No cartilage left in knees

Posted by chesh @chesh, Jun 22 8:45am

I have been told by my orthopedic surgeon that I have no cartilage left in my knees. Walking is beginning to be more difficult but not terrible. Stepping up and down even a curb is awkward. Stairs are a one step up or down with one leg and then bringing the other beside it and slow going.
I am having hyaluronic acid injections six months apart that help some. I am now wearing the right kind of shoe. I had been wearing a rubber soled platform sandal that I figured (because of all the rubber) cushioned my knees). Recently I developed tendon pain in both legs which I was told was due to shortening of the tendons behind and inside of my legs below my knees. I think the platform shoes might have been responsible for this because ,with running shoes now ,I feel the tendons stretching.
I do NOT want knee replacements!
What do others of you do in my situation that helps?
P.S. I know that losing weight would help. My weight has been a challenge all my life.. I am 5 foot seven and weigh 185. I am 73 years old.
I do swim laps regularly with no problem. I haven't tested whether I can still walk around a block.

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@pcb

If you don’t feel ready for surgery I have found that PRP injections can buy you some comfort and time. I have no idea how long the relief will last and insurance doesn’t cover the treatment.

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I am very curious about PRP. I just had a hyaluranic acid injection in my knee for lack of cartilage. I am trying to put off tkr on this knee. Can you write about your results. Thanks

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@gravity3

I am very curious about PRP. I just had a hyaluranic acid injection in my knee for lack of cartilage. I am trying to put off tkr on this knee. Can you write about your results. Thanks

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Much less pain and no grinding when combined with physical therapy. For me relief has only lasted 5 months but I intend to get it done again in November. Prp is not covered by insurance and my doctor charges $950 per shot. I hope that helps.

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@pcb

Much less pain and no grinding when combined with physical therapy. For me relief has only lasted 5 months but I intend to get it done again in November. Prp is not covered by insurance and my doctor charges $950 per shot. I hope that helps.

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Thank you. I don't suppose the positive results are cumulative

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@gravity3

Thank you. I don't suppose the positive results are cumulative

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I have only had it done once so far.

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@annshrader

Good Morning.
As another commenter suggested, speak to your doctor about it.
Quality of life is important. I have seen 65 and over perceived as "old" but that is not old! Older, maybe. We have potential to live a long life - why not work on the quality part.

As you shared some information, I would suggest, again as someone else put up here, speak to your doctor. If you are not engaging in proper fitness training and nutrition for your age and lifestyle I would work on that first with the appropriate professional (I am an exercise physiologist and nutritionist - will defer to your healthcare provider first!).
Surgery can be a great thing but it is also very demanding. Learn you options and progress towards feeling better!

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Hi Ann,

Thanks for your reply. I got both knees replaced in 2022. Before the surgery, I worked with a trainer very knowledgeable in kinesiology and he helped me get the muscles supporting my knee in better shape. I also researched and found an excellent surgeon who used the Stryker/Mako robotic assistant.

And then I did the rehab exercises obsessively for the first 2 months post-op. By three months, I was pain free and doing anything I wanted in the gym - with the exception of 1) impact exercises, and 2) the leg extension machine (this machine provides no functional benefit and puts undue stress on the patella and the patellar channel).

Joe

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@gravity3

I am very curious about PRP. I just had a hyaluranic acid injection in my knee for lack of cartilage. I am trying to put off tkr on this knee. Can you write about your results. Thanks

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I will testify that PRP is great for some like my son, who damaged his knee when he fell ,and not so great for others like me who is over 75 and has osteoarthritis. I also have had cortisone which worked for about 3 or 4 months and 5 injections of hyaluronic acid which did little or nothing. I have had "Soft Wave" and other non invasive frequency therapies. I still walk like a duck and rely upon my biceps to carry my weight when doing stairs with a railing. Will I have surgery? No. I have seen others who have had knee surgery still complaining that their legs are not in great shape. Pain is something I am living with but so far I am refusing to stop trying to do many of the things I like to do. I feel very limited though-not a good thing at all.

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@krisjb1

I will testify that PRP is great for some like my son, who damaged his knee when he fell ,and not so great for others like me who is over 75 and has osteoarthritis. I also have had cortisone which worked for about 3 or 4 months and 5 injections of hyaluronic acid which did little or nothing. I have had "Soft Wave" and other non invasive frequency therapies. I still walk like a duck and rely upon my biceps to carry my weight when doing stairs with a railing. Will I have surgery? No. I have seen others who have had knee surgery still complaining that their legs are not in great shape. Pain is something I am living with but so far I am refusing to stop trying to do many of the things I like to do. I feel very limited though-not a good thing at all.

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i am in the same boat. Had TNR 11 years ago. Still painful. Surgeon says its phantom pain. Yea, right. The other knee i do PRP every year. Yes, its expensive. As i am in my 80's i get the full dose and i can still bike, play golf and garden. I can get on that knee to garden. What PRP does is goes after the arthritis. It also grows hair for women. It works for me. I would rather pay the out of pocket than go thru the 3 month painful rehab that i had with TKR. I wish i had a do over on that knee.

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I'm an 85-year young senior with bad knees. I should have had them replaced years ago, but did not due to conflicting stories from TNR recipients about the success of the procedure. Is PRP a better option or should I elect to use cortisone injection procedures?

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@lhabada

I'm an 85-year young senior with bad knees. I should have had them replaced years ago, but did not due to conflicting stories from TNR recipients about the success of the procedure. Is PRP a better option or should I elect to use cortisone injection procedures?

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Cortisone will likely damage whatever you have left of cartilage. PRP should help somewhat if not completely as it depends upon the issues involved. I think it took away about 20% of my pain which is better than nothing. Unhappy about Medicare not wanting to go with this as a relatively inexpensive way to fix the problem. Surgery and rehab is much more expensive.

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@cobweb

i am in the same boat. Had TNR 11 years ago. Still painful. Surgeon says its phantom pain. Yea, right. The other knee i do PRP every year. Yes, its expensive. As i am in my 80's i get the full dose and i can still bike, play golf and garden. I can get on that knee to garden. What PRP does is goes after the arthritis. It also grows hair for women. It works for me. I would rather pay the out of pocket than go thru the 3 month painful rehab that i had with TKR. I wish i had a do over on that knee.

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Phantom pain? What a joke. The joke is on the sufferer though isn't it as the surgeon who told you about phantom pain is living the high life as he still gets paid for a poor outcome.

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