Orthopedic Surgeon Christopher Gorczynski requests questions regarding total joint, knee, hip, shoulder, arthroscopic surgery.

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5/20/2016

My blog is intended to address common issues I face on a daily basis in practice. Because I focus on total joint replacement of the shoulder, hip, and knee as well as arthroscopic surgery, many of my postings relate to these procedures and the rehabilitation process necessary for the best recovery possible.

I am sure there will be a variety of questions/concerns that I will not spontaneously address. Since my goal is to provide educational resources for patients worldwide, please feel free to suggest a topic you would like to see me address on this website.

Please understand that I can not make personal, specific recommendations to you, as we do not have a doctor/patient relationship. I will, however do my very best to address your question in general terms, and as always, I am available for personal consultation if you'd like.

Feel free to email me: chris@yourorthoMD.com or simply make a suggestion in the comment section below.

4 Comments

Nora

11/22/2020 10:17:16 pm

Hello Dr. Gorczynski;
Thank you for the time you have spent posting training and answering questions. I am 10 weeks post TKR 128 flexion with full extension. What can I do to alleviate the extreme pain I am having on the back inside of my knee making it painful to walk. Also why there is sharp pain on the inside bottom of my knee cap. What are your thoughts on wearing thigh high compression stockings?
Thank you for taking the time to read and answer my questions.
Nora

Christopher Gorczynski, MD link

11/26/2020 09:45:43 pm

You have excellent range of motion, and at 10+ weeks from surgery, I would expect a relatively pain-free knee. I would not expect extreme pain, and I would not expect pain when walking. This is not normal for this stage of recovery, with the excellent range of motion you have regained. I recommend you see your surgeon, and I would recommend a new set of x-rays to make sure everything is OK with your prosthesis.

Thigh-high compression stockings are great to help reduce ongoing swelling, once the surgical incision has healed. However....

If you are having significant leg swelling, it is appropriate to consider a duplex ultrasound examination to rule out deep venous thrombosis. Significant swelling at this stage should prompt an immediate call to your surgeon.

Marian D Green

5/6/2021 10:13:00 pm

Thank you for your time, I appreciate it. I had bilateral knee replacements, 7 months ago. Range of motion good, measure 122. But if I stand too long my knees get swollen. I use ice wraps. Left knee not has good as right knee. Any suggestions for swollen knees, or does it take a year like I have read online. Thank you.

Christopher Gorczynski, MD link

5/11/2021 05:01:57 pm

I would expect improvement for a year or more. My experience is that episodic swelling is not very common at your stage, but can occur. It is important to follow-up with your surgeon, so they can make sure all is well.

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