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Fjkphx
@fjkphx

Posts: 9
Joined: Jan 14, 2012

Knee Replacement - Getting Prepared

Posted by @fjkphx, Wed, Jun 27 8:47pm

I will soon have first knee replacement. I wonder what type of info the surgeon should be presenting regarding the new knee. He has not offered and I have not asked. Also wonder what level of care any of you required post surgery. I live alone and wonder what kind of challenges I will face. Thanks for the input.

REPLY

@fjkphx Is your surgeon an Orthpedic Dr? Ask him what the knee replacement is made of I think Titanium is the best but others might know more then me now You,'ll need therapy after it.They usually give it to you right after surgery is done.Others will have more information for you .,

Hello @fjkphx — welcome to Mayo Connect. Thank you for starting this discussion. I'm also looking at a possible knee replacement but have not had my appointment yet to discuss the different options. I found a couple of Mayo Clinic videos that answered a lot of questions on knee replacements that you may be interested in.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic

@fjkphx if you don't mind my asking, what is your biggest concern or question about having a knee replacement?

John

@johnbishop

Hello @fjkphx — welcome to Mayo Connect. Thank you for starting this discussion. I'm also looking at a possible knee replacement but have not had my appointment yet to discuss the different options. I found a couple of Mayo Clinic videos that answered a lot of questions on knee replacements that you may be interested in.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic

@fjkphx if you don't mind my asking, what is your biggest concern or question about having a knee replacement?

John

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Thanks. I was not given any choices or options. The question was whether or not to do it. When the pain gets intolerable is the deciding factor, I guess. I asked surgeon if he would order home health rehab initially as I live alone and not sure I would be able to get to rehab immediately. He declined, stating that I needed to get up and out. I wonder about this response. I will look at the videos. Thanks again

I suggest discussing with your surgeon what he will be using for your knee. After the operation you can expect a lot of pain so pain killers will be needed. Make sure you also take stool softeners. You may also need some assistance at home as the pain and effects of the operation will make you very tired. You will not be able to drive for a while. I don't know your particular situation, but I think home health services should be available. The hospital where you have your procedure should have classes to prepare you for the operation. Good luck. Let us know how it goes.

I had a partial knee replacement done in April then a knee manipulation done in beginning of June I still can not bend knee past 90 and can not without just dragging leg i do therapy 3 times a week and excersise at home all the time i need some suggestions please on how i can improve

@johnbishop

Hello @fjkphx — welcome to Mayo Connect. Thank you for starting this discussion. I'm also looking at a possible knee replacement but have not had my appointment yet to discuss the different options. I found a couple of Mayo Clinic videos that answered a lot of questions on knee replacements that you may be interested in.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic

@fjkphx if you don't mind my asking, what is your biggest concern or question about having a knee replacement?

John

Jump to this post

Hi @fjkphx — I'm kind of in the same boat except I'm in a hold pattern because I've not been able to get an appointment yet to schedule or to see if the knee replacement is the recommended option. From previous experience with my leg, foot when I had gout in the ankle and my knee was quite swollen, I did what you are saying — I waited until I could not walk due to the pain and that was a big mistake for me. I went to an appointment with a rheumatologist at Mayo who diagnosed me with polymyalgia rheumatica but before the appointment with him, he had setup and appointment for the knee on the same morning. They used a syringe to take out a large amount of fluid and then gave me a steroid shot (I think) and to my disbelief I was able to walk out of his office, get a prescription filled for prednisone from the rheumatologist and walked with no pain to my afternoon appointment where I was diagnosed with PMR.

I do know from my PMR and a previous surgery back in the 70s on my bad knee that rehab is extremely important. Getting up and moving and building up your leg strength so that your knee will heal faster. Living alone does present a challenge but I'm sure there are ways to work around it. I would also check with the doctor or rehab facility to see if they offer anything that would help you out.

Best of luck…
John

Liked by Fjkphx

@johnbishop

Hello @fjkphx — welcome to Mayo Connect. Thank you for starting this discussion. I'm also looking at a possible knee replacement but have not had my appointment yet to discuss the different options. I found a couple of Mayo Clinic videos that answered a lot of questions on knee replacements that you may be interested in.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic

@fjkphx if you don't mind my asking, what is your biggest concern or question about having a knee replacement?

John

Jump to this post

For me, the deciding factor as to whether I would get my knee replaced was quality of life. I enjoy travel and found walking and standing was getting too difficult. I could not accept changing my lifestyle so I took a chance on getting the replacement. I now have two new knees and couldn't be happier, although the rehab was tough. Initially, just after the operations, I did not have the strength to leave the house but did get in-home PT and nursing service. I moved as much as I could. That was only for the first two weeks. After I went out for PT, which is better. I see nothing wrong with those Home Health Care visits during those first two weeks. I could not have done it any other way. Especially if you live alone, I think it is important.

@johnbishop

Hello @fjkphx — welcome to Mayo Connect. Thank you for starting this discussion. I'm also looking at a possible knee replacement but have not had my appointment yet to discuss the different options. I found a couple of Mayo Clinic videos that answered a lot of questions on knee replacements that you may be interested in.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic

@fjkphx if you don't mind my asking, what is your biggest concern or question about having a knee replacement?

John

Jump to this post

@fgkphx First of all ,you do have a choice Yet a 2nd opinion your Orthopedic Dr.shouldn't great you that way.My Mother had 2replacements She had a therapist come to the home for weeks to help her ,this was back in the 89,s if Medici e has changed that much I pray I never have to see a surgeon.

@kneeproblem

I had a partial knee replacement done in April then a knee manipulation done in beginning of June I still can not bend knee past 90 and can not without just dragging leg i do therapy 3 times a week and excersise at home all the time i need some suggestions please on how i can improve

Jump to this post

Hello @kneeproblem — have you talked with your doctor or physical therapist to see if they have any suggestions on how you can improve the knee? Are the therapy exercises you do focused on strengthening the leg and knee? Unfortunately we are patients like yourself and can only share our experiences on what has worked for us for treatments.

John

Is it a total or partial replacement? I just had a TKR in May. I waited until my knee was locking up constantly and when I went to see if I could get the Orthovisc shot, they said it was too late.I was bone on bone, Most people have at a month or more to prepare. I was scheduled 12 days later, For a total replacement, you will need someone with you for at least 10 days. I had to stay on the first floor because I could not go up and down the stairs, You will need someone to drive you to physical therapy, doctor's appointments, and anywhere else you need to go. I had my right knee replaced and still can't drive after 7 weeks. My memory was really fuzzy for the first 2 weeks. You will need help with meals at first. It also helps to have someone help keep track of when you took your meds. This is the most intense surgery I have ever had. I had expected to bounce right back and be on my way in 8 weeks. Try to stay positive and do your exercises at home. You will also have up days and down days. Sometimes my knee doesn't bother me much and then other days it yells at me. Make sure you have a good support system when you come home.

My TKR is scheduled for 8/17/18. It's a big relief to finally get this thing going. For those of you who have had this, what would you say are the biggest challenges the first week?

The biggest challenges will be pain and difficulty sleeping. That will improve over time. I was advised to always take my pain medication on time and not wait until the pain got worse. It's easier to deal with pain before, rather than after it gets bad. Also, don't forget to take those stool softeners. Good luck. Let's hear afterwards how it went.

@beatricefay

The biggest challenges will be pain and difficulty sleeping. That will improve over time. I was advised to always take my pain medication on time and not wait until the pain got worse. It's easier to deal with pain before, rather than after it gets bad. Also, don't forget to take those stool softeners. Good luck. Let's hear afterwards how it went.

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Thanks. I've heard the same about pain meds. Is there any adaptive equipment that you found useful?

@johnbishop

Hello @fjkphx — welcome to Mayo Connect. Thank you for starting this discussion. I'm also looking at a possible knee replacement but have not had my appointment yet to discuss the different options. I found a couple of Mayo Clinic videos that answered a lot of questions on knee replacements that you may be interested in.

Mayo Clinic's Approach to Knee Arthritis – Both Surgical … – YouTube

The FAQs of Knee Replacement Surgery with Dr. Ortiguera – Mayo Clinic

@fjkphx if you don't mind my asking, what is your biggest concern or question about having a knee replacement?

John

Jump to this post

I play alot of tennis and waited 12 years and saw 3 surgeons doing all things available, sinvic shot series 3 times, cortisone shots every few months in the end. I was afraid to do it. They finally gave out on me one day allowing about 30 minutes per day of walking. Couldn't try PRP, waited to long. I regret putting it off for so long. I tell friends if Dr. says you need it DO IT. It is as good as your willing to do your rehab. I did robotic assist but others are happy without that. Robot gives better alignment of hip, knee, and foot bones which is what your goal will be. Be sure to read all online info on what you will need at home so your prepared. It was really painful so take your meds as prescribed to control that. You should expect not getting much sleep for a while. I read that but had a hard time sleeping even with Benedryl my doctor said that is normal and eventually I would sleep. Just be patient about that ( easy to say, hard to do ). Also, try to start doing arm and leg exercises before surgery to have that muscle strength to help while your knee heals. I say arms because I had both done at the same time and no strong leg to assist getting up etc. My arm strength was needed.

My doctor at Mayo also said I needed to go to rehab not in-house. Believe me, if you can get a ride to therapy getting there is extra rehab. I laughed to myself when the rehab therapy included simple motions like getting in and out of bed, standing, up from bed and chair, putting on shoes, socks, standing, getting into a car etc. There is probably more physical therapy in getting up, showering, getting dressed, and into the car than you will receive during the hour at therapy the first few of weeks.

He also wouldn't prescribe the ice machine or CPR "motion machine". He wanted to make me do all the work rather than a machine to keep it moving. My therapist said that's because the brain, muscle memory, isn't involved when it is done by CPR machine. At some point, your brain will have to work the knee so skip that step by doing rehab "Old School". I researched it and like my Dr. said it's 50-50 with or without it so no reason to not do it yourself and get stronger sooner. I can see that the ice machine would have been easier but read it's cold at night. I purchased a large gel ice pack like in a hospital online. It worked fine. And ice will be the best thing you can do often during the day and night.

With the TKR it is alot of work and I wish I had done it sooner. You must commit to rehab therapy. No short cuts. Good luck

@kneeproblem

I had a partial knee replacement done in April then a knee manipulation done in beginning of June I still can not bend knee past 90 and can not without just dragging leg i do therapy 3 times a week and excersise at home all the time i need some suggestions please on how i can improve

Jump to this post

Yikes sounds like your doing all you can. What do Therapist and Dr say? Do you think being a partial makes a difference? Sorry to hear this. Hopefully, time with your efforts will help too. Best of luck. Perhaps a second opinion would help.

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