Knee replacement fears/questions?
lizbeth-gardener
6 years ago
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Hints for aftercare in knee replacement?
Comments (12)I personally don't feel that your question is out of line. Your doctor/surgeon, of course, should cover everything with you, including all the post-surgery stuff. Pepper him/her with all your questions! My own experience amounted to two partial replacements done several months apart about five years ago. Yes, my surgeon asked me if I wanted them done at the same time, but I had a hard time imagining being off both legs at the same time. Each episode amounted to a couple of days in the hospital before going home. Yes, you probably will need some hefty pain-killers for awhile. I was sent home with a contraption that automatically bent and straightened the leg. After a week or two, it was physical therapy sessions, twice a week, for a couple of months. Those sessions were super-painful as the primary purpose is to attain full range of motion, both bending and straightening. I'd say that if tears do not come to your eyes, then you aren't putting as much into it as you should. Anyway, for me, the physical therapy was the hardest, but most important, phase of the whole experience. Since you are alone, your doctor should be able to inform you of services available to you that will enable you to recover properly. For the first month or so, you won't be able to drive, so you'll need assistance from a friend, neighbor, or some kind of paratransit service. There is another possibility that might come into play in your particular situation, but I'm not an authority in this area so check with your doctor. Upon your discharge from the hospital, the doctor may feel that your situation (living alone) warrants a brief stay in a rehab facility. The rehab facility would have physical therapists to help with that part of your recovery, and they would also teach you how to continue your progress at home alone. The length of your stay would be dependent on a determination by the rehab facility that you are capable enough to take care of yourself at home. Again, this part should be covered by your doctor and your medical insurance coverage also is pertinent. One more thing. My surgeon cautioned me not to engage in vigorous activities with the new knee. While I realize that medical advances and perhaps newer knee materials mean that your new knee will be much more durable than mine, most doctors five years ago were saying that you don't want to wear out or damage that replacement. Apparently, a second replacement was highly problematic. They don't last forever, and that weighs against doing knee replacements on younger patients. Again, things may have changed since then. Anyway, I was told: no running, brisk walking was okay, swimming would be great. While those cautions came as a big disappointment to me, the pain-free existence since then has been all worth it. Let me stop here and pass the ball back to you. Of course, everyone's experience and situation is different, so please consider what others say as well....See Moreknee replacement??
Comments (7)The link maire_cate gave has some good information. Hopefully your DF's orthopedist will give him all the answers he needs. I had my first knee replacement almost 16 years ago; I was 70 at the time and the expected "life" of the knee was 10-12 years. Regular XRays were used, and "bone-on-bone" seems to be the standard diagnosis used to decide on surgery. Prior to the KR, I had cortisone injections which were very helpful, some more so than others. I did water therapy for several years, and although it was fun, it never slowed down the pain. I still have that "past the warranty" knee, although it has begun to feel very tight and sometimes unstable. I've considered having it replaced but haven't talked with my doctor about it. There have been a lot of changes with KR procedures since then. I had the second KR done 6 years ago. The one thing I tell anyone about KR is that the surgery is a breeze; it is the therapy after the surgery that is hard and painful, but absolutely necessary. Your DF's age may not be a factor, but his general health could be. Be sure you have the best orthopedist in your area. Ask around. One note: does your DF have any swelling at the back of the knee? Could be a Baker's Cyst. Sue...See MoreTotal knee replacement
Comments (33)I was my Dad's primary caregiver through two recent TKRs. The first was May 2012; the second was 5-months later - SAME KNEE. The first TKR resulted in worsening pain; no amount of PT would have helped. The prosthesis was the wrong size, and not aligned properly. (It was done by an experienced, board-certified surgeon who is the director of Joint Replacement at the hospital.) My Dad is still recovering from his October 2012 surgery (different surgeon) - VERY SLOWLY, but we have to keep in mind that he is recovering from the trauma of TWO surgeries. My point is (similar to sephia) is to be fully informed ahead of time. The Bonesmart website has been an invaluable source of information, and is a great support group. The above cases are "exceptions". I have heard and read about many successful outcomes, and I wish you the best. Please keep us posted. Here is a link that might be useful: Bonesmart...See MoreHow to request rehab after knee replacement?
Comments (9)I had a total hip replacement in July and did go to a rehab facility, which was great, The hospital social worker asked me for my 1st, 2nd, and 3rd choice. Then its up to which one has room at the time of discharge. What I did beforehand was check out a few of the nearby places I was considering. Two friends had done rehab at one of them right in the neighborhood and highly recommended it. It made me claustrophobic. My surgery was scheduled quickly, so I didn't make formal appointments, just kind of popped in when I could (usually late afternoon, not a busy time for them) just to get a feel for what they were like. They were all good enough to give me a short tour... the rooms for short term rehab, the exercise room, and I asked about meals--where do we eat, the type of menu. I did fill in an application for "the one" I really wanted, and when the SW contacted them, they had a room so I got my 1st choice. I also have Medicare and BCBS. There was a $50/day copay for rehab that Medicare doesn't cover. Came as a surprise, but the place was sooo worth that and more. Doesn't seem to matter if you pick the most or least expensive, the copay is the same. And there is really very little price difference between them! The visiting nurse and PT come to your house when you go home, whether its right from the hospital or do rehab first. You'll do fine....See Morelizbeth-gardener
6 years agolast modified: 6 years ago
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