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When Is It Time For Knee Replacement

How To Prepare For Knee Replacement

Is It Time for You to Get a Knee Replacement?

There are certain steps that can improve your recovery time and results. It is important to follow your knee replacement surgeonâs instructions both before and after surgery, as well as that of your rehabilitation therapistâs recommendations. Learn more about reparing for knee replacement by reading .

If Pain In Your Knee Has Got You Down Here Are Four Signs Its Time To Think About Knee Replacement Surgery

Knee pain doesnt always mean you need knee replacement surgery. In fact, if you recently suffered a knee injury, you might not necessarily be a candidate for knee replacement surgery.

However, if youve been dealing with progressing pain over time because of arthritis in your knee, its time to consider if knee replacement is the next best step.

If pain in your knee has got you down, here are four signs its time to think about knee replacement surgery.

Use Pain Medications With Care

Except in very rare cases, the American Association of Hip and Knee Surgeons advises against using opioid medications for knee osteoarthritis. Opiate pain relievers, in addition to being addictive, are not proven to address knee pain over the long term any better than nonsteroidal, anti-inflammatory drugs .

Though safer than opioid drugs, NSAIDs arent for everyone, and Valaik advises caution in using them. Even over-the-counter drugs like naproxen and ibuprofen can have side effects, so check with your doctor, he says.

You can get an increase in blood pressure with NSAIDs. Larger studies have linked some of these pain relievers with a small increase in the risk of heart attack.

And the more you take, the more likely you are to have heartburn, stomach irritation or even bleeding ulcers, he notes.

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How Does The Patient Continue To Improve As An Outpatient After Discharge From The Hospital What Are Recommended Exercises

For an optimal outcome after total knee replacement surgery, it is important for patients to continue in an outpatient physical-therapy program along with home exercises during the healing process. Patients will be asked to continue exercising the muscles around the replaced joint to prevent scarring and maintain muscle strength for the purposes of joint stability. These exercises after surgery can reduce recovery time and lead to optimal strength and stability.

The wound will be monitored by the surgeon and his/her staff for healing. Patients also should watch for warning signs of infection, including abnormal redness, increasing warmth, swelling, or unusual pain. It is important to report any injury to the joint to the doctor immediately.

Future activities are generally limited to those that do not risk injuring the replaced joint. Sports that involve running or contact are avoided, in favor of leisure sports, such as golf, and swimming. Swimming is the ideal form of exercise, since the sport improves muscle strength and endurance without exerting any pressure or stress on the replaced joint.

Patients with joint replacements should alert their doctors and dentists that they have an artificial joint. These joints are at risk for infection by bacteria introduced by any invasive procedures such as surgery, dental or gum procedures, urological and endoscopic procedures, as well as from infections elsewhere in the body.

Articles On Knee Osteoarthritis

When is it time for a Total Knee Replacement (TKA)

Knee osteoarthritis can affect your every move: walking, climbing stairs, even sitting or lying down. Surgery can help bring relief, but doctors almost always advise trying other treatment options first. These include:

Medications you take by mouth. Over-the-counter options include acetaminophen as well as nonsteroidal anti-inflammatory drugs such as ibuprofen or naproxen . NSAIDs fight inflammation. Stronger NSAIDs are available by prescription.

Creams or ointments you rub onto the skin. Different forms are sold over the counter. You can get stronger versions with a prescription.

Medications injected into the joint. Corticosteroid injections, also called cortisone shots, fight inflammation and can offer fast pain relief that may last up to several months. Injections of hyaluronic acid boost the natural joint fluid that keeps knees moving smoothly. They may take up to a couple of months to have their full effect but can last up to 6 months or more.

Exercise and physical therapy. Exercise strengthens the muscles that support your knee. Physical therapy also helps. A physical therapist can design the program for you and see if you need supportive braces, splints, or canes. If you need to lose weight, diet and exercise can help you shed some pounds and take some of the pressure off your knees.

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Knee Pain Is Impacting Your Quality Of Life

There is such a thing as waiting too long to have knee surgery. Ask anyone who has had a knee replacement and they will tell you that the recovery is not easy. You have to put in work with physical therapy 2-3 times per week. You have to make yourself get up and walk every day even if you dont feel like it.

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The first few weeks after a knee replacement are truly a no pain no gain situation. If you wait for knee replacement surgery until after youve already lost muscle strength and balance, the recovery is even more difficult.

I tell my patients that if they get to the point where they are making choices to be less active on a daily basis, then it is time to think more seriously about surgery.

Examples of this would be:

  • Using a motorized cart at the grocery store
  • Cancelling outings regularly because they would entail too much walking

What Are The Risks Of Delaying Knee Replacement Surgery

Simply put, the longer you wait to get a knee replacement, the more wear and tear you put on your knees and the longer you live with increasing pain, stiffness or mobility issues. But there are a few other things to consider, including:

  • As your knee condition worsens, your quality of life can also decrease. You may need to stop doing everyday activities, exercise or hobbies youre passionate about, which can lead to other health conditions such as depression.
  • It can take longer for you to heal and rehab after surgery. When you put off surgery for too long, you can experience a continued loss of mobility and function in your joint. Plus, your body continues to age and your risk increases for developing other health conditions such as diabetes or high blood pressure. Individually or combined, each of these factors can make it harder and take longer for you to rebuild your strength after knee replacement surgery.
  • You may not get the maximum amount of benefit from a new joint. If you wait too long, you may not get all the mobility and function improvements from a replacement joint that you couldve.

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The Drawbacks Of Waiting To Have Knee Replacement Surgery

When you wait to have knee replacement surgery, youre not just putting off an unpleasant experience. Youre dealing with chronic knee pain for longer. The pain and stiffness often cause patients to become less active, which can result in weight gain and even more pain.

As youre dealing with it longer, your health and wellness tend to be going downhill as well, Dr. Hansen said. By the time you have the surgery, youre older, less active, less healthy, in more pain, with less function. Its not a good mix.

The knee replacement surgery itself can be more complicated in patients who have waited longer than recommended. More damage and inflammation can translate to a longer surgical time, with a higher risk of complications after surgery, such as blood clots or infection. Even with a completely successful surgery, patients who waited to have knee replacement surgery tend to have lower function and higher rates of dissatisfaction with their surgeries.

Dont Wait Too Long To Have Knee Replacement Surgery

Total Knee Replacement – Common Questions – Is it the right time to have surgery?

Summit Orthopedics knee expert Dane Hansen, D.O., explains why you shouldnt wait to have your knee replaced.

A recent article in the Journal of Bone & Joint Surgery found that about 90 percent of people wait longer than necessary to have knee replacement surgery, often waiting two years or more beyond the point at which they are considered a reasonable candidate for the procedure, Dr. Hansen said.

The reluctance is understandableknee replacement surgery is a significant procedure, and the recovery period can be tough. People who need to work full time, or who dont have enough help at home, may want to put off surgery until they cant stand the pain and stiffness anymore. But according to Dr. Hansen, that is not the best idea for your health and quality of life.

Research suggests that preoperative function predicts postoperative function, Dr. Hansen said. In other words, the worse off you are before surgery, the less likely you are to have an excellent outcome over the long term.

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When Its Time For A Knee Replacement

There are many causes of knee pain and if non-surgical treatment options have failed, a knee replacement may be an option for you. This is one of many treatment options we offer at Methodist Physicians Clinic Orthopedics to help alleviate your knee pain.

A knee replacement is a surgical procedure that replaces the worn out or damaged surfaces of the knee joint with artificial parts. If you are having knee pain that is affecting the quality of your life, I am always happy to talk about options we have to relieve your pain and get you back to the activities you enjoy.

Day To Day Life After The Replacement Surgery

The knee replacement surgery would increase the range of motion in your knee joint. It takes nearly a year for certain people not to notice their newly replaced joint. But it differs from patient to patient. However, you might experience popping sounds, swelling, numbness, pain, etc. But these symptoms go away after a while.

How Long Does A Replaced Knee Last For?

It has been observed that over 90% of the replaced knees last for over 15 years, while for some, it might even go over 20 years. But remember, it is only if you care for your health. If you keep up with your therapy routine, then the replaced knee might even last longer..

If you are looking for knee replacement surgery, come over to Germanten Hospital, and we will provide you with the best treatment. So visit our website, and book your appointment today.


Germanten Hospital has been one of Indias leading facilities for various medical treatments. Under insightful leadership, we have acquired excellence when it comes to treatments in neurology, plastic or cosmetic surgery, orthopaedics and reconstructive surgery.

Dr. Mir Jawad Zar Khan has led our hospital to the forefront of the medical industry. He has experience of 20 years in orthopaedics. His alma mater is Osmania University, where Dr. Jawad achieved a gold medal for his excellence in education. He then completed advanced training in the USA and Germany.

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It Could Lead To Complications During And After Surgery

Because dealing with chronic pain and reduced mobility can take a toll on your physical and emotional health, delaying your surgery could lead to additional complications during and after your knee replacement. If you experience weight gain, low endurance, or get diagnosed with a cardiac condition or similar ailment, you may require a more complex procedure and longer estimated recovery time.

Remember: as the joint deteriorates, the overall replacement process will become more complex as the surgeon must navigate increased joint deformity while operating on someone with suboptimal health. This means that your surgery may take longer and leads to a higher risk of postoperative concerns like blood clots, infections, or obstacles to recovery.

Additionally, most patients experiencing late- to end-stage osteoarthritis are older individuals. Old age is associated with an increased risk of surgical complications and slower recovery times.

How Do I Know When Its Time For A Knee Replacement

Knee Replacement is a Common and Effective Procedure

How do I know when its time for a knee replacement? Its a great question. If youre thinking about having knee replacement surgery, you want to make sure the time is right.

At Carolina Orthopaedic and Neurosurgical Associates , our Board Certified and Fellowship Trained Joint Replacement Specialists have extensive experience and use the latest technology to perform knee replacement procedures. While theres no exact timeline that indicates when you should have surgery, there are a few things that can certainly help your decision process.

First, its important to understand basic knee anatomy and osteoarthritis.

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How Does A Knee Replacement Work

A total knee replacement surgery can take from one to three hours. During that time, an orthopedic surgeon will remove damaged cartilage and bone before fitting the replacement joint, called an implant, with help from the latest robotic-assisted technology. Using this device, your surgeon can pre-plan the procedure and get the most accurate measurements, ensuring that your implant is perfectly fitted. It also helps with bone resurfacing and the removal of cartilage. Implants come in a variety of different designs created by different manufacturers, but will always contain metal and plastic components that fuse to the resurfaced bone. Your orthopedic surgeon will select the design that best fits each patient based on their lifestyle habits and the severity of the biological joints deterioration, said Dr. Doherty.

Day : The Initial Recovery

After a full knee replacement, you will likely wake up after 1½-2 hours under general anaesthetic with your knee elevated, a bandage covering the incision/s and possibly a drain to remove excess fluid from the joint.

The anaesthetic will leave your head feeling a bit foggy and the brain will be protecting the knee by avoiding movement.

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When To Seek Treatment For Your Arthritis

Arthritis doesnt have to spell the end of an active life. If you are experiencing worrisome symptoms or persistent pain, the renowned arthritis specialists at Summit Orthopedics can help. We work with you to confirm a diagnosis and develop an appropriate conservative treatment plan. If nonsurgical treatments fail to support your lifestyle goals, fellowship-trained orthopedic surgeons will consult with you and discuss appropriate surgical options. Summit is home to innovative joint replacement options. Our Vadnais Heights Surgery Center is one of a select few nationally to receive The Joint Commissions Advanced Certification for Total Hip and Total Knee Replacement.

Start your journey to healthier joints. Find your arthritis expert, request an appointment online, or call us at to schedule a consultation.

Summit has convenient locations across the Minneapolis-St. Paul metro area, serving Minnesota and western Wisconsin. We have state-of-the-art centers for comprehensive orthopedic care in Eagan, MN, Plymouth, MN, Vadnais Heights, MN, and Woodbury, MN, as well as additional community clinics throughout the metro and southern Minnesota.

When Surgery Is Recommended

How To Know If You Need A Total Knee Replacement

There are several reasons why your doctor may recommend knee replacement surgery. People who benefit from total knee replacement often have:

  • Severe knee pain or stiffness that limits everyday activities, including walking, climbing stairs, and getting in and out of chairs. It may be hard to walk more than a few blocks without significant pain and it may be necessary to use a cane or walker
  • Moderate or severe knee pain while resting, either day or night
  • Chronic knee inflammation and swelling that does not improve with rest or medications
  • Knee deformity a bowing in or out of the knee
  • Failure to substantially improve with other treatments such as anti-inflammatory medications, cortisone injections, lubricating injections, physical therapy, or other surgeries

Total knee replacement may be recommended for patients with bowed knee deformity, like that shown in this clinical photo.

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Recovering From Knee Replacement Surgery

For the majority of people knee replacements are very successful. There is a lot of evidence from research showing that patients have less pain and are much more mobile after surgery and this often greatly improves their quality of life. Outcomes are getting better too, as more research is carried out on what the best operation is and how to reduce the risk of complications.

However about 8 people out of 100 are unhappy with their knee replacement 2-17 years later. If they have had to have their knee replaced a second time , they are twice as likely to be unhappy with the outcome.

Prefer To Listen To This Article

We always encourage positive visualisation and documentation of the future here at The Physio Co , but, dont expect to be hopping out of bed and running home the day after a full knee replacement.

Thats not to say the tennis career is over! Merely to say youll likely be watching the next major tennis tournament on TV rather than attending or participating at your local club this year, anyway!

In addition to the six to eight prep for the operation, weve also put together an 8 to 12-week step-by-step guide as to how a professional TPC physio will support a full knee replacement patient in reaching a goal after the operation.

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Whens Right Time For Knee Replacement

One question patients ask almost every day: When is the right time to have a knee replacement?

The answer is not clear-cut and takes thoughtful consultation between physician and patient.

Research from Northwestern University in Evanston, Ill., suggests the timing of a total knee replacement plays a key role in determining outcomes. If a patient waits too long, they risk not being able to restore full function. If they proceed too soon, they may not see the expected results.

Ninety percent of patients in this study considered ready for knee replacement waited too long, often delaying more than two years. This can result in additional deterioration and deformity, such as bowing, resulting in more complex surgery and affecting a patients ability to fully straighten the leg and restore mobility.

In addition, chronic pain and stiffness may curtail regular activity, reducing muscle strength and contributing to risk factors, such as excessive weight, diabetes, high blood pressure and depression. All of which complicate the replacement surgery and the recovery process.

Conversely, this study also found that 25% of patients determined not ready for surgery, went ahead with the procedure. Some patients, in particular those that are younger, opt for surgery thinking this will be a quick fix, rather than taking the necessary steps of strengthening exercises or less invasive treatments proven effective in reducing knee pain.


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