caused by the nerves
that run next to your hip being agrivated
I suppose.
Please someone give me your take on my
situation compared to yours.
Dave
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sandyallen
Extremely EHEALTHy
Joined: 02 Feb 2004 Posts: 4580
Posted: 03-27-06 14:59pm
You know that you can always wear a lift
in your shoe to make up a slight
difference and if it is more than a slight
difference they can build up one of your
shoes to make up the difference. I have
learned that after any of my sugeries that
after a while that I have developed scar
tissue along with arthritis as I have had
22 surgeries and I could write a book as
both the scar tissue and the artritis is
painful and if you have spine or
fusion surgeries, one can weaken the other
and so on and so forth good luck to you
all.
