Top
30
Doctor insights on: Skateboarding With A Knee Replacement

Share
1

1
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

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

Many Choices: 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

Dr. Frederick Buechel, jr. md
447 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 of ...Read more


3

3
I have osteoarthritis in both knees but I am too young for knee replacement how can I manage the pain, I can, t get around very well.

I have osteoarthritis in both knees but I am too young for knee replacement how can I manage the pain, I can, t get around very well.

Arthritis exercise.: Osteoarthritis is best treated with regular exercise and being at your ideal weight. The pain can be treated with acetaminophen, and anti inflammatory medications, such as naproxen, and ibuprofen. Injections to knees with steroids, or the use of Hyaluronate products are effective. ...Read more

4

4
Symptoms of a loosened knee replacement?

Symptoms of a loosened knee replacement?

Pain and swelling: Implant loosening causes pain, especially with weight bearing. The knee generally will make more lubricating fluid as well, causing swelling. ...Read more

5

5
Is it possible to die from a knee replacement?

Is it possible to die from a knee replacement?

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

6

6
What do you advise if I had a knee replacement and now my knee dosent ben t?

What do you advise if I had a knee replacement and now my knee dosent ben t?

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

7

7
What to if I am having a knee replacement soon and I was just wondering what to expect?

What to if I am having a knee replacement soon and I was just wondering what to expect?

3-6 month recovery: This surgery can improve your function and pain level but takes a while to recover. The hospital stay is usually 2-3 days, followed by 4-6 weeks of therapy to regain the knee motion and strength. Post operative pain can be managed with pain medication. Sleeping may be interupted at night for 6 or more weeks due to knee discomfort. Energy level after surgery takes 2-3 months to return. ...Read more

8

8
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?

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?

Post surgical knee: Scar tissue that forms following surgery may prevent full range of motion. If physical therapy cannot resolve this, manual manipulation is performed to break the scar tissue ...Read more

9

9
Tell me about total knee replacement surgery?

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

10

10
Can a knee replacement cause plantar fascitis?

Can a knee replacement cause plantar fascitis?

Rarely: It is possible you could get plantar fasciitis if you are placing more stress on the foot. For instance, if you had knee surgery on the right and you increased the amount of standing on the left foot, you could inflame the plantar fascia. Also, if you are not walking normally in general due to the knee replacement you could overstress the plantar fascia. If you suspect this, talk to podiatrist. ...Read more

11

11
Had knee replacement need to know how to sleep?

Had knee replacement need to know how to sleep?

Try pillow: Some of my patients say that putting a pillow between their legs helps if the knee keeps them up.

10 years later the knee would not normally be an issue for sleep. ...Read more

12

12
Can gazelle be used after total knee replacement?

Yes: I'm assuming you are referring to the low impact exercise machine. A gazelle would be very good exercise, as would most other low impact machines such as an elliptical, stationary bike, etc. Generally anything that isn't high impact is a safe option for exercise and sports participation after knee replacement. You should avoid high impact activities such as running, jumping, etc. ...Read more

13

13
Why can you not jump after total knee replacement?

Why can you not jump after total knee replacement?

Not Advisable: Every stress put across a total knee replacement subtracts from the longevity of the replacement. Smart exercise as discussed with your orthopedist and your physical therapist is advised. ...Read more

14

14
When will medicare pay for total knee replacement?

When will medicare pay for total knee replacement?

When indicated: Medicare will pay for a total knee when it is medically indicated, which would typically mean when the patient has severe arthritis that limits their function. You would have to be a medicare beneficiary, which typically means you would be over the age of 65, although there are a few exceptions to this. ...Read more

15

15
What is the cost of total knee replacement surgery?

KNEE REPLACEMENT $$$: Us has the highest cost of knee replacement surgery, from 45000$to70000$ the insurance will cover most, but there are some deductibles and out of pocket expences as well. ...Read more

16

16
What is the reason to go for total knee replacement?

What is the reason to go for total knee replacement?

Improved Lifestyle: When knee pain created by arthritis becomes constant, interfering with daily activities and the ability to sleep, then it is time to consider replacement. If medically stable and suitable for postop rehab, then it could be time for replacement. ...Read more

17

17
How long does a total knee replacement surgery take?

TKA duration: It varies on the deformity, the instruments used, and the experience of the surgeon. Average range of 40-60 minutes. ...Read more

18

18
What anesthesia is best for knee replacement surgery?

What anesthesia is best for knee replacement surgery?

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

19

19
Will swelling after knee replacement surgery go down?

Will swelling after knee replacement surgery go down?

Yes: A replaced knee is often more swollen than the other for a few months and warmer for even longer. Ice and elevation, along with compression can help a great deal. Nsaids may be of benefit as well. ...Read more

20

20
How important is movement right after knee replacement?

How important is movement right after knee replacement?

DVT prevention: You should def be moving your ankle/ calf/ hip muscles to help maintain muscle tone & blood flow/ decrease your risk for dvt. However, restrictions & recommendations for motion @ the knee will vary based on many factors. Your surgeon should give you info about expected progressions based on their method for the procedure. I usually have patients move the knee as tolerated, & order pt at 4-6 weeks. ...Read more

21

21
Would it be safe for seniors to have a knee replacement?

Would it be safe for seniors to have a knee replacement?

Unclear question: There is documented improvement in the quality of life after a knee replacement at almost any age. Risks increase with age and medical conditions. The knee replacement is one of the most common surgeries performed today. I would recommend someone with experience and talk to some of their patients. ...Read more

22

22
How to get nursing assistance for total knee replacement?

How to get nursing assistance for total knee replacement?

Doctor: Usually the orthopedic surgeon's office can help set this up. It is very common for people to need assistance or have nursing visits after knee replacement. ...Read more

23

23
What is a pretty good run down on post-op knee replacement?

What is a pretty good run down on post-op knee replacement?

Hard work: Usually patients spend 2-3 days in the hospital then transition either home or to a skilled nursing facility. Full recovery can take up to a year, but most of the recovery is complete by 3 months. Most patients can drive by 6 wks and return to work at 2 months. Aggressive rehab and hard work on the part of the patient is essential for a successful result regardless of the surgeon. ...Read more

25

25
What could cause patella tendon pain in a knee replacement?

What could cause patella tendon pain in a knee replacement?

Tendonitis: Versus patellar implant loosening or improper alignment. Try ice, rest, range of motion exercise. If pain continues then get orthopaedic eval. ...Read more

26

26
How long does total knee replacement take in operating room?

Tka time: It ranges from 35mins to about 2 hours. This varies based on the patient size, extent of disease, and the surgeon. ...Read more

27

27
What are the exercises after total knee replacement surgery?

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

28

28
Which is the optimum season to go for total knee replacement?

Patient preference: There really is no particular :"best" season for having a total joint replacement. In the snow belt, sometimes the snow season for driving back and forth to therapy may be a concern. Other than that, family and work schedules are usually the driving force in deciding on the optimal time of the year to have surgery. ...Read more

30

30
What would cause knee locking up after total knee replacement?

What would cause knee locking up after total knee replacement?

Knee locking: You should have this discussion with your surgeon. If he does not give you a satisfactory answer and solution, it is okay to get a second opinion. ...Read more