Knee pain after total hip replacement

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New Member

Date Joined Sep 2013
Total Posts : 1
   Posted 9/30/2013 7:09 AM (GMT -6)   
 I had THR posterior on the right side on 5/19/13.
Great recovery. NO PAIN. 2 weeks after surgery, I had pain in my right thigh muscle which is common for the posterior approach. It went away in 4 days. Then I had an onset of pseudogout in the right knee and calf, which can happen after major surgery. It also went away after 4 days.
The hip works great. Nearly four months later and I have almost 80% of my flexibility back. In fact, my doctor said to cool it and to wait a full 6 months until the bone grows into the porous hip socket. But it feels great.
My problem is that for the past 2 weeks, I have benn having pain in my right knee (same side as the hip). I had a meniscus tear on the left knee, and it doesn't feel like that. It doesn't feel like arthritis either. It feels like it is related to the hip. I read the posts about years of wrong motion walking to compensate for the bad hip, and I did wait 5 years to have the hip replacement. So I'm going to chalk it up to that. I'm hoping that as the body over a year's time gets used to the new hip, that the knee will settle down.    

Veteran Member

Date Joined Jun 2008
Total Posts : 6706
   Posted 9/30/2013 7:27 AM (GMT -6)   
Hi dp, I'm from the chronic pain forum and saw your post. Congratulations on a successful hip replacement as it looks like your well on the road to recovery!

As for the knee bothering you, its true that many hip people have problems after replacement with one sometimes both knees but generally the knee that bore the brunt of weight from the unusual gait pattern used when your hips painful.

I used a knee support, soft stretchy kind sort of like runners and ball players use? Most all pharmacys carry them for around $20. It gently allows the knee some support to guide it back to your normal gait pattern as you adjust to your new hip.

Good luck and healthy healing.

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Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 10/1/2013 1:03 PM (GMT -6)   
Welcome to HealingWell. I am sorry it is under these circumstances but we do stick pretty close together and everyone on here is so supportive and kind so please stick with us and we will help you in any way we can.
A persistent hip problem can cause referred pain to the knee on the same side. You may be more active now that your hip is improved, unmasking what was  previously a lesser problem in your knee. The hip replacement could have slightly changed the alignment of your limb, which could cause changed loading of your knee. You should talk to the orthopedic surgeon who replaced your hip about this  new problem.
I wish you well and keep talking with us.
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New Member

Date Joined Oct 2013
Total Posts : 3
   Posted 10/2/2013 7:05 AM (GMT -6)   
Hi, I'm a new member and very happy to have discovered this forum.  Any of the knee pain resolved yet following THR? I am 5 weeks out of surgery and did remarkably well for the first 4 weeks.  Off the cane within days after surgery and walking well.  Severe knee pain set in at week 5 with spasms above and mostly below the knee.  Also along side the knee, which I believe is all related to the IT band and problems I've had for over 10 years. (not knowing the real problem was coming from my hip).
And tips? thanks.

New Member

Date Joined Oct 2013
Total Posts : 8
   Posted 10/13/2013 2:22 AM (GMT -6)   
I have one questions for all that have had a total hip replacement. Was the total hip replacement worth having? In other words would you rather have the hip pain or the knee pain? I am having my surgery at the end of this month and I am very worried. I have knee pain now with standing or getting up along with the hip pain on both knees. My worst pain is on the left side but the right side can hurt just as bad at times. So I am just wondering. I am 61 years old and been disabled now for over a year. I want to go back to work and get on with my life. I do not want to trade one painful thing for another. Just wondering.

New Member

Date Joined Oct 2013
Total Posts : 3
   Posted 10/13/2013 9:33 AM (GMT -6)   
I think most folks who have the hip replacement are at the point where you really don't have another option. Perhaps you could try a cortisone shot first?
My surgeon x-rayed both my knees and we discovered I have arthritis in both knees. (not really a big surprise for me). So more than likely the physical therapy exercises after the hip surgery put too much strain on my worst knee (same side as operated hip) and since all my muscles in the leg were very weak after surgery the knee wasn't supported properly. I went back on some anti-inflamatory meds, quit PT for the hip, and after a 2 week rest I'm now working with a personal trainer to strengthen my knees. Hip is doing great!
2 of my co-workers recently had hip replacements (anterior method) and had no additional problems and are very pleased with the results. We all had the same surgeon. I believe I tore cartilage in my hip 30 years ago and have been moving and walking "off" to accomodate it ever since. I am confident with a little extra effort I'll biking and power walking soon again. Best of luck to you!

New Member

Date Joined Nov 2013
Total Posts : 1
   Posted 11/9/2013 5:09 PM (GMT -6)   
Hi am new to this group, I am 32, and had a THR on Oct. 21st. I just saw the Dr. yesterday for my first Post-op, I don't have any hip pain. I HAVE extremely bad pain in the back of my knees. I hate this, I feel like I am just falling apart. I was also wondering, I have been suffering with extreme discomfort, not pain just discomfort, in my feet. I have had this discomfort for about two years, and the only thing that makes it feel remotely better is extreme pressure applied to the top of my feet. I have my husband squeeze them as hard as he can. I have been to podiatrists, they don't know, my family Dr. thinks it has something to do with my hips. Anybody relate?

Elite Member

Date Joined Mar 2003
Total Posts : 10407
   Posted 11/10/2013 10:17 AM (GMT -6)   
I have OA in my feet, but they feel like there's a truck sitting on them when it flares. Do you have normal touch sensation everywhere? I'm wondering if it could be a neuropathy.
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Veteran Member

Date Joined Oct 2013
Total Posts : 506
   Posted 11/26/2013 11:57 PM (GMT -6)   
Boy oh boy Kay I want your surgeon to do my revision. I went thru hell & so much pain with both hips. The last one 2 years ago is recalled.(see my story.)new to forum page.

Then after the recall I am hoping to get this done & over with after the Holidays. No one is working at hospitals during the Holidays more like a skeleton crew. Been there done that.

Since my original surgeon left the state and he left all his patients to a referral revision Surgeon, which is over 40 miles from my home.

The manufacturer pays for all tests and the revision. But not for pain and suffering . Has anyone joined a class action law suit to recover cost for pain & suffering during a joint manufacturer recall?

Wow you all sound so brave. This is no piece of cake. Especially for my poor hubby who is handicapped himself to care for me again. I will ask for nursing care hoping to have compliance from the manufacturer to give him a break. The last thing we need is for him to have health complications when I'm unable to help him.

Peace & Healing and no pain to every one of you.
(( hugs ))
"As long as there is breath there is hope, LIFE is a GIFT. "

New Member

Date Joined Dec 2013
Total Posts : 1
   Posted 12/2/2013 1:41 PM (GMT -6)   
Hello, My mother is 96 years old and fell leading to a partial hip replacement. Everything was fine until taken off precaution then the knee started to hurt a lot. We are on are second round of physical therapy. But we have added a few exercises from "" . Their exercises work Very well for
alignment !!. We did a few from the DVD for seniors for the lower legs (knees thru feet) and so far the knee pain has subsided. Just wanted to let you know what worked with us.
Thank you for all your input about knee pain.

New Member

Date Joined Jan 2014
Total Posts : 1
   Posted 1/8/2014 10:20 AM (GMT -6)   
I am 7 weeks out THR -reading this thread I see I am not alone with the knee issue. My PT associate and research indicates that it can take up to a year for your body /hip to aline. Think about how long your body adjusted to the issue you had with the hip, NOW you have to reverse that misalignment.
As A healthcare provider the biggest issues I have found are that patients are not prepared physically prior to surgery( when possible).
It requires a commitment from the patient to return to your expected normal which time wise is different for every patient.
I trained for 3 months on strengthening and still working 2 hours a day to strengthen and realign.
Pick up a copy of Pain Free by Peter Egoscue -my trainer required me to read this before we started. you will be glad you did.
Good Luck

New Member

Date Joined Dec 2013
Total Posts : 3
   Posted 1/9/2014 8:16 AM (GMT -6)   
Thanks Koni! I am now 3 weeks post THR. I am seeing my surgeon for my post op visit tomorrow. I am fluctuating between periods of pain free euphoria and inevitable setbacks. Your point about general fitness and years of pre-surgery misalignment are well taken. I was a distance and speed runner and former high level soccer player. Maybe like you, I have no hopes to return to that functioning level, BUT........I do probably have higher expectations that cause me to push myself a little harder than I should.

Thanks for the book recommendation! How is your recuperation coming at 7 weeks post? This post could go on and on, but briefly, I am so happy to be able to work my lower abs now. My pre-surgery pain prevented crunches, leg raises etc.

New Member

Date Joined Mar 2014
Total Posts : 1
   Posted 3/10/2014 2:30 AM (GMT -6)   
I had THR right side Jan 20,2014 and about 4weeks post-op I started having knee pain on the surgical side when I would lay on my left side. My doctor says there is nothing wrong with my knee and my physical therapist says to try laying a different way, that it could be the way I have it positioned. I have done this with no success in relief. I had 2 surgeries on my knee prior to having the THR approximately 2yrs before for the knee popping out of place. Don't know if that is playing a role in the pain or not though. Go back to the dr. end of April and if its not better gonna see about having some scans done. I have no pain at any other time. Only when laying on my side. Does this sound familiar to anyone else?

New Member

Date Joined Mar 2014
Total Posts : 1
   Posted 3/28/2014 5:45 PM (GMT -6)   
Nearly three years after a left hip replacement (not anterior and neat, small scar) in my 70's, I now have extreme pain in the left knee when walking. My right knee is due for a knee replacement which I was going to have done after the hip. The x-rays show the right knee is bone on bone and surgeon says replacement will fix the problem - if I do the arduous rehab required! He says nothing wrong with left knee, doctor says I have patella tendonitis, physio says otherwise and recommends a regime of physio, perhaps a knee brace etc. Whatever I do have it is the left knee that is much more painful than the right and is making walking difficult. I feel it is related to the hip surgery and proper alignment but doctor and surgeon won't discuss this possibility. I don 't take any medication except the occasional panadol if I'm going to be doing some walking. I sleep well and only have pain when walking. I dread going out sometimes now. It is all too painful. The hip replacement stopped the other extreme pain but hip feels heavy and back stiff and, of course, right knee prevents normal walking. I'm scared to get the right knee done because the left is hurting so much! It all started with a damaged medial meniscus in the right knee and an arthroscope which left me in non-stop pain in the knee (day and night) for 18 months. The bone on bone was caused by the surgery. Before the surgery I was told I had minimal arthritis in the kn ee. IS SURGERY EVER THE ANSWER??? I joined this forum because others have a similar problem. Scarey but informative!!

New Member

Date Joined Apr 2014
Total Posts : 1
   Posted 4/6/2014 2:50 PM (GMT -6)   
I had bilateral hip replacements on dec 12, 2013. The left hip seemed to take so much longer to heal and bear weight on than the right. Now after almost 4 months I have extreme thigh and knee pain when I walk for any length of time. I returned to work this week and am having a difficult time. My ortho doctor doesnt have any answers for me. The only thing he did is redo my hip exrays and says everything is fine with my hips. The other issue is my hips feel very tight and I do not walk right. Does anyone have any suggestions on where to turn from here.

New Member

Date Joined Jun 2014
Total Posts : 1
   Posted 6/6/2014 7:38 AM (GMT -6)   
I had a THR in April 2012 with a fast recovery and all seemed well. a year later started getting shooting pains in my outer thigh running down the outside of my right leg into my shin. Saw my surgeon 2X and he said most likely the post is touching a nerve slightly and my bone density on the outside of the femur was weaker than the inside. This wasn't the answer I was looking for. He suggested taking calcium and vitamin D which I do daily. All was good for 8-9 months now it's back. I'm beginning to think it could be the change of weather?? Seems like in the cooler months I'm good with no problems whatsoever. I've only had xrays post op with no MRI. I'm going to suggest an MRI to see if the post is touching any nerves. Q: if the post is touching a nerve is there anything that can be done to stop this from happening???

Thanks Jim

New Member

Date Joined Aug 2014
Total Posts : 1
   Posted 8/27/2014 11:44 AM (GMT -6)   
Hello everyone, i am new to this forum. I would like to say that my husband had his hip replacement in 2012 he has been experiencing knee pain, locking of his knee and weakness. Everytime he has gone to the doctor he has been given an x-ray and told that there is nothing wrong with him. He continues to walk with a cane and can no longer enjoy the things that he use to horse back ridding, bike riding etc. He however has tried to return to little league coaching and base ball umpire. both he is doing with the aid of a lot of meds and although he can bend at the hip when he umpire, he is almost in tears after the medication wears off. His knee has lock up on him and to where he was unable to straigten it for about 60 seconds, and the pain was bad enough to bring tears and fear to his eyes. We were confused untill i found this site good luck to everyone.

New Member

Date Joined Feb 2015
Total Posts : 1
   Posted 2/18/2015 1:22 PM (GMT -6)   
This is all very interesting and giving me insights into follow-up I must do. I am a 60-year old hiker and skier. Very active and in good health. Partial hip replacement on right side ten years back. Left side partial almost four years back. Wonderful results. No pain, great mobility. Two years ago developed "click" in right hip, but no pain. Recently the "click" moved to my knee and now is quite painful.


Regular Member

Date Joined Feb 2015
Total Posts : 250
   Posted 3/4/2015 12:47 PM (GMT -6)   
So many stories here sound so familiar to me. I had an Anterior TRHR in late 2010 and a good recovery and rehab as I could understand it all, my first type surgery...

Then bam after 5th month post op things went downhill. I realized I had gone thru Femoral Nerve Damage, IT band damage and SHORTER hip side leg......

All this has caused so much MISERY and advanced knee and foot/ankle OA mess with the shorter leg and body out of alignment......

I have my right shoe all raised up with innersoles and heel lifts, but the damage was done.....didn't know what was going on and got the shoe lifted too late to save the other joints better....

Now I'm considering PRP for knee as surgery is just out of the question. I'm 76 now...J
OA from age 18 to late 70's....complications from hip replacement in 2010...such a terrible outcome.
Fibro dx in 1999

All all the other "stuff" most deal with....I take 95% supplements for my health care...
Grape Seed Extract and or Pycnogenol have been lifechanging for me, 20 yrs on them soon.

Love the SOM and AA Principles....

Keep it Simple, Progress Not Perfection, One Day at a Time..

New Member

Date Joined Jun 2015
Total Posts : 1
   Posted 6/22/2015 7:26 AM (GMT -6)   
I am new to this forum. I am 5 months out from a THR and I am using a cane. I used a walker for the first three months. I could not put weight on my hip for a month because it was determined I had weak bones so that made me walk funny and inhibited my recovery. I have also had two total knees and they are great. The problem is-------when I walk I have thigh pain just above the knee that is on the same side as the hip that was done. I had the hip done Feb. 2 and this is June 22 and I am frustrated that I can't walk far without pain. I am an active person and this is very depressing. I am doing leg lifts, etc. trying to strengthen the thigh muscle, but it just doesn't seem to go away. Sometimes the pain runs down the outside of the knee and stops there. When sitting, nothing hurts. Any advice?

New Member

Date Joined Jul 2015
Total Posts : 1
   Posted 7/2/2015 10:23 AM (GMT -6)   
I am a couple years too late, but I had both hips originally replaced 13 years ago - they were great, at that time I was 43 years old and back to work in 6 weeks.
Then due to an accident I had to have my right one completely replaced but my original surgeon had passed away and another surgeon did the revision.
From the time I woke up I had pain in my knee cap on the same leg (I did have arthritis in this knee before but not like this)
Four days after I got home the surgeon called to say that unfortunately I had received a fracture just above the knee during surgery and that I just had to wait a couple of months for it to heal (eight months later it still hasn't healed)
By April the pain in my knee was severe, the knee was swollen and had a lump on it, and when I tried to walk my knee would give way even while walking with my cane (which I have been doing since I got off my walker 5 months after the replacement) He had kept telling me that the knee pain was just radiating from the fracture that happened during the replacement in my thigh area.
I asked him to do something, but xrays did not show anything so in May 2015 I had an MRI done and had a follow up early in June where he said its only Osteoporosis wear and tear.
A week or so later I got a copy of the MRI report that shows I have a fracture in the knee cap (it shows that it is a stress fracture) I did not fall etc. to cause this injury. Also it shows a torn/tear medial meniscus with cartridge damage.
So I know I have been lied to as I presume he did not want to acknowledge that along with the original fracture in my thigh that he damaged my knee as well during the surgery and the only thing he is going to do is give me more shots for the pain.
I have already tried to get a second opinion with no luck so I will have to try harder as I have been out of work and in pain for over eight months with no healing and no end in sight
Please be careful of what your doctor tells you no matter how much he might joke or smile at you., they have a reputation to protect but we all have a life to live. You have a right to see all your medical files. If you have had a MRI go to the hospital and get a copy if you cant to it any other way etc.
Hopefully the issues you all have had here are now resolved but if not maybe some of this may help you or some new people to come.

Post Edited (don) : 7/2/2015 9:30:30 AM (GMT-6)

Veteran Member

Date Joined Oct 2013
Total Posts : 506
   Posted 7/2/2015 4:47 PM (GMT -6)   
Hello Don,

Your story is very similiar to mine. First THR in my mid 40's. second 10 years later. Both hips replaced. Then the knee issue on the first one torn meniscus. OA in the other. The list is a mile long.

After 6 months the second hip was recalled by the manufacturer.
My first surgeon pasted away too! He was very experienced.

In my experience the younger new surgeons THR docs are trained by the manufacturers and in some cases a rep is in the surgery room to help facilitate any issues while the patient is on the table. My last surgeon did 4 THR BY 1 pm. These tables are specifically designed by the manufacturer for ease of implantation & for different modules and parts for implantation.

See you tube demo. It's wise to watch the proceedure to be familiar with the process. These surgeries are show in great detail and visually acceptable . This is major surgery. Not every one who has this surgery is alike or has a good outcome. Look up the modules and parts online by the manufacturer. They can weigh anywhere from 3-6 lbs. for each hip. Becoming familiar was helpful in my case.

Then after the recall the revision was done, since then I have had several issues with the recalled replacement hip. Can't put all my weight on that leg or lift a gallon of milk. That was 3 years ago. So there has been a lot of adjustments and especially walking on level ground is important to watch every step. I am very mindful of all my movements and the environment that I am in at any given time.

It's good advice to keep all the records. Type of manufacturer as well as all X-rays all tests before and after. They are all on disc now. Comes in very handy.

My walking is limited, movement too. Coping is crazy. Life is a lot different. I am very grateful I still have my mobility.

Kind Regards,
"As long as there is breath there is hope, LIFE is a GIFT. "

New Member

Date Joined Nov 2015
Total Posts : 1
   Posted 11/29/2015 8:53 PM (GMT -6)   
I live in upstate NY am 71 and just had a right THR anterior approach. Had the left one done 6 years ago with stellar results. Had this right one done on Sept 1st and still have discomfort and am still using a cane for balance. I'm also experiencing quite severe (at times) knee pain in that leg. An elastic joint sleeve offers some relief. and I have had some success with castor oil wraps. Someone mentioned in a post about newly pronounced veins around the knee. I have that also and some on and off discomfort in the lower leg. Also have on and off pain in upper thigh. Seems like these symptoms are pretty common throughout the remarks here. I go back to the doctor (3 months) shortly to have another xray taken and see if there is any physical problem with the prosthesis. Surgeon is highly regarded and has tons of satisfied patients.
Missing my hiking and hoping this darn thing gets better soon. I'll post updates.

New Member

Date Joined Feb 2016
Total Posts : 2
   Posted 2/3/2016 7:59 AM (GMT -6)   
I too have great pain above and to the left of my left knee following my THR to my left hip.
My surgery was 7 days ago on 1/27/2016 and i've had the pain from day one so I reject the idea that it's my knee getting used to the new hip and it's new alignment. (the front centre of my thigh also feels like a very bad "cork".)
I'm shocked to see what a common complaint this is .
I'm also surprised that no-one in this forum has mentioned whether they have seen video of this procedure.
My friends and family often suggested this to me prior to my surgery after they'd seen it on 60 minutes etc. but I didn't want to scare myself ! But once the surgery was done I was curious to see what I had endured.
NO WONDER OUR KNEES HURT !... I viewed several different clips including both posterior and anterior procedures (mine was anterior).
In each video it shows how once the cup is in place and the post is in place with the ball attached the leg must be twisted in order to insert the ball into the cup . ... this is to be expected of course.
But check out how they do it ! In EVERY video ONE person grabs your foot and ankle and turns your leg from there. There is NO second person supporting your knee . Perhaps those lucky people that haven't ended up with the knee pain DID have that second person supporting their knee.
But to Don who posted on 7/2/2015 I would suggest this is a strong possibilty for how your fragile kneecap got fractured.

I apologize for the lengthy post but bear with me while I point out my second alarming observation.

Only on a couple of the seven videos I saw did I see any removal of bone marrow (or whatever the technical term might be) from the femur to make way for the post to be inserted . Rather, the surgeon used "trial" triangular posts that gradually increase in size to ensure a tight fit .
Even on the clips that do show the marrow substance being removed it seemed to be only a small amount compared to the size of the metal post..... now I'm just a carpenter , but if I did the same thing to a piece of timber it would split.
Perhaps a poor comparison but it occurs to me that the inner marrow of the bone is being compressed down and down with each increasingly large "pilot" post. All of this must build pressure at the bottom of the femur (JUST ABOVE THE KNEE).
I would greatly appreciate any feedback on these thoughts from you fine people. You see , I've never had knee problems prior to this surgery and all the doctors' explanations that I've read in these posts don't seem logical to me and nor do they to a lot of you.

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Date Joined Feb 2003
Total Posts : 16423
   Posted 2/5/2016 2:52 PM (GMT -6)   
Hello MGM, saw your post here & wanted to let you know you have posted on an old thread. Unfortunately, a lot of these people posted here one time & never returned, so a lot of these people are no longer active here at Healing Well. We have people that will join & make a post & not return.

You may get a better response if you can copy & paste what you have posted above into a new thread. People tend to not read these older threads.

Take care.
Moderator Chronic Pain & Psoriasis Forums
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