Post Surgery/Post Replacement Pain Treatment
Are you experiencing pain in a joint you've previously had replaced? While your treatment options are limited now, as you cannot receive an injection in a replaced joint due to the risk of infection, there are some treatments we have found to be somewhat effective in the treatment of post-surgery pain.
Post knee replacement pain can occur due to various factors, even after surgery. Some of the primary causes include:
1. Surgical Healing Process
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Inflammation: After knee replacement surgery, the body’s natural healing process can cause inflammation around the joint, leading to pain. Swelling and soreness are common as the body recovers from the trauma of the procedure.
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Scar tissue formation: The formation of scar tissue, or adhesions, around the knee can limit movement and cause pain, especially if the scar tissue affects the soft tissues and ligaments.
2. Implant Issues
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Loosening or shifting of the prosthesis: Over time, the artificial joint may become loose or shift, leading to pain, instability, and difficulty with movement. This may require revision surgery.
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Implant malalignment: If the components of the knee implant were not properly aligned during surgery, it could cause abnormal wear or stress on the joint, leading to pain and discomfort.
3. Nerve Damage
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During knee replacement surgery, nerves in the area may be irritated or damaged, leading to sensations of sharp pain, numbness, or tingling. This can cause discomfort during recovery.
4. Stiffness or Limited Range of Motion
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After surgery, the knee may become stiff or have a reduced range of motion. This can lead to discomfort, particularly if the knee cannot fully extend or bend.
5. Muscle Weakness or Imbalance
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Weakness in the muscles surrounding the knee joint, particularly the quadriceps, is common after surgery. Insufficient muscle strength can lead to abnormal joint mechanics, causing pain during movement or activity.
TREATMENT OPTIONS FOR POST SURGERY/POST REPLACEMENT PAIN
Treatment for post replacement pain is very limited. Injections CAN NOT be performed due to the risk of infection of the metal replacement. Physical therapy and oral medications are usually tried first.
When these methods are no longer effective, Carolina Nonsurgical Orthopedics offers the latest in cutting-edge treatments to reduce pain and get you back to the activities you enjoy. Some of these innovative treatments are:
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Laser Therapy: A non-invasive therapy that uses cold laser waves to treat chronic pain and repair tissue.
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Shockwave: A non-invasive therapy that uses impulses to treat chronic pain and repair tissue.
See the full list of conditions and treatments offered at Carolina Nonsurgical Orthopedics.
RESEARCH SUPPORT:
Shockwave therapy has shown potential in treating post-knee replacement pain by reducing inflammation, improving blood circulation, and breaking down scar tissue.
"Efficacy of extracorporeal shock wave therapy for chronic patellar tendinopathy after total knee arthroplasty" published in the Journal of Orthopaedic Research.
READ MORE ABOUT POST SURGERY/POST REPLACEMENT PAIN
Shockwave Therapy for Post-Knee Replacement Pain Treatment Shockwave therapy, also known as extracorporeal shock wave therapy (ESWT), has gained popularity as a non-invasive treatment option for post-knee replacement pain. This therapeutic approach uses acoustic waves to stimulate healing in tissues that have been damaged or are experiencing pain. Shockwave therapy is typically considered when more conventional treatments, such as physical therapy, medications, or injections, do not provide sufficient relief. How Shockwave Therapy Works Shockwave therapy involves the application of high-energy sound waves to the affected area. These waves penetrate the skin and stimulate the underlying tissues, promoting increased blood flow, reducing inflammation, and encouraging the healing of damaged tissues. The therapy also helps break down scar tissue and adhesions, which can be common after knee replacement surgery. Benefits for Post-Knee Replacement Pain Pain Reduction: Shockwave therapy helps alleviate pain by stimulating the release of endorphins and promoting improved circulation, which can reduce inflammation and swelling in the knee. Scar Tissue Breakdown: One of the key benefits of shockwave therapy is its ability to break down scar tissue that may form around the knee joint after surgery, reducing stiffness and improving mobility. Enhanced Healing: By increasing blood flow and oxygen supply to the tissues, shockwave therapy accelerates the healing process, which can improve recovery times and help manage chronic pain. Improved Range of Motion: Shockwave therapy can promote the regeneration of tissue and tendons around the knee joint, helping to restore flexibility and range of motion. Non-Invasive: Shockwave therapy is a non-surgical treatment option, meaning it avoids the risks and recovery time associated with more invasive procedures. Indications for Use in Post-Knee Replacement Persistent Pain: If pain continues to linger after the knee replacement despite conservative treatments, shockwave therapy may be recommended to address inflammation, muscle imbalances, or soft tissue issues. Stiffness or Limited Mobility: For individuals experiencing restricted movement or stiffness in the knee following surgery, shockwave therapy can help reduce scar tissue and improve flexibility. Tendon or Ligament Pain: Shockwave therapy is often used when pain arises from tendons or ligaments surrounding the knee, such as quadriceps tendinopathy or patellar tendinitis. Procedure The shockwave therapy procedure is typically performed in an outpatient setting by a trained healthcare provider. The patient may be asked to lie down, and a gel will be applied to the knee to help transmit the shockwaves. A device is then used to deliver the shockwaves to the knee joint, targeting areas of pain or discomfort. The procedure usually lasts 15-20 minutes per session, and multiple sessions may be required, typically spaced a week or two apart. Side Effects and Considerations Shockwave therapy is generally considered safe, but some individuals may experience mild discomfort or a sensation of soreness following treatment. Other side effects can include slight bruising or redness at the site of treatment, but these are typically temporary. It is important to consult with a healthcare provider before undergoing shockwave therapy to ensure that it is appropriate for your specific condition. Conclusion Shockwave therapy offers a promising option for individuals experiencing post-knee replacement pain, particularly in cases where traditional treatments have not provided sufficient relief. By reducing pain, promoting healing, and breaking down scar tissue, shockwave therapy can improve overall knee function and mobility. However, it is essential to work with a healthcare provider to determine if this therapy is suitable for your specific needs and recovery goals.
WHY CAROLINA
NONSURGICAL ORTHOPEDICS
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All Providers are BOARD CERTIFIED and Specially Trained in Nonsurgical Orthopedics
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Over 50,000+ and Counting Procedures Performed
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Procedures Performed with Ultrasound Guidance for Accuracy and Safety
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Local and Independent Practice That is NOT a Franchise
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Discounts for Service Members, Teachers, and Public Servants
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Serving Raleigh Since 2013