You need to get the surgery done as recommended by your orthopedic. Delaying the surgery by a span of three to four weeks may be allowed if the patient has a big life event like a family vacation or wedding on the charts as recovery after the surgery is a process of three to six months.
As knee arthritis progresses, the knee becomes much looser and more unstable. In some cases, this is mild. In other cases, it is substantial enough that cause the patient to fall. Patients who have bone-on-bone arthritis and are starting to fall because of it should strongly consider surgery.
Pain becomes more common during simple activities like walking or rising from a chair. Eventually, the bone on bone pressure causes the growth of bone spurs. These lumps of bony excess cause further discomfort and stiffness within your joint.
There is no set age cutoff for a knee replacement, as each patient's case is different. Before surgical intervention becomes an option, other less invasive treatments such as anti-inflammatory medications, cortisone injections, and physical therapy should be explored.
You may NOT be a good candidate if:
Your knee symptoms are not related to joint disease. Your weight is too much for the artificial joint to support. You have fragile skin or poor skin coverage over your knee. You have a severe illness or infection.
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.
The answer: a resounding yes! In fact, people with knee osteoarthritis who walk for exercise are significantly less likely to go on to develop worse pain, according to a 2022 study published in Arthritis & Rheumatology.
Severe knee cartilage loss makes walking, sitting, standing, squatting, and going up and down stairs extremely painful. People with a total loss of knee cartilage can benefit from joint injections. In many cases, surgery including a total knee replacement is needed to treat no cartilage in the knee.
It may be time to have knee replacement surgery if you have: Severe knee pain that limits your everyday activities. Moderate or severe knee pain while resting, day or night. Long-lasting knee inflammation and swelling that doesn't get better with rest or medications.
Recovery is slow
While it's different for everyone and depends on the type of knee surgery you've had, many people are surprised by how long it takes to recover. The time it takes to start doing simple tasks around the home, get back to work and importantly bending your new and improved knee may catch you by surprise.
Smoking, obesity, poor circulation, and certain other pre-existing medical conditions can increase the risk of postsurgical complications, such as infection. People with serious concerns about their potential risks may postpone surgery indefinitely or until they can take steps to reduce their risks.
A recent study found that 20% of people are unhappy with their knee replacements. Here's what can play into that dissatisfaction. Let's get one thing straight right away — knee replacements are often a smart choice. A lot of people have less knee pain and more mobility after their surgery and rehab.
Hylauronic acid is a substance that is naturally present in joints, and functions as a lubricant and a shock absorbent. The idea behind these injections is that they will temporarily restore the natural function of the knee by injecting a substance which will provide cushioning and reduce bone-on-bone contact.
Physical Therapy
Strengthening and stretching the leg muscles can help to restore full range of motion to the knee. Low-impact exercises such as stationary biking may reduce your level of pain and improve function to the area around the knee cartilage tear.
Genetics notwithstanding, Sheth said there are some factors that can potentially stave off a knee replacement. Keeping body weight down eases the impact on the knee. And when exercising, Sheth said avoiding activities that cause pounding or other possible trauma to the knee can better preserve cartilage.
It may seem counterintuitive to increase your activity level when you have chronic knee pain or arthritis, but walking can actually provide a number of benefits, including: Lubricating the joints. Protecting the knee. Increasing blood flow to the tissues.
Sleeping with knee pain may require you to elevate the knee and leg. If so, sleeping on your back is the best option. Place pillow under both legs to elevate the knee above the level of the heart. If there is swelling in the knee, the elevation can help to reduce it.
Using crutches, walking poles or a stick can help with pain, balance and your posture. You could try Nordic walking, it's very good exercise for the joints and by using poles you have extra support.
The primary causes of knee implant failure are wear and loosening, infection, instability, leg fractures, or stiffness.
You can expect some pain and swell for a few months after surgery. Improved surgical techniques and new technology, such as robotic arm-assisted technology, makes the knee replacement recovery process quicker and less painful.
Spring and fall offer lots of daylight and fresh air. Your physical therapy is another reason to choose spring and fall for your knee surgery. Part of your therapy will be performing exercises indoors and outside, which will be more appealing when the temperature isn't too hot or cold.