TKR out of the question when you've got PN?
Hello, fellow PN'ers!
I'm suffering a double whammy. A triple whammy? Whammy No. 1: I'm 80. Whammies Nos. 2 & 3: I have large-fiber PN – no pain, but poor balance – and a left knee that aches with arthritis. My right knee is already a TKR, so I'm familiar with the procedure. I'm doing PT for my poor balance, but much emphasis is on building leg strength. My therapist and I both recognize that the most effective exercises for rebuilding leg strength are the same exercises that aggravate my arthritic knee (e.g., squats, thrusts, sit-to-stands), so I'm relegated to "gentle" exercises. I feel my bum knee is hampering my chances of rebuilding leg strength. But at 80, with PN-related balance issues, I'm pretty sure I'm no longer an ideal candidate for a second TKR. Has anyone else found themselves at a similar crossroads? Has anyone 80 or thereabouts, with poor balance and bad knee arthritis, ever found a workable alternative to a TKR? I'm obviously on the hunt.
Ray (@ray666)
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I had a knee replacement 20years ago. It’s been great but now can be painful
I do have neurothapy
The walker with the seat works very well out of doors
Good luck
@debbieod After flunking out of PT after a hip replacement, one year later and now with a new neurologist who recommended I go to a PT group that works neuro individuals. My new PT is addressing core strength to keep me upright and also to reduce the pain I have on waking in the morning. This PT, trained to work with neuro clients, started me where I was. This week I start in the pool; I'm looking forward to that. Gentle movement. I still do sit-to- stands, and also stand-to-sits (sitting down very slowly with great control, not plopping down). I used to be able to pop off 45 (3 x 15); now I'm glad when I can do 10! I'm hoping to increase this with time. The new PT is at a location that works with neuro (PN, Parkinson, stroke, brain conditions of known or unknown origin). It is heartwarming to see us all working on whatever it is we need to be able to do including walking, sitting and standing up, very important, basic skills.
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1 Reaction@ray666 😳😂😇
"How on earth do you keep your balance?"
Hi, Barb! (@bjk3)
How on earth do I keep my balance? It ain't easy! 🙂 Do you remember those inflatable thingies of a half-century ago, those life-sized baloons that had something like sand in their bottoms, so that, when they got knocked over, they'd pop right back up? I think my PT believes I'm one of those inflatables. I may be an inflatable, but I'm more like my neighbor's inflatable Santa Claus: my neighbor will inflate it every morning, but by lunchtime Santa will be air-less, lying face down in the snow like a rubber flapjack.
Cheers!
Ray (@ray666)
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1 Reaction@ray666 Ray, that is quite the visual!!! 🤣
I can't help it, Barb (@bjk3). I see everything in Super Panavision 70. It's these dime-store progressive lenses I've got. 🙂 –Ray (@ray666)
Hi, Debbie (@debbieod)
I had a PT session today and once again my PT "upped the ante" on the balance routines. What I often find puzzling in the aftermath of one of these "up the ante" workout sessions is of course my balance: Is it getting worse (because the routines were more difficult and Inaturally had more difficulty), or Is my balance imroving (because I was able––albeit with some wobbliness––to do all that I was asked to do). I guess that part of the charm of PT. 🙂
Cheers!
Ray (@ray666)
Hi, Joan (@joanland)
Thank you for your wonderful message! I'll be meeting on Wenesday with both my orthopedist and his nurse and I plan to ask if they know what support systems may be out there for someone in my situation: (1) 80, (2) PN balance issues, (3) living alone, (4) problematic knee (interferring with PT). Having had one before, I'm fully aware of what's involved in a TKR, particularly post-op. I'll go into Wednesday's meeting with an open mind. My overarching question: What would you advise a fellow like me do?
My best wishes to you!
Ray (@ray666)
@ray666 As I mentioned, before I have a wonderful young woman who comes in once a week for only 3 hours, and she does wonders. My daughter is quite the gardener and she is here for Thanksgiving week. They are both out in the front yard chatting away while pruning the shrubs to get them ready for winter. She is a delight. She knows my daughter has food allergies and can't eat chicken eggs. She brought us 18 duck eggs! Duck eggs, since the bird flu epidemic are like gold! We'll have Swedish pancakes, maybe a very late birthday cake (daughter's bd is in May) maybe it's an early bd cake! Possibly a smoked salmon, asparagus frittata. My next step is to see if my helper can come in another half day or portion of a day. I do hope you can find someone who works well with you, is flexible, and willing to do whatever needs doing. My very best wishes to you.
Hi, Joan (@joanland)
I'm fortunate in the number of friends my partner and I had (and have). They've been powerfully supportive throughout, and continue to be, if, perhaps, a little less "on site" recently. That's completely understandable. We're entering the holiday season and my friends have many to-dos related to this time of year: family visits, office parties, shopping, local events to take the children to––the list goes on and on. I'm taking that in stride. So far, so good. Tomorrow I'll be talking to my ortho doc. I'm curious what sort of suggestions he might have to "fix" my arthritic knee. If he suggests continuing with injections, that will be fine with me. My knee will continue to "complain," on and off, but I'll bear up; I have up until now, and I can go on "as is." I'll rebuild my leg strength one way or t'other.
Merry day, Joan!
Ray (@ray666)