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When the pain of arthritis doesn't go away, replacing the problem joint may be an option. For the knee, the procedure to implant a new joint is called total knee arthroplasty (TKA). For most patients, TKA gives pain-free motion and return of function. For a small number of patients, the result isn't good. Painful swelling and loss of function can make them wish they'd never had the procedure. These patients can be helped. The doctor must make a careful search to find the cause of the problem before correcting it. There are many possible causes for a painful TKA. Problems from inside the knee may be the cause of painful symptoms. Recent changes in the design of the joint implant have helped solve some of these problems. Infection and bleeding are the first two things the doctor looks for. This can be assessed using laboratory test results. Scar tissue and pinching of the joint lining can cause a painful, stiff knee. This can be found using an arthroscope. The scope is a slender device wit...
I have been taking Imitrex 2 - 4 per month for about 10 years. I have had joint stiffness commonly after taking it. However, I am a professional martial artist as well as a Nurse Practitioner and after taking Imitrex, my flexibility has decreased by about 50% for a week or so, then I can finally get stretched out again, I take another Imitrex, and then I cannot stretch. Is there any post-marketing information about this? Peggy.
I know of no such information on Imitrex. After all, it is gone from the body in 8 - 10 hours.
Perhaps another triptan might avoid your (rather long) symptoms after Imitrex. There are six other medications in the triptan family-- Maxalt , Zomig , Amerge , Relpax , Axert , and Frova . Each of the triptans binds to different combinations of serotonin receptors, which is why our bodies may respond differently to each of them. It could be worth discussing the ones you haven't tried with your doctor.
Good luck, Jo...
There are many reasons why knee stiffness occurs after joint replacement. In this article, ways to predict and manage such a problem are reported. Computerized records of almost 10,000 patients were reviewed to provide this information. Stiffness was defined for this study as less than 90-degrees of knee flexion. Two groups of patients were compared. The first group had a total knee replacement (TKR) with stiffness afterwards. The second (control) group had a TKR without stiffness. Everything about these patients was compared. For example, age, race, sex, and body mass index were compared. Range of motion before the surgery was reported. Details of the operation such as length of time and blood loss were included. The authors report that more patients with stiff knees after TKR were younger than the control group patients. Women were affected more often than men. They had shorter patellar (kneecap) length and longer patellar tendon. These changes lead to a slightly different position of...
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