Post-Arthroscopy Symptoms: Knee Noises and Concerns - Orthopedics

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Symptoms After Arthroscopy


Hello, I just had arthroscopy on January 15th, but currently, when I press on both sides of my kneecap, I hear a popping sound.
Is this a normal postoperative phenomenon?

Sally, 20~29 year old female. Ask Date: 2016/01/17

Dr. Hong Ximing reply Orthopedics


After undergoing arthroscopy, there may be air present within the joint, with some trapped subcutaneously, which will gradually be absorbed over time.

Reply Date: 2016/01/17

More Info


After undergoing arthroscopy on January 15, it's not uncommon to experience various sensations and sounds in the knee, including popping or cracking noises. These sounds can be attributed to several factors, and understanding them can help alleviate concerns.

Firstly, the popping or cracking sounds you hear when pressing on the sides of your patella (kneecap) may be due to the movement of gas bubbles within the synovial fluid of the joint. This phenomenon, known as cavitation, occurs when the pressure in the joint changes, causing dissolved gases in the synovial fluid to form bubbles that rapidly collapse, creating a popping sound. This is generally considered a normal occurrence and is not usually a cause for concern, especially if it is not accompanied by pain or swelling.

However, it’s essential to differentiate between normal post-operative sounds and those that might indicate complications. After arthroscopy, the knee may also experience some swelling and stiffness, which can contribute to unusual sounds as the joint structures adjust and heal. The presence of scar tissue or changes in the alignment of the patella can also lead to noises during movement.
If you are experiencing pain along with these sounds, or if the sounds are accompanied by swelling, instability, or a feeling of locking in the knee, it would be prudent to consult with your orthopedic surgeon. These symptoms could indicate issues such as residual swelling, inflammation, or even complications like a loose body or issues with the repaired structures.

In terms of recovery, it is crucial to follow your rehabilitation protocol as prescribed by your healthcare provider. Engaging in physical therapy can help restore strength and range of motion, which may reduce the occurrence of these sounds over time. Strengthening the muscles around the knee, particularly the quadriceps and hamstrings, can provide better support to the joint and potentially minimize abnormal noises.

Regarding your concerns about whether these sounds are a normal post-operative phenomenon, it is generally accepted that some degree of noise can be expected as the knee heals. However, if you notice any significant changes in your symptoms or if the noises become more pronounced or painful, it is essential to seek medical advice.

In summary, while the popping sounds you are experiencing may be a normal part of the healing process after knee arthroscopy, monitoring your symptoms is vital. If you have any concerns about pain, swelling, or changes in knee function, do not hesitate to reach out to your orthopedic surgeon for further evaluation. They can provide you with tailored advice and reassurance based on your specific situation. Remember, recovery can take time, and being proactive about your health is key to a successful rehabilitation process.

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