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Offline frank-nees

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bad knee
« on: March 02, 2011, 02:21:19 PM »
Hi
I'm new and have many questions about my knee. Back in May I chased a shop lifter in my store.(all out sprint)The next day I could not climb steps. I had x-rays and I was diagnosed with OA. Saw an OS and he thought there might be some cartilage damage and so I had Arthascopic surgeryin in Jan. He found a torn miniscus and he cleaned it up.  He told me that I was 54 yrs. old but had a knee of a 65 yr. old. He told me I would need a knee replacement but I'm to young. I'm doing physio but it seems to have helped slightly but I still can't go for more than a 15 min walk without discomfort. I also have great difficulty at work since I spend most of my day walking around the store I manage. This has changed my life. I miss taking my dog for long walks. Does anybody have any suggestions.  :( 

Offline Kimberly 77

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Re: bad knee
« Reply #1 on: March 02, 2011, 04:12:10 PM »
Personally I would push for a replacement. He has already said you need one, and 54 isn't too young for one. I know they say not before atleast 60 but they have come so far with what they can do and the types of knees they use now can last much longer. I am 33 years old and also need a replacement but am told not for atleast 10 more years, so if they would do one on me at 43 why not on you at 54?  If you research surgeons in your area you could probably find one to agree. Now did he say you need the replacement because of lack of cartilage? They can also do alot for cartilage defects other than replacement. There is cartilage transplants, microfracture, hemi caps, chondroplasty abrasion, all kinds of options for the right kind of defects of course. Finding a good specialist is key and a good physical therapist. Is your range of motion good? Or is it just the annoying bone on bone pain?
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline kscope09

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Re: bad knee
« Reply #2 on: March 02, 2011, 04:17:36 PM »
I don't think 54 is too young at all.  Find a surgeon who will do the replacement.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline frank-nees

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Re: bad knee
« Reply #3 on: March 02, 2011, 06:03:38 PM »
Thanks for your advice. I also wondered why I'm to young for a knee replacement. Why wait for another 5-6 years and not be able to enjoy life now when I still can. Who knows what other problems pop up in the future. I'm going to look into some other surgeons for sure and at least get some other advise. As to my range of motion I'm told by my thearpist that it's about 120 degrees but this is after physio and it's not so good after being on my feet for a while. Another question I have is. Why is the pain not in my knee but in my calf muscle and thigh?

Offline kscope09

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Re: bad knee
« Reply #4 on: March 02, 2011, 07:27:30 PM »
Was it an NHS doctor that youi saw.  If the NHS won't pay for one then you could have one privately.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline Kimberly 77

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Re: bad knee
« Reply #5 on: March 02, 2011, 08:24:41 PM »
Wish I could tell you why it hurts in your calf, all I can say is I hurt in my knee cap and on the medial side of my knee but it does extend to the back of my leg and down my calf. Maybe you have a bakers cyst? Do you have a bulge or anything behind the knee? My ortho said he felt I was just having pain that was in the front radiating to the back. The nerves in our knees are complicated and it could be the pain is generated in the top of knee but the nerves are telling you that it isn't. Hope that makes sense. I know people with hip or back issues can have knee pain from nerves.
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline Lottiefox

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Re: bad knee
« Reply #6 on: March 02, 2011, 10:21:22 PM »
I would certainly look into a 2nd opinion.  If you visit the TKR section of this Board you'll find threads from people who have had TKRs in their 40s and 50s, with some even in their 30s. OK, it isn't ideal as they don't last for ever, but why wait in pain. Many doctors now take this view and will consider younger patients. There are many more TKR options now that do allow revision should it be needed. In answer to the pain question, you may have a Bakers Cyst which creates pain from the back of the knee and radiates down. If your pain is muscular in origin and nature it may be because you are compensating for the knee damage and loading your leg differently. Has your Physio got you doing stretches for the lower leg muscles and showing you how to work on tight spots? Is the pain on the outside of the calf and thigh? if so, things may be very tight down that side and not helping matters.

I would also say that you're not that long out of the scope surgery (I'm assuming you mean January this year?). Even a "simple" meniscus trim and general wash out is a trauma to the joint, and can several weeks to start feeling better.

In the interim there are visco supplement injections that can assist with cushioning an OA joint. Some people get relief, others find they do nothing. I have Euflexxa which is totally synthetic - some of the others have rooster combs in them and I don't fancy chicken bits in my knee. Euflexxa helps me but my degeneration isn't huge, although the bits affected are pretty bare. I have good joint space and full ROM and the Euflexxa just helps oil things up.

Are you UK based or elsewhere? Your GP can refer you for a second opinion, and there are people on here who can help with TKR friendly doctors at a younger age if you ask in the TKR section. Funding a private TKR is not cheap - around 8-12,000 here in the UK, without considering physio, follow ups etc. Not a small amount of cash!

good luck,

Lottie
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline UK Girl !

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Re: bad knee
« Reply #7 on: March 02, 2011, 10:34:37 PM »
A knee replacement is a big operation!

You have just had surgery, you need to give this time to settle to see how the knee is after a few months and also see how it progresses with physio. 

Extend the time before you need this tkr for as long as you can and if this means pain killers and anti inflammatories then use them.

Are you using any medication?

In my opinion until you get to the stage where you need strong pain meds to get you through the day then you are not ready to have that knee replaced. At your age you are asking for something that needs to last a LOT of years - yes a revision can be done but it really is best to delay as long as possible.

I did have mine done at 43, but was at the stage where I was unable to sleep, walk etc and was up to a level of painkillers which mad it not safe to drive.

I don't want to sound harsh about this, just want you to be very sure that a knee replacement is what you need at this time.

The other big factor is the weather - this damp cold weather is not good for a post op knee - hopefully as soon as the spring comes it will feel loads better - arthritis hates the damp !
1978 - ruptured acl and all cartalidge removed.
several debridements over years
TKR 10TH JULY 2006 http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=28257.0  Aug 07 patellar maltracking - more physio! Still pain - but so much better !
BIOMET AGC  TKR  (with 10 yr warranty !)

Offline kelkota

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Re: bad knee
« Reply #8 on: March 06, 2011, 03:21:34 AM »
Hi frank-nees

In regards to the pain in your thigh and calf.... When you walk are you fully straightening your knee out when you take a step, or are you keeping it bent?  If you are not or cannot fully extend your knee, you are making your calf and quad muscles work overtime to stabilize your knee and they may become sore. 
1/4/11 Felt pop in right knee during karate kick
1/31/11 Arthroscopy for R medial menisectomy and chondroplasty MFC

Offline frank-nees

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Re: bad knee
« Reply #9 on: March 10, 2011, 04:49:10 PM »
   Hyaluronic Acid-just had the 1st of three injections today, Today he also added some cortisone into the mix.  I'm not happy about using the cortisone but I went with the Doctors recommendation. He said we had to get the swelling down. I hope it works. I'm going back again the following 2 Weds. for the remainder of the injection. I didn't feel any pain when he inserted the needle but I did feel some discomfort while he was pushing the fluid in but it didn't last long.

Offline Kimberly 77

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Re: bad knee
« Reply #10 on: March 10, 2011, 04:53:27 PM »
Good luck with the shots! I have had the synvisc and cortizone niether helped me, in fact I swelled up for about 2 to 3 weeks after both. I hear they work well for some. I know Lottie Fox on here says it works well for her, hopefully you'll be one of the lucky ones.
Right leg amputee.
Osteoarthritis in left knee.
Medial femoral condyle defect, arthoscopy 8-2-10
Grade 3 defects, patella, medial femoral condyle, tibia scoped1-12-2011
Physical theraphy and awaiting microfrature 2-1-12

Offline frank-nees

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Re: bad knee
« Reply #11 on: March 11, 2011, 11:37:10 PM »
Day after My Hyaluronic Acid injection and there's a definite improvement. I didn't have to lift my leg into the car and i had no pain in my calf mustle. I should even be able to take my dog for a descent walk tonight.  Still no improvement in the range of motion but hopefully that will come with 2 more injections to go.















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