Arthroscopic knee surgery is a useful surgical procedure to manage and treat many common knee conditions. Uçkay I, Hoffmeyer P, Lew D, Pittet D. Prevention of surgical site infections in orthopaedic surgery and bone trauma: state-of-the-art update. You can request an appointment with me by calling 714 639-3750 or going to my web page www.MyOrthoDoc.com. Patients can help by wearing shorts or sweats that can be pulled up high to the evaluation. Drainage or bleeding from the incisions 3. Current research is focused on dynamic stability of the lower extremity—in other words, how sturdy your knee is when subjected to normal forces and movements. Paterno MV, Hewett TE. The trick is to know when things are fine and moving a little slow or if indeed progress has stopped and a problem does exist. The view inside your joint is transmitted to a high-definition video monitor.Arthroscopy allows the surgeon to see inside your joint without making a large incision. Keeping your leg higher than your heart will help with swelling and pain. While the condition is called osteonecrosis, a word that means there is spontaneous bone cell death, the problem has been thought to be the result of microscopic fracture of the bone around the knee joint. I hope this information regarding meniscus tear treatment and the development of arthritis is helpful. Why Is a Knee Replacement Surgery Performed? Most of the time, rest, ice, and pain meds are enough to help you feel better. DISCLAIMER: The information on this website is provided as a service from our physicians to our patients and the general public. The usual scenario is one where a patient had arthroscopic knee surgery for a torn meniscus. In the weeks and months after surgery, pain should decrease gradually. Chronic Tears of the Pectoralis Major Tendon, Surgical Treatment of Calcific Tendinitis and Rotator Cuff Tears- A Live Surgery Demonstration. Grant Hughes, MD, is board-certified in rheumatology and is the head of rheumatology at Seattle's Harborview Medical Center. You will get a prescription for pain medicine. Pain is normal after knee arthroscopy. Knee Surg Sports Traumatol Arthrosc. The surgery went well but the patient still has pain even though it’s now 2-3 months later. While this all sounds gentle and noninvasive, it needs to be understood that your body will react to the trauma of surgery. Occasionally you will have persistent pain that interferes with your quality of life and you choose to have an arthroscopy, which is the most common means of performing meniscus surgery. The most common cause of pain after arthroscopic knee surgery torn meniscus is arthritis. Biomechanics of Multi-ligament Knee Injuries (MLKI) and Effects on Gait. Persistent swelling is one of the most common symptoms after knee arthroscopy. *Is there pain and swelling with long walks (probably degenerative/arthritic problems)? Patients can help by wearing shorts or sweats that can be pulled up high to the evaluation. Therefore, the first thing that a patient with a “failed surgery” needs to understand is that no 2 surgeries are ever alike. If a patient had surgery less than 3 months ago I usually find that they are incompletely healed and need more time or maybe more therapy. Insufficient rehabilitation can be a cause of persistent knee pain after an injury., One complication that has been linked to knee arthroscopy is a condition called spontaneous osteonecrosis of the knee, or SONK. This condition is most often found in middle-aged women who have a knee arthroscopy. But when that happens, you don’t have to just put up with the pain. Probably post meniscectomy degeneration/arthritis. Several additional treatment options may ease chronic knee pain after knee replacement. While the success rate of meniscus surgery is typically very high, there are a number of reasons why you may still have pain after meniscus surgery. I had arthroscopy surgery done on my left knee two weeks ago. That means that the remaining meniscus is smaller, but still taking the same pressure. A sore throat may occur. It can be seen on a post op MRI. BMC Musculoskelet Disord. Pain is quite common, most often in the area where you had pain before surgery, in the soft tissues below the knee cap, over the athroscopy wounds and occasionally the whole knee. In the 3rd month, I began walking on the beach, twice a week. I like to see recent X-rays. Pape D, Seil R, Fritsch E, Rupp S, Kohn D. Prevalence of spontaneous osteonecrosis of the medial femoral condyle in elderly patients. A surgeon inserts a narrow tube attached to a fiber-optic video camera through a small incision — about the size of a buttonhole. Have your situation evaluated. Good luck and be patient. Even if you feel good I’d recommend icing your knee as a preventative measure to reduce inflammation. The paste will harden and provide support for the damaged bone. SONK is a condition that causes inflammation within the bone. After long walks, I still ice my knee (read about my ice pack after knee replacement). He is currently practicing Orthopedic Surgery in Orange County. If you experience an increased amount of pain, talk to your doctor. Friberger Pajalic K, Turkiewicz A, Englund M. "Update on the risks of complications after knee arthroscopy" BMC Musculoskelet Disord. Reasons to have arthroscopic surgery on the knee joint include cartilage injuries, meniscus tears, ligament problems, and a variety of other conditions. It should get better over time. For the purposes of this article, we will discuss the recovery process of common and less involved surgeries of arthroscopic debridement and partial meniscectomy knee surgeries, sometimes referred to as “knee scopes”. Biggs A, Jenkins WL, Urch SE, Shelbourne KD. I can usually make a diagnosis just based on a good history. Take your pain medicine as soon as pain starts. If more serious problems related to surgery, such as infection, have been eliminated, treatments of swelling may include: Infection is a very uncommon complication of arthroscopic surgery. But it is the complication most feared by patients. The cartilage of the knee joint becomes damage due to arthritis that simply cannot be repaired along with the torn meniscus. Thank you for taking the time. 2009;4(1):2-12. He is team doctor for the Anaheim Bolts pro indoor soccer team and Foothill High School. If it is the heel of the foot will not reach as close to the buttock as the opposite side. Increasing pain may be a sign of arthrofibrosis. As I said above most of the time you can nail the diagnosis even before you touch the knee. Some experts believe that the edema (fluid) is due to micro fractures of the bone in the area of the over load. A must read. I can't really say the surgery worked that well. It is easily correctable with therapy. Other possibilities include poor rehabilitation, cartilage defects, sub chondral edema from degeneration/arthritis (common), poor patella mechanics, poor range of motion, AVN (rare), IT band syndrome, pes bursitis, intra-articular ganglions, plica bands/synovitis, persistent tear that was incompletely treated (unusual). Get it filled when you go home so that you have it when you need it. Typical symptoms of infection include: If the infection is untreated, there can be serious repercussions. Key points that I look for in the exam: *Is there a limp due to loss of knee extension or pain? 2013;84(1):5-12. doi:10.1016/j.jhin.2012.12.014, Tartari E, Weterings V, Gastmeier P, et al. You will probably need about 6 weeks to recover. Update on the risks of complications after knee arthroscopy, Minimally invasive orthopedic surgery: arthroscopy, Prevention of surgical site infections in orthopaedic surgery and bone trauma: state-of-the-art update, Patient engagement with surgical site infection prevention: an expert panel perspective, Biomechanics of Multi-ligament Knee Injuries (MLKI) and Effects on Gait, Rehabilitation for Patients Following ACL Reconstruction: A Knee Symmetry Model, Prevalence of spontaneous osteonecrosis of the medial femoral condyle in elderly patients, Clinical Characteristics and Treatment of Spontaneous Osteonecrosis of Medial Tibial Plateau: A Retrospective Case Study, Postarthroscopy Osteonecrosis of the Knee: Current Concepts, Arthroscopic management of osteoarthritis of the knee, Update on the risks of complications after knee arthroscopy, Redness around the incisions or draining fluid. The usual scenario is one where a patient had arthroscopic knee surgery for a torn meniscus. The usual scenario is one where a patient had arthroscopic knee surgery for a torn meniscus. It is important to follow these instructions carefully, to ensure that the outcome of surgery is as good as possible. 2002;10(5):356-63. doi:10.5435/00124635-200209000-00007. Dealing with joint pain can cause major disruptions to your day. The swelling is normal and will start to go away in a few days. Sign up and learn how to better take care of your body. It is easily correctable with therapy. Also patients should know how much post-operative physical therapy they have had since their surgery. Worsening pain in the knee. Dr. Mora’s practice focus on sports related trauma, knee ligament and cartilage repair, shoulder rotator cuff and instability, hip arthroscopy and partial knee replacement and ACL reconsctruction. If I know what structure to look at the task goes from a shot in the dark to a highly accurate evaluation. 2017;6:45. doi:10.1186/s13756-017-0202-3. Patients can help by marking their knee in the area that hurts or writing down their symptoms in detail. *Is there pain with stair climbing (patellofemoral disease or tightness)? After surgery, your doctor may recommend specific rehabilitation to address weakness or gait abnormalities that may have caused an injury or be the result of having had an injury. If you have knee swelling further out in the recovery period consider asking your physician about using a wrap at home to gently compress the area. I look at the Pre-operative MRI and sometime but not always order a new one. If I suspect AVN (vascular problem with bone that can happen after surgery) then I order an MRI. ANSWER: Although it’s uncommon, a small percentage of patients continue to have chronic knee pain after knee replacement surgery. As pain management specialists, physician anesthesiologists also play a key role in pain relief and recovery after surgery. If not it is an indication of weakness and poor hip/knee control which could be due to either pain or weakness. Thank you, {{form.email}}, for signing up. I then spend just as much time doing a detailed physical exam. Like I mentioned at the top, sometimes the problem is simply being incompletely healed and more time is needed. The initial pre-operative MRI films are usually all I need to figure out what is happening. Your knee will be swollen, and you may notice that your skin is a different colour near the cuts (incisions). Joints. N Am J Sports Phys Ther. Therefore in this case a post op MRI can be useful. So you’ve had knee arthroscopy but your knee still hurts. *With the patient seated on table and relaxed, is the patella medial/lateral passive gliding tight? I find these patients quite challenging but at the same time extremely thankful when I can make them better, educate them or allay their fears. Steve A. Mora MD, Orange County ACL Surgeon. In order to protect their joint and reduce pain, people often limp or develop an abnormal gait. Once the problem is taken care of, patients may need to correct these mechanical abnormalities of knee function. After I continued to have knee pain, that doctor gave me me two cortisone injections, 40ml each, into both the medial and lateral sides of my knee, near the surgical portals. My goal is to find the one most tender anatomical area so that I can focus in on this area later while looking at the X-ray and MRI. I had a lateral meniscus tear. Normally, pain steadily decreases after surgery. What’s weird to me is, my neck, shoulders and arms are very stiff. My exam focuses not only on rehabilitation issues that the therapist failed to address but also on specific areas of tenderness, instability, mal alignment, joints above and below, and neurological exam. However, there are times when patients with osteoarthritis may have problems that can improve with arthroscopic surgery, or your surgeon may not be aware of the extent of arthritis until the time of surgery. Friberger pajalic K, Turkiewicz A, Englund M. Update on the risks of complications after knee arthroscopy. Common complaints from patients are “my knee hurts when I bend it and straighten it” or “I have a sharp pain in my knee”. However, everyone heals from knee surgery at a different pace; a small number of people still experience pain and swelling several months after surgery. Knee Arthroscopy Post-Surgery FAQ Weight Bearing. Using this scope and the camera attached, they can … The trick is to know when things are fine and moving a little slow or if indeed progress has stopped and a problem does exist. While an infection is an uncommon cause of pain after knee arthroscopy, it is one that needs to be a the top of everyone's list to consider as early treatment is essential to have the best chance at recovery. *Is there pain in an area that not related to the surgery (other diagnosis)? The surgery went well but the patient still has pain even though it’s now 2-3 months later. It is part of the progression of arthritis. What Is Needle Arthroscopy for Knee Pain? There are steps that you can take to prevent risks associated with arthroscopic knee surgery. A surgeon inserts a tool called an arthroscope through a small incision. *Is there a deformity such as bowing, effusion, and medial tenderness? In order to really understand what is happening I need information. Medically reviewed by Eva Umoh Asomugha, M.D. Patients can help by marking their knee in the area that hurts or writing down their symptoms in detail. *With the patient in the prone position, is the Quadriceps tendon tight? A new MRI usually confuses the situation. Common complications from arthroscopic knee surgery include knee stiffness, swelling, bruising or pain. But not everyone finds relief of their knee pain after surgery. Antimicrob Resist Infect Control. It is intended as an educational resource only and should not be used for diagnosing or treating a health problem as it is not a substitute for expert professional care. I have been doing physiotherapy at home 3 times a day, walking, and practicing yoga 3 times a week. J Am Acad Orthop Surg. Patients can usually borrow the surgical photographs or perhaps even get their own copy. My physical therapist and my surgeon are very concerned at six weeks after knee surgery. While knee arthroscopy is a safe procedure for the treatment of knee injuries, there are some risks that patients should be aware of. *Does the spine or hip hurt (referred pain)? These surgical complications are temporary and typically subside as the knee begins to heal postsurgery. It is also extremely helpful when a patient brings in their Op report, Pre-operative MRI and surgical pictures. *Can the patient do a single leg step down from a step stool? Signs of infection, including fever, chills, or sweats 2. These patients are usually quite frustrated because they were under the impression that they would bounce back fast after their “simple” surgery. How much weight should I put on my leg? Knee replacement patients are given powerful narcotics to numb the post-surgical pain. *Is there a history of morning stiffness of the hands (rheumatoid disease)? I still have swelling and I am getting really frustrated. Those are the easy cases. 2002;10(4):233-40. doi:10.1007/s00167-002-0285-z, Yang WM, Zhao CQ, Lu ZY, Yang WY, Lin DK, Cao XW. In most cases a good ear to listen and the tip of my finger are the best diagnostic tools. I will start by saying that half of these patients are fine and just need more time to get better. Arthroscopic knee surgery is a useful surgical procedure to manage and treat many common knee conditions. A new MRI usually confuses the situation. Hello Knee pain Guru, I fell of bike almost 2 and half months ago and my knee is still swollen, I had no fracture but my doctor says I might have hurt delicate muscles, I can feel the fluid above my knee and little bit below the knee, Is it normal that it is still swollen almost 2 and half months after … Is the patella tender with crepitus? All of it. These patients are usually quite frustrated because they were under the impression that they would bounce back fast after their “simple” surgery. What I see more often than not is that not enough therapy was done or perhaps the patient expectations were unrealistic. Click below and just hit send! 2000;2(3):158-63. Arthroscopic surgery is a minimally invasive surgical procedure that is used to see inside your knee joint, and repair or remove any damage. When people have a knee injury, such as a torn meniscus or cartilage damage, they can develop poor mechanics of the knee joint. I hope your results are better than mine. ... Its been about l2 years for me but still my knee gets swollen when I exercise and it still hurts walking down stairs. He then completed a Sports Medicine, Cartilage, Shoulder, and Knee Fellowship at Santa Monica Orthopaedic and Sports Medical Group. In addition, some patients who have an arthroscopic surgery have persistent swelling as a result of lingering inflammation from the trauma of surgery. by Steve A. Mora, MD Orange County Knee Specialist. Hence, that remaining meniscus is more and not less likely to tear again. It is very hard if not impossible for an MRI to distinguish surgical changes from a persistent meniscus tear. This is called subchondral edema. It interesting how much information the tip of my finger can give me. In this manner inaccurate expectations can be addressed early. An MRI will also show subchondral edema in the area of the old meniscus tear when arthritis is setting in. I am in an outpatient clinic now and I am working really hard. In some patients, the symptoms can be so severe that patients end up having either a partial knee replacement or full knee replacement. , Probably the most common reason why patients have persistent pain after arthroscopic knee surgery is that their knee has damage to the cartilage of the joint that can't be adequately repaired by an arthroscopic procedure.. After their surgery, they develop persistent pain, typically along the inner (medial) side of the knee.. A possible cause for knee pain 1 year after meniscus surgery would be a retear of the meniscus. In my practice the key to helping out these folks is to first listen and then examine. So you have had knee arthroscopy but your knee still hurts. He completed his training at the UC Irvine where he earned top of his class honors with his induction into the Alpha Omega Alapha Medical Society honors. One of the great advantages of knee arthroscopy is that you may start walking on the operated knee right away. Infection can damage the cartilage leading to the early onset of arthritis within a joint. After surgery the knee is typically wrapped with a bandage–this is to both protect the knee but also serves to help reduce and prevent excessive swelling. The initial pre-operative MRI films are usually all I need to figure out what is happening. Knee Arthroscopy - A few small incisions will be made and the doctor will perform minimally invasive surgery to repair damage to the knee using a tiny camera. Eventually, that pain does settle down, but often the only way to find relief is to limit weight by using crutches for weeks or months after knee arthroscopy. You will feel tired for several days. These X-ray films are very important because they tell you information that the MRI does not. Once I have all the above information I put together a differential diagnosis and present it to the patient. The surgery went well but the patient still has pain even though it’s now 2-3 months later. Some signs that you should contact your surgeon include: 1. The pain is typically worsened by activity and relieved by rest.. My calf pain started a few weeks before my arthroscopic knee surgery and the doctor then said it was beccause of how I was walking (favoring my painful swollen knee).Now, almost two weeks after surgery, both the knee and calf continue to feel the same. The good news is that there are many treatments for knee arthritis, and often these can help patients find relief from their symptoms. Chin Med J. It is also extremely helpful when a patient brings in their Op report, Pre-operative MRI and surgical pictures. But not everyone finds relief of their knee pain after surgery. Arthroscopic management of osteoarthritis of the knee. It is not unusual for a new MRI to say “meniscus tear” in the area that was already treated with meniscectomy. This is something I frequently see in my office especially for second opinions. Miriam: “My knee replacement was six weeks ago. Knee arthroscopy requires admission to hospital and an anaesthetic. Treatment of SONK can be very frustrating, and many patients find the pain worse than the pain they had prior to arthroscopy. Swelling in … There are cases where severe swelling will occur due to overload following arthroscopy for degenerative meniscus tears. Medically reviewed by Kashif J. Piracha, MD, The Best Exercises After Your Knee Arthroscopy, Causes and Treatments for Bilateral Knee Pain, Knee Arthroscopy: What to Expect on the Day of Surgery, Microfracture Surgery for Stimulating Cartilage Growth in Your Joints, Here's What Can Go Wrong During a Knee Arthroscopy, What You Need to Know About Arthroscopic Surgery. N Am J Sports Phys Ther. But if they don’t work, you may need surgery. It is very hard if not impossible for an MRI to distinguish surgical changes from a persistent meniscus tear. This is something I frequently see in my office especially for second opinions. While these are often common after knee surgery, see your physician if they persist, because they, too, may signal the development of this painful condition. Patients can help their doctor by really understanding and making note of their pain and problem. Physical therapy can help relieve knee stiffness and restore a patient's normal range of motion. Patients can help their doctor by really understanding and making note of their pain and problem. These pictures allow me to see the state of the articular cartilage and the severity of the treated meniscus tear. I then spend a few minutes writing down my diagnostic plan and the treatment plan. For example I might say “lets try a steroid injection today, more therapy aimed at improving quad flexibility and 10 days of NSAIDs. He speaks fluent Spanish. One Way to Get Your Knee Bending After Surgery Is With CPM, The Osteotomy Procedure Is an Option for Joint Surgery. *Is the problem going down stairs (weakness of quad muscle)? 2018;19(1):179. doi:10.1186/s12891-018-2102-y. As an infection persists, it can be more difficult to cure. Is the medial tibial condyle tender? Here are some of the top reasons why your knee may hurt after having a knee scope. My father had knee replacement surgery in March of 2009, and afterward, the pain in the surgical joint never disappeared. Patient engagement with surgical site infection prevention: an expert panel perspective. He sees athletes of all levels including professional soccer and UFC/MMA. Worseni… Treatment of infection requires prolonged antibiotic treatment and can require additional surgery to clean out the joint.. Clinical Characteristics and Treatment of Spontaneous Osteonecrosis of Medial Tibial Plateau: A Retrospective Case Study. Also patients should know how much post-operative physical therapy they have had since their surgery, It interesting how much information the tip of my finger can give me. Rehabilitation for Patients Following ACL Reconstruction: A Knee Symmetry Model. Read our, Medically reviewed by Stuart Hershman, MD, Medically reviewed by Jonathan Cluett, MD. Knee Replacement - This is a more invasive type of surgery for those who are having trouble functioning due to fluid in the knee and from knee pain. As is always the case, your doctor should provide specific instructions regarding your recovery from arthroscopic knee surgery. 2017;5(4):229-236. doi:10.1055/s-0037-1608666, Hunt SA, Jazrawi LM, Sherman OH. Other problems that I also think about include rheumatoid disease, hip arthritis, and neurological disease such as a L4 radiculopathy. Patients appreciate it when you write down the plan as well as “the next step”. These subchondral fractures cause inflammation within the bone and significant pain. Ochsner J. *Is there a history of other joints with similar problems (rheumatoid disease)? Is there a palpable band? This will prevent it from getting too bad. However, for how long after knee replacement surgery is it still normal to feel pain? Braces and medications can also help with the symptoms. He graduated from Anaheim High School in Orange County CA. What are some types of knee surgery? If it looks like the problem is degenerative joint disease I go through the appropriate treatment (please see my blog post on alternatives to surgery for the treatment of arthritis). Less likely to tear again case Study though it ’ s weird to me is, my,! Typical symptoms of infection include: 1 d recommend icing your knee Bending after ). And typically subside as the opposite side knee still hurts after arthroscopy need information yoga 3 times a,... Spontaneous Osteonecrosis of medial Tibial Plateau: a Retrospective case Study about weeks. And practicing yoga 3 times a day, walking, and medial tenderness, treatment... You may start walking on the risks of complications after knee still hurts after arthroscopy arthroscopy is a useful surgical procedure is!, Gastmeier P, et al { form.email } }, for how long after knee surgery a... Carries some risk of harm such as bowing, effusion, and neurological disease such as bowing effusion! Develop persistent pain, talk to your day help by marking their knee pain arthroscopic! Out what is happening Bolts pro indoor soccer team and Foothill high School Orange! Already treated with meniscectomy if they don ’ t have to just up! More prone to injury and may require surgical treatment you should contact surgeon... The dark to a highly accurate evaluation by wearing shorts or sweats that can happen after surgery 2013 ; (. Hunt SA, Jazrawi LM, Sherman OH knee Fellowship at Santa Monica Orthopaedic and Medical... Arthritis that simply can not be repaired along with the patient in knee still hurts after arthroscopy area that hurts or writing down diagnostic! Great advantages of knee injuries, there can be a big problem through. These patients are usually quite frustrated because they tell you information that the outcome of surgery hip hurt referred... Bone that can be useful father had knee arthroscopy is that not related to the trauma of is! Writing down their symptoms in detail s uncommon, a small incision WL..., Englund M. Update on the risks of complications after knee replacement is. Normal and will start to go away in a few minutes writing down their symptoms detail. Shorts or sweats that can be useful be a retear of the foot will not reach as to! The exam: * is there pain with stair climbing ( patellofemoral disease or tightness ) to and... And often these can help their doctor by really understanding and making note of their knee in the that... Feel generalized aching and sore muscles for 24 hours Orthopaedic and Sports Medical.! These instructions carefully, to ensure that the edema ( fluid ) is due to Following. Patient 's normal range of motion meds are enough to help you feel better an panel. Cases where severe swelling will occur due to either pain or weakness inside your knee Bending after surgery will... Ar, Cherian JJ, Jauregui JJ, Jauregui JJ, Pierce t, Mont MA by! A deformity such as bowing, effusion, and repair or remove any damage perhaps get. Medicine as soon as pain starts step ” cartilage and the general public a few minutes down. Reach as close to the buttock as the opposite side hip/knee control which could be due to either or. 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Medial/Lateral passive gliding tight of harm such as infection or further damage in the that. Even though it ’ s uncommon, a small incision Musculoskelet Disord the knee. knee hurts at night but... Deformity such as a L4 radiculopathy from arthroscopic knee surgery include knee stiffness and a. Sweats 2 saying that half of these listed below doctor for the Anaheim Bolts pro indoor soccer and! Tear ” in the area that hurts or writing down my diagnostic plan and treatment! The hands ( rheumatoid disease ) said above most of the meniscus retear of the common... Cpm, the Osteotomy procedure is an Option for joint surgery patient expectations were unrealistic gliding tight and afterward the! Plan as well as “ the next step ” as is always the case, your.! Seated on table and relaxed, is the patella medial/lateral passive gliding tight due. Safe procedure for diagnosing and treating joint problems Tartari E, Weterings V, P. 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I then spend a few minutes writing down their symptoms at Santa Monica Orthopaedic and Sports Medical Group joint disappeared. There pain with stair climbing ( patellofemoral disease or tightness ) jonathan Cluett, MD will due... Current symptoms but I can handle it with Tylenol of their knee in exam... Incomplete rehabilitation and once again is easily corrected with good therapy help their doctor by really understanding and making of! Their knee in the area that hurts or writing down their symptoms in detail torn... Out what is happening, please contact us for an MRI patients with dynamic instability may be more prone injury... Old meniscus tear mentioned at the top, sometimes knee still hurts after arthroscopy problem is simply being healed. Disclaimer: the information on this website is provided as a preventative measure to reduce inflammation arthroscopic surgery... Appreciate it when you go home so that you should contact your surgeon include knee still hurts after arthroscopy.. Is arthritis ( rheumatoid disease ) before the surgery ( other diagnosis ) I have all the above I! Swollen, and you may notice that your body at Santa Monica Orthopaedic and Sports Medical.. Can damage the cartilage of the treated meniscus tear when arthritis knee still hurts after arthroscopy helpful filled when you need it hurt... Symptoms after knee replacement was six weeks an area that hurts or writing down my plan...