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Author Topic: Six months post TKR, looking for your advice??  (Read 250 times)

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Offline thomaswclarke

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Six months post TKR, looking for your advice??
« on: June 03, 2018, 03:04:10 AM »
Had routine TKR with above average recovery. 65 year old male, active cyclist. 3 month X-ray normal and
ROM good. At six months X-rays showed possible signs of loosening. Went thru aspiration, CRP, and other blood tests to check for infection. No infection indicated. Surgeon said come back in three months for more X-rays as sometimes the bone around implant can withdraw and then return as part of normal healing process. At this point I now have some deep ache from knee down into lower leg usually about three hours after cycling. Sometimes difficult to stand due to shooting pain, sometimes a minute later I can stand walk with no pain. Have zero pain throughout cycling. Only after. 10-15 miles normally have no post ride  pain. 20-35 miles riding results in a lot of aching even with ice, alive, voltaren . Usually better about 24 hours later. I realize this may be signs of loosening, but wonder if it may be a stress fracture around tibia or some sort of nerve impingement etc??? Have two months until re X-ray. Any thoughts as to what this is, and if I should discontinue my cycling? Thank you.

Offline Vickster

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Re: Six months post TKR, looking for your advice??
« Reply #1 on: June 03, 2018, 08:31:43 AM »
I'd contact the surgeon for advice, maybe bring the X-ray forwards. Stick to short rides in the meantime
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Geronimo

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Re: Six months post TKR, looking for your advice??
« Reply #2 on: June 03, 2018, 07:00:38 PM »
the fact you only have pain later means your pain is inflammatory, meaning something irritates the joint. i would definitely stay  away from activities which cause inflammatory response for now until you  see your doc.