Knee Replacement - How To Know If You Need One?
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- เผยแพร่เมื่อ 7 ม.ค. 2024
- 👨⚕️ Join Dr. Zalzal and Dr. Weening, orthopaedic surgeons, in a deep dive on knee health! 🦵🔍 They tackle the big question: Do you need a knee replacement? Gain insights, expert advice, and make informed decisions about your knee health. 🩹💬
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.
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Do you guys like the sit down video style or the standing up video style better?
I say whatever feels comfortable for both of you. I don't mind. Both are fine. You both play a doctor on TH-cam fine. 😊
I like both sitting or standing. Which ever is more comfortable for you. I love watching you, you provide such beneficial information!
Keep up the great TH-cam videos!
Sitting for sure.
This was super but really love the standing.
Guys can you please help me I was supposed to get a colinscopy done a few months back should I find someone who can do it?
Last March I had my first knee replacement, I was 56, with severe arthritis, it went very well, got my second one in September, went even better, got out the hospital the same day. If somebody needs a knee replacement, don't wait until you are not able to walk, because then the recovery will be very hard. Of course, it's my opinion, and I'm not a doctor. Thank you for your great videos, they helped me a lot to prepare for my surgeries.
Just curious: how was your health otherwise at time of surgery. Did you strength train prior to surgery? The reason I ask is it supposedly helps with recovery and success rate.
@@RiDankulous I did not strength trained, but I was walking 2 miles a day in average, also I live in a 2 stories house, with a basement, so a lot of stairs, I consider myself in an ok shape, I use to jog, bike, snowboard etc, that was before my arthritis got worse. The better shape you are, the easier the recovery will be.
@@gaetanlague450 2 miles everyday probably beats me as I exercise but average 3 times a week. I have spurts where I do cardio for 5-6 times a week and then go a few months with 1-2 average.
You should be ok, don't minimize stretching exercises, I would do more, knowing what I know, what you gain before, you keep it after. Good luck
@@gaetanlague450 NIce, thanks!
@TalkingWithDocs :
As a Marathon runner and UltraMarathon runner I can tolerate a lot of discomfort. It's not surprising that by the time I went through physical therapy and knee injections, when the orthopedic surgeon saw the x-rays of my knees, he was not at all hesitant to suggest it was time for total replacement surgery.
I am 15 months out from the first TKR and the 9 months out from the second. I am absolutely joyful. Almost all the pain is gone. I am not allowed to go back to running because of the impact, but I am power-walking 8 hours a week. I go dancing several nights a week. I take stairs instead of elevators. I'm so happy!
Can you knee anymore or is that a big NO NO?
Kneeling is painful. I need a cushion.
How did you feel the first couple of days after surgery? Joyful as well?
I had 5 surgeries prior to my total knee surgery - 1 minor and 4 major surgeries. I pulled the cord and had the total knee. 3 weeks later, the MCL ruptured during gentle bending (PT) and the hardware dislodged and I had to have a revision. I made PT and icing my full time job and was back to work in 6 weeks. 2 years later, I still full movement, no pain, and I can even kneel on it without any pain. Either God had his hand in this, or my knee is dead inside and I can't feel anything, or perhaps a combination of both. I am so happy and feel sad for those with bad outcomes.
November 2023 I had a total knee replacement at 56 and I absolutely love my new knee. I’m 7 weeks into recovery and I still have way to go still. I don’t regret the operation at all. I knew it was going to be painful and it seriously was but it is getting better. Mainly now stiffness every day. If anyone is making this decision just make sure you have a support system in place for the first few weeks. You will need it. Also before the operation make sure you have someone you know who does physiotherapy well. You will starting that 3 days after surgery.
Physiotherapy is very important for the movement of this knee. Exercise every single day multiple times and day with ice being your best friend after.
The Docs made some very valid points.
Even better; start rehab/exercising with BOTH legs several months before surgery. Your "good knee" is going to be carrying a big load during recovery. I wish I'd known this before my first TKR.
My knee is not that painful all the time but it bows out makes my toe point in so I can't walk straight. I have moderate arthritis and surgery date given do I'm hoping I can walk straight after recovering.
I had my left knee, total knee replaced in April 2023. It was a life-changing procedure for me. I am in Canada, so had to wait two years for the operation. I was overly prepared. I’m that sort of person. Super organized. Read everything. Your channel was one of the channels I watched religiously. I was scared crap less before having the surgery, but had realistic expectations. And for me, it was the quality of life. I could barely run errands and getting up and down was excruciating. Anything that helped was going to be better. I had cortisone injections, tylenol and advil and finally codeine just to get around and even at the end, pain was a 7. I am now contemplating my right knee which had been offsetting the weight of my left one for so long. But I don’t know that I would get another replacement, unless I was as bad off as I was with my left knee. And not really sure of that either. I currently take just Tylenol and exercise the right knee and I’m looking to lose some weight to help. Not saying I regret having the knee replacement because I am so much better than without it but the recovery is very hard - it is a mentally and physically taxing lead up to operation and the first six weeks is brutal. I’m not sure I’d want to repeat. Anyway, Thank you for your videos, as I said, they were extremely helpful.
I totally agree and have the same timeline. I am 85% happy with the results of a partial knee replacement, but I don’t think I can bear the thought of a repeat on my other knee. I can’t/won’t go through that again. I will do all the before-surgery treatments instead.
That’s where my head is at as well. They say the experience is not always the same with the other, could be worse or better. Even if it was the same, which would mean Id know what I was going to experience, still not eager to experience any of it again. Don’t think I have the mental capacity to go through it Once again. So I will be doing all the other things. I’m hoping for the best.
I had left knee replaced Nov.2023. Sadly I was given an opioid in my iv. I reacted very badly and stop breathing . Then was given high Tylenol which I told them know because it made me sick. But I had no more pain in my new knee. Once I came home I work hard to get stronger . I was hospitalized once more with kidney failure . Never had kidney issues before . But I am healing from that . Would I do my other knee, the answer is that if the cortisone shots stop working , yes . But I’d make sure that I get no opioids , and wouldn’t take Tylenol either . You have to know your own body . And take with your doctors a lot first . I was high risk I assume . The doctors dis a great job.
THANK YOU! I've been pushed by my GP to have both knees replaced (bone on bone for years) and have delayed because I have animals to care for and I live alone (age 70). But I had started depending on crutches to get around--highly inconvenient. I finally scheduled a consult this past year, but after waiting months for the appt., it was cancelled as the surgeon was leaving the practice. It turned out to be providential. Frustrated about another months'-long delay (after being stubborn so long), I made an appt. with a manual orthopedic therapist and learned much of my knee pain was related to compensation issues from an old spinal fusion. I could have gone through a TKR only to have it fail because I'd never addressed the imbalances and gait changes that had crept in over the years. I will probably need one in the future, but with daily prescribed exercises, I'm off NSAIDs, off my crutches, have minimal discomfort, and am able to care for the horses, dogs, cats and garden satisfactorily. You have confirmed that TKR is appropriately on hold--it's not the right answer for me just now.
The body is self healing
My surgeon flat out said you need a tkr. We could try injections but I think we would just be friggin around. 8 months later, biking, walking, skiing, rowing, pain free. Couldn't be happier. My overall health is greatly improved because it no longer hurts to be active again. Wish I had done it sooner. It sucks for a month, then it gets better every week. You old knee won't. I encourage others with knee pain to get it done, have it behind you and enjoy the improved quality of life. Tkr at 73.
I hope by the time I’m 73 the medical has advanced to where they can just scan my knee and it will be fixed
May be!!!
I had my right knee replaced 6 years ago and my left knee 5 years ago. 9 months after the second I went on holiday and walked 154,000 steps in one week, success!!! So my experience was a positive one. I hear other people complain that their experience was less than positive or they're not happy with the results. I think part of this is that they have unreal expectations. I expected that I would not have completely pain free knees afterwards, I expected that I would always have some level of pain. So when pain happened, even after the recovery, I was mentally prepared. I had physio afterwards. I expected to need physio afterwards. I wasn't prepared, was not informed, that I needed to actively exercise, use my knees, every day or they would stiffen, it would be a life-long fight against scar tissue. I think that needs to be stressed more. Managing expectations is a large part in having a positive outcome, I think.
I'm a month away from a LPKR. I'm 63. I've had osteoarthritis and have been a candidate for knee replacement for over 20 years. I don't "NEED" it, but I believe it will improve the quality of my life and vastly increase the number of pain-free steps I can take in a day.
Had partial knee or “uni-Compartmental “ in Canada Feb 2023, I’m now 63 , yes painful but if you do the physio that is tough but worthwhile recovery is faster. Now at almost 11 months I’m so glad that the Surgeon did it for me. I feel very lucky as I now walk pain free for first time in 10 years. What you guys do is a life saver! I remember before surgery saying to the Doc I’d be good to go in 3 months and he looked at me and sternly said , maybe one Year ! , well he was right of course. But recovery is truly a mindset and how hard you’re willing to work at Physiotherapy.
This video helped me realize that I do not need a new replacement right now. As long as I avoid stairs I have very little pain. I think it’s probably in my future sometime but for now I choose not to have the surgery.
This is wonderful to hear! My parents, in their 80s, had knee replacements. My Dad said he was real happy he got one because his pain was really bad before it was done. I fear that in the future I might need one but that's life and I will cross that bridge when I get to it.
I had my left knee replaced 5 weeks ago(Dec 2023).I’m very happy with the results so far because I was in excruciating pain before my surgery.At 5 weeks out it’s the best my knee has felt in years and I can’t wait to have the right one done.At 65 it’s time to live again!Thanks for all the great info on your channel!
Thank you both very much for laying it all out. I have had people pressure me to "just have it replaced " like it's a piece of cake. They are so unaware about the ingredients to make that cake. ❤
I would love to hear you talk about whether there’s such a thing as waiting too long to get a knee replacement. Maybe:
- The knee would get so bad that TKR couldn’t be done?
- The knee might cause or exacerbate other conditions (hip or back, I suppose)?
- The knee condition might make the TKR surgery more difficult or more risky?
- Any other concerns you can imagine?
My crap old Anthum hmo insurance had me wait so long for bone on bone knees that overused dependance and leaning on a walker for over a year and a half exacerbated arthritic shoulder conditions that did not cause me ANY pain. Now I have to get both shoulders done due to torn rotator cuffs. I am 74/fem and will go in for the first reverse shoulder surgery when scheduled the next month.
I waited and finally got mine 1.5 years ago. Had to build the muscles back up cause the atrophied so bad. That also should be considered.
I had my left knee done in 2014. Successful but after surgery my incision opened up d/t what was called fat necrosis. That took a vac dressing and 8 months to totally heal. My right knee has not been done. I have no pain weight bearing. My pain comes from sitting with my knee bent. Severe pain on the inside of my knee. Not sure what to do. Covid and health care in Ontario have scared me off from getting a consult
I would also like to know if waiting too long for TKR would compromise the effectiveness and recovery? I had an orthopaedic surgeon tell me 10 years ago that if I wait too long, the bones that are going to anchor the artificial joint might not be strong and healthy enough bc of arthritis damage. So far I’ve put it off and according to this video, I should still wait and continue with what I’m doing.
Thanks for this. I was sent to a very good orthopedic surgeon for meniscus repair 15 years ago. He did the standing X-ray and said “you are too late, come back in 5 years and I will do a knee replacement.” Still getting by with braces and injections. Everyone so often I have a bad day or two or three.
May I ask you what braces work for you please?
May i ask i you had a miniscus repair about 8 months back in wat time do i need an tkr anyway.
I am scheduled to get a knee replacement this month. My right knee is in worse shape and it's bone on bone, but my left knee has been giving me more problems because it's turned into a trick knee and also very stiff and is liable to give out on me at any time I do have pain in both knees and stiffness and it's hard to walk but when I am laying down or sitting, I have zero pain unless I move it in an odd way.
Bottom line is, it is affecting my quality of life because I cannot walk any kind of distance, or do anything that requires more than a few steps of walking. I've been debating whether I should get either of the knees replaced for a while, and I've decided that quality of life is important . I am 59 years old which I have been told is young to have knee replacement surgery, but I don't want to wait until I'm 75 and miss out on all the things I would like to do now
I can't believe how similar our symptoms are. Left knee feels worse but x-rays show right is worse. Also no pain unless moving in an odd way. I am 83 so quite a bit older. This probably means quality of remaining life is more important to you. Still, I am contemplating left knee replacement after trying injection therapies.
@@stevedowney9185 Hey Steve...I also tried knee injection (gel..not cortisone) a few times At first it was miraculous, but on my 3rd time trying them the magic was gone.
I did end up having my left knee replaced on 01/25/24. I had heard horror stories about the rehab but hasn't been as bad as I imagined. I WAS surprised that the incision was so big! About 16" long!!! I guess I thought with modern medical technology it would be a lot smaller and less invasive.
Anyway I'm sure you and your doctor can figure out what's right for you. 83 is not as old as it sounded when you were a kid!!! You have a long time to enjoy still!!!! Good luck with whatever you choose!!! Sending good thoughts your way!!!
How are you doing now? Did you have the surgery? Are you sorry you did it??
I am having same issues only both knees now are bad. And I have to stand to do my job and I hobble instead of walk. I am 61.
@@fancyfrancy2244 Well, if you had posted this 2 weeks ago I would have said it was going great. I had the left knee replaced on Jan 25. They gave me a walker to use for a few weeks. After one day I stopped using the walker and was able to walk around and do my rehab exercises without it.
Then, suddenly, this past, Friday, March 8, it became extremely painful, swelled up, and I got a bad fever had to be taken to the emergency room, where they determined that I had an infection in the knee. I am now waiting for them to perform surgery on me tomorrow so that they can remove the plastic piece of the knee, clean it out and put in a new plastic piece. They told me I will now be on antibiotics for the rest of my life, so I'm obviously having second thoughts about having done it in the first place. They say the odds of developing an infection are 1 in 100. I was that 1 person I guess.
I had my right knee done when I was 59. Now I'm going to have my left one done in April. I can't wait. I just haven't been able to do any amount of walking in 10 years. I wish you the best.
I’m 62 and had a complex TKA, left side, on 12/6. I had put it off for years, but it was one on the best things I’ve ever done. The worst issue I’m dealing with now is stiffness, but at PT today my extension was -5 degrees, and my flexion was 106 degrees. Not bad for how involved my surgery was and only 4 1/2 weeks post-op
I had my TKR, left side in 2015. I am not happy with the PT provider I was sent to. I have dealt with dizziness and occasional black outs for years, but no cause has been found. When I told the therapist I was going to faint during my first session I was promptly told "not on their watch" and discharged. Personal chit chat with other staff across the room was more important than spotting me when needed. I was so mad! I live in a rural area so I just went home and used my knee gently. I believe if I had gotten the physical therapy I needed I wouldn't be in as much pain as I have been all these years. I have 4 joints that are total replacements, and one rotator cuff repair behind me. Only the knee is an ongoing problem. I forgot to mention that when I noticed the surgical sight appeared infected it took the surgeon a week before he saw me. That ended with 7 months of wound care that culminated in hyperbaric therapy for a couple of months! PS: I later discovered that there was a member of my church who is a doctor of physical therapy with a clinic that has a "sky hook" throughout the therapy room. I got physical therapy from him while in a 5 point safety harness, connected to a bungee cord running in a ceiling track. There was no fear of falling and my knee feels a bit better now. Proper physical therapy makes a difference.
I feel so badly for you. I was blessed with not only an excellent, proactive surgeon, but a PT team that worked closely with me to meet my goals - and also worked closely with my orthopedic surgeon. Since I'm in Alaska, I'll add that having good insurance helped. I know way to many people who were cut off from much-needed PT after about 8-10 visits.
Excellent advice for any elective procedure. As far as mental health, yes, but there's also the other side where your deteriorating condition and constant pain will eventually wear on your mental health. So look out for that too. And once you decide to go for it, be all in. You can get through it. You need to do the physical therapy, and yes, it's difficult but yes, you can do it. If you need to take pain meds to do the therapy, yes you can do it without getting addicted. [random thoughts from a hip replacement guy which you knee sufferers may find helpful.]
Had my knee replacement 2 weeks ago and so happy so far. I was a commercial roofer for 32 years I couldn’t hardly walk anymore. I’m so glad I finally got it done on to the other knee hopefully in a couple months
I needed new knees 10 years ago but since I was in my 40s the surgeon thought I was too young. I am glad I waited but by the point I had my left knee done on December 1, 2023 (5 weeks ago), Prior to TKR, I could barely walk, Standing was extremely painful for anything more than a couple minutes and buckling was some thing that had started happening. The new knee is such a vast improvement that everyone is amazed at my progress. I have to point out that it’s so much better than it was before. I’m scheduled for my right knee in February 11 weeks after the left. Not looking forward to going through the beginning parts again but hoping for the same level of improvement so that by 2025 I will be back to “normal“.
I was diagnosed with knee arthritis during couvid. I was attempting a h.i.t type work out and doing a lot of stairs for exercise. Big mistake!
After the diagnosis, i decided to address knee pain by physio and just working out.
Year 1. Walking lost 10lbs
Year 2(now) joined gym working out every 2nd day.
Just started leg press recently slowing increasing weight.
My knees are the best they have ever been! The first winter in 5 years where my knees dont hurt.
Still walk about 10k steps per day plus gym for weight training.
Walking! Helps and makes a huge difference.
I wish i would have joined gym long time ago.
Walking is truly under rated exercise. Lost my belly by better diet and walking.
I am going to have number three knee replacement. The doctor cut the bones to short. My leg has wobbled for fifteen years. It’s to the point that I can’t stand it. I can barely walk and am seventy. I have taken oxycodone for years hoping that I wouldn’t have to go through this but it has quit working. Mine is very complicated because I have a rod in my leg from a motorcycle accident 53 years ago. The best advice I can give anyone is check out your doctor’s record. I wish I had ask more questions. I am 70 having to go through this crap again.
I had a total knee replacement of my right knee in November 2022 and my left one in November 2023, and I am thrilled with the results. My right knee is everything I hoped it would be, and at almost 10 weeks post op on my left, I’m very happy with what I have experienced so far with that one. Being in the right place mentally and physically prior to the surgery is key, recovery is brutal at first and you have to be prepared. Physical therapy is so important, both outpatient and home exercises. You are in charge of your own outcome, you get out of it what you put in.
This was so informative I found it extremely helpful.
Thanks for the straightforward and practical assessment that should be made before a knee replacement is contemplated. You guys are great!
I love your videos. My thanks to both if you for taking the time to make them.
Like the sit downs. You seem more relaxed which relaxes me. 👍
Just love listening to both of you on any surgery and what to expect thank you so much
As a retired CRNA, I tell friends to “ keep your original parts as long as you can”. Great overview, love you guys!
Struggled with bad knee for 12 years, had many injections with no relief finally had TKR late January - 31 --- March 16 walked over a mile away from my house to check my hog trap over ruff terrain ! WHY did I wait so long?
@@user-ie3fl1uy7v Did you have horrible pain after the surgery?
May I ask your age? I’m glad your surgery went well.
Recently I had both tkr. The results have been awesome! I never used or needed a cane, walker or crutches. I went to Dr. Gouch at Southern Sports Medicine in Gallatin, TN. ...just outside Nashville. Both incisions are around the sides of the knees. Highly recommend his method!!!
@@user-ft5ji1dd7d I have been hearing about this method! Maybe I can stave mine off until this becomes more mainstream!
Gonna definitely ask my ortho about it. I also heard about the smaller incision where the quads are not cut. My ortho does do that procedure but side method sounds even better!
@@fancyfrancy2244
I've been told other ortho say the Southern Method of tkr is no better. I think it's because they do the Ole incision down middle and never experienced it!
THANKS FOR ALL YOUR HELP 😊❤
I respectfully disagree about having an MRI. My X-rays showed near total cartilage loss in both knees but I had much more pain in my left knee. Since I had fallen hard on it a couple of times and a cortisone shot didn’t work, I asked for an MRI on that knee. I’m glad I had one done because it turned out I had significant damage that hadn’t shown up on the X-ray. I’m scheduled to have a partial knee replacement in a week. Sometimes you have to advocate for yourself, especially when it comes to pain, because the doctor can’t know how your pain feels to you.
Very good video and full of interesting points. I had a new knee five years ago and it took three years before I could say it was a success. To me the most important lesson ( this is afterwards!) was DO YOUR EXERCISES!!!!
Great video Docs. Thank you.
Yes, great overview. I will address my knee problem with my new GPN. I was told years ago that my left knee was bone on bone. Then, after a fall, I was told I had crushed cartilage in my right knee. It gives me pain during a rainy period. If I drive a lot, it bothers me, but I take an Advil and it helps. The Orthopedic Surgeon told me he could go in and scrape the right knee, same recovery as having it replaced. That was 11 years ago. I am 81, and am in good health. I don't take any medication except an Advil or 2. My Mom lived to 101 1/2 and had arthritis in her knees. All she took was a thyroid medication and tramadol for her knee pain. Thanks, I read an article that said our life is a gift and we need to treat it like a precious gift.
I'm glad you are doing so well. Good choice in not having the surgery!
I am 85, had both knees replaced a year ago. Could not walk because of the pain. Now I play tennis again, 100% pain free. Only difference is that my knees bend less. This operation plus replacing eye cataracts with lenses that allow to see all distances have given me a whole new life.
Thanks Docs, you are great together, and you are great for your viewers.
I am so happy to have had a good outcome from having both TKR's. It is a Very painful recovery with lots of hard work in therapy. But on the other side I can say its worth it. To have a better quality of life and be pain free.
Its a spiritual journey as well. I have learned to be less judgemental of people including myself, and understand that each person is so unique in their healing process.
6 months out from a left TKR. I’d say that I LIKE my new knee, but don’t LOVE it. Much less pain, although there’s still some discomfort. Had good PT afterwards and range of motion is excellent. Much better stability, knee was buckling with pain spikes prior to surgery…not anymore. I’m in a much better place both physically and mentally. What keeps me from LOVING my new knee is the ongoing discomfort and the FEELING that it’s not a natural joint.
I'm contemplating a knee replacement sometime in 2024 or later. I have severe arthritis and Baker's cyst in my right knee. I have chronic pain, without much relief o a daily basis. Love this video, really helping me determine "when" I should press the green light and have a new knee. I also like th sit-down, discussion format you have done for this video . Watch you daily. Keep up the informational videos!
Thank you both for this valuable info.
Had my TKR Aug. 2023 This is a very informative video, if I’d have seen it before my TKR I WOULD HAVE NEVER DONE IT, I don’t think I had enough information like THIS VIEDO !!!
Thank you both for all you do for us.
Please keep doing what you're doing, the channel works.
Having my first knee replacement in 9 days. I’m nervous but looking forward to getting my life back.
Hi Susan, hope your surgery was successful. Please let us know how it went?
Hadn’t knee replacement done Dec 2023. Looking forward to full recovery. Love the videos! Thank you
Your information is very helpful!!!
Had my left knee replacement surgery in May 2022. it took about 14 months for me to feel like my recovery had plateaued. My pain is now pretty much nonexistent, ROM is better than pre-surgery and strength is better than the right leg. I am very happy with the result and expect my right knee will be replaced at some point in the future but it is not there yet.
Great advice, you both really covered all of the necessary considerations for a knee replacement. I played rugby and soccer until I was 50 when my right knee basically told me I had to stop. At 66 I could try to walk my dog or cut the grass but I couldn't do both on the same day. My operation was truly a game changer, enabling me to live without pain. A positive attitude going into this is a must along with total commitment to your rehabilitation program, and do the exercises at home as well! Into my third year with my new knee I don't run as I want to make this last as long as possible. But I did kick a soccer ball with one of my grand sons. Something I never thought I would do again. Thanks Doc's.
I am in the decision phase. This was very helpful. Thank you!
I had a knee replacement 5 years ago. It took me three years before it worked to my satisfaction. One thing above all others DO ALL THE EXERCISES!!! Videos are very good good and (dare I say it?) most enjoyable!!
I love, love, love my new knee ! I had pain, severe arthritis and several bone spurs to the point that I could hardly walk after 10 years. I probably waited too long but I still love my new knee ! ❤
Docs, I always find your content informative and helpful! I know of two people, one being my Dad, who waited until their docs told them they really needed knee replacement. It really helped both and they wished they hadn't waited so long. Many thanks for your great content, sitting or standing!
Great info. I was told 10 years ago that my knee will have to replaced at some point. I made the decision to avoid it if possible. I workout within my limitations, given up some activities and do my best to keep my muscles strong. Hearing some of the things a surgeon considers is excellent. Thank you for helping us stay informed. I personally like the sit down style.
Thank you for such a complete explanation of why you should or shouldn’t have a knee replacement.
Excellent video - thanks
Where I live in ON Canada, you can't even get in to see an orthopaedic surgeon unless you meet some kind of pain criteria based upon a brief assessment done by a physiotherapist! So some people don't get to see an orthopaedic surgeon at all until they are in a lot of pain and have to go through that same assessment again with the physiotherapist. I was told it was because there is a long wait list to see orthopaedic surgeons here so they have this initial physio assessment. So I haven't seen an orthopaedic surgeon at all.
I live in Ontario and all you need to do is get your family doctor to refer you to the hospital. Yes you see a physiotherapist but then they refer you to an orthopaedic surgeon. I saw him about three months after. He said I was doing everything right. I had lost 40 lbs. I was going to aquafit three to five per week and waterwalking at the community pool. He didn’t want to touch me even though I had bone on bone and severe arthritis. Two years later I went to see him again and he said it was time because I was having problems sleeping and having difficulty with stairs. If I wanted day surgery I could have the operation within three months. If I wanted to stay one night in the hospital the wait time was over a year. I had day surgery two months later and everything was great. I am five weeks post op and range of motion is 125 to 130 and my leg is straight. I believe aquafit made my muscles extremely strong and all the exercises we do in the pool are the same ones they give you for physio. Get in the pool and it will make a world of difference. First two weeks are the hardest. After that mostly swelling and stiffness. Nothing like I expected. I was prepared for the worst.
good video , just thinking about it - helped my thought process
Very informative…you are realistic and honest
Hi, I have a health care background, this has been very helpful in my decision making. Thank you.
Very informative. Thank you.
I had left in 2010 bone to bone, hardest rehab ever. Right knee in 2013 while unknowingly having Lyme disease. Took months to recover. Both knees doing great so far. At 70, I hope they last me, rest of my life.🙏 only thing I can’t do is, kneel on them. Sit through mass.🙏🤷🏼♀️😂
This was extremely helpful in my decision-making process. Had my left knee replaced (met all your criteria) 5 years ago, but went into afib. My rehab was impacted by the two ablations I had to have in the three months following TKR. Is the knee better...yes? It is extremely stable, but due to abbreviated rehab, my range of motion is not where I hoped it would be. Had my left hip replaced a year ago...that went amazingly well. My right knee is a mess, but I can sleep and I'm extremely active (for 71). The things I can't do, like you pointed out, are things I won't be able to do after the TKR anyway. So you helped me make the decision to wait. Thank you.
Thank you, doctors! Fantastic advice and great animation too! It really illustrates what is involved in the procedure. Amazing!
Both styles work great for me. It's the information that is most important to me. Which style do you two like better? Having had both shoulders and both hips replaced, I "fear" the knees the most. For right or wrong. To me 20% being not satisfied is a significant number compared to what I think shoulder and hip folks feel. I also think too many people have unreasonable expectations of what a knee replacement will get them. While my hips and shoulders are pain free, I would never expect a knee replacement to get me to pain free if I was in bad enough situation to qualify for one. Same for mobility/activity. now if it were to make the difference between not being able to sleep and afterward getting good sleep, I'd do a knee in a heart beat. That's a lot of pain, and sleep is very important.
Excellent video. Thank you.
Another great video thank you.
After resisting for many years (primarily anesthesia fear which was alleviated by a wonderful anesthesiologist) I had a right partial replacement April 2023. It has been a God send. I can do stairs without pain. We recently went on a cruise & excursions were not limited by my pain level. The post op pain was not as bad as I expected and was well controlled with Tylenol, Tramadol, 2 wees of Lyrica and lots of ice. Opioids don't work for me and can't take NSAIDs due to a GI bleed. But make sure you pre-medicate before PT.
Very helpful video, I'm 68 with bad arthritis in right knee. My surgeon said he can replace it when I'm ready. Meanwhile I've lost 15 lbs, 10 more to go and started doing yoga daily. I walk my mutt 2 miles per day also. It hurts but I think ill hold off for awhile. I'm widowed and live alone so there's that to figure out. Hate to burden my friends. The worst is my bakers cyst which causes intense pain sporadically. But massage and ice helps that. Oh well it'll be fine till I cant take it. Thanks for the advice.
65 yr old, in great shape, retired. Had sudden left knee pain in mid-Jan. (seems like severe arth), so got the steroid shot with immed. relief in 3 days & worked great for 2.8 months, 2nd steroid shot did not work at all, so had the gel shot a month later (last week). Still waiting to see if that works at all. Cannot bend down or over much, nor put any weight on even a slightly bent knee - on stairs or around shop/yard. Replacement seems eminent. My Dad had one & brother had 2 replacements, dagnabbit!
You both are great, thank you for all of the information, it's very helpful.😊
My partial knee replacement changed my life! I had my right knee replaced in 2019 and my right hip replaced in 2023. Also, my hip replacement totally changed my life as I had been walking with a cane due to the pain. The day after my knee replacement I walked into my PT office unassisted and without a walker or cane. Minimal rehab and I was released after three weeks for international travel. My hip took a little longer, 6 weeks to feel comfortable, but at eleven weeks I walked 50 miles over a 2-week period of time touring Turkey and Greece. I’m 69 yo, healthy and maintain a reasonable weight. No more knee or hip pain! I am grateful for my surgeons.
You guys are hilarious! Appreciate your content❣️Thanks!
Thanks for this! Am heading down the road for replacement. Retired nurse, so I know a little bit about what to expect. Plus, MANY friends have had both knees done and not a single one is unhappy! Can’t wait to get rid of this mind numbing pain.
I am 75 and have been on a list for the past couple of years for left knee and left hip replacement. My knee is absolutely crooked. Pain at night and I prop the knee up on two pillows. I have no heart issues and lost a significant amount of weight in the past two years. I do have bad varicose veins on that left knee. I so am quite scared of the surgery but x-rays show that I need it. I just wish that it would be over and done with. Your videos are terrific!
Thank you! Mental health part isn't usually mentioned but it very important.
Thanks for explaining the process from the surgeon's pov.
Thank you both, many questions answered!
Our pleasure!
I had both of my knees replaced because of the pain. I think this video is spot on especially about the mental health issues! So important and not a lot of people talk about that part, thank you!
I haven’t made it to the clinic yet but was checking out doctors in Oakville and saw a review and she mentioned your videos. Thank you! It’s helped me not to freak out and shown me options then just having surgery. I’ve put weight on this past year so I’ll start there and try to decrease that while I wait for my appointment to rapid knee! Thanks!
For me I knew when I needed my knee replaced just as I did when I got my hip replacement first. Second knee is still working with Euflexxa/steroid injections keeping me pain free until that one gets replaced later this year...trying to give myself a bit of a break between these major surgeries. Thanks guys!
Thank you so much...I'm on the cusp of this decision. It's really hard when you live alone...and alot of trauma from loss. I appreciate you guys and happy I found you.
Do you have a friend that can come stay with you? If you are depressed or have a lot of sorrow, now might not be the time to do the surgery. Wait until you are in a better place because pushing yourself to heal mentally is exhausting enough in itself. Having to do it physically, well, you might not have it in you right now. ❤️🙏🙏🙏🙏
I just watched your video and appreciate it. Today is 1-29-24 and I'm scheduled for knee replacement on 2-1-24. I am suffering from "second thoughts." My situation is as follows: I am not in any discernible pain. My issue is that I need a cane if I walk any long distance, I am bone on bone on the medial side of my right leg. With the cane there is no pain. I have no problem with stairs and I sleep just fine. I am 76 years old, 5' 9" tall and 170 lbs. I lift weights and ride a stationary bike with no problems. I am retired. I will say that if I work with no cane and do yard work or carry heavy loads I am
discomforted. All that being said I am suffering from indecision. Lastly, I am in very good health, take no medications and have never had a surgery. Although having had a career in I.T. this is the first website that I ever contacted. I admire your work!
me also.. it's 2/29 today , let us know what happened.. good luck either way.
Real good points made here. Some people are always in rush for surgery, but not always the best option. This has nothing to do with knees or bones. I am wondering if you could do a segment on Hypertrophic Cardiomyopathy and diastolic dysfunction?
Thanks for the insightful and common sense thoughts on knee surgery, about which I am contemplating. Very helpful information
I had Tibial Plateau Fracture in 2023. This is information I will need someday. Thank you.
I like both. Podcast style is good as well as standing in an OR suite.
I'm scheduled and you helped confirm my decision. Thanks!
Great to hear!
I’m currently suffering from grade 3 osteoarthritis in both knees. Two ortho doctors both said I wasn’t at the point to get TKR. So far the pain is “manageable” and I realize I’m not 25 anymore. That said, I asked how I’d know when the time would come. Both basically said “Oh, you’ll know…” meaning the pain becomes too great and impacts my quality of life. Honestly, I’m not looking forward to it being necessary.
Good luck to you; I'm earlier in the stage at age 54. I predict I'll have to do something but I accept it. I have a good weight and I exercise regularly although I need to do strength training. Do you do strength training? Exercise supposedly helps.
@@RiDankulous Pre-op PT helped with strength and balance which was good post op but not pain. And post op I was familiar with the exercises and not trying to learn something new while in pain.
@@RiDankulous. Thanks. I’ll admit I used to work out regularly including bike riding. But I’ve had a few health issues that so far have not been completely resolved, back pain being one. I have an appointment on Wednesday so the physiatrist can provide a diagnosis and a hopefully a treatment plan. 🤞🏼
I am in the process of going through the steps of partial knee replacement. I injured my Right knee 2 years ago and did all the PT, shot, bracing etc. this past June I then injured my left knee and now I am unable to work. I’ve done all the creams, cortisone shots,PT, braces etc and have not been able to recover enough to be released back to my job. I am a commercial truck driver and while I shy away from doing the heavy deliveries I used to enjoy, I would still like or hope I can return to finish my career path in a reduced physical position and still drive.
❤Thank You so much for the video because my knee has been killing me. You both just explained what I need to evaluate. Again Thank You Both for all Your videos. Much appreciated and blessings to You Both and Your Families ❤
Thank you for this. Super helpful.
Glad it was helpful!
Although this comment is not about my knee replacement it is about someone I know who has had both hips replaced (yes I know we are talking knees but please let me finish) and now is talking about havine a knee replacement. What I have learned from her experience is that if you are not willing nor have the dedication to put the time and effort into doing the follow up exercises then don't expect to have the best outcome. It takes sweat 'equity' for the best to happen. As for this video, thank you it has given me the information I needed to hear as I address my own knee issues.
This was a helpful video for me in clarifying that I am not quite at the point of being ready for a replacement yet. A year ago I thought I was, but physical therapy pulled me back from the edge and now my bad knee is mostly usable most of the time, though any kind of unintentional torque causes horrible pain. I can report, though, that my mom's double knee replacement in her late 70s completely changed her life. She used to be exhausted all the time with far more pain than she should have had to live with, and now in her mid-80s she's much more active than she was a decade ago. So I, at 58, am watching the clock and looking for the sweet spot.
It is refreshing to hear from the surgeon that there are options! I'm 66, and my right knee has been painful and does not straighten all the way. I saw my primary doctor and was referred to Physical Therapy and an Orthopedic Dr.. The PT helped strengthen and I was able to get a bit more straightened. I was disappointed though that the PT's seemed to just be prepping me for surgery! I was not interested in surgery as I was a caregiver for my dad and after he passed, not mentally prepared for a surgery (thanks for saying that!). I found the most relief from following a manual physical therapist (TH-cam!)and concentrating on muscle balance and especially glute strengthening to help the position of the knee. Exercises I did in PT before were too much quad strengthening which was causing more pain. My knee is still painful at times, but overall feels better. Not ready for surgery yet!
The El Paso guy?😊
I’m following him now too and hoping his exercises help me.
Yes, El Paso Manual Physical Therapy. Its really helped me!@@fancyfrancy2244
thanks Boyz....thats right down my alley.....dont stop.
I just had one of mine replaced two weeks ago and this has been the best I’ve felt in the last four years. I have had no issues at all and I’ve even gone back to work already.
Great informative video. I get yearly HA shots to delay having knee replacement. Definitely helps me.
Excellent. Perfect. I wonder if you doctors know how good it is to have this honest, unbiased chat with you. 4 yrs ago I was at the point of not sleeping. Constant pain. But I lost 100 lbs and started taking collagen. Knee is still bad but barely any discomfort. It's not interrupting my life even as bad as it is. Still walk and sleep well. Thank you for helping me to reason it out. I trust your opinions here and I seek you out when anything comes up. ❤
Thanks for this video. I believed I needed a knee replacement because of : pain, periodic it gave out, my range of joint motion was limited. My local health unit took me through their assessment process then left the decision to me. I moved to another community with a different health unit where they assessed me and explained the procedure & anticipated outcomes. Our decision was I am not reading for knee replacement and can take other treatment to reduce my pain increase my joint performance to allow me to continue my recreational activities.
Thank you Again
I am in my early 50's and had a knee replacement at the age of 38. In my case my right knee was completely bone on bone and I was actually badly knock kneed on my right side as well. This all stems from a bad downhill skiing accident when I was 16 plus many years of playing sports. My orthopedic surgeon could here my grinding in my knee from across the room. After have many arthroscopic surgeries through the years to "clean up" my knee, and living on Percocet's just to be able to get out of bed and go work, it had to be done. If I had to do it all over again, I would in a heartbeat. Last year I had my liner replaced but the actual hardware is holding up very well.