Poor function. Although xrays are helpful in determining whether knee replacement is indicated, pain and poor function are the primary indications. Severe arthritis will cause pain, swelling, and instability (particularly when descending stairs). When these issues affect your quality of life, and other measures have failed, knee replacement may be indicated. A well-done knee replacement should last 20-25 yrs.
Pain. When you no longer cannot walk due to pain. X-ray do not help in determining knee replacement (they can look normal). Pain is the determinant. We like patients not younger than 50 b/c life expectancy of replacement is about 15 years.
Many factors. Many factors may enter into the decision to replace a knee. Patient age, severity of pain, degree of disability and patients overall suitability for an operation and rehab are all considerations. Discussion with an orthopedist experienced in the proceedure is your best bet.
Conservative rx fail. Persistent intolerable pain, advanced arthritis on xray and willingness to assume surgical risks after failure of a trial of: rest, analgesics, physical therapy, joint injections.
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.
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.
?? Why can't you take opoids (there are many different kinds) you need to discuss this with your surgeon asap.
I had a medisic knee repair 1 yr ago and since then I have been in constant pain can't do the simplest thing do u think I could get knee replacement?
See below. You need the advice of a god orthopedic surgeon in my opinion if you have had physical therapy without help it is time for surgery.
Avoid further damage. Many conditions conspire to cause damage to the cartilage lining of the knee joint. Avoiding impact injury by activity modification can help slow progression osteoarthritis. Weight loss, and smoking cessation are also recommended. Correction of angular deformities is quite useful, by use of a brace or surgical. Arthroscopy has been shown to be of limited use for this purpose.
Cartilage replacemen. It is possible to replace the meniscus cartilage and perform a stem cell paste graft for many patients who have been told they need a knee replacement. This is called a biologic knee replacement.
Exercise stay thin. There are no medicines or nutritional suppliments that proven to stop arthritis, but keeping weight down and exercising cand delay arthritis symptoms.
Avoid injury, B thin. Avoid major impacts from falls or contact sports if possible. Direct impacts can cause cartilage breakdown many years later. Meniscus tears disrupt the protective mechanism of the knee and can accelerate cartilage breakdown and arthritis. Stay appropriate in weight. Each pound on you body transfers 4-6 pounds of force across your knee. If you have arthritis thats bad, consider partial knee 1st.
Lose weight. Lose weight if you are overweight. Each additional pound adds 4-6 lb of stress pressure on the knee. Gentle exercise will strengthen support muscles without hurting the joints.
Avoid TKA. Genetics are beyond our control for developing arthritis. But weight control, light exercise, flexibility, swim, walk, bike, good shoe wear, nsaids, laser/modalities, glucosamine with chondroitin, omega3, cortisone injections, viscosupplementation can all help with the symptoms.
Life Changing. If you have a bona fide need for replacement and have seen a reputable orthopedist, this surgery can change your life. You will have <1 week in the hospital, perhaps a week in rehab if any, and will have 2-6 weeks of rehabilitation to go through pending any complicaitons, your general health and condition. You will have some pain, stiffness and muscle atrophy, thus the therapy. Ask a lot of? 's.
Okay. Knee replacement surgery is performed for the diagnosis of arthritis. It is a very successful surgery if done for the correct reasons. It is necessary to have a consultation with an orthopedic surgeon to determine who is an appropriate candidate for this surgery.
Knee replacement. Perhaps the one surgical procedure that can most improve quality of life. Resurfacing of the femur, tibia, and patella to remove arthritis.
The last step. Knee replacement or total knee arthroplasty is recommended when three criteria are met. First the patient has to have x-ray evidence of joint degeneration. Second the patient has to have failed non-surgical treatment. Third the pain caused by the arthritis has to be limiting the patient or decreasing quality of life. In the end it is the patient that decides when to have knee replacement.
For pain. When an artistic knee fails non operative therapy and becomes painful enough to interfere with normal activities, surgeons consider knee replacement.
No specific number. Quality of life has emerged as the number one measure for joint replacement.
Depends. Most orthopaedic surgeons do not use age as a strict criteria to decide for or against surgery. Many octogenarians (people over 80) are still very healthy and can tolerate a joint replacement surgery. Talk to both your orthopaedic surgeon and your primary care physician to assess your individual situation and risk level.