Doctor insights on:
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
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
Dr. I had a Knee replacement in Nov13/15, How can I get rid of this skin discoloration near the scar? They told me it was normal. Blood and liquid.
It is normal for you to get bruising around the knee following joint replacement. If you are concerned about the scar itself that's a different issue.
Bruising will generally take 2-4 weeks to resolve as the body has to absorb the blood cells - drinking plenty water helps. The scar may be inflammed as the sutures placed underneath are absorbed. But any drainage or fever needs to be seen ...Read more
Do they use laser in the u.S. To get rid of arthro fibrosis of the knee I had a total knee replacement 22 months ago and still have pain and limited mobility and was told by a p.T. That in australia they use lasers to get rid of scar tissue.
Probably: Current evidence is that arthroscopic treatment for post knee replacement stiffness is at best an unpredictable treatment. Once other causes such as infection, loosening and instability have been ruled out the patient may have to decide if the stiffness and pain are bad enough to have the surgery redone. ...Read more
Do they use lasers in u.S. To get rid of scar tissue I have artho fibrosis of the knee after a total knee replacement
Maybe: Arthrofibrosis is a condition that can occur after tka (and other procedures) and results in scarring inside the knee that can cause stiffness and pain. It can be difficult to treat and the cause is not always known. Manipulation, arthroscopic release of adhesions (with a shaver, radiofrequency wand, or laser), and possible revision may be necessary to treat the condition. ...Read more
Mom is going to get knee replacement surgery but is horrified about deep vein thrombosis. Will the doctor put her on blood thinners to prevent this?
Ask the Surgeon.: A great question. There are several variations as to the type of blood thinners to use and the times to use them. Most surgeons have their own reasons for choosing the appropriate one. The specifics can include the type of surgery and the medical condition of the patient. Ask the surgeon this question and I'm sure he/she will be glad to explain their reasoning. ...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
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
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
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?
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
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
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
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 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
I have knee arthritus but I have mobility and stiffness, no pain. Is a knee replacement in the horizon. Thanks!
Knee pain. Knocked, hyperextended n arthritic knees. 56. Too young for knee replacement. Other treatment options?
What are the most common complications of knee replacement? What kinds of complications most commonly occur during or after knee replacement, and how can I prevent them? .
Common: Common complications include deep venous thrombosis ("blood clot"), infection, and inadequate motion. For DVT and loss of motion, cooperate fully with your doctor"s orders for getting out of bed and working with the physical therapists after surgery. Remind the hospital staff to replace any mechanical pumps that squeeze your legs or feet after they are removed for hygiene, etc. Do your best to stay with the prescribed use of the "knee movement" machine you may have on your leg after surgery. It is important that you inform your surgeon if you have had a "blood clot" in the past or if there is an unusual family history of "blood clots." for infection, be sure to notify your doctor of any rashes or skin lesions you may have, get your teeth checked to make sure that you have no dental infections, ask about a nasal culture to make sure you are not a bacteria "colonizer" of mrsa, and notify your physician if you have any urine or bowel problems. If you are diabetic, work hard to follow your diet and take your medications to optimize your blood sugar control, and, of course, if you smoke, quit. ...Read more
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