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Increased Knee Pain After Arthroscopic Surgery
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Bone and Orthopedic Conditions
Question #24722
91 days ago
187

Increased Knee Pain After Arthroscopic Surgery - #24722

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Dobrý den, jsem 5 měsíců po artroskopické resekci mohutné pliky kolene. V posledních týdnech se bolest výrazně zhoršila – je téměř trvalá, ostrá a při došlápnutí vystřeluje dolů po holenní kosti. Bolest cítím i v klidu (v sedě i vleže) a nedokážu najít úlevovou polohu. Koleno není výrazně oteklé, ale působí slabě a při delším stání nebo chůzi se potíže zhoršují. Ohyb je omezený. Prosím o Váš názor na možné příčiny těchto potíží a doporučení, jak postupovat a jak si do té doby ulevit. Děkuji.

How would you rate the severity of your pain?:

- Severe

Have you noticed any swelling or changes in the appearance of your knee?:

- No changes

What treatments or pain relief methods have you tried so far?:

- Over-the-counter pain relievers
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
90 days ago
5

Hello

Zhoršující se, ostrá a téměř trvalá bolest 5 měsíců po artroskopii není běžná a je vhodné ortopedické vyšetření.

Možné příčiny:

přetrvávající zánět / synovitida dráždění chrupavky (chondropatie) jizvení nebo srůsty přetížení čéšky (patelofemorální bolest) vzácně komplexní regionální bolestivý syndrom (CRPS)

Vystřelování bolesti po holenní kosti může znamenat dráždění měkkých tkání nebo nervu.

Doporučení:

Objednat se na kontrolu k operujícímu ortopedovi

Zvážit kontrolní MRI Do té doby: klidový režim, ledování 2–3× denně, elastická bandáž Krátkodobě NSAID (pokud můžete užívat) Nepřetěžovat, omezit delší stání

Pokud by se objevilo výrazné zhoršení, otok, zarudnutí nebo teplota, vyhledejte lékaře ihned.

Thank you

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
90 days ago
5

Hello dear See as per clinical history there can be chances of tibial stress or nerve irritation Also arthrofibrosis can occur I suggest you to please get following tests done and share result with concerned physician only for better clarity Crp X ray knee Knee USG Ct scan Mri Hopefully you recover soon Regards

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Silné bolesti po artroskopické resekci pliky kolene, které popisujete, by mohly mít několik příčin. Jednou z možností je přítomnost zbytkové nebo znovu vytvořené tkáně, která by mohla dráždit kolenní kloub. Další možností je zánět, který může být způsoben pooperačními změnami nebo dalším traumatem. Nevíme, ale může se jednat i o problém s chrupavkou nebo jinými strukturami v koleni. Abychom zjistili, co přesně způsobuje vaše potíže, doporučuji navštívit ortopeda. Je důležité, aby vás znovu vyšetřil, mohl by předepsat další zobrazovací testy, možná MRI, k zjištění příčiny vašich obtíží. Do té doby, zkuste si koleno šetřit – vyhněte se nadměrnému zatěžování, zejména dlouhému stání nebo chůzi. Můžete vyzkoušet ledovou terapii po dobu 15-20 minut několikrát denně ke zmírnění bolesti a otoku, i když otok sám nepopsal. Zvýšená poloha kolena při odpočinku může pomoci zmírnit zánět. Pokud snášíte, může dočasně pomoci užívání nesteroidních antiflogistik (např. ibuprofenu) ke kontrole bolesti. Nicméně, pokud se bolest zhoršuje nebo se objeví nové příznaky jako horečka, zarudnutí či výrazný otok, je důležité vyhledat lékařskou pomoc bez odkladu, protože to mohou být známky infekce nebo jiných komplikací, které vyžadují urgentní léčbu.

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