On this episode of Patients Place, we discuss the challenging topic of painful total knee replacements. This episode aims to provide valuable educational content for patients experiencing difficulties after knee surgery, as well as for healthcare providers seeking to better understand these issues. We discuss common symptoms and concerns patients face, such as persistent pain, instability, and reduced mobility. We highlight the importance of a thorough physical examination and the role of imaging in diagnosing potential problems, including infection, implant loosening, and malrotation. The episode also covers the emotional impact of unsuccessful knee surgeries and the significance of having a clear treatment plan. Dr. Benner emphasizes the importance of ruling out infections, assessing ligament stability, and considering advanced imaging if necessary. Listeners will gain insights into the potential causes of knee replacement failure, including metal allergies and extrinsic factors like hip or back issues. Dr. Benner outlines both non-surgical and surgical treatment options, offering hope for patients seeking to improve their quality of life. Connect with the SKC podcast on social media on Instagram and Twitter (X) @theskcpodcast, visit our SKC Podcast YouTube and Facebook pages, or reach out via email at [email protected]