Doctor insights on:
How Long Should One Put Off A Knee Replacement If You Have Grade 4 Arthritis
Pain level: The decision for knee replacement should be made based on your level of pain and possible deformity to the knee secondary to arthritis. I am a physician that believes a knee replacement should not be limited by age. If a 50-year old needs a knee replacement then it should be done. I would build up the muscles around the knee which will help during the rehab process. Be in the best shape possible. ...Read more
A condition where there is progressive degeneration of one or more joints. Symptoms may include joint pain, swelling, decreased motion, and stiffness. The two most common types of arthritis are osteoarthritis, which is associated first with articular cartilage breakdown with a component of inflammation, and rheumatoid arthritis, which is a systemic autoimmune disorder that affects joint linings first and secondarily ...Read more
I have pain in one knee. The pain eases when I walk or use it. I think it might just be arthritis. I'm worried about knee replacement?
Does knee replacement treat arthritis? Is knee replacement a good option for treating arthritis?
Arthritis: Arthritis by definition is the loss or wearing away of the articular cartilage within the knee joint. In a total knee replacement, the cartilage is replaced with the prosthetic components, thereby getting rid of the arthritis permanently. For severe, end-stage arthritis, knee replacement is the best option. ...Read more
Balance risk: Knee replacement is a tough procedure and requires significant physical therapy after surgery. There is a small percentage of unsatisfied patients but if the pt is desperate or have to take strong painkillers around the clock and has no significant risks for the surgery is better to run the risk. ...Read more
Yes: Rheumatoid arthritis is a disabling disease that can cause severe joint destruction. Treatment should be via non-operative options first- nsaid's, cortisone injections, and other disease modifying agents (e.g. Methotrexate or humira). If the pain from the RA in the knee is no longer adequately treated by the conservative options, total knee replacement is an excellent option. ...Read more
Maybe: Medical treatment can treat the symptoms of psoriatic arthritis, an inflammatory type of arthritis. Your rheumatologist can tell. Once the joint is severely damaged, a total knee can resurface the knee, reduce the pain, and improve the knee function. An orthopedic surgeon can tell if the knee is ready for this. ...Read more
My mother is 76 yrs old. She is suffering from arthritis, advised to have total knee replacement. How come?
Need evaluation: As a rheumatologist we advise people on surgery but need to know many things. What is the involvement of the knee? What does imaging show? X-ray, mri? Ultrasound? Is she exercising? What are her true limitations? What are her associated medical conditions? Is she able to stick to a strict physical therapy rehabilitation program? Has she been doing that now? Pt — important for success. ...Read more
How many steroid injections for arthritis in the knee can a person have within a year before consideration of a knee replacement?
Varies: The recommendations vary, but in general I tell my patients that 3 injections in a 6-month period is the limit. If you think about it, you really would not want to keep getting them unless they were lasting longer anyway. There are other types of injections that can be done as well that may last longer such as synvisc (hylan g-f 20) as well. Thank you for your question. ...Read more
What are the advantages and disadvantages of a total knee replacement surgery for 87 year old woman in good health, but horrible arthritis?
Depends: Arthritis can be horrifically painful and disabling. If the patient is healthy enough and willing to accept some risks then surgery is recommended. Major risks assuming the surgery is done correctly include: infection, blood clots, heart attack, stroke and even death (these are rare but they can happen) major benefits are pain relief and major improvement in quality of life. ...Read more
I Have bone on bone knee arthritis. I feel September 18th 4 days prior to total knee replacement. I fractured my femur neck. How longbefore I'm walkin?
Varies: It varies based upon the type of femoral neck fracture you had and type of surgery used to fix it. For example, in a displaced femoral neck fracture we often do a cemented hemi arthriplastyband you can begin walking on it that day. In a fracture fixed with screws, weight bearing is based in part on the quality of bone purchase noted intra operatively. Discuss with your surgeon. ...Read more
Is knee replacement surgery the solution for me for having a chronic arthritis that lately I cannot walk for more than 2 blocks?
My ortho Dr said I have no cartilage in my knee with severe arthritis. He suggested PT to begin with. Then possible knee replacement. Will PT help?
Varies : It varies somewhat, but in general PT does not do a lot for end stage arthritis in the knee. The main good non-surgical alternative is visco-supplementation, which is the injection of lubricating fluid into the knee to supply sime "cushion"; synvisc (hylan g-f 20) is one example of this. ...Read more
Geriatric knee replacement surgery for an 86-year-old woman in good health and bad arthritis; good or bad idea?
Terrible insomnia, due to pain take already, dilaudid,zoplicone 7.5,vimova, what do I do? Awaiting knee replacement, rheumatoid arthritis, reasons for pai
Doc thinks i hve osteoporosis in my right knee from the MRI all my cartilage is gone due to arthritis do I hve to hve a knee replacement?
I have knee arthritus but I have mobility and stiffness, no pain. Is a knee replacement in the horizon. Thanks!
My mom needs a knee replacement surgery. Condition grade iv, the other grade 3. Doing one knee first. How long is the average time for full recovery?
How dangerous could be if one person contract bacterial pneumonia after a surgery (total knee replacement) could this put in danger the prosthesis?
8-12 weeks: It depend on the patient general condition but this the average time. ...Read more
I will tell you: Tkr as called were the end of both femur and tibia and patella are caped like tooth cap. If it is done for the diagnosis, patient will enjoy the result. The complication rare are very low and the most serious complication is infection lee that 1%. ...Read more
3 months: You'll be in the hospital 3-5 days. Then either to rehab facility or home with therapy continuing all along. You'll be walking within 1-2 weeks with a walker. The walker will continue 3-4 weeks then conversion to cane or nothing at all. Therapy will continue in 2nd month for range of motion and strength. Improved walking tolerance and stamina is expected in the 3rd month. ...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
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