Chronic Joint Pain
Chronic Joint Pain Treatment
What is Chronic Joint Pain?
There’s no need to suffer from chronic joint pain when nerve surgery can help you feel, move and live life like yourself again. Dr. Tim Tollestrup and his team in Las Vegas help countless patients regain their quality of life with denervation surgery for chronic joint pain.
Denervation surgery can provide permanent relief to your chronic joint pain by disconnecting the nerves that are causing the life-altering discomfort. Disconnecting the affected nerves stops the pain signals from traveling along the pathway back to the brain, where your body actually “feels” the pain. Denervation surgery removes a segment of the damaged nerve to disrupt the chronic pain signal and either eliminate or drastically reduce your pain.
Without the chronic pain that has been holding you back and affecting your range of motion, you may also find that other aches and pains associated with your limited range of motion also resolve. For example, if chronic pain is affecting the way you walk, your adjusted gait could be causing back pain, knee pain, or foot pain. Once the chronic pain is resolved and your gait can return to normal, you may find that those associated pains disappear, too!
Causes of Chronic Joint Pain
The major joints of the body such as the knees, hips, shoulders, ankles and elbows have so many important jobs to do to help us enjoy our daily lives, including helping us move, walk, jump, lift, dance and more! With all that activity, it makes sense that chronic joint pain is such a common ailment, because our joints get a lot of use and take a lot of stress over the course of a lifetime. For people who are especially active, like athletes, dancers, construction workers, and people who work on their feet, that wear and tear can happen faster and accumulate damage that results in chronic joint pain.
There are a wide variety of causes for chronic joint pain, including:
Chronic knee pain after knee surgery
Persistent pain after a total knee replacement represents a growing problem. Approximately 40% of patients who undergo knee replacement surgery report at least some type of chronic discomfort after their recovery period. A full 15% of these patients will rate their pain as “severe to extreme.” Using current numbers, this means that just over 100,000 people a year are left with “severe to extreme” pain in the knee that has just undergone total joint replacement. What a disappointment to people who were expecting relief!
Knee pain after surgery is a confusing, frustrating situation for both patients and their orthopedic surgeons, who typically have no explanation or solution for the persistent pain. Not infrequently, the patient may even experience worse pain after the knee replacement surgery than they had before.
Causes of pain after knee surgery
Surgery on the knee joint, whether it is an arthroscopic meniscus repair or a total knee arthroplasty, carries with it a small but significant risk of damage to one or more of these nerves. The trauma to the soft tissue envelope surrounding the knee joint causes swelling, inflammation and scarring that can entrap nerves, causing severe pain with motion of the joint.
In addition, the smaller sensory nerves in the area of the knee joint are often inadvertently cut or crushed during the process of replacing the knee joint or inserting the trocar into the joint space in the case of an arthroscopic procedure. This can lead to the formation of a neuroma (a painful ball of sensitive nerve ends mixed with scar tissue) that will then simply serve to send constant pain signals to the person’s brain.
Many patients who end up in this situation undergo multiple additional orthopedic knee surgeries – revision after revision before finally being consigned to the pain management realm. Once the pain generator is a damaged sensory nerve, it doesn’t matter how many additional orthopedic surgeries the patient has, the pain will not get better and frequently can be made worse.
Nerve surgery to treat chronic nerve pain in the knee
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Dr. Tollestrup explains being a pioneer in Pain-focused Peripheral Nerve Surgery. He is one of a few pain-focused peripheral nerve surgeons...
As a pain-focused peripheral nerve surgeon, Tim Tollestrup has pioneered dozens of surgical procedures to relieve chronic pain problems. His Las...
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