Doctor insights on:
Which Is The Best Exercise Equipment To Use After A Knee Replacement
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more
I need to have a partial knee replacement. Who is the best ortho doc in san jose, ca or san francisco to do this?
Dr. Alexander Sah: Dr. Sah is in menlo park as well as fremont and is part of the reknown joint replacement program at washington hospital. He is a partial knee replacement specialist. ...Read more
What is the best treatment for severe nerve pain that pain meds do not work on? I have had two back surgeries, and knee replacement and still have excruciating stabbing knee pain that I have been told is nerve pain coming from my back. Pain medication an
I'm looking for the best orthopaedic surgeon to do a knee replacement on my 82 year old mother both knees, eventually, need replacement; the left knee is most painful for her. She suffers from osteoporosis and is on session (month?) 17 (of 26) with forte
There is no "best" surgeon, but there are better and worse ones. If you're willing to travel, there are a couple of places known for their studies and experience with joint replacements. However, that is not recommended. Having a surgeon near home allows for more complete follow-up care.
You do not state where your mother lives, but if she is near you in bakersfield, there are a number of surgeons available. Plan to visit at least 2, possibly 3, before making a decision. First look at training. Many joint replacement surgeons have specific fellowship training. Next look at experience--how many joints do they do per year?
Once you are comfortable that the surgeon is capable of doing a technically good job, base your decision on how he/she interacts with your mother (you are not the patient, she is). There should be a good rapport and she should feel like all her questions and concerns have been addressed.
No one surgeon "meshes" with every patient. We all have our personality differences and those can affect patients' care. Find the surgeon who is "right" for your mother. This is elective surgery, so don't make any hasty decisions. ...Read more
With advise: You can exercise after knee replacement, and it is a good idea. The best exercise is that which avoids stress across the knee. Although you want to strengthen the muscles around the knee, you do not want to place undue stresses across the replaced knee. Your orthopedist and your physical therapist can best advise you. ...Read more
Exercise with total: The only major restriction on exercise for total knees is to avoid jogging or running as your aerobic exercise. Jumping and landing exercise are also not great because like jogging, you can cause loosening of the implant from the bone or cement fixation. This also can speed the wear down of the plastic bearings. Bicycles, tai chi, walking, swimming, dancing, golf, tennis, ellipticals are all good. ...Read more
Possibly.: If your exercise consists of non-impact activities, such as swimming, biking or walking. Keeping your muscles strong and your body weight down, may delay the need for a knee replacement. You should check with your orthopedic doctor, to make sure these activities are ok for you. ...Read more
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
You will do many: Different exercises. However, there are two main areas that a pt will work with you. First, you will need to work on stretching your hamstrings, making sure you get your knee in full extension. The second, which is very close to this, is quadriceps strengthening. Overall gait stabilization is also important. Pre-surgery exercises programs have demonstrated success in better post-surgery outcomes. ...Read more
1st week is okay: As most therapists don't need any machines to perform proper therapy. Manual therapy can achieve excellent results without machines. However, machines can be used as an adjunct to good manual stretching and strengthening programs. Stationary bikes can start early in the first week as the swelling reduces. Weights should be avoided until full extension is gained from your stretching program. ...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
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 am 3 mos. Post op from total knee replacement. I have pain in knee and It's hot and slightly swollen. Could this be from excessive exercise?
@ 3 mos it should: B quieting down. Red, warm & swollen would worry me. Is there pain also? Get in to see your surgeon, a low grade smoldering infection is possible. Loosening is a possibility, but pretty early for that. I would want to r/o infection first. That means aspiration & culturing the aspirate. ...Read more
I have a fatty tumor growing on the side of my knee replacement-about 1/2 dollar size. It becomes painfulI with exercise or when I'm on my feet-th?
Be checked: I would sure make sure your surgeon is aware. It would be a little unusual for a " fatty tumor" to cause activity related pain. The concern would be if it was related to the replacement itself, such as a soft tissue response to polyethylene debris, for example. Be seen and checked. ...Read more
How soon after a total knee replacement could someone use a continuous passive motion (cpm) exercise machine?
1 hours: Ideally you should be placed on it in the recovery room whole still sedated. Once you are able to move the knee on your own, the benefit of continuous passive motion is less apparent. ...Read more
There aren't: Any negative effects!Get a more detailed answer ›
8-12 weeks: It depend on the patient general condition but this the average time. ...Read more
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
Please tell me how long it takes for to get in and out of bed by yourself after a knee replacement?
2 days: Most patients are able to get in and out of bed by themselves within 2 days after knee replacement. Obesity and other health factors may affect this. The key is the return of quadriceps function and the ability to raise the leg up off the bed. Exercises to regain that strength will help. ...Read more
Can you tell me how much time does it take to get in and out of bed by yourself after a knee replacement?
In ; out of bed TKR: You should be able to get in and out of bed by yourself within 4-5 days post op. ...Read more
Variable: Every patient will recover at their own pace after a total knee replacement. Your recovery will be influenced by multiple variables, including your pre-op condition, severity of your arthritis, stiffness of your knee, the type of surgical approach used, and your motivation and active participation in your recovery process. Some "elderly" patients are still very healthy and recovery quickly. ...Read more
Is it possible for a patient to be diagnosed with dementia 16 days after a knee replacement surgery? After 6 months of pre-opt tests?
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