TKR medial pain

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TKR medial pain - November 3, 2004 3:06:00 PM

sprite

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Joined: April 21, 2004
Status: offline

Do anyone know why TKR pts frequently c/o medial knee pain s/p? Is there anything related to the surgery that may cause this?

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Re: TKR medial pain - November 3, 2004 6:01:00 PM

PTupdate.com

Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline

The procedures I have watched flip the patella laterally, therefore stretching/detaching the medial retinaculum and surrounding tissues. Perhaps that is one reason. Another could be a soft tissue strain due to mechanical re-alignment, as they remove either a severe varus or valgus deformity. It could also be cutaneous nerve stretching from the procedure.

John Duffy, PT OCS
[URL=http://www.PTupdate.com]www.PTupdate.com[/URL]

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to sprite)

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Re: TKR medial pain - November 4, 2004 4:33:00 AM

Shill

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Joined: February 13, 2003
From: Madison WI USA
Status: offline

I second Mr Duffy's response. There is a branch of the saphenous nerve there, and these surgeries are never a gentle procedure. The pes anserine is there, but I think actual bursitis of the pes is fairly infrequent, rather it is referred pain from all of the other possibilities that John noted.

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Steve Hill PT

(in reply to sprite)

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Re: TKR medial pain - November 5, 2004 5:04:00 AM

PTupdate.com

Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline

Hey, just because I turned 40 on Tuesday does not mean I deserve to be called MISTER Duffy!!!!! After all, I look 25 and still like to shoot spit balls.

Here is an article that might be of interest:

SAPHENOUS NEURITIS: A POORLY UNDERSTOOD CAUSE OF MEDIAL KNEE PAIN. Journal of the American Academy of Orthopaedic Surgeons, Vol. 10, No. 2, March/April 2002.

John Duffy, PT OCS
[URL=http://www.PTupdate.com]www.PTupdate.com[/URL]

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to sprite)

Post #: 4

Re: TKR medial pain - November 5, 2004 5:35:00 AM

Shill

Posts: 1092
Joined: February 13, 2003
From: Madison WI USA
Status: offline

Just respecting my elders John. It refreshing to see that Im not the only one who acts like a child. I had a dart gun fight with my 5 and 10 year old last weekend.

Thanks for the reference by the way.

_____________________________

Steve Hill PT

(in reply to sprite)

Post #: 5