Conversation: The conversation between human and AI assistant.
[|Human|] I had 4 knee surgeries, which includes having a total replacement done on the last surgery 12 years ago. I have always tried to do my exercises with a simple leg weight program etc. I have always experienced bursitis and tendon damage that was supposed to be repaired when the knee was replaced and wasn t. So I have had the pain all this time but now it is getting worse on a week to week basis. I have had it injected several times over the years and have isolated it - doing nothing for long periods of time etc and nothing has worked. Now the entire knee is involved with pain etc.All the x-rays have shown that the material was not loose and the the wear place had minimal wear. Any suggestions other that another replacement which I would hope would also repair the tendons etc.
[|AI|]  Hi, You have had a knee replacement 12 years ago and are having persistent knee pain. You will need to check on the possibility of infection by doing an aspiration of the knee fluid and sending the samples for lab tests. You will also need your doctor to check on the major tendon, the extensor tendon for damage and to check if the patella bone is moving in the right plane while the knee is bent and straightened. Meanwhile, do try exercises in a heated pool and using a compression brace. Your doctor should check your hip and spine to ensure you do not have a problem there which reflects in the knee. Hope I have answered your question. Let me know if I can assist you further.