It is imperative to get to the bottom of this problem, since ignoring it could lead to some permanent damage. good for you to call therapy services and voice your concern -, you are doing great - one day, one step at a time and be gentle with your self ----, Good morning Kimberly , my hip replacement Surgery was January 9 this year my hip dislocated totally February 13 this year the pain was unbearable not human I could not move an inch and screamed like a baby until put back in, l have terrible nerve pain and then to one pain in my butt going down to my foot in my thigh doesn't feel like it's mine l am taller on one side , ok pist op l had thigh pain always , an tall on one side , anyway l sat low on couch and heard like a gear shift , l heard this loud , an slid to floor in agony. At almost 4 months post LTHR posterior, I was sure hoping for a different result. After all, old habits take time to change and if you’re like me, you’ll need to concentrate to walk properly on your new knee. Are you limping when you walk? The second was January 21, 2016. I hope you are getting on better now. This website is part of the Amazon Associates Affiliate Program, a program designed to provide commissions through advertising that link to Amazon.com. It has lots of swelling inside going on at this point. The last few weeks were spent at my daughterâs home and I was still in severe pain. However, a year and a half after my TKR I experienced more severe hip pain. He said I did not have bursitis. Hip pain after knee replacement is quite common. Great responses and valuable information !!!! It went from my belt line down to my knee. The prevalence of groin pain after hip replacement is 0.4-18.3% (1). I was on Glucosamine medication, but it didn't help me in any way. I'm a 65 year old female with few health issues! I told you the first reason. If you do have cartilage loss in your other hip some difference will remain, at that time you can choose what you want to do. Icing multiple times a day cuts down on inflammation and swelling, which in turn, will cut down on pain. It’s important to strengthen the muscles and tendons around your knee but you also need to strengthen your hip muscles and other leg muscles. Had an xray and saw surgeon who confirmed for me all was ok. The most common cause of sharp, stabbing knee pain that comes and goes is arthritis. Did they give you a ward contact number on discharge if you haven't got direct contact for surgeon? The implants used in hip replacements are made to resist corrosion and wear. Are these problems related to the hip replacement? After 2 months the pain gradually went away and I was able to resume my normal activities. After total knee replacement surgery, your knee joint will be repaired and your leg will be properly realigned. >> also read my swimming routine (a great low impact activity). After knee surgery, you may experience pain in other parts of your body. About 30 percent of patients experience moderate pain after a total knee replacement. Both had severe cartilage loss. Most commonly, pain is felt either in the hip or the knee, or both, at the areas of attachment to the bone. Our clinical information is certified to meet NHS England's Information Standard.Read more. There are a number of factors that can increase the risk of hip impingement. No harm in checking with medical staff though. There group is the number 1 in No. My daughter set up an appointment with a physical therapist who examined me. In addition, knee pain in the front was more common among younger and more active patients. Before leaving on a vacation, I went on several 6-8 mile hikes within a week. This can be alarming for many people because the pain could occur in places that felt great before surgery. If at my 6 week post op appointment I'm still unsure then to talk to my surgeon who will then refer me for physio if he thinks it's necessary. Patient is a UK registered trade mark. Take it easy. © Patient Platform Limited. In the meantime I will use very inexpensive shoe lifts you can find on Amazon. Overuse may also contribute to muscle soreness and it can even cause severe pain. This is especially common in elderly populations, as itâs a degenerative condition of your joints. I was unable to hike or even walk very far. This was before my knee replacement surgery. is there anything i can do to stop the progression? Normal Postsurgical Pain. After knee surgery, you may experience pain in other parts of your body. I had the same issue and my surgeon explained in detail why this can happen. I am happy to hear that they would consider a cortisone shot for you. At that time my legs should be the same length. I found hip abductor strengthening to be very helpful in reducing my hip pain. After surgery, some pain is normal. Your care team will probably recommend that you ice up to four times a day, for 15-20 minutes at a time. Recently I am having shin splint pain only on the new hip side! You are right to not using heal raisers until you see surgeon. Had ⦠I'm 3 1/2 weeks post op and was exactly the same as you in regards to the leg length difference and the painful knee. I'm been very fortunate with my recovery and I hope you are too.. all the best, and oh remember heat packs are you friend xxx. I asked lots of pre op questions which you were all wonderful in answering and helped to make the decision to go ahead. However last night for the first time, no knee pain while sleeping. i am having shin pain this week. This can be alarming for many people because the pain could occur in places that felt great before surgery. Hi, it's likely that you new hip is still swollen after the surgery and leg length will decrease somewhat as it heals. The left is what they should be. In the meantime different pains in the hip and knee on both operated and non operated are all to be expected whilst everything sorts itself out and definitely not to use any type of heel raise. There can be several causes of pain after surgery, lose replacement prosthesis, infection, cement less hip replacement are some of the common condition. Kimberly, It's still very, very, early in your recovery. So don’t hesitate to contact them. Use of the forums is subject to our Terms of Use Rested a day or two and now gone. I was encouraged not to lean to one side of my body when I walked and I focused on walking forward “heel to toe”. Try our Symptom Checker Got any other symptoms? I even used double sided tape to put one in sandals. It is important to understand that at some point after surgery, you will experience some level of pain â particularly with activity and physical therapy. It took another 6 weeks of following his directions; exercising, resting, and not engaging in my usual activities of biking, hiking, swimming and pickleball. My right knee is painful and will need a right knee replacement soon. A new knee will require bones, joints, muscles and ligaments to adjust. Rest when necessary. 5 weeks now and the thigh pain is gone the op area is starting to stop swelling. A Loose Implant In The Hip Joint The next most likely cause of thigh pain after hip replacement is a loose implant from the surgery. My right hip has no pain, yet when my surgeon checked the x-ray he saw very little difference in it and my left hip before surgery. I feel I am at the same stage of recovery at 4 weeks as I was day 4. They included walking sideways with bands, knee bends using an exercise ball on my back, leg raises, calf raises, and hip flexion exercises as well as lots of stretching. General pain may occur for up to several weeks following a total knee replacement. I was amazed and my knee felt more stable with the knee replacement (I had no cartilage in my knee for years)! i would do as above by foning your surgeon it took me a while to get used to being what is straight because it felt odd at first i felt lop sided because the operated leg had been shortened . Get an inexpensive lift about ½ of what you need. My already has got better. From what I’ve learned, it’s not uncommon to experience hip pain after knee surgery. It the knee pain is worse than any of my pre op pain in my hip . The thigh with the affected knee seems more angled inward than the unaffected leg. I can't stand flat on both feet without pushing my hip up and when I do one of the exercises to slide my operated leg back keeping my knee straight I can't. My right knee is painful and will need a right knee replacement soon. In other words, I favored one leg over the other. I have decided to stand on a paperback book whilst doing this and that helps but only confirms to me that the operated leg is definitely longer. Your knee pain has occurred after getting hip surgery. Wear particles from a metal on metal or minimally invasive anterior hip replacement (Birmingham hip or âHip Resurfacingâ). If this occurs, ... Aseptic loosening is the most common cause of pain after total hip replacement surgery and should be suspected in this patient. Hip replacement surgery is considered one of the most successful and effective treatment for thigh pain. There are loads of possible causes for this pain. This was a more common issue in the past, when the medical field wasnât quite as advanced as it is now. I continued to golf with only a little pain. Needless to say no answers to my questions. I continued to take ibuprofen but my hip began to throb at night (also read my article about my medicine after knee surgery). I took ibuprofen regularly but the hip pain remained. Just make sure you use 2 crutches when you do if you're limping /wrong gait. If the difference is hindering your walk, you can do this as per my surgeon. 13 users are following. Donât overdo it like I did. One day at a time, need to keep reminding myself of that one. When the patient is walking, whether with a crutch or other support, the unnatural shift of weight will be occurring, and this is when the stress on the hip, as well as other parts of the body, will happen. For decades I walked with a limp on a bowed leg. No pain whatsoever. When your knee is realigned, the balance of your body will naturally need to adjust. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. A provider will give you anesthesia during a total knee replacement to put you to sleep. Until you see surgeon perhaps try on weight bearing as best you can. This studyreported 44% of patients with chronic knee pain after knee replacement and a remarkable 15% with âsevere-extreme persistent pain.â. If youâre too sedentary in the weeks following hip replacement surgery, there may be pain located about the hip simply due to stiff structures. âThis gait can lead to uneven pressures across the knee joint, ⦠Your recovery team (doctor, nurses, and therapists) will have the best answers for your individual needs. The pain can feel like a burning or like a bad ache and it tends to get worse at night, when you lie down to sleep. Below, I’ll share details about hip pain after knee replacement surgery and more about my experience. My therapist gave me hip exercises along with my knee exercises. Because the IT Band runs from the hip to the knee, there are many areas that can cause trouble. Dr. Nathaniel Drourr answered. I bought two types, one that you tear off sections to get to the height you want and also a set of 4 rubber 1/4" lifts that I put under the sole in athletic and closed shoes. Icing and elevating after knee or hip replacement surgery will be your new best friend (or "BFF" as the kids are saying). Itâs important to know, though, that the benefits often outweigh the possibility of complications and pain after hip replacement surgery. Prayers are with you, mikey NY. and doesn't like him because of his lack of answering questions. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Remember, the recovery process after knee replacement will take months (not days or weeks). There are many people who undergo total hip replacement surgery (THR), and some people often complain about thigh pain after the procedure. As the week went by, the pain increased in my hip. Without this knowledge, it is very difficult to find an appropriate treatment. We all have pain in different places at different stages as we heal. I am not suggesting you have such an injury, it just sounds like you might be trying to do too much if you have pain. Hi I’m Ken. My legs measured over ½" diference to begin with. 29 years experience Pain Management. That night I woke up with pinching pain in the incision area. These days, surgeons, implants, and the tools they use to install them have come a long way. Your first step in dealing with ongoing knee pain in this situation is to make an appointment to see the surgeon who performed your knee replacement. the other thing i really felt a lot of pain with was the fact that i felt really lop sided and uneven as all my muscles were stretched during op then because the leg was straightened to a normal position the muscles had to compensate. I chalked it up to relearning to walk and I understood that my body was getting comfortable with a new knee. As you relearn the correct walking form, your muscles and joints will adjust to your new motion. My experience with hip pain originated because I had been walking incorrectly for decades and I put unnecessary stress on the âgoodâ leg. During the last hike, my right hip (surgical knee) began to hurt and gradually got worse during the hike. You may be experiencing pain because of the complications related to the prosthetic implant. For total knee replacement, swelling of the knee or leg is common with an abrupt increase in activity. My right hip has no pain, yet when my surgeon checked the x-ray he saw very little difference in it and my left hip before surgery. Reason I'm on here. Hip impingement occurs when the normally smooth motion of the ball joint in the socket is interrupted, or the smoothness of the motion is impaired. difference in each area. 3 years ago, Remember, the recovery process after knee replacement will take months (not days or weeks). My knee was sore but it did go away. I discovered this during my own recovery experience. However, I feel confident with him. If you have indeed had your sciatic nerve injured, you may experience shooting pain, burning pain, and foot drop. I feel weight management is key for joint health. Exercise on a regular basis, stretch and keep the weight off. It happens when you do too much and your backside and upper hip muscles that were cut are not yet strong enough. When you single leg stand, your knee feels like it canât support you and that it might cave in. The most important step in finding a solution to persistent discomfort is to first determine the cause of the pain. Not a swelling pain; tho I have lots of swelling from hip to ankle, but a pain deep in the knee cap. He said it was always right to check things it I feel not right. It usually shows up during the physical therapy process. A hip replacement caused pseudotumor. Once I have both of those surgeries my right leg will no longer be shorter. A 31-year-old female asked: i am 31 with avn in both knees and hips i recently had a total knee replacement. I hope you can learn from my experience. I hope my experience with hip pain after knee surgery has helped to let you know you aren’t alone! If you are considering TKR, speak with your doctor about preparation, exercise, recovery, and equipment. Persistent groin pain is not normal but unfortunately can and does occur after hip replacement surgery. The knee pain i was told was because the surgeon generally dislocates the hip by holding on to the knee and twisting it very hard to make the ball pop out of its socket. Make sure you are exercising other muscles in your leg and body, not just the muscles around your knee. My wife is an R.N. Those can give you about a ?" For most people who undergo the surgery, hip replacement successfully relieves hip pain and restores hip function. Arthritis can present itself not just in your knees, but any joints â your back, wrists, ankles, hips, etc. My concern is that I don't want to learn to walk again, still incorrectly and cause other problems with my good hip etc. You had a very major surgery and it will take over a year to completely heal. This is a growth caused by irritation of the local tissues due to the hip replacement device. After my surgery, I experienced slight pain in both of my hips during physical therapy. Be reasonable when exercising or engaging in activities. The hard work will pay off as you relearn to walk. In hindsight, it seems she knew that many patients experience hip pain after knee replacement (also read my article about physical therapy). . I see the surgeon in mid april but I have been side lined for what feels like a long time since before the hip surgery and now after. It can work miracles to just rest, ice and take Ibuprophen. I am getting the feeling that sometimes nerves are getting trapped and then eventually releasing. This causes the IT band to support you and overuse of it quickly causes inflammation and severe pain. Your âgood â leg may have developed bigger muscles and your joints may have gradually adjusted to a modified way of walking. He said that I overdid it hiking before leaving on my trip. Posted He actually realigned my leg! Also that area is stiffer and does not move as easily which sometimes makes it feel longer. A lot like shin pain after walking to fast some where. Upgrade to Patient Pro Medical Professional? I had planned several excursions during the first week of the trip including hiking and biking. The second is, the surgeon measures across your pelvic area as you do not want a pelvic tilt or worse issues. I have noticed that my operated leg is slightly longer despite the surgeon saying that according to the x ray they are level. I’m not sure I would have been able to make it back to the car if it had been uphill. Then i tried a new treatment, SPMF therapy in SBF healthcare for 21 days, during the treatment i felt much better. The most common causes of pain after knee replacement include: 1. I had my leg roated almost 45 degrees during surgery and im 5 weeks post op now and i am still suffering knee, calf and ankle pain due to change in gait. It was also a burning sensation and numbness. I'm guessing I may need a heel raise to help with this but I want professional advice on this. I followed all of the precautions perfectly for six weeks and then was given permission to drive and sleep any way I wanted. My doc said to use a ¼" in lift in the non-operated leg the first 4 months to give the operated leg time for all internal swelling to go down. Thigh Pain After Hip Replacement. Also two reasons for your leg difference. In the last two years I had a terrible bout with plantar fasciitis. I didnât believe him until I saw the result. Do not try to do too much too soon no matter how well you think you feel, or lose your walking aids too soon. âPatients with severe hip osteoarthritis may develop a gait abnormality, known as Trendelenburg gait, due to weakness in the hip abductor muscles. Once the 4 months are over measure again, if you do not have cartilage loss on your non-operated side chances are your legs will be the same length. and Privacy Policy and steps will be taken to remove posts identified shin on operated leg started to become suddenly very sore. We want the forums to be a useful resource for our users but it is important to remember that the forums are Hi All, not been on here for a while. . This is wear debris that then irritates the tissues and causes pain. A new knee will require bones, joints, muscles and ligaments to adjust. On May 1, 2013 I had right total hip replacement. I've tried icing which give temporary relief. even i was facing d same problem after my hip replacement, pain in my knee was so sever i was not able to walk properly. I decided to share all the details of my surgery with you. My doctor said I might not even notice ¼" but I do, so I use the lifts. Voice your concerns loud and clear , an don't stop telling tell everyone about your concerns. I too only had pain in my upper thigh and knee in the very early days, none in the hip. The information and reviews presented on this website are my opinions and personal experience. These include various deformities of the femoral neck. I'm following my PT exercises (gently) a couple of gentle short walks outside, paracetamol and ice for pain relief. It can appear early in recovery or a year later (like my experience). He will not do a replacement on a hip that does not yet hurt, but did tell me right hip replacement is in my future. Over the years my walking mechanics deteriorated. Was wondering if it's still a problem and what you did to help it? Thank you for posting about the ace wrap. as being in breach of those terms. I recently had a pain in my hamstring and thought I'd strained it. I will try that. Listen to your body, when you hurt rest awhile, take an anti-inflammatory, read a good book or something to keep you off your feet for a few days. I was bit worried about something. Two weeks later I drove for about an hour and a half each way to visit a sister who had knee replacement. You can work slow and steady towards it but you cannot rush it. There were times it was so painful the shooting pain it was almost unbearable. Patient does not provide medical advice, diagnosis or treatment. (I may earn a small commission from the products mentioned in this post.). appropriate medical assistance immediately. This website is a participant in the Amazon Services LLC Affiliate Program, which offers a means for websites to earn advertising fees by linking products to Amazon.com. If you have had hip or knee replacement surgery, you are probably concerned about discomfort in the days following your surgery. Two days later, the pain was severe during my long plane flight. If it wasn’t for the strengthening exercises I might still have hip pain. I did not heed the warnings and ended up with an IT Band injury. Things will settle and sort themselves out. The first possibility: Total hip replacement patients who fail to adhere to their rehab exercises. Do your simple little exercises that strengthen those muscles. For hip replacement according to Consumer Report. Loosening of the implant: This is most often the cause of pain years or decades after the knee replacement; however, it is seldom the cause of persistent pain right after surgery.⦠For instance, your pain could be the result of hardware loosening, ⦠Give yourself permission to rest and ice more and when you hurt it is your body telling you to slow down. Fortunately, the second half of the hike was downhill. Stretch on a regular basis, particularly before engaging in an activity. She emphasized that I should focus on strengthening the muscles around my knee and in other parts of my leg. Follow your physical therapistâs plan and exercise regularly. Glad you phoned and put your mind at rest. I decided to ring Therapy Services at the hospital and the ward physio advised me that if the x ray said they were level then it's 99% that they are. I searched for hip pain information on the internet and talked with friends and was convinced I had bursitis. âReasons for this phenomenon remain unclear, but may include changes in gait and leg length, and elimination of a greater pain-generator (hip), leading to more noticeable discomfort in the knee. It’s often the case that after TKR surgery, your physical therapist will help you relearn the proper walking technique. I like to keep active but even this was a lot for me (I usually only do one 6-8 mile hike every other week). First it is very common for it to feel like the operated hip's leg is longer. I've discovered lots of feelings and aches happen in numerous parts of body and usually settle after a while. Doing so will only set you back and cause other issues. However, I am experiencing awful pain in my right knee (operated side) after exercising and walking. Remember, if you have knee, hip or other pain for a prolonged period of time after TKR you may need to see your doctor and an X-ray or MRI may be in order. Hip replacement surgery involves removing the hip joint and replacing it with an artificial joint that typically consists of metal, ceramic and hard plastic. I would definitely fone the surgeon just incase but hang in there the first 2 0 3 weeks were the most painfull for me once i started PT properly it got easier, but ill admit i have absolutly no hip pain all the pain is further down the leg. My difference went down to ¼" so I am continuing to use my ¼" lifts until I have that other hip replaced. Most often, the patient will not notice the hip pain until several days have passed, and it is important to mention this to your physical therapist, as ⦠I forget I have them in. My one suggestion to you is that you realize this is a journey and do not try to go too fast. Swelling typically lasts for 2 to 3 weeks after surgery, but may persist for as long as 3 to 6 months. He told me to continue using ibuprofen and he gave me several hip exercises to strengthen the muscles around my hip. Mine is hardly noticeable now and it felt massive to begin with. I contacted surgeon and was told to go there as soon as I could. Well I'm now 10 days post op and after a shaky start in hospital (reactions to anaesthetic and strong pain meds) I've now been home for 4 days and things are going well. This was the only hip pain I experienced early on. It set my recovery back, you simply cannot rush your recovery. Rest assured the leg will sort itself out. It will take some time (different for everyone) to recover. Both had severe cartilage loss. I was told that at this stage, I am almost 4 weeks post op they won't give me a cortisone injection. I had my hip done in Dec,07, and about 2 months after surgery I started having severe pain above my knee. I had a hip replacement 10 years ago. Keep the weight off and help limit the stress on your new knee and other body joints. Listen to your therapist and your doctor and take your rehab seriously. If you have been walking incorrectly or limping for several years prior to your TKR surgery, you might be susceptible to hip pain after knee surgery. hip pain after total knee replacement. I should do my exercises 2/3 times a day (no more) and keep walking. If so, is it time for a new hip? I feel so much better......I'm clearly being too impatient I'm only 10 daysbpoat op after all. There was no point seeing another physio for now as I need to give it time. 3 weeks after operation i was doing short walks and managing with hip replacement tenderness. My therapist made me concentrate on using proper walking mechanics from day one of my therapy. Registered in England and Wales. You do not want your pelvis out of whack. Mines fine now too . And I being too impatient, will my new hip 'bed in'? I to am having IT issues. I experienced some hip pain in the following weeks and years after knee replacement surgery. During my knee replacement surgery, my surgeon said he was able to take the bow out of my knee. This does not take into account if you have cartilage loss from arthritis in your other hip or knee. is it common?" Everything has been great! Negotiating stairs seems inhibited not only because of knee pain but a feeling that your leg wonât support you. Remember though you have internal swelling right now and any measurements you take are incorrect. I favored my right leg (injured leg) and put extra stress on my left leg because I relied on it more. Our bodies are miraculous how they heal so efficiently. Another studyreported 53% with chronic pain after knee replacement. He will not do a replacement on a hip that does not yet hurt, but did tell me right hip replacement is in my future. I had to lift my right knee to get in a car and I also had trouble sleeping. Personally I would go back to surgeon sooner rather than physio. We're Powered By Hard Work On The Road To Knee Replacement Recovery, also read my article about physical therapy, also read my article about my medicine after knee surgery. respect of any healthcare matters. I made the big decision to have knee replacement and I haven’t looked back. I had knee replacement and hip replacement in the same leg, that gave me an approximate ¼" difference because my right knee and right hip have severe cartilage loss too.
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