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Knee Pain Health Feed

Joint Replacement Surgery - Best Aftercare Tips For The Patients!

Dr. Niranjan T J 85% (10 ratings)
DNB - Orthopedics, D ( ORTHO), MBBS
Orthopedist, Trivandrum
Joint Replacement Surgery - Best Aftercare Tips For The Patients!

Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced with artificial joints, such as metallic, plastic and ceramic joints. These surfaces closely replicate the original anatomy.

When do you need a knee replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of  people over 50 years when have pain, swellingand deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgery

  1. Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.
  2. Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.

Aftercare tips for joint replacement patients:

  1. Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking, progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks after the surgery.
  2. Activities: Normal walks of 3 to 5 km per day, climbing stairs, cycling, swimming and driving can be performed with the new implant(s) now.
  3. Avoid: Squatting/kneeling, playing sports like football, cricket, tennis, jumping, adventure sports,

The longevity of joints will vary between 15-35 years depending on the material used by the doctor.

My mother aged 55 years. She is suffering from severe knee pain for past 7 years. She is little overweight also. We have done so many medications but they were not useful. Please suggest her best medication. Nowadays she is suffering a lot.

Dr. Mohit Kaushal 89% (16 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS), Pune
Ayurveda, Rupnagar
My mother aged 55 years. She is suffering from severe knee pain for past 7 years. She is little overweight also. We h...
Cap. Rejoint uc. Once a day tab. Zerodol cr. Once a day tab. Singnad guggul. 2 tab. 3 times syp. Maharasnadi kadha. 3tsp 3 times with singnad tab.
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What should I do I have pain in my left knee due to running from last 10 to 15 days I am taking lysoflam as prescribed by doctor.

Dr. Mayuri Agrawal 88% (14 ratings)
M.P.Th. Neuroscience
Physiotherapist, Pune
What should I do I have pain in my left knee due to running from last 10 to 15 days I am taking lysoflam as prescribe...
Hello Mr. lybrate-user. If you are a regular runner then you must do warm up before running and cool down after running. Regular stretching and strengthening of leg muscles should be done so that you will not face any kind joint pain problem and soreness. Coming to your current complaint of knee pain if there is any history of twisting or injury and if swelling is present it might be suggestive of soft tissue injury. Give icing to the joint, for isometrics for quadriceps. Better visit a Physiotherapist.
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I have pain in both knees with swelling, from last two weeks even my feet start swelling. When I visit doctor she prescribe some pain killers, vitamin D supplements and multivitamins, till I am taking those Medicines I don't feel pain. Please advise.

Dr. Jayasree Ramesh 89% (193 ratings)
MBBS, MD - Physical Medicine & Rehabilitation
Orthopedist, Mumbai
Take a Xray of the knees. Keep the limb elevated. Since the swelling is there in the feet also please investigate for cardiac as well as kidney disease.
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What Are The Risks And Advantages Of Bilateral Knee Resurfacing Surgery?

Dr. Kunal Saoji 85% (10 ratings)
MS - Orthopaedics, MD - Physician
Orthopedist, Nagpur
What Are The Risks And Advantages Of Bilateral Knee Resurfacing Surgery?

My mother aged 65 years has severe arthritis of both knees, should she get both knees replaced in one sitting?

You should do both knees in one sitting if the severity is same in both the knees and the patient is unable to differentiate the painful knee. In case the patient says one knee is more painful than address one knee at a lime. Your own knee is always the best till it lasts.

What are the advantages of doing both the knees in one sitting?

  • Exposure to the risk of anaesthesia reduced to only once
  • Aids simultaneous rehabilitation especially in severely deformed knees
  • Bilateralprocedure reduces cost
  • Earlier return to baseline function and convenience for the patient and relatives
  • Shorter cumulative hospital stays

What are the risks associated with bilateral Total Knee Replacement (TKR) and are there any studies to support the same?

The risks of cardiac and infection related complications for bilateral TKR are lower than the combined risk of two unilateral TKRs. A population-based comparison of the incidence of adverse outcomes after simultaneous-bilateral and staged-Bilateral Total Knee Arthroplasty published in The Journal of Bone And Joint Surgery.

Result: Records were available for 11.445 simultaneous-bilateral arthroplasty Procedures and 23.715 staged-bilateral procedures.

Conclusions: Simultaneous-bilateral total knee arthroplasty was associated with clinically important reduction in the incidence of infection and malfunction within one year after arthroplasty.

What is the latest Technology available which could help improve surgical outcomes?

Custom Fit Knee Resurfacing: A knee with your name on it i.e. customized specifically based on your dimensions.

Understanding Custom Fit Knee Resurfacing: You are unique and so is your individual anatomy and thus lack of accuracy leads to discomfort and even further corrective surgeries That is why Custom Fit Knee replacement surgery, which utilizes MRI (Magnetic Resonance Imaging) technology to create personalized positioning guides for total Knee replacement is recommended.

Practical Benefits Of Custom Fit Knee Replacement

  • MRI of the affected knee is done based on which we can make a customized jig for better fitting of the implant for the patients
  • No intra medullary instruments so minimal chances of fat embolism
  • Minimally Invasive (just a 4-5 inch incision)
  • Improves the speed of the operation theater time (40% reduced surgical time)
  • Increases implant inventory efficiency (know sizing)
  • Faster recovery of the patient
  • Perfect patient alignment thus better mobilization

What is the role of body exhaust 'space' suits in Bilateral TKR?

  • 'Space' suits maintain a more sterile environment and offer more mobility to the surgeons.
  • Space suits are used to help reduce contamination from the operating teams from entering the wounds.
  • The impure air exhaled by the operating team is pushed down by the rotating fan in the helmet of space suits and absorbed by the laminar air flow in the 0.T.

Daily I used to go to my office by stairs which is on 8th floor. Is it a good practice or it may leads to knee pains in old age. Please tell me how much we should walk and how many floors is good to climb per day?

Dr. N C Gupta 91% (16364 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Delhi
Daily I used to go to my office by stairs which is on 8th floor. Is it a good practice or it may leads to knee pains ...
There is nothing like over use of joints. If it were to be so, then athletes & sports persons would have been worst sufferers in their old age.
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I fell down from bike 3 months ago. I am having severe pain inmy left knee. I consulted doctor and was advised mri. I was informed that there is partial tear in my cartilage and ligament. Doctor has prescribed some tablets and knee brace. He told I will be well in 3 weeks.

Dr. Julie Mercy J David 93% (17144 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I fell down from bike 3 months ago. I am having severe pain inmy left knee. I consulted doctor and was advised mri. I...
Knee Ligament laxity if you have problem in your legs then it might be due to ligament laxity where your legs would become very weak due to the old ligament injury and that should be treated immediately. Wear knee cap so that you will feel firm while walking or climbing stairs. This is a general strain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, if pain still persists you can stretch your body by twisting the waist on both sides how we used to do in the school drill similarly you can try! One time you can do hot water fermentation that would help to reduce the muscle strain. You have to do knee strengthening exercises, ie. Knee rehabilitation exercises which will strengthen your knee. Exercises will give you permanent cure than the surgery. Physiotherapy Management: You can take Ultrasonic therapy in one of the nearby physiotherapy clinics which would help to heal the damaged cartilages along with shortwave diathermy which would help to improve the blood circulation. Simple Knee ExerciesSpecific knee exercises will also help ie. Keeping ball underneath the knee and keep pressing it. That's the simple exercise which will help you to strengthen the knees.
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I am suffering from knee pain some days ago. What should I do for overcome it, answer please.

Dr. Pulak Mukherjee 93% (6593 ratings)
BHMS
Homeopath, Hooghly
I am suffering from knee pain some days ago. What should I do for overcome it, answer please.
Knee pain may be due to injury,may be due increase uric acid also,,u need proper homoeopathic treatment to cure ur problem
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Knee Replacement - All You Need To Know About It!

Dr. Shekhar Srivastav 83% (12 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Knee Replacement - All You Need To Know About It!

Knee replacement is a surgery wherein an artificial joint is used to replace a diseased, damaged or worn out knee. This surgery is common among people who fall in the age group of 60-80, but recent trends seem to suggest that younger people are opting for this surgery as well. The lifetime of the artificial knee joint is around 20 years, provided the knee is well cared for.

Why do you need knee replacement?

Most common reason is “high grade osteoarthritis” due to wear and tear of the knee joint. The pre-hospital study of the Knee joint is mandatory and would decide what kind of Replacement is suitable to the patient. If there is diabetes or hypertension associated with this, then it should be controlled well before undergoing surgery. Hemoglobin of at least 10 gm% is required.

If the mobility in your knee joint is reduced leading to impaired functioning of the knee joint, then you might need a knee replacement surgery. You may experience pain while walking, sitting and, in some cases, resting as well.

Some of the common reasons why you may opt for this particular surgery are:

  1. Gout, where, small crystals are formed inside the joint.
  2. Rheumatoid Arthritis, an autoimmune disorder, wherein the immune system of the body attacks the body’s healthy tissues.
  3. Hemophilia, wherein, the blood ceases to clot normally.
  4. Injuries to the knee.
  5. Disorders that cause unusual bone growth (bone dysplasias).
  6. Death of bone in the knee joint following blood supply problems (avascular necrosis).
  7. Knee deformity with pain and loss of cartilage.
  8. Unusual growth of bones in the knee joint.

Knee replacement surgery is classified into:

  1. Partial Knee Replacement: In this surgery, only one part of the joint is replaced.
  2. Total Knee Replacement: Total knee replacement surgery involves replacement of both sides of the knee joint.

The usual hospital stay period is around 2-3 days after the surgery is completed. Initially, you will require the help of crutches to walk for at least 2 months. You may also be asked to do gentle knee strengthening exercises. It may take up to 3 months to recover completely from a knee replacement surgery.

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I have been diagnosed with osteoporosis. My back bone, hip bones and knees pain the most when exerted. My weight is 92.5 kgs &my age is 54 years female. Im taking (Gemcal D3) pls help me by giving best advice for my treatment, is walking good for me. Will it help reduce my pains, or will the pains increase due to walking.

Dr. Vishwas Virmani 91% (23448 ratings)
MPT, BPT
Physiotherapist, Noida
I have been diagnosed with osteoporosis. My back bone, hip bones and knees pain the most when exerted. My weight is 9...
Chiropractic Mobilization will help. Postural Correction- Sit Tall, Walk Tall. Extension Exercises x 15 times x twice daily. Apply Hot Fomentation twice daily.
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