FROM OUR EXPERTS
Imagine that after years of painful knee symptoms, you have a total knee replacement (TKR). Ahhh, relief at last! But within a couple of months, the knee starts making a loud "clunk" every time you straighten it from a fully bent position. The problem could be the patellar clunk syndrome. This syndrome occurs when a fibrous nodule develops on the back of the kneecap (patella). When the knee bends, this fibrous bump gets trapped within a notch in the surface of the thighbone (femur). (The bottom of the femur meets the top of the tibia in the lower leg to form the knee joint.) As the knee straightens, the bump moves out of the notch. Knee pain and a "crunching" sound occur as the patella moves against the femur. At the same time, a "clunk" is usually heard. Doctors think that two factors cause the patellar clunk syndrome: the design of the joint implant (on the femoral side) and the patient's knee-flexion angle. Generally, only patients with more than average knee flexion get this proble...
Getting your newly replaced knee joint moving may be easier said than done. Sometimes the knee just stiffens up, frustrating both the patient and provider. It helps to know why the joint is stiff--and what can be done about it. Is it something the patient did, or did something happen during or after surgery to make the knee stiff? Patients themselves may have something to do with it. But these factors are not always in their control. For example, some people naturally form extra scar tissue after an injury or surgery. When this occurs following knee joint replacement, the added scar tissue can cause the knee to become stiff. And a tight knee that isn't moving fully before surgery will have a greater chance of being stiff with limited movement afterward. Patients can control how readily they do their exercises and therapy after surgery. If they choose not to comply, their chances of having stiff knees are greater. Loosen up. Not all problems with stiffness are due to patient factors. Err...
Generic Name: DECONGESTANT/ACETAMINOPHEN/ANTIHISTAMINE -
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