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knee replacement

I have had a bi lateral and am still a bit numb on outer sides of knee and my knee still gives me pain but i...

Posted by maggie59

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0 Replies | ReplyReport This| Share this:knee replacement I have had a bi lateral and am still a bit numb on outer sides of knee and my knee still gives me pain but i...

SuperPATH hip replacement

I had a hip replacement done by Dr. Chow in Phoenix. I am so happy I did. I was out of the hospital in less...

Posted by An_249453

I had a hip replacement done by Dr. Chow in Phoenix. I am so happy I did. I was out of the hospital in less than 24 hours.. walking. Got home from the hospital, a 2 hour drive, got out of the car and walked with a walker to the end of the street and back. That was the last I used the walker. The next day I walked a mile with no pain! The following day I walked two miles which was over doing it and I had some muscle stress because those muscles hadn't been used very much in the last 3 years. But it felt so good to be walking and without pain I couldn't quit!!
I had this operation the end of October and 6 weeks out its almost like I never had a total hip replacement operation, the pain is gone. Very little pain after the first day. Mostly just the unused muscles getting used again.
I did do some physical therapy but it was more for the ultrasound that helps the wound heal. The incision is about 2 1/2 inches on my butt and is hardly visible now. My physical therapist is totally amazed at this operation and my recover, says he's never seen anything like it.
I am 65 years old and have lived with the pain of the bone degeneration for several years, it is so wonderful to be pain free almost from the day of the operation. I also do yoga twice a week and arobics twice a week.
I highly recommend this type of none invasive operation, no muscles cut, no hip dislocation, small incision, quick recovery.
My sister had a lateral hip replacement 3 years ago and it took her months to recover and lots of physcial therapy as they cut so much muscle. She still has some nerve and muscle issues from it.
I am trying to pass this information along to others as this is a new procedure (2008 and only 3 years here in Arizona) to try and save you some pain like my sister delt with.
Maybe if people start asking about it other surgeons will get with the program and learn this procedure.
There are now two here in Arizona Dr. Gough is the other surgeon performing it. Check it out before you commit to another procedure. They have a video of it at replacemyhip.com
There are 10 surgeons world wide that perform this operation, 7 or 8 in the U.S.
I not related to any of these guys, not recieving any compensation of any kind, just really excited about a medical procedure that worked! How wonderful is that??View Thread

Posted byAn_249453

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1 Reply | ReplyReport This| Share this:SuperPATH hip replacement I had a hip replacement done by Dr. Chow in Phoenix. I am so happy I did. I was out of the hospital in less...

Happy Thanksgiving!

I wish all of my friends and your loved ones, a very Happy Thanksgiving! Lets all stay healthy, wealthy (if...

Posted by arbob5

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2 Replies | ReplyReport This| Share this:Happy Thanksgiving! I wish all of my friends and your loved ones, a very Happy Thanksgiving! Lets all stay healthy, wealthy (if...

postop pain management

Consult with the anethesiologist relative to a pain management clinic who can help. In some cases, Lidoderm...

Posted by Bobc811

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0 Replies | ReplyReport This| Share this:postop pain management Consult with the anethesiologist relative to a pain management clinic who can help. In some cases, Lidoderm...

Preop knee surgery questions to ask and postop rec...

Several surgeons can do a great job of installation. However, they tend to fail when it comes to the recovery...

Posted by Bobc811

Several surgeons can do a great job of installation. However, they tend to fail when it comes to the recovery process. And they care most about making money on the installation and nothing about the recovery process.

Knee replacement is many times more difficult than is a hip replacement.

The recovery process will take nearly a full year. While big gains can be realized within a short period of time, the final gains will come more slowly.

Determine how many days you will be in the hospital. Three to five is recommended. Run if the Dr tells you only 2 days are needed. The Dr and hospital are just trying to save money.

Watch for the quick build up of scar tissue, internal bleeding and muscle spasms. Each will inhibit flex and extension and must be treated before the physical therapist can do his work effectively. Ask the Dr if he has ever encountered post operation build up of scar tissue, internal bleeding and/or muscle spasms and what he did about them. In the event that you experience those symptoms, ask him what drugs he will prescribe.

What physical therapy will be administered while in the hospital? Early manipulation will help keep the buildup of scar tissue at a minimum.

Identify the physical therapist you will utilize and interview them for experience in knee recovery. They need to be experienced in recognizing the need to break down scar tissue and stretch out ligaments, tendons and muscles in the leg i.e. quads and hamstring. They need to work the leg, hips and lower back as each will enhance the degree of recovery. They need to recognize the cause of sciatic nerve pain and remedy it.

Do not allow the Dr or physical therapist to tell you that the definition of recovery is no pain and 90 degrees of flex (ability to bend the knee back towards the butt) You will need at least 130 degrees of flex and full leg extension. You want to be able to walk up and down stairs and be able to tie your shoe or put your sock on.

While you will want to go to Phys Therapy 3 times a week, be prepared to work on your own at home during the off days. Be prepared for a good deal of pain as the knee is manipulated. The act of breaking down the scar tissue is very painful.

Some doctors advocate the use of an electrical CPM machine. My doctor does not believe in them or any machine, which inhibited my recovery. The second doctor I engaged advocated the use of the light weight, portable and manual KneeRite devise, which I used to great success and satisfaction. I still use it and credit it with being able to reach 125 degrees of flex. It was especially effective in between phys therapy visits.

Use vitamin E oil on the scar as it will help smooth out the visual and hel it to blend in better.

Finally, be prepared to be laid up for roughly three weeks and to wean yourself off of the oxycontine as quickly as is possible. Also, some degree of depression will likely set in after a couple of weeks. Let the tears flow and move on.
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Posted by Bobc811

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2 Replies | ReplyReport This| Share this:Preop knee surgery questions to ask and postop recovery tips Several surgeons can do a great job of installation. However, they tend to fail when it comes to the recovery...

Journaling

Begin journaling the days when blue/purple knuckles appear. Note the activities engaged with during the...

Posted by pianonanna

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Celebrate Your Triump Over Pain at the 1st Annual ...

The ATI Foundation is excited to announce a truly unique event celebrating the achievements of people...

Posted by ATI_Foundation

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0 Replies | ReplyReport This| Share this:Celebrate Your Triump Over Pain at the 1st Annual Metal Walk The ATI Foundation is excited to announce a truly unique event celebrating the achievements of people...

Nickel sensitivity

For those of you dealing with a possible nickel sensitivity: I didn't know that stainless steel contained...

Posted by baker57

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Thanks!!

I Just wanted to take a moment and thank Bal M Rajagopalan, MD for taking the time to address so many of our...

Posted by OJOJ64

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Bum Hip and Sodium Sulfates

For the last 40 years my rt hip (and only my rt hip) has had a problem with sodium sulfates. They cause the...

Posted by An_243040

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0 Replies | ReplyReport This| Share this:Bum Hip and Sodium Sulfates For the last 40 years my rt hip (and only my rt hip) has had a problem with sodium sulfates. They cause the...

Cal 47 - Re:TKR

I had a partial replacement done 4 yrs ago in TN, and had the total on 7/11/11. I spent two nights in the...

Posted by Cal47

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0 Replies | ReplyReport This| Share this:Cal 47 - Re:TKR I had a partial replacement done 4 yrs ago in TN, and had the total on 7/11/11. I spent two nights in the...

Uploading knee brace for OA Knee

Can anybody help me by giving his experience/opinion about the utility of offloader Knee Braces for...

Posted by rajetandon

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2 Replies | ReplyReport This| Share this:Uploading knee brace for OA Knee Can anybody help me by giving his experience/opinion about the utility of offloader Knee Braces for...

Affordable Knee Replacement and Hip Replacement

All those patients who desperately need Knee Replacement and Hip Replacement to get over this unbearable...

Posted by AbhikMoitra

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1 Reply | ReplyReport This| Share this:Affordable Knee Replacement and Hip Replacement All those patients who desperately need Knee Replacement and Hip Replacement to get over this unbearable...

Re: Information you should be aware of

I had both knees totally replaced in December 2010. I already have so many other orthopedic problems like...

Posted by An_206527

I had both knees totally replaced in December 2010. I already have so many other orthopedic problems like CRPS, a 4 level fusion with 4 rods and bridges, development of a spine disease called Arachnoiditis after the spine fusions or possibly scar tissue or the 6 epidural injections I had. Plus, I have a permanent shoulder separation at the AC joint for some unknown reason, 3 herniated disks still remaining in my neck with two of them crushed with existing osteophytes impinging nerves cauisng parathesia in my arms and hands, a totally fused wrist, neuropathy in both feet from the CRPS and severe osteoarthritis. I had a very limited range of motion of the left knee prior to and after the surgery. No imrovement at all after 8 weeks of PT but the right knee did fine and got to 120 degrees. It hurts only because it has to compensate for my left knee now. Here is the problem. After having 2 forced manipulations for scar tissue, my left knee only got worse and the pain continued to increase daily. The second manipulation was the worst. The left knee became very swollen by the second week and my ROM actually decreased. Then a large lump formed just above the knee cap on the vastus medialis muscle that is the inside quadricep that joins at the knee. I went back to see the assistant surgeon since mt Doc was out of the office. I had to actually ask to be x-rayed and in fact, never even had x-rays before I had my manipulations. It was suspected the bone tissue was growing within the soft tissues surrounding the knee. The bone grows embedded througout the tissues and is called Heterotopic Ossification. I was referred for a bone scan that confirmed the disease. It will continue to grow and the unbearable pain willl not subside for 12-18 months and possibly up to 24 months. Nothing can be done to treat it, stop it or perform surgery since the bone will just grow back. I performed a lot of internet research on reliable medical sites and learned that this disease is preventable. High risk patients are those with limited ROM before and after surgery, require manipulation, have any spinal or neurological injuries or diseases, have CRPS and diverse osteoarthritis. That was me. I should have received medication and radiology treatments before and after the TKR and the same before and after the manipulations. Manipulations can also contribute to the development of the disease. Now I will be crippled for the rest of my life in the left leg. I was never informed about this possibility at all. The Doc only said he never considered me high risk or thought I would get it since he never had it happen before and has performed hundreds of TKR's. The bone growth matures at an average of 12-18 months an surgical intervention is not a safe option since it can cause severely dangerous bleeding since they have to cut into and around the muscle and soft tissues and the bone will most likely regrow again anyway based on the statistics so the risks outweigh the potential benefit which is unlikely anyway. I am totally disgusted since I cannot handle much weight bearing, walk very far even with a walker and have constant severe pain that may last a lifetime. I think I should have at least been informed and made the choice for the preventive treatment. Now I have no choices left. I am just crippled and with a lot of pain that may never subside. The lump was evidence of the bone growth within or underneath that muscle. Had the disease been dicovered in its early stages ie. with x-rays, medicines could have disolved the bone but it is now too late. I think it could have been found many weeks earlier with an x-ray if I had any before the first or second manipulation and could have been treated. I suggest you ask if you are high risk for the development of this disease and find out if you can have preventive treatment ahead of time so you do not end up like me. I wish I had known. My lfe will now never be the same.View Thread

Posted byAn_206527

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0 Replies | ReplyReport This| Share this:Re: Information you should be aware of I had both knees totally replaced in December 2010. I already have so many other orthopedic problems like...

Tips on options for hip replacements

In today's competitive markets, many companies and surgeons are advocating and pushing their own...

Posted by Bal M Rajagopalan, MD

In today's competitive markets, many companies and surgeons are advocating and pushing their own prosthesis, when it comes to hip replacements. You may even go to a surgeon where the hospital dictates what is being used, based on price. It is so important to be educated and involved in the process of decided what implant is best for you, and why. In a day where there are recalls and aggressive advertising, all of this information can be overwhelming.

First, make sure your surgeon is board certified. Being board certified means that you surgeon has surpassed the highest qualifications to practice as a surgeon. There are many non-certified surgeons practicing today. Second, do some research on your surgeon to make sure that their patients have been happy with the work they have done. Remember that any negativity travels fasters than positivity. Make sure you and your surgeon can freely communicate and there is a positive working environment. When you are in a waiting room, talk to some of your surgeon's patients.

With implants, there are options and it is overwhelming. The general rule of thumb is to ask questions and realize that not all implants are a fit for all people. With respect to approaches, you will have surgeons going anteriorly, posteriorly, or lateral. The simple basic rule is both anterior and posterior are great in someone who does them often. The advantage of these two approaches are they are muscle sparing, and can prevent limping.

On bearing surfaces you can use metal, polyethylene and ceramic. The best of these three is a tough answer. There have been issues with ceramic on ceramic cracking, metal on metal causing increased ions. The safest in my opinion, is ceramic on polyethylene. As surgeons, we aim for the biggest heads to enhance stability and prevent dislocation.

** Ask your surgeon if there is a risk of leg length discrepancy, due to any anatomic issues.

Nowadays, we aim for press fit to allow immediate weight bearing. Immediate weight bearing is very important, as it prevents issues with bedsores, infection, pneumonia, and blood clots. So, ask your surgeon when you will be able to walk and when you will be at full weight bearing.View Thread

Posted by Bal M Rajagopalan, MD

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2 Replies | ReplyReport This| Share this:Tips on options for hip replacements In today's competitive markets, many companies and surgeons are advocating and pushing their own...

What is hip pain, and what else could it be?

Frequently hip pain is mistaken for another diagnosis and vice versa. In my practice, I have seen...

Posted by Bal M Rajagopalan, MD

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5 Replies | ReplyReport This| Share this:What is hip pain, and what else could it be? Frequently hip pain is mistaken for another diagnosis and vice versa. In my practice, I have seen...

bziegler

Before you think about a Knee replacement, try cleaning the knees out with scope Surgery. Then if your still...

Posted by bziegler

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1 Reply | ReplyReport This| Share this:bziegler Before you think about a Knee replacement, try cleaning the knees out with scope Surgery. Then if your still...

Email Digests Are Back!

Don't get to your favorite boards every day? We're all busy, so sometimes it is nice to have your...

Posted by Andie_WebMD_Staff

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dressing tips after reverse shoulder

Can anyone give me tips on dressing, bathing, and eating after a reverse shoulder replacement ?? My surgery...

Posted by An_206525

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Does the degree of contracture have an impact on t...

My knee has significant contracture so I cannot straighten it out. Will this have an impact on the ability...

Posted by BostonSuSu

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0 Replies | ReplyReport This| Share this:Does the degree of contracture have an impact on the post-surgery recovery and return of full ROM? My knee has significant contracture so I cannot straighten it out. Will this have an impact on the ability...

TKR surgery and recovery

I had one knee done in March 2007, the other done in February 2009. I am 67 years old. I will tell you that I...

Posted by patvan42

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4 Replies | ReplyReport This| Share this:TKR surgery and recovery I had one knee done in March 2007, the other done in February 2009. I am 67 years old. I will tell you that I...

hairhutch@aol.com

I am 2 years post op for TNR and i have fever and burning pain is this an infeckion?

Posted by An_206529

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Hip Replacement Tips

Posted by flatrockguitarman

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Revised: New Features on Exchanges!

Dear Members, You may have noticed some changes that happened to your Exchange after last weekeend....

Posted by Andie_WebMD_Staff

Dear Members,

You may have noticed some changes that happened to your Exchange after last weekeend. We rolled out a few new features and added back the ability for you all to add signatures to your posts.

Here are some of the new things to check out:

Finding Expert Content – On the front page of an Exchange you will now see “Includes Expert Content” if an expert has responded in a thread. So, if you’re just looking for expert feedback you can find it more easily.

Signatures – If you visit your Exchange Profile page you will now see a place to add your signature. You can add a different signature to each Exchange you join, so that it’s a more personalized experience.

TRIGGER – Moderators can now add a TRIGGER notation to a post. So, if you come across a post that you think needs a TRIGGER, send the link to our mods at ExchangeManagement@WebMD.net and someone will take a look and add TRIGGER if necessary.

Guest Experts and Sponsored Guests – Very soon we hope to be adding guest experts to some of our moderated Exchanges. These will be experts who are available for a limited time to answer questions about specific aspects of a topic. For instance, there might be a diabetes diet expert visiting the Diabetes Exchange. You may also notice “Sponsored” guests. These are experts that may be nominated by one of our site sponsors, and they will answer in much the same way as a guest expert, but it will be clear that their content is from a sponsor.

We hope that you like these new additions, and we welcome your comments and suggestions as well. Our product and engineering teams are already hard at work on even more changes and additions that have been suggested by our members, and we hope to have those ready soon.

Please feel free to write to us at ExchangeManagement@WebMD.net and let us know what you think.

Yours in Health, The WebMD Community StaffView Thread

Posted by Andie_WebMD_Staff

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PAIN ON OLD REPLCEMENT KNEES

I HAVE 1997 REPLACMENT KNEES I HAVE A LOT OF PAIN JUST AT THE KNEE LEVEL DIAGNOSIS COMPLICATED BY STENOSIS AND...

Posted by WALT1935

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