Thursday, August 11, 2022

How Long Does Pain Last After Knee Arthroscopy

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Arthroscopy Aftercare In Michigan

How Long Does the Pain Last After Knee Replacement Surgery?

There are several causes of post-operative knee pain. These include complications of the surgery, such as infection or spontaneous osteonecrosis of the knee. Others, like a slow recovery, may indicate other medical problems. Check with your doctor if your post-op knee pain doesnt improve. In each of the above examples of what might cause knee pain after arthroscopy, medical intervention is required.

Tri County Orthopedics provides comprehensive and proactive orthopedic healthcare for patients in or near Farmington Hills, Michigan. Our professionals work tirelessly to provide you with expert, compassionate, and complete care including during recovery. To find out more, call us at 474-5575 or use our online form to reserve an appointment.

Does It Get Better Knee Arthroscopy

dana23702

Hi, thank the lord I found this forumt…so relieved. I had a right knee arthroscopy 2 weeks ago plus

chondroplasty and partial medial meniscectomy done. To say I feel worse is an understatement. I have lower back pain now and my knee is very swollen and in constant pain. I had the stiches out and was informed it had been bleeding inside hence the bruising on the leg.. Part of me wishes I hadn’t had this done and persevered till as long as I could, in fact I dont really think I was in that much pain compared to now. I wasn’t given crutches, or exercise to do, the after care was shody to say the least. but I have been doing small exercises and borrowed a cane for the first week.

Has anyone out there been through similar experience and can reassure me it will ease off as the pain is getting me down at the minute.

thanks for listening

  • Posted 6 years ago

    I have just had the same procedure at my local hospital in Chester. Can’t fault the care or staff. Early days yet I suppose.

    24 hours after very little pain or discomfort.;

    Doing the exercises provided by the physio as well as taking paracetamol and ibuprofen.;

    Hope it doesn’t go down hill from here though as bandages due off tomorrow. My wife being a nurse helps making sure I do what I should and when.

    My main concern is how long I’ll be off and when I can drive. I’ve heard some people off 2 to 5 weeks. Can’t drive for 4 weeks etc.;

  • Knee Arthroscopy Is Among The Most Common Surgeries Performed

    If you went ahead with surgery, youd be in good company. Each year, an estimated 750,000 arthroscopic knee operations are performed in this country at a cost of $4 billion. Among the most common reasons for this surgery is a torn meniscus that causes intermittent and severe pain, catching, or locking.

    During arthroscopy, an orthopedist inserts a hollow-tubed instrument with a camera and light on the end into an anesthetized knee. After examining the inside of the knee, instruments can be passed through the hollow tube to remove debris, smooth ragged edges, and cut away cartilage that is impairing knee function.

    Many people have both a torn meniscus and osteoarthritis . The combination is common, not only because these conditions become more common with age, but also because a meniscal tear is a risk factor for developing osteoarthritis. And arthroscopic surgery itself may also promote osteoarthritis.

    We already know that arthroscopy for osteoarthritis doesnt help most people. But how good is it for the combination of osteoarthritis and a meniscal tear?

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    Immediately After The Operation

    Doctors have made big advances in pain management after total knee replacement over the last 10 to 15 years due to advancements in using regional nerve blocks, spinal blocks, and other methods of pain control.

    During knee surgery, your healthcare team might either use a general anesthetic, where you will be fully asleep, or a localized anesthetic, where youre numb from the waist down but still awake.

    After the surgery anesthesia wears off, your healthcare team can provide pain medication either orally or through an intravenous tube.

    These medications may include a strong opiate or opioid such as morphine, fentanyl, or oxycodone, and are intended only for short-term use. Its important to note that larger doses over time can lead to physical dependence and addiction. Follow your doctors instructions to avoid adverse effects.

    Can You Bend Your Knee After Arthroscopic Surgery

    How Long Does Pain Last After Knee Replacement Surgery ...

    Move your toes and ankle as much as your bandages will allow. Bend and straighten your knee slowly several times during the day. Depending on why you had the surgery, you may have to do ankle and leg exercises. Your doctor or physiotherapist will give you exercises as part of a rehabilitation program.

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    How Long Is Knee Arthroscopy Recovery

    Knee arthroscopy isn’t very invasive. For many individuals, this surgery takes;no more than an hour, but the total time depends on the specific procedure. You’ll likely be able to go home for recovery on the same day of your procedure. You should use dressing and an ice pack on your knee. The ice helps minimize swelling and pain.

    At home, you will want to have a family member or friend look after you, at least on your first day. Elevate your leg as much as possible and put ice on it for a couple of days. Make sure you change your dressing as directed. Be certain you go to your follow-up appointment with your knee arthroscopy surgeon, which will likely be several days after your surgery.

    Your doctor will likely prescribe you an exercise regimen you can perform at home that will help with your knee recovery, or they may suggest a physical therapist help you regain normal knee function. The exercises prescribed are necessary for helping to strengthen your muscles and restore full range of motion. With the proper care, your outcome after you’ve had the surgery performed is excellent.

    What Exercises Should I Do After Surgery

    You are encouraged to bend and straighten your knee as much as pain allows immediately after standard knee arthroscopy. Remember, however, that your knee may be swollen and full motion may be difficult for the first few days. You may tighten your quadriceps muscle right after surgery and we encourage straight leg raises if they are not too painful. Massaging the patella with your leg straight is also beneficial. Using your fingers, push the patella in all four directions and hold it for 10 seconds in each direction. This helps prevent scar formation and tightness around the patella during the recovery period.

    You can put as much weight on your leg as is comfortable immediately after surgery. Again, the usual need for crutches or a walker is about two or three days. Riding on an exercise bike, using a treadmill or elliptical machine, or just plain walking are all good exercises to begin once the knee is less painful. Do not be surprised if your knee has a tendency to swell after such activities; remember to ice and elevate the knee afterwards.

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    Amount Of Surgical Trauma

    Joshi et al. stated that the post-arthroscopy pain seems to be unrelated to any intra-articular procedure which may be carried out and the results of some studies agree with that . In another study, low post-operative pain scores were found in patients with little pre-operative pain and small surgical trauma .

    Although the difference was not statistical, patients who underwent arthroscopic meniscectomy exhibit on average more post-operative pain than those in the diagnostic arthroscopy group, and supplementary analgesia was required only in patients that underwent arthroscopic meniscectomy.

    Should I Use Ice Or Heat

    Arthroscopic knee surgery How long will the pain last?

    Ice should be used for the first several days, particularly if you have a lot of swelling or discomfort. Ice is also helpful if you develop swelling after exercising. Once the initial swelling has decreased, you may use either ice and/or heat depending on which helps you the most. Some patients report that using heat prior to activities helps “warm up” the knee.

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    Reasons For Needing Arthroscopic Knee Surgery

    Candidates for arthroscopic surgery range from someone;who has gradually worsening pain with knee crepitus or knee grinding to someone with ligament or cartilage damage needing to be repaired or removed.

    Common complaints from patients are my knee hurts when I bend it and straighten it or I have a sharp pain in my knee.

    For the purposes of this article, we will discuss the recovery process of common and less involved surgeries of arthroscopic debridement and partial meniscectomy knee surgeries, sometimes referred to as knee scopes.

    The goal of this article is to talk about the recovery of a routine debridement or meniscectomy, however its worth taking a second to explain why they differ from more involved procedures.

    How Do I Know If My Meniscus Repair Failed

    If the knee does well and there are no significant symptoms, then it follows that the tear must have healed up and the repair was successful. If, however, a patient is unlucky enough to develop recurrent symptoms and ongoing problems with the knee, then the assumption is that the attempted repair has failed.

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    How Long Does The Surgical Procedure Take And What Exactly Is Done

    The actual surgery time is usually about 30 minutes. If extensive work is needed, the procedure may last up to 45 minutes. Most people “go to sleep completely” during surgery with a general anesthetic. Some have surgery with a spinal anesthetic.

    Three or four small incisions are made to allow special instruments, including a fiber-optic camera, to be placed into your knee. Sterile saline is brought into the knee joint continuously with tubing to provide a clear view for the surgeon. Torn parts of the meniscus and/or damaged cartilage on the bone surfaces are carefully removed with special arthroscopic instruments. The end result is a knee lined with smooth and stable tissues rather than rough edges.

    Preventing Or Avoiding Total Knee Replacement

    Precautions after Knee Replacement

    If injections and Physical Therapy have failed to provide pain and function improvements, a scope surgery may help put off or avoid an otherwise inevitable total knee replacement.

    Knee replacement surgery is a much more involved and drastic change of structures to the knee compared to a knee scope.

    This makes knee replacement recovery much longer and more difficult.

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    What Is Arthroscopy And What Types Of Procedures Can Be Done Arthroscopically

    With an arthroscopic procedure, your surgeon makes a small incision and inserts a miniature camera . Using that camera, the surgeon can perform certain procedures, such as trimming a torn meniscus. Arthroscopy can be used to diagnose and treat a number of knee conditions, including a torn ACL or PCL , torn meniscus, loose cartilage or a dislocated patella .

    The Benefits Of A Minimally Invasive Approach To Knee Surgery

    Knee pain is pretty much a fact of modern life, with millions of people seeking treatment every year for some type of knee discomfort. Sometimes, its just tendonitis or some other condition that can be treated with ice or another non-invasive approach. If that wont satisfactorily resolve your issues, you may need to undergo knee surgery.

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    When To Call The Doctor

    If you develop a fever or if the surgical sites become red, hot, or swollen, contact your doctor immediately as these are signs that you may have an infection.

    Also contact your doctor immediately if you experience increased throbbing or cramping pain, tenderness, warmth, or redness in your calf. These are characteristic signs of a deep venous thrombosis which requires immediate medical attention.

    Alternative Treatments For Knee Pain

    How long does the pain last after a knee replacement?

    Regenerative medicine is an emerging field of medical science that offers more long-term and effective treatment for meniscus tears, as well as a myriad of other conditions. These treatments work well on soft tissue, making them a good option for repairing damage to many types of cartilage.

    These treatments work by using a patients own cells to enhance natural healing processes in the body. When damage occurs anywhere, the body sends certain cells to the area to begin making repairs. These treatments have found a way to inject a more densely packed version of some of these cells into the area where injury exists.

    Two of the most promising treatments, both offered at CELLAXYS, are Platelet-Rich Plasma Therapy and Stem Cell Therapy. The process for both is similar, beginning with a sample from the patient, which most often comes in the form of a blood draw. The samples are then processed to concentrate the healing properties and injected them into the area where healing is most necessary.

    Doctors use imaging technology such as ultrasound or MRI to guide the needle to the location where its effects will be strongest. Both are outpatient procedures that can most often be performed in about two hours. Though some patients complain of pain near the injection site, most experience little to no side effects.

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    Arthritis In The Joint

    Probably the most common reason why patients have persistent pain after arthroscopic knee surgery is that their knee has damage to the cartilage of the joint that can’t be adequately repaired by an arthroscopic procedure.

    It is well established that typical arthritis pain does not warrant an arthroscopic surgery; numerous studies have shown that the benefit of arthroscopy in these patients is no better than with nonsurgical treatments.

    However, there are times when patients with osteoarthritis may have problems that can improve with arthroscopic surgery, or your surgeon may not be aware of the extent of arthritis until the time of surgery.

    In these cases, patients may have an arthroscopic surgery;but may have to manage ongoing pain from arthritis that does not improve despite the surgical procedure. The good news is that there are many treatments for knee arthritis, and often these can help patients find relief from their symptoms.

    Where Will I Feel Knee Replacement Pain

    As mentioned above, knee replacement pain can come in many different forms depending on the cause. Knee pain is to be expected due to the surgical procedure itself, with swelling, bruising, and the introduction of prosthetic parts.

    Beyond that, it is possible to feel pain in parts of the body other than your knee. This is known as referred pain.

    Your hips, lower back, groin area, and calves may initially hurt due to the change in your stance and the way you walk. Of course, it is also typical to feel sore due to extended amounts of time in bed during your recovery.

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    Genicular Nerve Block With Radiofrequency Ablation

    Instead of more invasive surgical options, many patients turn to a genicular nerve block to treat and diagnose persistent knee pain. A genicular nerve block uses anesthetic injected into one or more of the genicular nerves to interrupt pain signals being sent to the brain.

    Unfortunately, a genicular nerve blocks effects only last eight to 24 hours. Doctors use genicular nerve blocks to test the effectiveness of the procedure on a persons knee pain. Many patients who experience relief with genicular nerve blocks will then get radiofrequency ablation. When combined, these two procedures can offer pain relief that lasts anywhere from six months to a year.

    How Long Is Recovery

    Road to Recovery following Knee Replacement

    You may have to wear a brace or cast to keep your knee stable. Youâll likely also have to use crutches for at least a month to keep weight off your knee.

    Your doctor may recommend physical therapy as part of your recovery. Itâll help increase your range of motion and help your knee get stronger. They may also share some exercises you can do at home.

    If you have a partial or total meniscectomy, you can expect your recovery to take about a month. If your meniscus was repaired, it may take as long as 3 months.

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    The Risks Associated With Knee Arthroscopy

    As with any surgical procedure, there are risks inherent in an arthroscopic knee surgery. Though rare, you can experience excessive bleeding. Theres also the possibility of infection. Because the procedure involves the use of anesthesia, you may have an allergic reaction or breathing challenges from the anesthetic.

    You can expect some stiffness in the knee after the surgery, even though the procedure is minimally invasive. Theres also always a risk that nerves, cartilage, blood vessels and ligaments may be damaged.

    Recovering From An Arthroscopy

    Signs, symptoms and function to be expected following surgery:

  • Pain is quite common, most often in the area where you had pain before surgery, in the soft tissues below the knee cap, over the athroscopy wounds and occasionally the whole knee. The pain settles usually within two to three weeks, but may take upwards of six weeks.
  • Swelling in the whole knee up to six weeks.
  • Tenderness around the wound sites up to four weeks.
  • Muscle wasting in the thigh, improves as swelling and pain decrease.
  • Difficulty kneeling due to swelling and tenderness up to six weeks.
  • Knee feeling a little unstable/ unreliable to start with and weak on descending stairs and slopes.
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    What Are My Treatment Options

    Treatment for a meniscus tear will depend on its size, what kind it is, and where itâs located within the cartilage. Most likely, your doctor will recommend that you rest, use pain relievers, and apply ice to you knee to keep the swelling down. They may also suggest physical therapy. This will help to strengthen the muscles around your knee and keep it stable.

    If these treatments donât work — or if your injury is severe — they might recommend surgery. To be sure, your doctor will probably have an MRI done. And they might look at the tear with an arthroscope. Thatâs a thin tool that has a camera and light at the end. It allows doctors to see inside your joints.

    If your doctorâs exam shows your meniscus tear is mild , you may not need surgery. If itâs Grade 3, you probably will. Your doctor might choose to do any of the following:

    • Arthroscopic repair. Your doctor will make small cuts in your knee. Theyâll insert an arthroscope to get a good look at the tear. Then theyâll place small devices that look like darts along the tear to stitch it up. Your body will absorb these over time.
    • Arthroscopic partial meniscectomy. Your doctor will remove a piece of the torn meniscus so your knee can function normally.
    • Arthroscopic total meniscectomy. During this procedure, your doctor will remove the whole meniscus.

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