Doctor insights on:
How Is Knee Replacement Done
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 more
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 more
Is there anything that can be done to strighten or bend my knee after total knee replacement waiting for answer?
TKA: Firstly pt is important if this does not work then manipulation of the knee can be done. You also have to be very active in stretching etc... ...Read more
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 more
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 more
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 more
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 more
What tests are used prior to knee replacement surgery? What kinds of diagnostic and pre-operative tests are done prior to knee replacement? .
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 more
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 more
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
I have hypo thyroid and its very difficult to do exercise as I have done a knee replacement. I am 76 kg. How can I lose weight? Pl help.
By Regular gradua --:
Lly increasing exercises, within limits of discomfort as you recover from tkr. Eating regularly (in smaller amounts) ; eating healthy would help. For your hypoythyroidism, the thyroid hormone replacement med will help, as it will perk you to become active ; also your metabolism. These both will decrease your weight.
See your pcp for the thyroid med.
Good luck. ...Read more
I had an Oxford knee replacement done 7years ago. Now suffer with degenerative disc. Cani use an inversion table without damaging the knee replacemen?
My 70 yr father had a heart attack 2 years ago. He's getting knee replacement done soon. Is this dangerous with his heart to do this? What's the risk?
See his cardiologist: He will need to have clearance from his cardiologist. There is a risk but this will minimize it. ...Read more
How do I find an orthopedic surgeon who specializes in replacement shoulders I have had a total knee replacement done and would return to this doctor but he specializes in knees not shoulders. Prefer one who does shoulders all day like the previous surge
One of the best ways to do this is to just ask the surgeon who did your knees for a referral, or two. Let him know what you are looking for and, chances are, he will know someone who does a good number of shoulder replacements.
Look for someone with specialty training in shoulder conditions, and shoulder replacements in particular. You can also ask local physical therapists who they might recommend.
For another resource, look to the american shoulder and elbow surgeons for a list of surgeon members in your area.
http://spec. Ases-assn. Org/members/public/memdir. Cfm
listen to your gut, as well. You will need to be comfortable that your surgeon is someone you will be able to trust and form a good relationship with. ...Read more
Wife having total knee replacement done in a month and will be on ASA versus something like Coumadin, she is an RN and is aware of the risks of Coumadin therapy, but she is unsure if aspirin will reduce the risk of clots as efficiently? Thanks!
Anticoagulation: People at low risk for blood clots usually receive anticoagulation therapy post surgery for 1-2 days. The choice of anticoagulation therapy is usually the ortho surgeon's choice. Individuals are not discharged on anticoagulation medications, so that is probably why aspirin was the chosen protective medication. However, confer with the surgeon to be sure. ...Read more
See Ortho doc: You may need exercises to range your knee, however if there is something wrong with your replacement the orthopedic doc may need to further evaluate you. ...Read more
On june 10 th I have knee replacement. My knee doesn't respond as well as I expect. It doesn't flex enough. I will have knee manipulation. What is this?
I am having knee replacement in april, 2013. I can't take opium pain medication. What else can I take to relieve the pain? Thanks, dee
It would be very wise to meet with a pain specialist prior to your surgery to set yourself up for success. Alternative investigation too may help: meditation, acupuncture, massage.
Possible meds include
pain blocker Gabapentin (neurontin)
anti inflammatory such as meloxicam, naprosyn, (naproxen) etc
opiate alternative tramadol (warning; addictive too)
seek specialty advice. ...Read more
Life Changing: If you have a bona fide need for replacement and have seen a reputable orthopedist, this surgery can change your life. You will have <1 week in the hospital, perhaps a week in rehab if any, and will have 2-6 weeks of rehabilitation to go through pending any complicaitons, your general health and condition. You will have some pain, stiffness and muscle atrophy, thus the therapy. Ask a lot of? 's. ...Read more
Mortality TKR: This is certainly a complication of any surgery. It will be necessary to get medical clearance by your primary doctor and/or pulmonologist or cardiologist if you have any lung or heart conditions prior to the surgery. Mortality from total knee surgery is exceedingly low. You will be placed on a blood thinner after surgery to prevent blood clots. ...Read more
Pain: If you have pain on a daily basis, the pain prevents you from doing things you would ordinarily do. If you have tried or oral anti-inflammatories and injections with cortizone (hydrocortisone) and they have not helped. You should also have x-rays that show advanced degenerative joint disease. ...Read more
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