Doctor insights on:
Alternatives To Knee Replacement Surgery
I have severe osteoarthritis in both knees and I need to know if there are any good alternatives to total knee replacement surgery.
Is there any alternative to knee surgery replacement and rotator cuff. Both of them they say I need. Any other alternative to surgery for these two?
Knee Replacement: Knee replacement surgery should only be done to help relieve knee pain caused by arthritis. It should also only be done after you have tried non-operative treatments. If non-operative treatments like injections, medicine, physical therapy aren't working for you anymore that only thing left is knee replacement. However, only have the surgery if you feel the pain is bad enough. ...Read more
Lots of things: Ice it a lot. Get a knee sleeve ice machine and use it when ever you are sitting down or resting for the first 6-12 weeks. I can't stress how much these ice machine sleeves help. Bregg makes a great machine. I believe it is called polar tec. Do lots of isometric quadriceps contractions. Elevate it when your not walking around. Ice after any activity for 10-20 minutes. Where a compression sock. ...Read more
Strength: Although most pts are limited with pain prior to a tka, doing excercises to build-up your quads will help. This can be straight leg raises and wall sits. Practice using a cane or crutches as well. Building up your iron stores with a MVI (multivitamin) or eating greens will help limit any affects of postop anemia. ...Read more
Total knee recovery:
Full maturation period for a total knee is 12-18 months. This is to achieve final full motion ; strength ; the fluid motion you will have for many years to come. Most people will participate in 6-12 weeks of formal pt.
However, somewhere between 4-12 weeks, people generally stop their formal therapy and continue there lifelong maintenance exercise program. Best outcomes require regular exercise. ...Read more
Post TKA pain: The most severe pain is in the first 48 hrs. It should gradually start lessening after that. It depends upon how much deformity is there pre-op. Also pain is a subjective measure. Usually minimal pain by a month. ...Read more
Yes: Knee replacements can provide years of pain-free activities. The more aggressive the activity, the greater chance to cause problems down the road. Think of them like tires-how you treat them will affect their lifespan. Impact activities like running will shorten their lifespan, while knee-gliding activities like skiing place less stress on them. Chose your miles carefully! ...Read more
Activity after TKA: That depends on the level of boxing you are participating in. At the recreational level, you should be fine. ...Read more
Talk to your doc: Talk to your knee surgeon about suggested outcome and restrictions following treatment of your specific knee condition. Many factors enter into the advice you receive. ...Read more
Knee replacement: The length of time depends on the size of the patient, the deformity of the knee, and the expertise of the surgeon. Time can range from 90-180 minutes. ...Read more
Yes: You should see your orthopedic surgeon.Get a more detailed answer ›
There are many online sites that can provide helpful information. Reliable sites include:
www. Aaos. Org
www. Aahks. Org
your orthopaedic surgeon should be your primary source of information to answer any specific questions that you have. ...Read more
No: Most recipients of total knee replacements are in there 60s and 70s. The 4 main considerations are whether your quality of life is affected significantly enough to warrant a knee replacement in your own opinion; secondly if you have failed attempts to get you better non- operatively; thirdly if there are any medical contra-indications; and finally if you are a candidate for one. ...Read more
Find a surgeon: You would need to see an orthopedic surgeon who would arrange this /you would need to be medically evaluated as to you general health and ability to undergo anesthesia and surgery this usually means a visit with a medical doc like an internal med doc and some lab testing maybe an ekg (usually done for those with ^ blood pressure/ then it takes a good bit of "paper work" most pts do well. ...Read more
After a complete knee replacement surgery my knee is bent at 15 degrees, what could be the cause?
On how long has been since the surgery? Initially its quite common, in the first 1-2 months, & as the pain decreases and motion is regained, it gets better. You need to actively work very hard to get the terminal extension, as it takes the longest to come back.
See your surgeon and continue with pt and own exercises. ...Read more
How long after double knee replacement surgery will I likely be released to be able to drive? I want to have realistic expectations.
Great deal: Your question is somewhat vague. Personally, I do minimally invasive surgery using custom, uncemented tka implants which is very important for the younger patients. This includes over 250 knee replacements per year. At your age, make sure you see a surgeon with a great deal of experience. Good luck. ...Read more
TKA duration: It varies on the deformity, the instruments used, and the experience of the surgeon. Average range of 40-60 minutes. ...Read more
A combined technique: The most eloquent technique is a combined general anesthetic/nerve block approach. Before surgery you get a femoral and sciatic nerve block. This numbs up your whole leg and provides excellent post-op pain control. Some centers will also place a femoral block catheter so you can get more local anesthetic after the operation. Then the general anesthetic keeps you blissfully asleep during surgery. ...Read more
Strength and motion: Patients lose 30-50% of muscle strength after tka and have to exercise to regain that strength. Leg raising, walking, and progressive exercises to improve the quadriceps function will help. Motion exercises include bending the knee to regain flexion and full extension (straightening). These should be done 3-4 times/day. Bending, biking, and pulling on the leg in flexion will help. ...Read more
DVT. Swelling: Depend upon which comorbidities are present at the time of the surgery:diabetis, obesity, chf, copd, varicocities etc. Most common ones aredvt (blod clot), swelling, stiffness, infection. Of course there are several possible complications however those are the most common ones. ...Read more
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