Knees

[Guest guest]

Have you referred to him before? I have to refer a low back patient to an

orthopedist on the MCO list for an evaluation. I told the nurse that an

ortho isn't the right referral, and she gave the appropriate nazi response-

I'm just a nurse, doing my job. I'll pass on your concern. Anyone have an

opinion about orthos in Portland on the MCO panel- there are 3 pages of

them. I don't know any. Ann Goldeen, Astoria

Knees

>>>

>>>

>>>

>>> Hi folks have a 58 yo male who complains of medial knee pain weight

>>> bearing only. He was kneeling and went to erect posture when pain

>>> occurred. Has had before and " popped back in place " with extension. Now

>>> it wouldn't do that. All ortho tests were unremarkable. Some minor

>>> instability in valgus stress, but nothing extreme. Patient tolerated

>>> exam well. He is only in pain when he tries to put weight on it. Putting

>>> weight on it is very difficult. He appears as if a cane/crutches would

>>> be in order. Passive movement no problemo. Incidentally, he's also had

>>> ankle fusion on that side.

>>>

>>> I'm suspecting med meniscal sprain/tear, or medial collateral sprain.

>>>

>>> What do some of you extremity aficionados surmise???

>>>

>>>

>>> Dr. ph Medlin D.C.

>>> Spine Tree Chiropractic

>>> 1627 NE Alberta St. #6

>>> Portland, OR 97211

>>> Ph: 503-788-6800

>>> c: 503-889-6204

>>>

>>>

>>>

>>

>>

>>

>>

>>

>> ________________________________________________________________

>> Sent via the WebMail system at beesonchiropractic.com

>>

>>

>>

>>

>>

>

[Guest guest]

Dr. Brenneke is an MD not a DO. I don't believe he does any back surgery. Dr. Jeff Flemming 503-736-1201 is the only ORS that I know of in Portland who does 'complicated' back surgery.

sharron fuchs dc

From: [mailto: ] On Behalf Of anngoldeeenSent: Thursday, June 22, 2006 10:32 AMdeadmed; DrDan@...; Subject: Re: Knees

Have you referred to him before? I have to refer a low back patient to an orthopedist on the MCO list for an evaluation. I told the nurse that an ortho isn't the right referral, and she gave the appropriate nazi response- I'm just a nurse, doing my job. I'll pass on your concern. Anyone have an opinion about orthos in Portland on the MCO panel- there are 3 pages of them. I don't know any. Ann Goldeen, Astoria Knees>>>>>>>>>>>> Hi folks have a 58 yo male who complains of medial knee pain weight >>> bearing only. He was kneeling and went to erect posture when pain >>> occurred. Has had before and "popped back in place" with extension. Now >>> it wouldn't do that. All ortho tests were unremarkable. Some minor >>> instability in valgus stress, but nothing extreme. Patient tolerated >>> exam well. He is only in pain when he tries to put weight on it. Putting >>> weight on it is very difficult. He appears as if a cane/crutches would >>> be in order. Passive movement no problemo. Incidentally, he's also had >>> ankle fusion on that side.>>>>>> I'm suspecting med meniscal sprain/tear, or medial collateral sprain.>>>>>> What do some of you extremity aficionados surmise???>>>>>>>>> Dr. ph Medlin D.C.>>> Spine Tree Chiropractic>>> 1627 NE Alberta St. #6>>> Portland, OR 97211>>> Ph: 503-788-6800>>> c: 503-889-6204>>>>>>>>>>>>>>>>>>>>> __________________________________________________________>> Sent via the WebMail system at beesonchiropractic.com>>>>>>>>>>>

[Guest guest]

I have referred to him many times for surgery. The guy is good and the

patients seem to like him

Which MCO are you referring to?? And if an ortho is not the right referral,

why are you referring to one? I'm assuming they ( the all mighty) have

instructed you to do so?????

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

Knees

>>>>

>>>>

>>>>

>>>> Hi folks have a 58 yo male who complains of medial knee pain weight

>>>> bearing only. He was kneeling and went to erect posture when pain

>>>> occurred. Has had before and " popped back in place " with extension. Now

>>>> it wouldn't do that. All ortho tests were unremarkable. Some minor

>>>> instability in valgus stress, but nothing extreme. Patient tolerated

>>>> exam well. He is only in pain when he tries to put weight on it.

>>>> Putting weight on it is very difficult. He appears as if a

>>>> cane/crutches would be in order. Passive movement no problemo.

>>>> Incidentally, he's also had ankle fusion on that side.

>>>>

>>>> I'm suspecting med meniscal sprain/tear, or medial collateral sprain.

>>>>

>>>> What do some of you extremity aficionados surmise???

>>>>

>>>>

>>>> Dr. ph Medlin D.C.

>>>> Spine Tree Chiropractic

>>>> 1627 NE Alberta St. #6

>>>> Portland, OR 97211

>>>> Ph: 503-788-6800

>>>> c: 503-889-6204

>>>>

>>>>

>>>>

>>>

>>>

>>>

>>>

>>>

>>> ________________________________________________________________

>>> Sent via the WebMail system at beesonchiropractic.com

>>>

>>>

>>>

>>>

>>>

>>

>

>

[Guest guest]

Joe,

A posterior superior fibular head can cause the same

symptoms.

DeSiena

--- anngoldeeen <anngoldeen@...> wrote:

> Joe: It sounds like a meniscal tear to me. You

> might want to make an orthopedic referral. What

> does everyone else think? Ann Goldeen, Astoria

> Knees

>

>

>

> Hi folks have a 58 yo male who complains of medial

> knee pain weight bearing only. He was kneeling and

> went to erect posture when pain occurred. Has had

> before and " popped back in place " with extension.

> Now it wouldn't do that. All ortho tests were

> unremarkable. Some minor instability in valgus

> stress, but nothing extreme. Patient tolerated exam

> well. He is only in pain when he tries to put weight

> on it. Putting weight on it is very difficult. He

> appears as if a cane/crutches would be in order.

> Passive movement no problemo. Incidentally, he's

> also had ankle fusion on that side.

>

> I'm suspecting med meniscal sprain/tear, or medial

> collateral sprain.

>

> What do some of you extremity aficionados

> surmise???

>

>

> Dr. ph Medlin D.C.

> Spine Tree Chiropractic

> 1627 NE Alberta St. #6

> Portland, OR 97211

> Ph: 503-788-6800

> c: 503-889-6204

>

>

Dr. DeSiena, D.C.

Washington Street Chiropractic Center, L.L.C.

771 Washington Street

Eugene, OR 97401

(541) 686-BACK (2225)

__________________________________________________

[Guest guest]

Hi Carol,

That would be me. I had no problems with my knees prior to

revision, now my right knee is a mess. Like you it hurts like

the dickens to do stairs. If I work out and strengthen it, it gets

a little better not much. The surgeon thought that my body

was adjusting to that knee finally carrying some weight as I

leaned to the left for many years. I don't know, it hasn't adjusted

yet and I am about 18 months post op.

valerie

[Guest guest]

My right knee was bothering me before my revision. Sometimes, it hurt

all the way around the knee. It mostly hurts right below the knee. But

when I walk up/down stairs, wow!! It really hurts right underneath the

knee cap. That may mean arthritis or who knows, possible knee

replacement eventually. I'm sure standing and walking with my knees

bent for 20 some years didn't help the situation!! I'll see how it

goes, and maybe I'll have to see a local orthopedic doctor for it after

I get all my back issues settled down. Right now I'm having pain at the

pelvic bolts. Probably will have to have them taken out, but that will

come first before any knee stuff.

Carol

>

> Hi Carol,

> That would be me. I had no problems with my knees prior to

> revision, now my right knee is a mess. Like you it hurts like

> the dickens to do stairs. If I work out and strengthen it, it gets

> a little better not much. The surgeon thought that my body

> was adjusting to that knee finally carrying some weight as I

> leaned to the left for many years. I don't know, it hasn't adjusted

> yet and I am about 18 months post op.

> valerie

>

[Guest guest]

vicodin worked for me

From: jeztux <jeztux@...>

Subject: [ ] Knees

Date: Thursday, December 4, 2008, 4:51 PM

Has anyone found any ways to reduce knee pain/swelling? The many abx

treatments don't seen to help very much. Thanks

[Guest guest]

From what I understand, the Herxheimer's rxn. is most felt in the knees. I

think any narcotic like vicodin is a good suggestion but have you tried NSAIDS

like ibuprofen. They are good for swelling/inflammation---maybe not strong

enough tho.

I have the same problem and the pain drives me out of my skull. But, I have

been on abx for only about 3 weeks. As paradoxical as it sounds, knee pain is a

good sign. It's just a bitch to endure. Wish you the best of luck. Stay on

the abx or try a milder one with less Herx rxn.

db

vicodin worked for me

From: jeztux <jeztux@...>

Subject: [ ] Knees

Date: Thursday, December 4, 2008, 4:51 PM

Has anyone found any ways to reduce knee pain/swelling? The many abx

treatments don't seen to help very much. Thanks

[Guest guest]

Glucosamine/Chondroitin combinations help me ALOT, it completely goes

away if I take it.

The one I like now is:

Joint Health Formula

Health Products Distributors Inc

PO Box 4629

Tubac AZ 85646

it has other things in it like, MSM, Quercetin, Turmeric, Greape Seed

Extract etc.

Cathleen

Deron Baker wrote:

>

> From what I understand, the Herxheimer's rxn. is most felt in the

> knees. I think any narcotic like vicodin is a good suggestion but have

> you tried NSAIDS like ibuprofen. They are good for

> swelling/inflammation---maybe not strong enough tho.

>

> I have the same problem and the pain drives me out of my skull. But, I

> have been on abx for only about 3 weeks. As paradoxical as it sounds,

> knee pain is a good sign. It's just a bitch to endure. Wish you the

> best of luck. Stay on the abx or try a milder one with less Herx rxn.

>

> db

>

> vicodin worked for me

>

>

>

> From: jeztux <jeztux@... <mailto:jeztux%40>>

> Subject: [ ] Knees

> <mailto: %40>

> Date: Thursday, December 4, 2008, 4:51 PM

>

> Has anyone found any ways to reduce knee pain/swelling? The many abx

> treatments don't seen to help very much. Thanks

>

>

[Guest guest]

For my pre-treatment knee swelling, nothing worked very well. Of

course the NSAID's I tried helped a little (back then we tried mobic,

endomethacin, naproxen), but I was only allowed 1/2 a vicodin at a

time and that did nothing. P.T. didn't help, made it worse. Heat made

it much worse, though ice numbed it up for a while. When they got so

swollen that sweat pants wouldn't fit over them, nothing helped at

all. My doc's theory is that I have osteo due to the long-term,

repeated swelling in the knees.

Post-treatment, I just have the arthritis so still take NSAID's.

Since abx I've tried several; on feldene for 3+ years now (cheap and

works somewhat). The Glucosamine/Chondroitins I tried had no effect

after six months each, so I discontinued. P.T. helped restrengthen

the ligaments, etc. I also can only wear flat shoes and walking on

uneven ground or inclines is pretty painful. Since I never had any

form of Herxing, I can't comment on that in particular.

Just don't quit trying things! Eventually you'll find some modicum of

relief, I would hope. Eventually P.T. figured out that my hips were

weakened over the years of knee pain, and strengthening them has

helped a little more, too.

Best wishes,

in Oregon

> Deron Baker wrote:

> >

> > From what I understand, the Herxheimer's rxn. is most felt in the

> > knees. I think any narcotic like vicodin is a good suggestion but

have

> > you tried NSAIDS like ibuprofen. They are good for

> > swelling/inflammation---maybe not strong enough tho.

> >

> > I have the same problem and the pain drives me out of my skull.

But, I

> > have been on abx for only about 3 weeks. As paradoxical as it

sounds,

> > knee pain is a good sign. It's just a bitch to endure. Wish you

the

> > best of luck. Stay on the abx or try a milder one with less Herx

rxn.

> >

> > db

> >

> > vicodin worked for me

> >

> >

> > Has anyone found any ways to reduce knee pain/swelling? The many

abx

> > treatments don't seen to help very much. Thanks

[Guest guest]

In a way it's good to hear that my out of the blue symptoms aren't found only in

me, but I'm very sorry to hear that others are having the same unexplainable

knee swelling. I've been taking oxycontin and lyrica for my arthritis, but my

doctor tried the mobic for me as well. especially since my feet also have the

habit of suddenly swelling with no explanation. The mobic does help with that,

but no such luck with my knees.

My knee pain isn't unbearable unless I try to bend it or walk/stand because of

the other drugs, but my regular doc sent me to a rheumatologist. She couldn't

explain the reason for the swelling, although she did determine my knee was

filled with fluid, saying it was possible there might be a tear in the meniscus

that wasn't visible on x-rays or MRIs but couldn't say that might have happened.

I've had that removed a couple times now, and let me tell you, that has to be

one of the most painful procedures ever.

Since my knee swells up again within a matter of days, though, it's just not

feasible to remove the fluid so frequently. I obviously can't just lie on my bed

all the time, so I went to my pharmacist, who game me this wonderful brace. It's

got these metal hinges inside so that I can bend it if I want, but if you make

the straps tighter, it doesn't allow the bending and instead uses the metal as a

support. I can't stress enough how much this brace has helped me be able to get

around. I still can't stay on my feet too long, but at least not it's not so

painful to go get a glass of water. I still use crutches as well if I'm going to

be out and about outside my home to give me extra support, though. If this is

something any of you are interested in, I can give you the exact name, price,

look of the package or whatever I can to help find it. I've got Medicare and

they covered the cost of it after my doctor wrote out a prescription for it, if

that's any help.

Getting back to long term treatment, I'm next going to see an osteopath to see

if surgery could correct my problem. I don't know if any of the rest of you with

knee swelling have been checked for fluid, but it might be worth checking out. I

know my doctor thought it was just another manifestation of my arthritis or a

reaction to medication at first, but further examination and testing did find

the fluid.

Good luck!

[ ] Re: Knees

For my pre-treatment knee swelling, nothing worked very well. Of

course the NSAID's I tried helped a little (back then we tried mobic,

endomethacin, naproxen), but I was only allowed 1/2 a vicodin at a

time and that did nothing. P.T. didn't help, made it worse. Heat made

it much worse, though ice numbed it up for a while. When they got so

swollen that sweat pants wouldn't fit over them, nothing helped at

all. My doc's theory is that I have osteo due to the long-term,

repeated swelling in the knees.

Post-treatment, I just have the arthritis so still take NSAID's.

Since abx I've tried several; on feldene for 3+ years now (cheap and

works somewhat). The Glucosamine/Chondroitins I tried had no effect

after six months each, so I discontinued. P.T. helped restrengthen

the ligaments, etc. I also can only wear flat shoes and walking on

uneven ground or inclines is pretty painful. Since I never had any

form of Herxing, I can't comment on that in particular.

Just don't quit trying things! Eventually you'll find some modicum of

relief, I would hope. Eventually P.T. figured out that my hips were

weakened over the years of knee pain, and strengthening them has

helped a little more, too.

Best wishes,

in Oregon

> Deron Baker wrote:

> >

> > From what I understand, the Herxheimer's rxn. is most felt in the

> > knees. I think any narcotic like vicodin is a good suggestion but

have

> > you tried NSAIDS like ibuprofen. They are good for

> > swelling/inflammation---maybe not strong enough tho.

> >

> > I have the same problem and the pain drives me out of my skull.

But, I

> > have been on abx for only about 3 weeks. As paradoxical as it

sounds,

> > knee pain is a good sign. It's just a bitch to endure. Wish you

the

> > best of luck. Stay on the abx or try a milder one with less Herx

rxn.

> >

> > db

> >

> > vicodin worked for me

> >

> >

> > Has anyone found any ways to reduce knee pain/swelling? The many

abx

> > treatments don't seen to help very much. Thanks

[Guest guest]

I bought it from my practitioner, but I googled the distributor for you

http://www.integratedhealth.com/

I might add, I don't have knee swelling, just pain.

Cathleen

cathleen rehfeld wrote:

> Glucosamine/Chondroitin combinations help me ALOT, it completely goes

> away if I take it.

>

> The one I like now is:

> Joint Health Formula

> Health Products Distributors Inc

> PO Box 4629

> Tubac AZ 85646

>

> it has other things in it like, MSM, Quercetin, Turmeric, Greape Seed

> Extract etc.

>

> Cathleen

>

[Guest guest]

I had to see my orthopaedic doctor over and over, he kept my knees going

until I had to have one replaced. He has been a Godsend to me. I am going

to stsart those Symvisc (sp) this week, they worked well on the other knee

until there just wasn't any cartilage left and a replacement was necessary.

Lyme Arthris is now a primary arthritis diagnosis. I also had to have my

shoulder replaced this summer. Arthritis literally ate the ball of my

shoulder...........works good now.

Good Luck..I am like all of you keep trying everything you can

Blesses and hugs,

Connie, MI

[ ] Re: Knees

>

>

> For my pre-treatment knee swelling, nothing worked very well. Of

> course the NSAID's I tried helped a little (back then we tried mobic,

> endomethacin, naproxen), but I was only allowed 1/2 a vicodin at a

> time and that did nothing. P.T. didn't help, made it worse. Heat made

> it much worse, though ice numbed it up for a while. When they got so

> swollen that sweat pants wouldn't fit over them, nothing helped at

> all. My doc's theory is that I have osteo due to the long-term,

> repeated swelling in the knees.

>

> Post-treatment, I just have the arthritis so still take NSAID's.

> Since abx I've tried several; on feldene for 3+ years now (cheap and

> works somewhat). The Glucosamine/Chondroitins I tried had no effect

> after six months each, so I discontinued. P.T. helped restrengthen

> the ligaments, etc. I also can only wear flat shoes and walking on

> uneven ground or inclines is pretty painful. Since I never had any

> form of Herxing, I can't comment on that in particular.

>

> Just don't quit trying things! Eventually you'll find some modicum of

> relief, I would hope. Eventually P.T. figured out that my hips were

> weakened over the years of knee pain, and strengthening them has

> helped a little more, too.

>

> Best wishes,

> in Oregon

>

> > Deron Baker wrote:

> > >

> > > From what I understand, the Herxheimer's rxn. is most felt in the

> > > knees. I think any narcotic like vicodin is a good suggestion but

> have

> > > you tried NSAIDS like ibuprofen. They are good for

> > > swelling/inflammation---maybe not strong enough tho.

> > >

> > > I have the same problem and the pain drives me out of my skull.

> But, I

> > > have been on abx for only about 3 weeks. As paradoxical as it

> sounds,

> > > knee pain is a good sign. It's just a bitch to endure. Wish you

> the

> > > best of luck. Stay on the abx or try a milder one with less Herx

> rxn.

> > >

> > > db

> > >

> > > vicodin worked for me

> > >

> > >

> > > Has anyone found any ways to reduce knee pain/swelling? The many

> abx

> > > treatments don't seen to help very much. Thanks

>

>

>

>

>

>

[Guest guest]

Wow! I had forgotten the 6-week stretches using a knee brace! Mine

wasn't high-tech like yours, but immobilized it enough that I could

keep going at my home cleaning job. Crawling around with a knee brace

for 6 hours a day was great fun. Not!

Matter of fact, my first mis-diagnosis was " housemaid's knee " . Later,

when I changed insurance and got a new doc, I found out that

housemaid's knee is swelling just below the knee, on the front of the

leg.

Later, when the " real " swelling happened nothing helped. One knee

would ebb and I'd have a few days before the other started swelling.

Eventually my new doc tested the fluid and they found " bacteria " ; but

no one tested for Lyme yet, so it was diagnosis time.

in Oregon

> > >

> > > From what I understand, the Herxheimer's rxn. is most felt in

the

> > > knees. I think any narcotic like vicodin is a good suggestion

but

> have

> > > you tried NSAIDS like ibuprofen. They are good for

> > > swelling/inflammation---maybe not strong enough tho.

> > >

> > > I have the same problem and the pain drives me out of my

skull.

> But, I

> > > have been on abx for only about 3 weeks. As paradoxical as it

> sounds,

> > > knee pain is a good sign. It's just a bitch to endure. Wish

you

> the

> > > best of luck. Stay on the abx or try a milder one with less

Herx

> rxn.

> > >

> > > db

> > >

> > > vicodin worked for me

> > >

> > >

> > > Has anyone found any ways to reduce knee pain/swelling? The

many

> abx

> > > treatments don't seen to help very much. Thanks

>

>

>

>

>

>

[Guest guest]

Hi Lynn:

Close to home is best. I have passed your question on to a friend in SLC

who had his knee done the same time as mine (I am in WY, had it done

there. 10/09)and we are both still experiencing various pains and mild

problems. He has been told not to ski, same as me, different docs. Rehab

would be best. The folks I know who had both knees done at once were

very strong guys - getting up from the toilet was a problem for them as

well as for us " one-knee " types. Get a raised toilet seat. And do

thigh-strengthening and arm-strengthening exercise before the op. You

will need them both, one knee OR two. Good luck. ////Adrienne

=======================================================================

On 11/14/2010 9:26 AM, coalvilleut wrote:

>

> HI All,

> I am back. I had my hip replaced by Dr ni (Salt Lake City) two

> years ago and I walk 4-5 miles easily on flat surfaces.

> BUT now my knees are acting up. I am wondering several things:

> Is it wise to have both knees done at once and get it done or is that

> stupid?

> Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

> pioneered the newest methods?

> Is it best to go to rehab or go back home after surgery (rehab if I am

> in SLC is on the same floor, same hospital, convenient!!!)?

> Is knee replacement MUCH worse to recover from as I've been hearing,

> than hip?

> Thank you all for any help you can give and God bless you all and your

> recoveries.

> Lynn

>

>

> Reply to sender <mailto:coalvilleut@...?subject=Knees> | Reply

> to group

> <mailto:Joint Replacement ?subject=Knees> | Reply

> via web post

>

<Joint Replacement/post;_ylc=X3oDMTJxNHFkZDU\

0BF9TAzk3MzU5NzE0BGdycElkAzc3ODA0NDYEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzM4NTc1BHN\

lYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI4OTc1MjAxNw--?act=reply & messageNum=38575>

> | Start a New Topic

>

<Joint Replacement/post;_ylc=X3oDMTJlZ2dwMjd\

iBF9TAzk3MzU5NzE0BGdycElkAzc3ODA0NDYEZ3Jwc3BJZAMxNzA1MDYxMTA0BHNlYwNmdHIEc2xrA25\

0cGMEc3RpbWUDMTI4OTc1MjAxNw-->

>

> Messages in this topic

>

<Joint Replacement/message/38575;_ylc=X3oDMT\

M2dGVjZ3NwBF9TAzk3MzU5NzE0BGdycElkAzc3ODA0NDYEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAz\

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> (1)

>

[Guest guest]

Thanks so much Adrienne, hope the friend contacts me.

I wonder when you should have the knees done: mine look horrible on xrays and I

was told over a year and a half ago to have them done but I have little pain and

am very active so I wonder. OTOH I don't want them to get so bad that the

surgery is harder to do and harder to recover from

Lynn

> >

> > HI All,

> > I am back. I had my hip replaced by Dr ni (Salt Lake City) two

> > years ago and I walk 4-5 miles easily on flat surfaces.

> > BUT now my knees are acting up. I am wondering several things:

> > Is it wise to have both knees done at once and get it done or is that

> > stupid?

> > Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

> > pioneered the newest methods?

> > Is it best to go to rehab or go back home after surgery (rehab if I am

> > in SLC is on the same floor, same hospital, convenient!!!)?

> > Is knee replacement MUCH worse to recover from as I've been hearing,

> > than hip?

> > Thank you all for any help you can give and God bless you all and your

> > recoveries.

> > Lynn

> >

> >

> > Reply to sender <mailto:coalvilleut@...?subject=Knees> | Reply

> > to group

> > <mailto:Joint Replacement ?subject=Knees> | Reply

> > via web post

> >

<Joint Replacement/post;_ylc=X3oDMTJxNHFkZDU\

0BF9TAzk3MzU5NzE0BGdycElkAzc3ODA0NDYEZ3Jwc3BJZAMxNzA1MDYxMTA0BG1zZ0lkAzM4NTc1BHN\

lYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI4OTc1MjAxNw--?act=reply & messageNum=38575>

> > | Start a New Topic

> >

<Joint Replacement/post;_ylc=X3oDMTJlZ2dwMjd\

iBF9TAzk3MzU5NzE0BGdycElkAzc3ODA0NDYEZ3Jwc3BJZAMxNzA1MDYxMTA0BHNlYwNmdHIEc2xrA25\

0cGMEc3RpbWUDMTI4OTc1MjAxNw-->

> >

> > Messages in this topic

> >

<Joint Replacement/message/38575;_ylc=X3oDMT\

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[Guest guest]

Hi Lynn

I am in hospital right now recovering from a 4th hip revision on same side.

I had quite a long chat to this surgeon the day of admission. I went to see

him for routine

Consultation, when he admitted me there and then as the hip was so unstable

As for which is worse to do hip knee shoulder, I think its a very individual

thing.

For me personally I found the hip harder to do as there are more

restrictions,

I did have a quick chat to him about the anterior approach but he doesn't

like it, I will

Ask him why when I see him today, I new I couldn't have it done like that,

so I didn't per sue his reasons.

I personally wouldn't do 2 knees or hips together, but that's my preference

others do.

but the shoulder is by far the worst of the 3.



-- Knees

HI All,

I am back. I had my hip replaced by Dr ni (Salt Lake City) two years

ago and I walk 4-5 miles easily on flat surfaces.

BUT now my knees are acting up. I am wondering several things:

Is it wise to have both knees done at once and get it done or is that

stupid?

Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

pioneered the newest methods?

Is it best to go to rehab or go back home after surgery (rehab if I am in

SLC is on the same floor, same hospital, convenient!!!)?

Is knee replacement MUCH worse to recover from as I've been hearing, than

hip?

Thank you all for any help you can give and God bless you all and your

recoveries.

Lynn

------------------------------------

[Guest guest]

Lynn:

Your message was passed on to me by Adrienne Ward.

I do not know Dr. Marini but it sounds like it was a good hip job.

I had mine done by Dr. Nate Momberger of TOSH, The Orthopedic Hospital,

in Murray. He is a very talented person who was recommended by my eye

surgeon son.

Honestly I can tell you and I think Adrienne will verify that knee

replacement surgery is painful. No way out of it. And it takes a year to

recover and constant therapy is absolutely necessary.

I know folks who have had both knees done at once to get it over. And I

guess if you have a high level of pain, two knees are not much different

than one. But you will be expected to be walking a day or two after

surgery then assisted by crutches for ~2 weeks.

I went home and had home therapy for 3 weeks that was quite good.

But folks with two knees seem to do better with a week rehab in a rehab

facility.

I do not know Coons, but know that Momberger and his group are some of

the best. They have offices in Park City and SLC, and do surgeries in

both towns.

There is a new procedure being developed by a doctor in San Francisco

that regrows tissue and seems to be working but takes a long time. I can

not find his name but a colleague from Harvard is trying this procedure.

Good luck,

Bob

Salt Lake City

=================================================

Bob: Maybe you can advise this lady? ///Adrienne Ward

I told her stay in SLC.

=================================================

On 11/14/2010 11:36 AM, coalvilleut wrote:

>

> Thanks so much Adrienne, hope the friend contacts me.

> I wonder when you should have the knees done: mine look horrible on

> xrays and I was told over a year and a half ago to have them done but

> I have little pain and am very active so I wonder. OTOH I don't want

> them to get so bad that the surgery is harder to do and harder to

> recover from

> Lynn

>

>

> > >

> > > HI All,

> > > I am back. I had my hip replaced by Dr ni (Salt Lake City) two

> > > years ago and I walk 4-5 miles easily on flat surfaces.

> > > BUT now my knees are acting up. I am wondering several things:

> > > Is it wise to have both knees done at once and get it done or is that

> > > stupid?

> > > Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

> > > pioneered the newest methods?

> > > Is it best to go to rehab or go back home after surgery (rehab if

> I am

> > > in SLC is on the same floor, same hospital, convenient!!!)?

> > > Is knee replacement MUCH worse to recover from as I've been hearing,

> > > than hip?

> > > Thank you all for any help you can give and God bless you all and

> your

> > > recoveries.

> > > Lynn

> > >

> > >

> > > Reply to sender <mailto:coalvilleut@...?subject=Knees> | Reply

> > > to group

> > > <mailto:Joint Replacement

> <mailto:Joint Replacement%40>?subject=Knees> | Reply

> > > via web post

> > >

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[Guest guest]

Well..... tkr is painful, BUT it's not going to get easier with time. In fact,

it will get harder. Once the pain does get to the point where you are cutting

back on your walking and fitness activities, the muscles will start to atrophy

and that makes it much harder to recover. So the better shape you go into the

surgery with the better you'll come out and the better/quicker your recovery

will be. This is not going to go away or get better on its own so you might as

well face it and get it over with

I've just had the one knee done. But having had that, I would think that

recovering from two would be very difficult. I put myself on a very vigorous

physio program post surgery and my recovery has been really excellent. However,

I am thinking how much harder every step of that would have been if BOTH knees

had been so sore.

For example, even now, getting up and down off the ground to floor exercises is

awkward because my replaced knee is still tender on the skin surface. I am

working at desensitizing it by kneeling on it - but with two knees sore it would

be REALLY hard.

If you do choose to go that route I would definitely go to rehab as you will

need much more assistance than you would if you did them one at a time. One at a

time you can take care of yourself because they have you up and walking (with a

walker) the first day. So if you've organized your home so that things are easy

to reach etc there is really no problem. Get a raised toilet seat for sure.

Knee surgery is painful - not in a gutwrenching, screaming pain kind of way (for

me anyway). It was more the constant ache that did not go away for at least a

month. Ice was VERY helpful and elevation. By 6 weeks I was pretty good. In fact

we headed off on a 6 week camping trip in our campervan which meant climbing up

and down out of it and gentle hikes over uneven ground etc. I had a wonderful

time.

So yes, the recovery time to TOTAL recovery is probably 6-12 months. But as

opposed to some other surgeries (eg, my ankle fusion had me non-weightbearing

and pretty helpless for 4 months) the tkr was easy.

Good luck

Carolyn

>

> HI All,

> I am back. I had my hip replaced by Dr ni (Salt Lake City) two years ago

and I walk 4-5 miles easily on flat surfaces.

> BUT now my knees are acting up. I am wondering several things:

> Is it wise to have both knees done at once and get it done or is that stupid?

> Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

pioneered the newest methods?

> Is it best to go to rehab or go back home after surgery (rehab if I am in SLC

is on the same floor, same hospital, convenient!!!)?

> Is knee replacement MUCH worse to recover from as I've been hearing, than hip?

> Thank you all for any help you can give and God bless you all and your

recoveries.

> Lynn

>

[Guest guest]

Is the friend from Harvard doing this S.F. procedure instead of surgery?

When was your knee surgery done and are you pain free and walking/ exercising/

living " normally " yet?

> > > >

> > > > HI All,

> > > > I am back. I had my hip replaced by Dr ni (Salt Lake City) two

> > > > years ago and I walk 4-5 miles easily on flat surfaces.

> > > > BUT now my knees are acting up. I am wondering several things:

> > > > Is it wise to have both knees done at once and get it done or is that

> > > > stupid?

> > > > Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

> > > > pioneered the newest methods?

> > > > Is it best to go to rehab or go back home after surgery (rehab if

> > I am

> > > > in SLC is on the same floor, same hospital, convenient!!!)?

> > > > Is knee replacement MUCH worse to recover from as I've been hearing,

> > > > than hip?

> > > > Thank you all for any help you can give and God bless you all and

> > your

> > > > recoveries.

> > > > Lynn

> > > >

> > > >

> > > > Reply to sender <mailto:coalvilleut@?subject=Knees> | Reply

> > > > to group

> > > > <mailto:Joint Replacement

> > <mailto:Joint Replacement%40>?subject=Knees> | Reply

> > > > via web post

> > > >

> >

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> > > >

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[Guest guest]

Carolyn, THANK YOU that is so encouraging. I am in excellent shape, walk 2 miles

most days, do yoga, tai chai, qui quong (spelling?) every day, work out with

weights on ankles and wrists, do stationary bike 3x a week. So I better go do it

and get it over with. I am not sure how to make the choice of going to my thr dr

who was MARVELOUS or seeing if I can find a knee specialist, or maybe go to

Momburger at the orthopedic hospital we have here near Salt Lake City

Anyway I have an appt with ni next Mon to see how the xrays have changed

from 1 1/2 years ago. I think if I ate the arthritis diet 100% and lived in a

warm climate I might not need more surgeries but if I live long enough maybe I

would anyway. And the arthritis diet is so difficult to follow 100% and I have

not been able to sell my house so far (when I do I'll move to a warm climate).

Did you have that " machine " thing that excercises your legs while you sleep? Did

anyone?

Lynn

> >

> > HI All,

> > I am back. I had my hip replaced by Dr ni (Salt Lake City) two years

ago and I walk 4-5 miles easily on flat surfaces.

> > BUT now my knees are acting up. I am wondering several things:

> > Is it wise to have both knees done at once and get it done or is that

stupid?

> > Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

pioneered the newest methods?

> > Is it best to go to rehab or go back home after surgery (rehab if I am in

SLC is on the same floor, same hospital, convenient!!!)?

> > Is knee replacement MUCH worse to recover from as I've been hearing, than

hip?

> > Thank you all for any help you can give and God bless you all and your

recoveries.

> > Lynn

> >

>

[Guest guest]

Sounds like one knee at a time is wiser, ever though more time, another hosp

stay, and more $.

Lynn

> >

> > HI All,

> > I am back. I had my hip replaced by Dr ni (Salt Lake City) two years

ago and I walk 4-5 miles easily on flat surfaces.

> > BUT now my knees are acting up. I am wondering several things:

> > Is it wise to have both knees done at once and get it done or is that

stupid?

> > Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

pioneered the newest methods?

> > Is it best to go to rehab or go back home after surgery (rehab if I am in

SLC is on the same floor, same hospital, convenient!!!)?

> > Is knee replacement MUCH worse to recover from as I've been hearing, than

hip?

> > Thank you all for any help you can give and God bless you all and your

recoveries.

> > Lynn

> >

>

[Guest guest]

You sound like you are working hard at being fit. I also put a lot of extra

effort into strenthening my knees/muscles pre surgery and it really paid off for

me.

No, I did not have one of those knee bending machines. I think they would be

really annoying. Sleeping is hard enough in the first weeks post surgery. In the

initial weeks I just kept a cotton strap on the nightside table and several

times a day (if I was lying down) I put it around my ankle and used it to gently

pull my knee into a bend by pulling the ankle towards my butt. When I was

sitting, similarly, I made a point of bending my knee a little more each time -

so that it was uncomfortable. I would sit like that for a few minutes, then

relax and straighten it a bit more. I just kept doing this all the time,

consciously bending my knee to the point of uncomfortable and holding it there

for a few minutes. Low-tech but totally effective.

Today at 6 months my knee has full range of motion (about 130) and no discomfort

at all.

The physio set me up with a workout plan that I followed at home every day. I

saw her every week and she gradually increased the difficulty of what I was

doing. One of the most effective land-based exercises I did was to lie on my

back with my feet on the wall over the headboard. Then I " walked " a big exercise

ball up and down the wall with my feet. In this way gravity pulled at my feet,

gently but persistently pulling my knee into an ever greater bend. I found this

so helpful I did it 2-3 times a day.

The other thing that was MOST helpful to me was the pool. I went to see an

aquafit physio who gave me exercises for the water. I also followed the water

program in the book " Heal Your Knees " by Klapper and Lynda Huey. I

ordered it from Amazon.ca.

After my incision had fully healed (about 3 weeks) I went into the water 2-3

times a week and every time I did the results were really good. There is

something about the water, cool and soothing while it takes the weight off the

joint. I was able to push my knee further in the water than on land for sure -

and more pleasantly! But the benefits were good on land too. Once your knee

becomes comfortable with a greater degree of bend in the water it's also

comofortable on land. So I cannot emphasize the benefit of the water enough.

Today at 6 months I am in the pool at least 3 times a week. I swim 20 laps, do

30 minutes of knee specific strenghtening exercises from the book then 30

minutes of deep water aquafit class. I also walk 2-4 km twice a week and do

several 30 minute sessions on my stationery bike. I am still quite overweight

(about 70 pounds) but my weight loss is coming along really well now (19 pounds

and counting So I am not pushing the walking too too much till I get the

weight down a bit more.

Good luck,

Carolyn

> > >

> > > HI All,

> > > I am back. I had my hip replaced by Dr ni (Salt Lake City) two years

ago and I walk 4-5 miles easily on flat surfaces.

> > > BUT now my knees are acting up. I am wondering several things:

> > > Is it wise to have both knees done at once and get it done or is that

stupid?

> > > Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

pioneered the newest methods?

> > > Is it best to go to rehab or go back home after surgery (rehab if I am in

SLC is on the same floor, same hospital, convenient!!!)?

> > > Is knee replacement MUCH worse to recover from as I've been hearing, than

hip?

> > > Thank you all for any help you can give and God bless you all and your

recoveries.

> > > Lynn

> > >

> >

>

[Guest guest]

Dear Carolyn,

What a wonderful post. Thank you so much, excellent, excellent suggestions Ill

have to save this one so I can reread.

It sounds like I don't need the " machine " thing as I'm very diligent about

exercise (wish I were as diligent about working...would have been more of a

success in careers!) and will do the knee bending you suggested, very simple but

simple is often the one you end up doing the most reliably!

Thanks again.

Lynn

> > > >

> > > > HI All,

> > > > I am back. I had my hip replaced by Dr ni (Salt Lake City) two

years ago and I walk 4-5 miles easily on flat surfaces.

> > > > BUT now my knees are acting up. I am wondering several things:

> > > > Is it wise to have both knees done at once and get it done or is that

stupid?

> > > > Should I go to the same surgeon or maybe go to Ca and see Dr Coon who

pioneered the newest methods?

> > > > Is it best to go to rehab or go back home after surgery (rehab if I am

in SLC is on the same floor, same hospital, convenient!!!)?

> > > > Is knee replacement MUCH worse to recover from as I've been hearing,

than hip?

> > > > Thank you all for any help you can give and God bless you all and your

recoveries.

> > > > Lynn

> > > >

> > >

> >

>

[Guest guest]

Did you see an orthopedic or the rheumatologist about the knees? If would have

an ortho check them and make sure they haven't deteriorated. My left one hurt

awful and I finally went and found out I will need a knee replacement and in the

mean time I'm on my 2nd set of synvisc shots which are helping me. I can

actually say that my knee very seldom hurts now and as long as these work I'll

keep getting them but eventually I'm going to need a replacement since I have

bone on bone in the left one now.

Celeste