Doctor insights on:
Can You Run After Knee Replacement Surgery
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
Your : Your doctor has provided you with the ted hose as a means to decrease the possibility of deep venous thrombosis or to address issues you may have with swelling. If you have problems with varicose veins he may want you to wear them on a long term basis. If it is as a measure to avoid blood clots in your legs he may just want it for a couple of months. Only your doctor can give you the most definitive answer. ...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
When will i be able to walk after knee replacement? How soon after knee replacement surgery will i be able to walk on my own.
No!: Knee replacement surgery can be done with various types of anesthesia: spinal, epidural, nerve blocks, and general anesthesia. Only GA involves a breathing tube which might irritate the airway. So knee replacement carries a low risk for hoarseness. However, it is rare even with GA. The breathing tube is a smooth flexible plastic. Experienced anesthesiologists use them all the time w/o problems. ...Read more
Yes.: It is completely normal, it is because of metal and plastic moving over each other. ...Read more
See below: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more
How long after knee replacement surgery can you go back 2 playing sports. I, m fit and well most of the time though i can get pain now nd again.
Yes but confirm: Hip replacements are put in via several different surgical approaches.Each has its position of instability of which your surgeon is aware of and tests at the end of the procedure. Avoidance of extreme positions is a good rule of thumb, and asking your surgeon what position to avoid is best. ...Read more
My husband, after knee replacement surgery in feb, 2011 still has general pain and trouble walking. His other knee is now not functioning properly .?
May not be knees: The problem may not be coming from the knees themselves. Many who have knee arthritis also have lower back arthritis. Low back arthritis can result in spinal stenosis, which results in chronic leg pain, weakness, instability, difficulty walking. If his surgeon says the knees look like they're functioning well, then look for another pain origin, such as the back. ...Read more
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
Don't give up!: It depends how far from surgery you are. Initial stiffness is common during the inflammatory stage of healing. This is when warmth of the knee and night pain is most noticeable. As inflammation decreases, range of motion increases. This is the most common cause of early stiffness and is best addressed with appropriately aggressive pt, both oral and topical nsaids and rest. ...Read more
Yes: It varies quite a bit. Some parltients do really well even within a couple weeks of surgery, while others dolly improve over several months. If your surgeon is happy with how your knee and X-rays look, I would not be too concerned. Hopefully you will soon turn the corner and start feeling better. ...Read more
Check your BMI: A patient's body mass index or bmi needs to be measured prior to surgery. There is solid scientific evidence to suggest that the results are compromised and the complication rate after knee replacement surgery is higher if a patient's bmi is over 40, even worse if the bmi is over 50. Weight loss to bring your bmi down prior to surgery is recommended. ...Read more
It depends: Full recovery after knee replacement usually takes more than a year. Most patients reduce their use of pain medicines within two weeks of the replacement, by 6 weeks they are comfortable and usually by 3 months the knee is fading into the background, and life doesn't revolve around the new knee. Everyone is different and this is a general time line. If you are concerned tell your doctor. ...Read more
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