![]() Depression (please see our article Psychiatric disease and joint replacement complications).īelow we will explore research on why patients were disappointed with their successful knee surgery and how their expectations may have not been realistic as to what a knee replacement was really able to do for them.Reduced local pain thresholds, and inability to tolerate pain (see below).Elevated Body Mass Index (overweight/obese).The pain was associated with patellofemoral problems,.In patients who were dissatisfied on a lesser level: (A sense of abandonment or not being helped). In other words, this caused difficulty in:.The pain was associated with instability in the coronal plane (the centerline from head to foot that marks the front of the body from the back of the body):.In the most dissatisfied knee replacement patients: That is an obvious statement, but what are the patients dissatisfied with and how can we help them? Here is the study that statement came from, research in the journal Osteoarthritis Cartilage: ( 1) Research: “Patients with persistent pain after knee replacement are dissatisfied.” The surgery came up short of expectations. “The surgery was good.” But as we hear in these patient stories. Some of these people were told that their surgery was a complete success. We see the people who still have pain, knee instability, and also suffer from pain in the other knee from over-compensation among other challenges. These are typically not the people we see in our office.īefore we get into the various reasons people still have pain and problem knees after knee replacement, we want to remind the reader that knee replacement surgery can be a life changer for many people and return them to a high quality of life. Many people have excellent results with their knee replacement surgery. Below we will discuss others but our focus will be on damage to the natural remaining tissue and what solutions can be offered to address this problem. ![]() This explanation is one possible cause of post-knee replacement pain. In some people, they become hypersensitive to pain. This nerve irritation can be below or above the knee or along with the kneecap. This unsteadiness and hypermobility will also pull and tug at the ligaments and tendons which will cause the patient a lot of pain. This can be the cause of why a knee wobbles, is unstable, and has become hypermobile. Most often these connective tissues are damaged either by the surgery or by new stress placed on them by the implant. These soft tissues act to help stabilize and move the knee and leg. The knee ligaments help hold the thigh and shin bone in place while the knee tendons attach the muscles to the bone. This is where the surviving knee ligaments and tendons are. Many patients we see with knee pain following knee replacement have pain on the outer sides of the knee. Steilen-Matias, MMS, PA-CĬan we help you with your continued knee pain after knee replacement surgery? In this article we will explore the problems identifying the source of knee pain after knee replacement and how identifying and treating soft tissue damage may be the answer to why you have pain after knee replacement. Most UW Medicine physicians train the next generation of doctors, so you can expect to receive care from doctors who have a wealth of experience and also drive future research and education within sports medicine.Ross Hauser, MD., Danielle R. Physicians and surgeons at the Sports Medicine Center at Husky Stadium are specifically trained in treating elite and high-level athletes of all ages. Knee and other sports injuries can be evaluated at any of our sports medicine clinics or orthopedic surgery locations across the Puget Sound region. Our goal is to restore and optimize the function of your knee so you can get back to the activities you enjoy. Surgery may also be necessary to lead to full, functional recovery. ![]() Treatment plans for most knee injuries rely on making an accurate diagnosis with a focus on managing pain and rehabilitation to regain function. The UW Medicine team helps care for athletes from the Seattle Seahawks, Washington Huskies and many youth sports leagues. Choosing UW Medicine for your orthopedic and sports medicine care means getting access to some of the most experienced physicians and surgeons in the country, many of whom have spent years caring for elite and high-level athletes who have ligament and meniscus injuries.
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