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Doctor insights on: How Long Should One Put Off A Knee Replacement If You Have Grade 4 Arthritis

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How long should one put off a knee replacement if you have grade 4 arthritis?

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

Dr. Thomas Namey
2,426 doctors shared insights

Arthritis (Definition)

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


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Which serjary is better for ostio arthritis knee replacement or ostiotomy?

Which serjary is better for ostio arthritis knee replacement or ostiotomy?

TKR: Depending on your function level, one surgery may be better than the other. Usually tkr is better. ...Read more

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Does knee replacement treat arthritis? Is knee replacement a good option for treating arthritis? .

Does knee replacement treat arthritis? Is knee replacement a good option for treating arthritis?
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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

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Will a knee replacement get rid of arthritis pain?

Will a knee replacement get rid of arthritis pain?

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

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Is there a better alternate to knee replacement for arthritis patient aged 60?

Is there a better alternate to knee replacement for arthritis patient aged 60?

Probably not: If you are literally bone-on-bone there may be no better options. You can try injectable lubricants or cortisone injections but they will usually no work for advanced disease. Likewise, with nsaids. ...Read more

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Will a knee replacement get rid of arthritis?

Yes: Speaking crudely, the old degenerate arthritic joint gets chopped off and thrown away to be replaced by a bionic knee. ...Read more

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Is knee replacement the best solution for rheumatoid arthritis?

Is knee replacement the best solution for rheumatoid arthritis?

Maybe: It depends on what is causing the pain and how bad the pain is. There are many medical and non-surgical treatments for rheumatoid arthritis, but if required, knee replacement is an appropriate treatment. ...Read more

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Is total knee replacement the best solution for rheumatoid arthritis?

Is total knee replacement the best solution for rheumatoid arthritis?

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

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Been told I need a total knee replacement, are there any alternatives? Psoriatic arthritis

Been told I need a total knee replacement, are there any alternatives? Psoriatic arthritis

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

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My mother is 76 yrs old. She is suffering from arthritis, advised to have total knee replacement. How come?

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

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How many steroid injections for arthritis in the knee can a person have within a year before consideration of a knee replacement?

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

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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

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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?

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

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Is knee replacement surgery the solution for me for having a chronic arthritis that lately I cannot walk for more than 2 blocks?

Is knee replacement surgery the solution for me for having a chronic arthritis that lately I cannot walk for more than 2 blocks?

Arthritis: Replacement is the last resort. Knee injections, topical applicants, oral medication, PT should be tried. As a last resort Stem Cell / PRP may be tried (not FDA approved) (Insurance usually does not pay) as a cash pay may be worthwhile looking into. ...Read more

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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

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Geriatric knee replacement surgery for an 86-year-old woman in good health and bad arthritis; good or bad idea?

Geriatric knee replacement surgery for an 86-year-old woman in good health and bad arthritis; good or bad idea?

Ok: It's ok for someone who is in otherwise good health to have knee replacement surgery done if it can improve quality of life. Would first obtain medical clearance. And in many instances knee replacements can be done with regional anesthesia. Speak with your orthopedist. ...Read more

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Terrible insomnia, due to pain take already, dilaudid,zoplicone 7.5,vimova, what do I do? Awaiting knee replacement, rheumatoid arthritis, reasons for pai

Terrible insomnia, due to pain take already, dilaudid,zoplicone 7.5,vimova, what do I do? Awaiting knee replacement, rheumatoid arthritis, reasons for pai

Consider seeing a: Clinical psychologist who specializes in pain management or health psychology. He/she can teach you some techiniques to help, e.g., clinical and self hypnosis. Peace and good health. ...Read more

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I'm 32 and MRI says i hve loss of cartilage and bone on bone due to severe arthritis will I need an osteotomy? Or knee replacement

Stay away from TKA: At 32, a total knee replacement is ill-advised. If you have wear in one compartment only, we generally recommend joint sparing procedures such as an osteotomy, or cartilage restoration procedures. ...Read more

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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?

Let me explain : I see you are 32 years having osteoporosis on the knee reflect to me you are not using your knee properly? Why you cartilage is gone must be a reason for that? Ask the doctor? As far the knee replacement unless you have sever arthritis I would not recommended it. ...Read more

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I have knee arthritus but I have mobility and stiffness, no pain. Is a knee replacement in the horizon. Thanks!

Good operations: But do what you can yourself first!
Weight control, exercizes, physical, therapy.
The artificial joints seem to be improved regularly so no rush!
Be sure to review all your risks, and lifestyle benefits of major surgery. ...Read more

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How long after total knee replacement before one can swim?

How long after total knee replacement before one can swim?

4-6 weeks: I will let patients enter a pool once the knee incision is healed. Walking in water can be helpful. Swimming can be started once the pain allows. This is usually around 6 weeks. ...Read more

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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?

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?

Varies: It varies quite a bit from patient to patient, but most patients who have a knee replacement are doing real well by 8-12 weeks. Thank you for the question. ...Read more

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How dangerous could be if one person contract bacterial pneumonia after a surgery (total knee replacement) could this put in danger the prosthesis?

How dangerous could be if one person contract bacterial pneumonia after a surgery (total knee replacement) could this put in danger the prosthesis?

Post knee replacemen: It depends on the length of time from the surgery. You will probably be fine as long as you are being treated and them followed for 6-8 weeks ...Read more

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How long is the recovery time after a knee replacement?

How long is the recovery time after a knee replacement?

8-12 weeks: It depend on the patient general condition but this the average time. ...Read more

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Can one let me know about complete knee replacement and risks?

Can one let me know about complete knee replacement and risks?

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

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Docs, usually how long is recovery for double knee replacement?

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

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How long does it take for someone to perform knee-replacement surgery?

How long does it take for someone to perform knee-replacement surgery?

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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What risks and potential complications does one encounter in knee replacement in nigeria?

What risks and potential complications does one encounter in knee replacement in nigeria?

Risks of TKA: The risks of knee replacement are the same regardless of the location of surgery. The main issues being (but no limited to) infection, persistent pain, blood clots, need for revision surgery, malalignment, nerve injury, vessel injury, and loss of motion. ...Read more

Dr. Robert Lowe
1,559 doctors shared insights

Painful Joints (Definition)

That term is not really a specific diagnosis, but rather somewhat of a general term. The medical term is arthralgias, which implies pain in multiple joint possibly coming from a single cause. Don't hesitate to be seen and evaluated for ...Read more


Dr. Frederick Buechel, jr. md
451 doctors shared insights

Knee Replacement (Definition)

It is when a surgeon removes and exchanges some are all of the componets of your knee. The bottom end of the thigh bone(femur), the upper end of the shin bone(tibia) and the undersurface ...Read more