How to Stay Strong & Active to Delay Joint Replacements?

Posted by lbmiller112 @lbmiller112, Sep 1, 2023

My wife and I have been experiencing back, hip, and knee problems for a few years and have been trying to avoid replacement surgery for as long as possible. We are both 63 years old and would like to stay active. Thoughts on possible actions to move forward…

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Avoid surgery at all costs!!

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Go to a good physical therapist exercises kept me from knee replacement for quite a few years. kept doing prescribed exercises. Best of luck!

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@dmk

Go to a good physical therapist exercises kept me from knee replacement for quite a few years. kept doing prescribed exercises. Best of luck!

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Great advice. And then when you need a TKR, you're already in good shape which helps with recovery.

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@jeffmllmn75

Avoid surgery at all costs!!

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This comment is a bit misleading. Surgery should be a last resort, but often it's inevitable with joint replacement.

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I hired a trainer 8 months pre TKR and he helped me get ready for the surgery, which speeded recovery. In some cases, exercise may be all you need. If all cartilage is gone however, joint replacement usually fixes it. Don't be misled by the negative comments here. For the most part, joint replacement is a medical marvel. Patients need to do their part though. It is hard work.

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I agree with @heyjoe415 - some people may be able to put off surgery for a few years by losing weight, obviously the more poundage (pun intended) the knee has to endure the faster it wears out. Imagine carting an extra 20 lb bag of potatoes every time you walk up and down the stairs. But at some point whether it's due to genetics or old age overuse, if your cartilage wears out and you are bone on bone, your options are surgery or a wheelchair when cortisone or synthetic gel injections quit working. Having a TKR involves your commitment to regularly and fully do the assigned rehab exercises. Just having the surgery and then sitting back and doing nothing will not bring good results. Get in shape before surgery if possible, but for sure, plan to be very serious about rehab exercising.

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@ddsack

I agree with @heyjoe415 - some people may be able to put off surgery for a few years by losing weight, obviously the more poundage (pun intended) the knee has to endure the faster it wears out. Imagine carting an extra 20 lb bag of potatoes every time you walk up and down the stairs. But at some point whether it's due to genetics or old age overuse, if your cartilage wears out and you are bone on bone, your options are surgery or a wheelchair when cortisone or synthetic gel injections quit working. Having a TKR involves your commitment to regularly and fully do the assigned rehab exercises. Just having the surgery and then sitting back and doing nothing will not bring good results. Get in shape before surgery if possible, but for sure, plan to be very serious about rehab exercising.

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Good points. I think getting in shape prior to surgery is critical to recovery. Do the prescribed exercises so that you recover faster and develop good habits.

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@ddsack

I agree with @heyjoe415 - some people may be able to put off surgery for a few years by losing weight, obviously the more poundage (pun intended) the knee has to endure the faster it wears out. Imagine carting an extra 20 lb bag of potatoes every time you walk up and down the stairs. But at some point whether it's due to genetics or old age overuse, if your cartilage wears out and you are bone on bone, your options are surgery or a wheelchair when cortisone or synthetic gel injections quit working. Having a TKR involves your commitment to regularly and fully do the assigned rehab exercises. Just having the surgery and then sitting back and doing nothing will not bring good results. Get in shape before surgery if possible, but for sure, plan to be very serious about rehab exercising.

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Thanks for this comment. You state very plainly that a good recovery from a TKR, or any joint replacement, is primarily dependent on the patient doing the prescribed physical therapy.

I see a lot of people on here who have had bad results. It seems that in many cases they didn't do the prehab or rehab. With a TKR, there is a reason they have a pt take you for a short walk right after surgery. Every day of exercises missed is a chance for scar tissue to form. Once that is in place, pt won't help.

So take the exercises seriously and do them. And hey, let us know how it worked!

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