"That kind of pain-free living almost made me forget how bad my knee used to be. But this year, something changed. At first, it was subtle-an ache under the kneecap, soreness along the outside of the joint. I figured it was overtraining. Then the pain grew sharper. After rides, the knee swelled up, and sometimes the back of the joint throbbed the next day."
"I went back to my orthopedic surgeon. He confirmed swelling and laid out the possibilities. They ordered: X-rays to check implant position and signs of loosening. A bone scan to look for stress or loosening that x-rays might miss. An infectious blood panel to rule out infection. So now I'm waiting on the results. I'm still riding-just staying off steep hills since they aggravate it most."
An individual developed new knee pain eleven years after total knee replacement, with aching under the kneecap, lateral joint soreness, swelling after rides, and posterior throbbing. Orthopedic evaluation found swelling and prompted x-rays, a bone scan, and infectious blood tests. Potential causes include implant loosening, infection, polyethylene spacer wear, and surrounding soft-tissue problems. Recommended management includes prompt orthopedic consultation, imaging to assess implant position or subtle loosening, bloodwork to exclude infection, and activity modification such as avoiding steep hills while awaiting diagnostic results.
Read at Theoldguybicycleblog
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