Doctor insights on:
How Is Knee Replacement Done
Both have become : Very common and routine procedures. These have the best outcomes done by surgeons who do a lot of them. However, a lot also depends on the status of the patient with obesity, malnutrion, diabetes, peripheral vascular disease, osteoporosis, presence of autoimmune diseas such as lupus, clotting disorders, prior blood clots or dvt, varicose veins and deformities in legs all having an impact. ...Read more
VERY, if indicated: Total knee replacement (tkr) is a real success stories of modern medicine. When indicated, a tkr can be a overall health game changer. Tkr recipients usually regain levels of activity that became otherwise impossible or intolerable (walking, biking, stair climbing). Aerobic exercise in turn provides excellent support for overall cardiopulmonary health. Discuss tkr with your orthpaedic surgeon. ...Read moreSee 2 more doctor answers
Varies: Varies from person to person and surgeon to surgeon, but in general patients are through most of there soreness over 10-14 days and doing well at 8-12 weeks. Sometimes sooner, sometimes longer. ...Read more
Total knee needed: The most concise answer is when arthritic knee pain is not relieved any longer by nsaids, therapy, cortisone injections, hylauronic acid injections, knee braces, ice, nutritional supplements or arthroscopy and x-rays show advanced arthritis and cartilage loss or spurs. When function is impaired and activity declines from pain. Or, when start subtracting things you enjoy from your life due to pain. ...Read moreSee 2 more doctor answers
Extremely important: Physical therapy is crucial for full functional recovery after a total knee replacement. I believe that therapy should start as soon as possible, ideally the day after your surgery. Physical therapy should include soft tissue mobilization, joint mobilization, and strengthening exercises. Finding a skilled physical therapist is key to a complete recovery after receiving your new knee joint. ...Read moreSee 1 more doctor answer
Generally safe: Hip replacement surgery is a common and safe operation but does have risks. Risks include medical complications (blood clots, stroke, etc), anesthetic complications, and surgical complications (infection, dislocation, nerve or blood vessel injury, fracture, leg length discrepancy). A careful pre operative assessment should be made for each invididual patient to understand and manage the risks. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read moreSee 1 more doctor answer
How much physical therapy is needed after knee replacement? How long should I expect to be in physical therapy after my knee replacement, and how often?
Depends on progress: Most patients receive physical therapy twice per day while in hospital and then usually 2-3 times per week after discharge from the hospital. Most patients have therapy for approximately 6-8 weeks and the frequency during that time depends on how they are progressing and how devoted they are to home exercise. All patients progress at different rates so some may need a little more or a little less. ...Read moreSee 1 more doctor answer
Work with surgeon: Pain after total knee replacement varies from patient to patient. Most orthopaedic surgeons use a "multimodality" pain management approach, using different types of medications, not just narcotics, to help with pain control. A combination of tylenol, (acetaminophen) Celebrex or mobic, and Lyrica can be used with an oral narcotic medication like norco. Remember that ice is an important tool for pain management. ...Read moreSee 1 more doctor answer
Surgeon preference: It is possible to do both knees at the same time in some patients. Your surgeon may or may not do this. Staged procedures can be done several days or weeks later in some cases, while most people will wait 6 weeks or more to have the other knee done. You should discuss this with your surgeon. ...Read moreSee 2 more doctor answers
Is there anything that can be done to strighten or bend my knee after total knee replacement waiting for answer?
I need a knee replacement. Do you think II should have both knees done at same time. One hurts worst then the other but I am worried .
It's possible: You have to have the talk with your surgeon. Most if the time they recommend one at a time. When you have both done at the same time the recovery is more difficult but then it's over. If you are in very good physical shape, healthy, low surgical risk and are absolutely sure you want to do both then go for it. My mother did at your age so she wouldn't miss a summer of golf! ...Read more
I have seen ads about a knee replacement called "the getaround knee"how does it compare to those been done over the last several years?
Doesn't: I am not a big fan of tv marketing. All knee replacements currently around are good products. Any change a manufacturer makes will not be seen in vivo (in human conditions) for at least 10-15 years. Its similiar to the difference of shopping for a bmw or mercedes. Just different bells and whistles. I tend to stick with companies/knees with a proven track record like the insall knee. ...Read more
Generally, is a knee replacement an easier procedure to tolerate after you've had one already? Had the right knee done, now waiting for the left.
Tolerate TKR : You know what to expect and what is required to recover, usually makes it easier. ...Read more
Knee replacement was done 2006 but now getting pain and clicking in it. Is this in it's way out and I need another replacement done? I'm 54 yrs old.
It probably isn't as: its only been there for 7-8 yrs. You do need to have it seen to, & XR's and some lab work done; and may be some scans as well. to make the correct Dx, before one can say whether you need a Revision or not. Meanwhile use a Cane while ambulating and do the exercises you were shown after your surgery, as they most likely would do no harm, but strengthen the muscles & reduce your pain even. Get Seen. ...Read moreSee 1 more doctor answer
Can knee replacement be done on both knees at once? Both my knees cause me a huge amount of pain. Can I have knee replacement in both at the same time?
Bilateral tka : They can be done at the same time. However, recent studies have shown higher medical and surgical complications in certain patients that undergo bilateral knee replacements. There was a study showing that the risks were higher for patients older than 50. Therefore, it is possible but best reserved for certain patients. ...Read moreSee 1 more doctor answer
Can knee replacement be done more cheaply overseas? Is knee replacement a procedure that can be done inexpensively in other countries through medical tourism?
Knee replacement: Yes, it probably can be done less expensively overseas. You have to consider, however, whether the surgeon doing the procedure overseas will fly to the us to operate on you in case of a complication. When things go wrong you may not want to get on a place overseas to see him/her. ...Read moreSee 1 more doctor answer
Is it common to fx leg during manipulation knee after total knee replacement? What other complications can happen? Mine being done in 4 weeks
No: It is very uncommon to fracture a leg during a manipulation. It would be most likely in a patient with osteoporosis or severe weakening of the bones. Manipulation is most effective in the 1st 6-12 weeks after total knee replacement, although in some cases may be helpful beyond that time frame. ...Read moreSee 2 more doctor answers
What tests are used prior to knee replacement surgery? What kinds of diagnostic and pre-operative tests are done prior to knee replacement?
The : The first elements in diagnosis are a history and physical examination. Severe arthritis typically presents with pain, swelling, stiffness, and loss of function of the affected joint. An xray is taken to evaluate the level of arthritis. No other testing is needed. A knee replacement is done for pain relief, and should be done only after a full discussion of the risks and benefits of surgery. In general, it's worth trying medication, exercise, and activity modification first. Also, a short course of physical therapy is often very helpful in restoring function. ...Read moreSee 1 more doctor answer
I had a total knee replacement three years ago I have done two marathons and walk and swim every day. I'm having significant pain. Is this normal?
Not normal : There are people with new knee replacements who do complete triathlons successfully. Although a person may have knee pain (even without a joint replacement) for a few days after a marathon I would not expect you to have severe pain for weeks after an event. Occasionally the hardware of the new knee replacement can loosen resulting in pain symptoms. Please follow up with your orthopedic doctor. ...Read more
I had knee replacement surgery last Nov. soon after the prosthesis move the outside. I and surgery again will they have do all steps that were done ?
Revision: It sounds like the knee became unstable. Is that right? You say it moved to the outside, I assume you mean you became bow legged. If they revise, they will put in all new implants to stabilize your knee. But having all the steps again isn't too bad. The recovery is a little easier than your first knee replacement....but the long term outcomes are NOT as good as if the first knee had taken. ...Read more
83yo developed 2 severe bouts of diverticulitis from pain meds for a total knee replacement. Needs shoulder done.What pain meds won't bust the colon?
All: Narcotics will cause some degree of constipation. Need to review with the surgeon if there are non-narcotic pain medication options. Otherwise will need a strict bowel regimen after surgery with increased liquids ti drink and metamucil after surgery with bowel softeners added as needed. ...Read moreSee 1 more doctor answer
I recently developed plantar fasciitis & now have pain in my total knee replacement done 8 yrs ago. Could this be causing the pain?
Why am i still having so much pain from knee replacement surgery.First i had the left one, then the right one them the left one again(posts/screws were too small according to dr.)the last one(left)was done in 2011.I refuse to go back & let them redo the
Does having a cortisone injection contain steroids? What is usually done for a medial partial knee replacement? Recovery time?
Yes: Yes a cortisone shot is the injection of a type of steroid into the area intended (the knee for example). A medial partial knee replacement, as the name implies, involve replacing just the medial compartment of the knee as opposed to a total knee replacement which involves replacing all three compartments. Partial knee replacements as usually outpatient or overnight stay, 4-6 week recovery. ...Read more
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