R.Du Hyun RoOrthopedics & Research
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Patient resourcesDisease and Treatment

Disease and Treatment

Pain and Altered Sensation after Knee Replacement: When to Reassess

We need to distinguish between a decrease in sensitivity around the scar and a newly formed loss of strength. And look at the changes in knee, which I liked.

Pain and Altered Sensation after Knee Replacement: When to Reassess

At a glance

  • It could be a small nerve that's in charge of skin sensation. We need to identify the location and position, and differentiate it from the new muscle strength.
  • The infection doesn't just occur right after surgery. A new pain, inflation and treatment change needs evaluation.

surgery explains the new symptoms by dividing

  1. 01
    Changes in skin sensation and sound
  2. 02
    The start and end of pain.
  3. 03
    Check for the infusion.
  4. 04
    Find the Cause and Treatment Decisions

It's also an explanatory tool to help patients make choices. It's not a substitute for an individual's diagnosis or treatment.

Numb skin beside a knee-replacement scar or joint sounds may raise concerns about the implant. Some changes can occur after surgery, but not every symptom is normal recovery. A previously functioning knee that newly swells or hurts needs reassessment. The pattern of change matters alongside time since surgery.

Why can the area around a scar feel numb?

Small skin-sensation nerves can be affected when the front of the knee is opened, causing numbness around or beside the incision. The area and discomfort vary. Skin numbness differs from weakness that prevents lifting the ankle. Explain where it is numb, when it began and whether the area is changing.

Are all sounds or sensations of stiffness abnormal?

An implant may feel different, make sounds during movement or feel stiff with deep bending. But new pain, swelling, locking or giving way accompanying sounds needs review. Note when it began and whether a movement triggers it. Sound alone neither proves component damage nor justifies ignoring associated pain.

Does late pain mean a component has worn out?

Over time, wear, fixation problems or instability may cause pain; infection is not limited to the immediate postoperative period. Assess onset, activity relationship, motion and stability, compare previous images and use blood/joint-fluid tests if needed. Replacing parts without identifying the cause may not help. Finding why it hurts comes before deciding on revision.

Which changes need an early assessment?

Contact the surgical team for wound drainage, increasing redness/swelling or pain that fails to improve or worsens again. New calf pain/swelling needs assessment. Leg symptoms with breathlessness or chest pain require immediate emergency care. New ankle/toe weakness is different from skin numbness; do not wait for an online reply.

Should I exercise more when there is pain?

Weakness-related difficulty differs from new pain caused by infection or fixation problems. Do not start by increasing exercise intensity for unexplained new pain. Conversely, stopping all necessary movement from fear may hinder recovery. Record timing and post-exercise response, and report medicines and recent treatment results to help adjust rehabilitation.

What should I prepare for another consultation?

Bring the surgery date, component details if available and previous X-rays. Note symptom onset, recurrence after improvement and differences between level walking and stairs. Distinguish skin sensation, weakness and deep knee pain; report outside medicines/injections. New symptoms need a cause and treatment assessment even if the knee normally feels different after surgery. If unsure about waiting until follow-up, contact the team with onset and change. Avoid prolonged direct hot packs on numb skin.

Common Questions

Is joint replacement wrong if it has sensation on the side of a scar?

It could be a small nerve that's in charge of skin sensation. We need to identify the location and position, and differentiate it from the new muscle strength.

Could joint replacement have been infected a few years ago?

The infection doesn't just occur right after surgery. A new pain, inflation and treatment change needs evaluation.

Does new pain mean immediate revision surgery?

We first look at the causes, fixation, stability and infection, then we decide on treatment.

Read more

AAOS OrthoInfo · Total Knee Replacement: OutcomesAAOS OrthoInfo · Revision Total Knee ReplacementNHS · Complications of a Knee Replacement

When to seek medical care

Each warning sign is a separate reason to seek care. Follow the action below if any one applies.

Emergency department · call 119 in Korea

  • Call 119 for sudden breathlessness or chest pain, severe faintness or loss of consciousness. Do not wait for calf swelling to appear.
  • Go to an emergency department if you suddenly cannot bear any weight, or if an injured knee swells rapidly or looks deformed. A cold or numb foot after injury also needs immediate assessment.
  • Seek emergency care for a hot, swollen and severely painful joint with high fever, shaking chills, confusion or inability to bear weight.
  • With back or leg pain, go immediately to an emergency department for new difficulty passing urine, loss of bladder or bowel control, or numbness around the genitals or anus. Severe or rapidly worsening weakness or numbness in both legs also needs immediate assessment.

Same-day assessment

  • Arrange assessment today for a newly hot, swollen joint, sudden severe pain, or a knee locked so that it cannot fully straighten. Joint infection can occur without fever.
  • Have new swelling or pain in one calf assessed today for a possible blood clot. Call 119 immediately if breathlessness or chest pain develops.
  • Severe knee pain or a new limp in a growing adolescent may come from a hip condition such as slipped capital femoral epiphysis. Stop walking and sport and arrange assessment today. Go directly to emergency care if they cannot bear weight.
  • Stop running and seek assessment today for new recurring groin pain, pain with walking or at night, or a limp. A femoral neck stress fracture needs to be considered. Keep weight off the painful leg until assessed. Go to emergency care if you cannot bear weight.

Book an outpatient appointment

  • If none of the warning signs above is present, book an appointment for pain lasting a few weeks, repeated swelling or reduced daily activity and exercise.