Knee joint fluid replacement

Common Questions and Answers about Knee joint fluid replacement

knee

I had surgery for knee replacement Dec 2007. I've had not stop pain since the surgery. I've been to my doctor a number of times, he told me that the problem is with scar tissue and that he can do another surgery to remove the scar tissue. He also said it could grow back again. So I opted not to have the surgery. But the pain has increased and more troubling my leg is beginning to bow. Most of the pain is not in the knee but in the bone below the knee.
I am having a scope of my knee replacement to clean of around the components and do cultures to see if there is an infection, I have has x-rays two bone scans and a biopsy of the fluid in my knee and the Dr. stills is not sure if I have a infection is there not a way to tell if I have a infection without surgery?
Now, I did have torn cartilage surgery Aug1972 in the right knee. Two weeks after knee replacement I started therapy, and the first day the guy put me into a sit down cpm with the setting at 80% saying we have to get results immediately, that's what the doctor ordered. That was terribly painful. It took me many sessions to get him to back off on the setting, and I was slowly progressing. At home I had a portable cpm for use and over a 2-3 hr time could get up to 100%.
In a knee replacement the joint is completely replaced and the articular surfaces are made mechanical without any synovial fluid to increase your mobility so they are not the same. Knee replacement is useful when there is osteorarthritis and the articular surface is completely worn out and there is no other alternative rather to replace the bone articular surfaces due to wear and tear of the bone surfaces in contact. Take care!
In 2001, after seven surgeries on my knee I underwent a total knee replacement. For about two years I was pain free, and got around very well. Then the pain, worse than before the replacement began, I had surgery to remove an infected bursa, then several other authroscopic surgeries to clean out the knee of scar tissue. About two years ago the pain got so bad I had to stop working. I was put on 300mg morphine daily, and some day's the pain was so bad I could not walk.
Total knee replacements take time to heal properly. Trust me, I have had both knees replaced and know many other with arthritis, bot osteo and rhematoid that have had knee replacement as well. Each of us heal in our own time frame but the general length of time for all to be really right again seems to be around 5 - 6 months. At three months, which was what I was told I should be doing well, I still had a lot of PT and work to do.
Aside a physical examination, infection around a bone/ joint can be detected through direct and indirect methods such as blood tests, imaging studies and direct aspiration and examination of the joint fluid etc. Hope this information is helpful. Take care!
I went with the intention of inquiring about a knee replacement. The surgeon is willing to do the surgery once I lose some more weight (I had weight loss surgery earlier this year), but he's going to try and get my insurance to cover a Synvisc One injection, first. I am also going to go through physical therapy to rebuild my muscles. I haven't walked without assistance in many years. I've lived in my house for eight years and have only been upstairs and to the basement, twice.
I have had both knees replaced several years ago In March I fell on a tiled floor striking my left knee which became swollen and painfu At the ER was told i had a bad contusion My knee is still swollen and tender with a burning The ortho dr can't seen to find what's wrong but the workman comp dr suggest i may have fluid pressing on a nerve...........
Wow, Rubina you are the motivation to all the people going for knee replacement surgery or having lot of fears about knee replacement. Please give a detailed experience for other patients who would be benefitted, whenever you have time by a neat post. Take care and best of luck for the Golf thing!
I have now had 4 surgeries on my left knee, including a partial replacement in 1/11. About 2 months ago, my knee started swelling without injury. My orthopedist was hesitant to remove the fluid because of the risk of infection, but felt he had to after the 3rd time it swelled, and the joint was full of blood. I had arthroscopic surgery last week, in which they burned off synovial tissue, hoping that was causing the problem.
but we have recently heard that in some knee injections like these, the liquid injected would become rather dense or would solidify let's say and brings back much more pain, causing a need for a new treatment which would mostly be an artificial knee joint.
One somewhat dated paper by one of the well known Lyme-denying docs mentioned a patient having fluid aspirated from the knee, only to have it come back in a much larger volume, but no discussion beyond that ... I also just searched Burrascano's tx guidelines and they mention only the initial symptom, not what to do about it. Elevating your leg above heart level (i.e., by lying down and putting your leg up) can't hurt, I wouldn't think, but it may not be gravity-driven.
The complexity of the design of the knee joint and the fact that it is an active weight-bearing joint are factors in making the knee one of the most commonly injured joints. It's not necessarily arthritis; you're 23, you're young. I'm sure you do activities such as sports. This can result in a pulled muscle.
Anyway, now my ortho doc (unless the knee greatly improves) is talking about a total knee replacement in about a year. My other knee is in desperate need of a total because of severe osteoarthritis that has chewed away at my joint so much that I'm bone on bone now. My knee is constantly swollen and from time to time has about 60-70 cc's of fluid drawn off of it. And of course the pain is almost constant and mostly severe. Sorry for the long bio.
Lyme tests reveal nothing but I read someplace that the Lyme disease bacteria may actually be encapsulated in body proteins in a dormant state within the joints - not detected in blood but causing direct issues within the joints. I don't know if pulling joint fluid out and testing that would reveal anything; I'm not a doctor. Just thought I'd mention it. I saw it here: http://hbotoday.com/treatment/lymedisease.shtml In the section titled: "Devastating Survival Tactic?
Knee joint aspiration and injection are performed to aid in diagnosis and treatment of knee joint diseases. Do you have swelling in and around knee joint? Corticosteroids therapy changes the vascular inflammatory response to injury, stalls destructive enzymes, and inhibits/restricts the action of inflammatory cells. How many steroid injections are you taking per year? I think what you are experiencing is the post-injection flare.
Loss of articular cartilage (cartilage covering the bone is a joint), secondary to degenerative changes. 2. Low lying knee cap with associated inflammation and scarring. 3. Increased fluid in the joint space, indicative of inflammation and a possible loose body. 4. Degenerative changes at the inner end. 5. Mild fibrous tissue formation around the graft. 6. Thinning on the articulate cartilage around the tibia. 7. Mild scar formation along the patellar (knee cap) tendon. Hope this is helpful.
Told things take time. Knee has to be drained (bloody fluid) twice. Dr. does 2 cort shots. No relief. Dr says he has no idea what the problem is. Says he is stumped. Tells patient to wait 2 more weeks (putting us at 9 weeks post op). Patient requests another MRI. MRI #2 with contrast 5/14/12 Results: The medial meniscus is moderately diminitive in size through the midzone and to a lesser externt the posteriorly consistent with propr partial meniscal resection.
1 week later whilst crossing the road my knee popped like and elastic band twanging and i experienced a hot pain in the BACK of the knee area i was rendered lame as i couldnt put any pressure on my leg at all I was refered to an surgeon whom operated on my left knee (cleaning it out of debris) he said i had severe arthritis which would only get worse and that i needed a knee replacement now the problem has again reared its ugly head and affected my right knee this pain is the same but i am now
cortisone injections or hyaluronan injections/ synovial fluid replacement may be a good option. Cartilage replacement therapy is also an option that can be considered in such cases. It would be best to discuss the management options in detail with your doctor or you might want to seek a second opinion from another orthopedician/ pain management specialist, Hope this helps. Take care!
I had my right total knee replacement 11/10/11 and my left total knee replacement 1 1/2 years prior to that. As of today both of my knees continue to throb, shooting pains down my legs, mostly at night. My orthopedic M.D. has done x-rays several times and sees nothing. He claims that it "could" be tendinitis. I currently take 2-5mg. ea. immediate release Oxycodone every 4 hours. THAT is his solution. It does help, but not all the time.
Other option that can be foreseen with such a bad knee would be an knee replacement. To comment on such a surgery requires in depth analysis of your condition.
iam mahmoud, i had arthroscopic surgery for repair of anterior curciate ligament in my right knee 10 months ago, & i suffer all this peroid till now from severe stiffness in knee & limitation in movement of my knee joint.
Synvisc is an elastic and viscous substance made from hyaluronidase which is found in normal joint fluid. The most common form of arthritis is caused by the breakdown of cartilage in one or more joints. Cartilage acts as a cushion between the bones of joints. When there is cartilage loss, a joint can become bone-on-bone, which is very painful for the patient. Treatment options for osteoarthritis focus on pain relief and restoring function to the affected joint.
Many do not realize that what they think is joint pain may not be caused from within the joint, unless there is physical joint damage or Rheumatoid. Referred pain simply means pain felt in a different area from its true origin. Knee, ankle and shoulder pain is usually from tight muscles (nearby or far) pulling on a joint, so that's where you feel it. Loosening the muscle (if it wont stretch) via acupressure or trigger point release can relieve joint and muscle pain.
I am 54 had total knee replacement 12 years ago,(2 other operations before that), first when I was 15, knee would slip out of joint,I eventualy wore bone to bone, third operation took pie slice out of leg bone but this just wore down the other side of knee to were there was nothing left to cusion the knee,said I had the knee of a 85 year old woman, I have a mass of new scar tissue from the knee replacement surgry.
I have been bleeding for the past 4 months in my left knee joint , I was originally told to take naprison as an anti inflamotory twice each day, and to rest as much as possible So far this has Not been working and the talk of a full knee replacement has been discussed . Today when I went to get my knee drained in hopes of sme pain relief , alll the doctor could get was about 5 CC all blood .
From your description of the location of the pain, it's also possible you have a Baker cyst behind the knee. This is actually a collection of fluid that causes pressure to build even though you may not be aware of any swelling. The pain of a Baker cyst is felt more during full extension and flexion as you describe. I think I would ask for a referral to an orthopedic specialist. Be sure it is someone who works specifically with knees and/or ankle/foot problems.
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