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Rugmedisch Centrum Fysiotherapie

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Complaint

Knee pain after surgery

In short

The main reason to consider a knee replacement is to treat chronic knee pain. However, many patients continue to have chronic knee pain even after joint replacement surgery.

Why do many people have knee pain after a knee replacement?

The main reason to consider a knee replacement is to treat chronic knee pain. However, many patients continue to have chronic knee pain even after joint replacement surgery. You may think that a knee replacement is your only option: you've tried everything and now you want something that will take away the pain for good. Once the worn joint is replaced, you will be relieved of the pain. That is not a realistic expectation.

On this page5
  1. Why do many people have knee pain after a knee replacement?
  2. What the research shows
  3. A prosthesis does not automatically mean fewer painkillers
  4. Our approach
  5. Recognizable symptoms

What the research shows

Recent research looked at the percentage of patients with chronic knee pain after a total knee arthroplasty. A group of patients received a questionnaire after one year. Of the 272 patients who responded, almost 40% still had knee pain.

Other research reports chronic pain rates of 44% after a total knee arthroplasty and 27% after a total hip arthroplasty.

A prosthesis does not automatically mean fewer painkillers

A joint prosthesis is no guarantee that you will be able to stop taking painkillers. In France, doctors asked 2,000 patients after a knee replacement about their medication use. You would expect that fewer painkillers are needed: after all, the worn-out knee has been replaced. However, 47% of patients still required anti-inflammatories in the year after surgery. 9% received a new prescription for nerve painkillers and 6% received morphine-like medications that they did not need before surgery.

Chronic knee pain after a new knee is not the only thing to take into account. According to Dutch research, young (under 60 years old), active patients have a 15% chance that the knee prosthesis will not last 5 years.

These results are not uncommon. Pain after a joint prosthesis is therefore a common and disabling problem.

Our approach

We specialize in the non-surgical treatment of joint wear. We believe that all patients with knee and hip wear should first be treated non-surgically as much as possible. Why undergo an invasive, risky procedure when there are safe alternatives?

Recognizable symptoms

  • Knee pain that persists even after a knee prosthesis
  • Still need painkillers or anti-inflammatories after surgery
  • A knee prosthesis that did not eliminate the pain

Appropriate treatments

We use these treatments for this purpose.

Responsible practitioner

Arthur Mulder

Physical Therapist and Registered Chiropractor (D.C.)

Registered in the Register of Chiropractor as A.R. Mulder DC and affiliated with the Dutch Chiropractic Federation. Oversees chiropractic care in Rotterdam and is co-founder of SportManipulation, which provides training for physiotherapists and sports masseurs.

Last updated on

Our working area

Location Rotterdam

Cor Kieboomplein 227, 3077 MK Rotterdam

010-411 27 63

Also for patients from Rotterdam-Zuid, IJsselmonde, Charlois, Hoogvliet, Ridderkerk, Barendrecht, Capelle aan den IJssel, Krimpen aan den IJssel, Spijkenisse, Schiedam, Vlaardingen and Albrandswaard.

Location Dordrecht

Overkampweg 381, 3318 AR Dordrecht
doktermulder.nl

078-645 48 90

Also for patients from Dordrecht, Zwijndrecht, Papendrecht, Hendrik-Ido-Ambacht, Sliedrecht, Alblasserdam, 's-Gravendeel, Strijen, Oud-Beijerland, Gorinchem and Werkendam.

Ready to get rid of your complaints?

No referral needed — make an appointment straight away.

What does your insurer reimburse?

Choose your insurer and your additional package. You will immediately see what chiropractic care is reimbursed.

Good to know

  • From the supplementary insurance, so not from your deductible.
  • No GP referral required.
  • You will receive an invoice with everything your insurer needs.

Source: chiropractievergoeding.nl, policy year 2026 (version 1.0 — 21-11-2025). This is an indication; your own policy always takes precedence.