seu conselho sobre cirurgia no joelho e que tipo?

I am so happy to have found this group.  Thanks to everyone in advance.  I am 75 years old, in relatively good shape.   My knees don't hurt, they just don't work.  I understand recovery can be pretty painful but a relative recently blew my 'don't hurt' argument out of the water pointing out how limited I am just getting around (especially standing up/sitting down.  Plus my balance is waning and I am about to begin using a cane/trekker stick

I would appreciate any advice you can give me, either pro or con.

Margene

Hi Margene!

My right leg was pretty bad for about 7 years and I finally had a total knee replacement in July.  That was the best decision I ever made!  I too had very limited use of my leg-could not sit, hard to walk and my knee gave out 2 times in December.  I have a wonderful surgeon and within 2 weeks I did not need my walker orcane anymore.  One therapist messed me up though and I was backsliding but now with the right therapist and exercises, I am so happy!  Last night was the first time I slept without pain!  I still use heat ad ice therapy daily and I know what my limits are.  I still get very tired after too much exercise but that is to be expected.  I have a wonderful husband and daughter who dote on me but I am very stubborn and want to do things for myself.  So they just watch from a distance and if I need help, I do ask for it.  I wish I wasn't so stubborn but the therapist says that's what keeps me going!  It was hard to climb into my husbands truck today so I am going to wait with that for about another week.  If your doctor advises a tkr, do it.  You will be glad you did.....you may not think that at first but you will in time.  Good luck to you!

Hello and welcome. Have you seen a Doc for x-ray or bone scan? or had a referral to Ortho specialist? You and your medicos need to know why you are less mobile. Do you exercise a lot? Are you overweight? What medication do you take. Have you had your condition investigated? I ask all this because it mightn't be arthritis. Which usually causes pain. As in bone pain. You say you're not in pain. You might have another condition affecting your mobility. You really need some medical input. Good luck and if you need a knee replacement do it. Bank on 18 months to fully recover. If you can commit to that and it's necessary, then go do it. Hope you find a good MD who can accurately diagnose your issues. x

Good advice, Lyn. Check with your doctor first, Margene. No need to suffer needlessly! Find out what you are facing.

First, you go see a very good orthopedic surgeon who will do the imaging studies and exam to tell you exactly what's wrong and your options for fixing it.    Until you have some definitive diagnosis regarding your knees, everything else is irrelevant.  You don't jump to TKR...you get dragged and pulled there kicking and screaming because you have no other choice.  Go see the ortho...what's wrong...options for a fix.  Starting point.

Oi, eu era igual a você com meus dois joelhos, ambas as pernas dobradas, dificuldade para levantar e sentar e travando e me deixando na mão ocasionalmente e não andando muito. Raio-X mostrou que ambas minhas rótulas estavam do lado e com artrose, horrorizada eu teria que ter dois joelhos novos. O primeiro em fevereiro de 2017, testando mas fui bem em seis meses e o joelho funcionando muito bem. O segundo eu estou há três semanas, mais difícil fisicamente, mentalmente e emocionalmente, chorei ontem todo o dia e não consegui me motivar a fazer os exercícios mas eu tiro grande conforto deste site, especialmente do Chico ele realmente me mantém positivo, dias bons e dias horríveis é uma experiência testante mas eu sei que em 12 meses eu vou realmente colher os benefícios, então consiga um bom cirurgião (imperativo) faça sua pesquisa e se necessário chute o traseiro e faça, a qualidade de vida é tudo!!

boa sorte xxx

Thanks Chico.  It is a very good idea to get some imaging done.  I have had x rays in the past, but definitely need an update.  Can you tell me when arthroscopy is done instead of traditional surgery?

I really respect your having both knees done almost back to back!  I am probably much older than you and  am frankly wondering if I want to spend my last (maybe/maybe not) year(s) in recovery.  I get along OK: certainly can't run, walk slowly, and avoid low chairs.  It is very difficult to impossible to sit on the floor and get up again!!!   

If you are not also limited by pain I would not recommend it personally. If just starting to use cane I would say wait... but only you can be the judge on how it is affecting your quality of life. Do you feel your life is closing in on you and that you are saying no to all kinds of things because you know you cannot manage the walking and standing? You could keep a record of how much you are walking and standing to help you review things maybe. How long can you walk for, with and then without a stick? Does it affect your sleep?

Oi Margene,

Tenho 67 anos e meu IMC é de 25, então não há grandes limitações de peso. Tem sido muito desafiador e, é claro, quanto mais velho você fica, não se recupera tão bem. Dito isso, meu marido tem 85 anos e fez a cirurgia no ano passado em setembro e passou bem com pouca dor, progrediu muito mais rápido do que eu e teve uma experiência muito mais positiva, o que me faz sentir uma covarde. Como é citado regularmente aqui, cada joelho é diferente, consulte seu cirurgião, pesa tudo e, se for certo para você e para sua vida.

Eu acho que é uma resposta muito sensata e considerada, Jenny!

I can be sensible sometimes Jackie! 😁

LOL

I recently walked about a mile--with my trekker stick.  But it truly just about did me in.  It doesn't affect my sleep.  Sitting or lying in bed, I am not aware of any problems.  Which of course, means I sit (reading, TV, computer, driving, movies) WAY too much!!.

Deus com seu documento primeiro

Consulte seu médico primeiro

Maybe get Xray, and see how it looks. The issue is that because the surgery is major, while routine, it is a big deal with respect to the rehabilitation and recovery. .It actually helps to be pretty desperate for it before I think... but as said, you need to assess what you want and at which point you need it. If in the UK and on NHS physiotherapy would be the first port of call to see if things could be improved that way.

As others have said, it is a really brutal surgery and although most do well, there are no guarantees, mine is 21 weeks out and not yet any less painful or more mobile than pre -op yet - just different issues. Of course, healing can take months and even over a year to resolve, so we all have to bear this in mind. Some have really good recoveries much faster, it is down to many factors and a bit of luck.

​Your first port of call is to have the tests and x rays to see what is going on. You may have other options. But if it turns out you need surgery, it is still a very good option for many people as you can read on here. Good luck.

Cynthia, que tipo de problemas você tem a 21 semanas de distância?

Swelling, stiffness, tight rubber band sensation, nerve zaps and some numbness. I had an MUA at week 10 due to excess scar tissue which it seems my body makes faster than average.

​I am not able to take many pain meds, which did not help, I'm sure, nor would the doc prescribe anything strong once home from hospital.

​I have other conditions, so maybe they weigh in and my recovery might have been better otherwise. I would never advise anyone else not to have TKR, as so many seem satisfied and have little bother after, but it should not be a decision to take lightly, as a small percentage have complications. I have made some progress, but it has been so slow.