Treating Knee Arthritis Without Surgery
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- Опубліковано 14 жов 2024
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The non operative management of knee arthritis is discussed including physiotherapy, anti-inflammatories, narcotics, activity modification and more.
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I was candidate for total knee replacement. Before the surgery my surgeon put me through 6 months of a multimodal program that included all of your recommendations. For the PT, because I live a distance from any PT services, I asked that a PT regimen be created for me to do at home. For 6 months I religiously did PT 5 days per week, 45 minutes per session. At my 6 mo visit, surgeon said I no longer needed surgery. So I had PT augment my PT routine to help me continue to avoid surgery- session is now 1 hour every other day plus about 15 minutes on a stationary recumbent bike which I installed at home. PT is THE mode that saved me from surgery (so far)- the other modes were practically ineffective. Your videos are wonderful!
That is an amazing story Patricia. Thanks for watching and subscribing
can you please explein me what p t is thankyou.
@@isabelm3791 Physical Therapy.
Glad for you.😊🙂👍 Thing about me is I've got OA and really have a bad case in my right knee (bone on bone and very knocked kneed in the right knee) Probably will get partial knee replacement. I actually look forward to it
Hello can you send me your Gmail let’s chat about this
My wife had several knuckles replaced in her 40s and 50s and was prepared to do more. She was also looking for a doctor that would do a knee replacement for her at age 56. First doctor told her she was too young so she was looking for another that would do it. We then both went keto/low carb and in less than 6 months all joint pain went away. 2 1/2 years later and there is still no pain. Best thing we ever did.
That is awesome TNTpaintballCANADA. Thank you for telling your story. Thanks for watching, subscribing and sharing with someone if you did.
Wow that's awesome. Does she have knee osteoarthritis?
When I was on fairly hard core keto, my joint pain went away. Lately I have been eating enough carbs that I’m no longer in ketosis, and the pain is back. So I guess it’s super low carb for me, or put up with joint inflammation.
@@PebblesHomeMovieChannel Yes, low enough to remain in ketosis. I didn’t measure my exact consumption of carbs, but I used a Ketomojo to make sure I was in ketosis at least most of the time.
@@PebblesHomeMovieChannel My pleasure! I know a lot of people have problems with keto, but it really did agree with me. I really had a ton of energy too. I still stay pretty low carb and I feel fine except for the arthritis. I think I will have to give VERY low carb another try and see what happens.
These guys were down to earth, they offered many good options, very informative. I am an RN and have had knee pain for years but dont want surgery. I love their easy, nonjudgmental manner. I would feel very comfortable asking them any questions I have. So glad I found this video!
Hi Charlene. Thanks for the positive feedback. We are so glad you found the video helpful. Good luck.
I hope you're doing okay, Charlene! Nurses have been worked to the bone during these pandemic times. I agree with not wanting a knee replacement. And that these Docs really know their stuff. I appreciate this channel, too. Just thought I'd say hi.
Take Care!
I like these guys, very informative!
oh
@@Nan-59 k
37 years with bad knee, several docs, nobody has educated me like that. This is what quality healthcare sounds like. Good job guys, keep it up. Communication and education, that’s the future for healthcare.
Thanks for the kind words Willow. Sorry for the late response. For whatever reason did not see your comment. Good luck!
I am not clear about it. Too confused.
I would like to know can osteoarthritis patient walk if yes how many minutes.
Which footwear is best.
Could you please explain ...how did it help you what did do?
Thank you.
Hi Leena. Sorry for the delayed response as we didn't see your comment. So patients with arthritis can walk as much as they can tolerate - it may hurt but it is not dangerous. Sensible footwear is the best. Good walking shoes. Often patients will benefit from wearing orthotics as well. These are all good topics to discuss with your surgeon.
I tried 3x to say my exact sentiments. Thank you so very much
70 yrs bone on bone arthritis with bone spurs close to knee replacement several times. I lost 50 lbs. I take water aerobics great exercise. Drink Turmeric golden milk for inflammation. Now walk 3 to 5 miles a day. Have my husband use pastry roller on hamstrings helps so much with flexibility. Very little pain and can do so much now. No need for surgery in my future.
Hi Cindy. Congratulations on the success of all of your hard work. Keep it up. Thanks for watching.
losing weight and doing water Zumba 2 times a week for 2 hours each. knee pain has really diminished. these videos are very helpful.. thank you..
You are my hero!!
The Holiness Church
Thanks for sharing your pain manament with tumeric .I take it too. Take care.👍❤
Thanks for your honesty, I am a retired orthopedic RN and I have seen all of the things that you have said. I say keep your original parts as long as you can without to much pain and suffering!
Hi Kathy. You are welcome for the honesty and thanks for watching. You are very wise - delaying as long as you can is always a good idea.
@@TalkingWithDocs I use to be a runner for 26 years. I feel it ruined my knees. I hate seeing women run now. I love you guys brought up weight. Never had a weight problem until my knees went bad. I struggle with weight.
@@wyomingadventures .I was in the same situation.I had to try cross trainer instead of treadmill. Loved the bike but experienced back pain after hour rides despite stretching.
Kathy MahoneStreet 5
Kathy that is good advice
I’m a retired nurse, on my feet for 12+ hours a day. I went thru most everything you talked about until I finally got my knees replaced, what relief!
Glad you are doing well eamoroso56! Thanks for watching, subscribing and sharing with someone if you did.
I had to have bilateral knee replacement at 60. I go to to the pool at least 3 times A week. Keeps swelling down n pain. Good luck.
How does it feel?
I'm so scared
Good to hear that. I have one coming up
Thanks guys. Very comprehensive information. I’ve had bone on bone osteoarthritis in both knees for a couple of years. Three things have helped me enormously - (1) Losing weight and thereby taking some pressure off my knees (2) doing regular targeted exercises (3 times a week) to strengthen my thigh muscles (quads) and the muscles below and around my knees - I had a physiotherapist prescribe the five exercises I do to ensure they are effective (3) reducing inflammation which is the cause of so much pain and stiffness - for me this means not eating sugar (or limiting it to ‘special occasions’). Reducing sugar in my diet has made a huge difference to my knee pain levels. Good luck everyone from Jan in Melbourne, Australia.
Hi Jan. Thanks for watching and thanks so much for sharing what has worked for you. Diet and exercise are a big part of any health plan and knee pain is no different. With respect to inflammatory foods, this is a topic that is gaining a lot of momentum and scientific backing. Processed foods and sugar in general are probably not the best. Shifting to a more whole food and possibly plant based diet may be beneficial.
Agree reducing sugar was a huge help for me!!
Does that includes reducing carbs? My dad doesn't eat much food with extra sugar but he does take food made of wheat like bread, noodles, rice.
Thanx for sharing
Is fruit ok??
Sweet souls, rare personalities,humble, so nice to see and hear them.
Why thank you so much Belle. Thanks for watching and subscribing
I found this video very informative and thanks for both your simplicity and great info I needed to hear today. This year my knees reacted to weight gain (25 lbs) and years of tennis etc but determined to apply all your expertise to eliminating as much discomfort as possible. Thank you both again.
You are very welcome Maureen. COVID 25. You can lose it. Best of luck. Thanks for watching and subscribing if you did.
God bless you two, this world would be a lot better off with care providers like you. It takes a lot of heart to explain with patience and integrity, very factual things that can help so many people, to learn how to better their lives without expensive surgery. Your parents should be very proud to see what a blessing that you chose to become to society. Thank you, and keep up the good work.😊🙏❤️👍
That is very sweet Rachel. We are very fortunate to practice in Canada where medicine is covered for everyone. Thanks for watching and subscribing
You're welcome, 😀👍
I truly appreciate the fact that in spite of your busy schedules you both take the time to help so many people. To my disappointment I had an orthopedic dr tell me I need a hip replacement. I went for another opinion and was told I have "some" arthritis. I am 82 (f) and don't think a Dr should be so frivolous with surgery @ my age.
Agreed M. The decision for surgery is more about your pain than your age or your X-ray. You get to decide. All the best. Thanks for watching and subscribing
it's a money maker
I’ve had OA diagnosis since I was 48 (now 76). Ab 15 years ago I was having hip pain and went to an orthopedic surgeon who took an X-ray and basically just said something like “yes. Ok. Let me know when you are ready for surgery.” I was dumbfounded and thought “ME? I thought YOU were going to tell me when” and off I went.
I couldn’t bear the thought of someone sawing through my bones so I put up with agonizing pain for a year. I would yelp out loud from “spasms” of pain even when sitting still. That was when I finally understood what bone-on-bone pain was.
I had hip replacement surgery 14 years ago and accepted that I’d gone through a lot of unnecessary pain and should have had it done sooner.
Then had knee pain where I could hardly walk 1.5 years ago. The cortisone shot is still working. I really don’t want this surgery as they say recovery is worse than hip.
For the past 15 years I have been controlling general arthritis pain with nopal CAPSULES (Amazon). It’s a natural anti inflammatory (google to see if not recommended with any meds you might be taking). I take NSAIDs (usually ibuprofen) once every few months. And I had started out with Celebrex, which irritated my stomach.
Forgot to mention that I use a spa/hot tub almost every morning and this helps a lot to ease morning stiffness.
@@sandrakramer1520 I
I live in FL & h ave a community pool. It seemed to exasperated my pain so I count on hot showers. I decided on the hip surgery. I am on a 2 month wait list. I can't do anything but wait. It has been 28 months since I was injured. Hopefully this is soon to end. Thank you for your correspondence.
I’m 4 years late to this but my dad (62 years old, has worked as a truck driver for 17 years and currently still a truck driver) got diagnosed last year so I’m watching as many informational videos! By far, this is the most reliable, informed, and helpful information! Thank you so much
Hi Chantal. Thank you so much for your kind words. We are doing our best to keep it simple and get information to patients and their families in a useful way. Thanks so much for watching and good luck to your dad. Happy Father's Day to him!
EXCELLENT!!!!!!! These surgeons appear so knowledgeable and kind when suggesting pain relief!!!!
Thanks for watching and subscribing
I’m just entering this world of knee arthritis. What is helping me is icing my knee after golfing. Also keep moving even if you are sore it keeps the joint lubricanted. All your advice was easy to understand and sensible.
Very nice marilyn. Thanks for watching, subscribing and sharing with someone if you did.
Thanks for sharing your experience. Hope you're doing great, you had some good advice above.
Awesome information! I had 33cc’s aspirated from my very arthritic knee and a cortisone shot just yesterday. It was the first time I’ve experienced such swelling and pain in my knee. Today, it feels so much better. I’m 63 and spent many years running up stairs, jumping rope and on the stair master as my cardio exercise program. It was great for keeping my weight down, probably good for everything but my knees. Now I’m paying the price. I’ve got to find those modifications for helping get the weight back under control. Also had rotator cuff surgery just 5 months ago, full tear and frozen shoulder which caused me to gain more weight due to lack of activity. Still doing PT for the shoulder and now adding it for the knee. I am so happy to have stumbled across your videos! Thank you so much!
Hi Mary. Sounds like you are well on the way to recovery. Thanks for your kind words and keep up the hard work. Thanks for watching.
Mary Perreault I am 77 Keto step race usually no problems just a catch trick knee has slowed me down to doing a mile at a time. It is better today so I think I am following a good path here. No catches at all today . Hard to be patient when things always have gone my way. I am hopeful bc I have had improvement.
How are you doing?
You two are my kind of doctors! Thank you ❤️
We do our best Kay! Very welcome. Thanks for watching, subscribing and sharing with someone if you did.
I am a 58 yr old female, about 5’8 averaging about 130 lbs, eat lots of fruits and veggies. I had to completely stop running about 6 months ago because I’m so concerned about the pain in my knees and I’m sure running is just making my knees worse. I lift weights most days but only between 24 and 30 lbs. I’ve also cut back on wearing heels which is probably the absolute worst part of it for me. I’ve modified the weights to be more floor exercises than standing exercises. I’m not the type to go to the doctor so videos like this are a treasure for me. Thank you.
Hi Sharon H. Glad we could help in any way. It sounds like you have a practical approach. Pain and common sense are good guidelines. Avoiding high impact activities can often reduce knee pain. Thanks for watching and good luck going forward.
Thanks for sharing Sharon, hope you are doing well.
From Republic of Ireland fililipino. Good topic. Very helpful. This doctor's are working for there patients not for money. I'm glad they mentioned the placebo effect. To God be the Glory both of you
Thank you so much Doris. Glad we could help in any small way. Thanks for watching and subscribing if you did.
@@TalkingWithDocs. I did already. I click notifications as well just to make sure I'm updated of your topics. Thanks a million both of you. God bless you always
@@TalkingWithDocs I like and shares to my Filipinos friends and family too 😀
Thank you Docs, for those very useful,and helpful informmation, appreciate everything I heard,as I am an Osteoarthritis patient for a number of years,many thanks again.
Hi Patrice. So glad we could help in any way. Thanks for watching.
Thank you so much for doing this video, I’ve never met drs who are so honest about treatment verses surgery
Hi Nancy. Glad we could pass on a little information for you. Thanks for watching and good luck.
First, I want to say that I think you guys are great.....love that you are doing these informative presentations that bring alot of basic but helpful and important information to people who are completely non-medically oriented; and you both present this information in a totally non-threatening way....and finally, you are both amusing, cute, and actually funny ❤️. I have been a nurse my entire working life... from medicine, the O.R, to rehabilitation, and hospice. The manner in which you do your talks is not only educational but in a
non-threatening way which helps the average person alot ! I have had a knee replacement and do attribute it to somewhat having been on my feet consistently for years and the hospital floors are basically just tile on top of cement!! Doesn't sound too comfy!
What I would like to suggest is that you do an update on nonsurgical treatments that
have advanced over the last 6 to 7 years....especially regarding the role of
inflammation in contributing to the need for
TKR 's, and the use of stem cells. (though I just noticed that you did a talk on stem cells....I have not watched all of your videos, my loss !) I do like your multi-modality approach. And I 'll just add that I have been getting hylauronic acid injections into my right knee for almost 6 YEARS !!! I have been getting 4 injections instead of 3 twice yearly and it's just the last 6mos. that they have not provided really any of the pain relief that I had enjoyed from those injections. I'm due for my next set of injections in a few weeks and I am thinking of trying a cortisone shot 1 to 2 weeks before this series of weekly injections. I was told it will decrease the inflammation and help the hyaluronic to have a better effect. I have been told for the last 6yrs that I 'm "bone on bone" and need a R knee replacement. You can tell how my L knee replacement went by how much I am trying to postpone (forever ?) another replacement. Though I have a different orthopedist now and will be at a different hospital as well. I wish you guys were here in the states rather than up in Canada 🇨🇦. Keep up the great work ;)
Thanks so much for the feedback Susan and for being a nurse. Yes we have videos about injections. We are big believers in HA as well as cortisone and often together. Stem cells still have limited scientific support. All the best with that stubborn right knee!
Ha! Thought I detected a Canadian accent. Good on you and thanks so much for you vlogs. I hope you both work in teaching hospitals.
Hi Docs
I will be having a TKR in the next few months. Some of the things you haven’ t mentioned but have helped me greatly are 1) hiking poles for walking as suggested by my physiotherapist as lifts approximately 30% of your body weight, next the GLAD program ( physic exercises which tailored to the person& I did last year and continue to do, I also bought myself a Cubii which is an small elliptical machine with minimal pain but helps with you keep your knee rotating.
Doing physio exercises every day is necessary.Maybe these may be helpful to those reading this information. Thanks Enjoy your videos.
Hi Rosemary. Thank you for sharing your personal experience. Good suggestions. Best of luck with your surgery. Thanks for watching, subscribing and sharing with someone if you did.
What is cubic…I have heard about leg pressure messaging but it is expensive for me..,like “Normatec leg pressure messaging”.. I would love to know about cubic too
@@ssaniassania8744 hi I posted the original reply about a cubii . Hard to explain but if you look on line you will find it. Very good for rehab from knee surgery and also helping to increase the knee bend if you are not looking a surgery. Hope this helps
@@ssaniassania8744 cubii is a set of foot pedals. It simulates bicycle riding.
Hi Rosemary, I am currently trying to lose weight because i need a double knee replacement, I am trying to strengthen my quads and my legs in general before surgery. Do you think the Cubil can help with this?
Great video!! I wish all doctor's were as nice and as informative as these two. Truly impressed!
Hi Ann S. Thanks so much! We try to keep it light and useful. Thanks for watching and for subscribing if you did. Good luck going forward with your knee
@@TalkingWithDocs I did subscribe and thank you!!
I'm got Arthritis in my knees very young, 35, I'm 40 yes walking is very good, I walk every Morning 45-1 hour, I have a bike tht I do ride it helped my pain so much, when it's raining outside I hve an excercise bike tht I ride 2 X a day, When I wake up I'm pain Free.......
Hi t2dg2011. That is awesome that despite the arthritis you remain so active. We encourage our patients to always do as much as they can tolerate. Moving joints simply do better. Thanks for sharing your story and for watching. Keep it up!
I think it’s great that you keep open minded about alternative therapies . There is so much that we still don’t know about how healing and pain can be manifesting in the body . Great talk guys , good to have sound advice . Thank you .
Hi Vikki. We are all about doing the best for our patients and that means considering everything. Thanks for watching and be well.
J)7u34
LLP Thanks good information .
I’m so glad I found this channel, I’m hoping to be a medical assistant one day and this gives me a head start on what I need to know, thanks guys!
Hi Leon. So glad we can help. Best of luck in your pursuit. Thanks for watching, subscribing and sharing if you did.
Thank you Doc's for the useful information. Very interesting talk to educate everyone how about to exercise to loose excess weight from our body which is best to help our knees. Godbless you both.🙏❤😊
Hi Kales. You are very welcome. Thank you for your kind words. Thanks for watching.
What if your carlidge is pretty worn down?
When you are injured and in pain you can't exercise. Some people have medical issues that cause you to be overweight. Then you are given meds that have a side affect of weight gain.
Thank you DRs....I’m 68 and have both knees affected, lucky me. I’m just not ready for surgery. I have a severely low tolerance for pain. I’m on a pill now to reduce swelling and it has worked. I swim and ride a stationary bike, weekly. My difficulty among many is stiffness and constant discomfort. My kids tell me get the knee replaced! They want me to ski and be young again. Thanks again. Debra
Hi Debra. You are describing many common symptoms of advanced arthritis. Full marks for having the insight into not having a high pain tolerance. Many people think they do and don't. Try to stay as active as you can. Good luck to you in your decision. Thanks so much for watching
Hi Debra, hope you are doing well.
You guys are great! Easy to understand and a little entertaining as well.
Hi o Field. Thanks for the positive feedback and for watching.
Very informative i have osteoarthritis and bone to bone pain in the butt
You guys are great at making this information easy to understand... thank you!
Hi Ellen. So glad that you enjoyed the videos. Thanks so much for watching.
I love your knowledge, your honesty and the fact that you are Canadian! Look forward to continued watching of your informative videos. Maybe you could do one on arthritis in the thumb!
Hi chris. Thanks so much for your kind words. We can definitely add that to our list of future topics. It is unfortunately a very common problem. All the best and thanks for watching.
They are good doctors because they are telling the truth. His bless them
L have suffered arthritis for years ,done left and right hips with left knee surgery . Now the right knee is killing me with pain, so listening to you is educating. Now Doctors what is the cause of arthritis so that my family can avoid it and thank you so much.
I would love to have either of these doctors treating my knee problem.
Really enjoy listening to them.
Thanks so much 275cat. Wishing you all the best. Thanks for watching and subscribing if you did
Thanks doctors! Very informative and will try as many modalities as possible. I’m absolutely crippled with this and it came on so suddenly.
You are very welcome Susan. Good luck to you and thanks for watching.
Yes, being overweight IS a big part of the problem. There's less pressure on your knees & feet when you're not overweight. Also, I think the shoes you wear are important. You need shoes with good cushioning & support. Walking also one of the best exercises.
Thanks for sharing Tiziana
Excellent overview, very compendious. Thank you. I've gone down most of the paths the doctors discuss, and their comments ring objective and consistent with my experiences. I'm 67 and am attempting to lose a substantial amount of weight this year in a final attempt to avoid total replacement surgery. If it does not provide sufficient relief for me to forego surgery, at least it should make recovery quicker and more complete.
Hi Michael. We totally agree. Any weight loss makes the surgery easier and your recovery easier as well. One pound at a time is what we tell our patients. Good luck and congrats on committing to losing the weight.
@prairie mark Thank you so much for your encouraging and practical reply, and congratulations on discovering and implementing your healthy regimen. FYI, my path since first posting has taken an opposite tack, and the results have been incredibly positive: two total joint replacements, one knee and the opposite hip, in consecutive years. Common threads with your experience, post surgeries, have been significant weight loss and gradual resumption of regular exercise, made possible after persistent efforts to rehab both joints. I have lost nearly 50 pounds and consistently ride a bicycle 10-15 miles each day in addition to other moderate exercise. If I could have managed without surgery as you have done, I would have. But the constant pain was just too much to endure. (Pre-op, my surgeon said the condition of my joints was "worse than 95%" of patients who had managed to walk unaided into his office.) So I want to report that modern advances along the lines of "micro-invasive" joint replacement techniques can have positively life-altering affects on one's health, both physical and mental, extending far beyond improvement of joint function itself. At 71, I am able to enjoy physical aspects of life and work that I had resigned myself to forfeiting more than a decade ago. Again, thank you for taking time to share your experience, and best of luck marching forward.
@prairie mark Very encouraging post. I will be following lot of your advice from tomorrow morning. Without such a detailed eleboration, I may not have understood the logic behind your lifestyle.
@prairie mark Find a pool to exercise in and walk back and forth in the pool. Will help tremendously.
@@deepattison9329 Good advice. I do pool walking at a pool that draws from a hotsprings and it it helps the pain immediately. And it may have some long-term benefits too.
Thank you for doing these. My twin sister is 70 and her rheumatoid arthritis is very bad. I'll give her your advice.
Very welcome David. Good luck to her. Thanks for watching and subscribing
No way to thank these two doctors enough. Have been to so many doctors here who explain nothing! I leave with more questions:( Tremendously helpful you two cute guys!
Very kind Leah. All the best. Thanks for watching and subscribing if you did
Very interesting and informative. I had a total knee thirteen years ago. The patient's commitment to the rehab is extremely important to achieve the desired outcome.
.
Thank you for sharing your perspective John. Thanks for watching, subscribing and sharing with someone if you did.
Wow! I had planned to ask my primary care for an orthopedic consult referral, but you've both thoroughly answered many of the questions I'd pose. I'll still see an orthopedist, of course, feeling a little more educated on the subject of arthritic knee treatment options than i would have otherwise. Thanks a bunch! (By the way, i'd give anything to get back to jumping rope and biking at 67 years old. Returning to roller skating, however, is now a distant dream. In the meantime, i try to make myself walk a couple miles every other day.)
Good call M. You may be able to get back to some of that stuff after surgery. Good luck with your consult. Thanks for watching and subscribing
You Go!!
I can attest to weight loss - I am just starting a serious program but already 14 pounds off has made a big difference in my knee pain
Congrats wyomingtrout! That's amazing. Keep up the good work and thanks for watching.
My orthopedic dr. Said each lb. You gain is 7 extra pounds of pressure on your knees. If you lose a lb. You lose 7 lbs. Of pressure per pound.
Thank you so much. I found ou5 about arthritis in m6 knee recently and have already followed your steps. But great to hear doctors reinforce this knowledge and not push surgery.
Hi Karen. There are lots of options before surgery. Best of luck. Thanks for watching and subscribing
You posted 6 years ago but just found
thanks reinforced my thoughts.
I’m 82 take no prescription drugs. My Orthopedic surgeon said it’s arthritis take two Aleve only when really hurts and “don’t call me in the morning “he is still saying same thing 10 years later but now I’m talking BC Maxstrength with acetaminophen or there regular depending on pain. Also Aleve rub on. Or I just live with it as long as can get up and move without screaming! It was so good hearing you say almost the same things .
Laura you sound like you are on the right track! Keep it up and all the best. Thanks for watching and subscribing
Great, informative video. I guess I have to wait a little longer. Watching this video helped me to be more patient, worry less, and remember to use alternate exercises to stay active. Thank you.
You are very welcome Shirley. Good luck. Thanks for watching and subscribing if you did.
Thank you Doctors, I learned a lot about what I can do for my knee arthritis. ⭐️⭐️⭐️
You are very welcome Madison. Glad to hear it. Thanks for watching and subscribing if you did.
well arthritis is forever. So why are we taking NSAIDS because if you read the bottle or insert from pharmacy they all say not to be taken longer than 2 weeks?, I have had since mid 30s. took NSAIDS before ever read the labels. Now at 65 plus cant take any more, worries of liver or kidney problems, stomach problems. I exercise everyday in pain now like always. Not overweight never was. Used ultrasound and braces everything on market. Not going for surgery. putting creams on gotta do every few hours. magnets do help, the medical kind, for me. Also hyaluronic acid. 200mg. glucosamine amd chondroitin never helped. MSM helps a little. Good luck to all. really negatively impacts your life,
Interesting talk, hope this works for some people. Others like my mom have tried every single alternative possible, nerve ablation, synvisc injection, PT, weight loss, you name it. At some point it became counter productive to avoid surgery. There is such a thing as “exhausted every last resource”, hope people can realize when they’ve reached that point and elect the surgery
Hi Jayze31519. We could not agree more. People regularly exhaust all non operative treatments and then elect to have surgery. That is how it is supposed to progress. Hope your mom gets the care she needs. Thanks for watching and for sharing her story.
Lots of good advice. I find heating pads for 20 minutes very helpful. I also take hot baths with lavender essential oil for hip and back pain.
We feel more relaxed already. Thanks for watching and subscribing
Such a cute response!!
Ground ginger and turmeric will usually reduce inflammation. Grind up some flax seed and sesame seeds and mix it into your food every meal. Worked for me and it might work for you.
Nice David. Thanks for watching and subscribing
very informative...w/plenty of options besides surgery. Thank you! I'm trying to deal with weight loss first!
Hi Amery. You are very welcome. Best of luck and thanks for watching.
Thank you doctors for the discussion and advice on knee osteo arthritis. I'm currently getting physiotherapy twice a week, an hour each session. My Pt exposes to a wide range of excercise which are very helpful. I originally sought pt to relieve pain and reduced range of motion in both of my knees as well as lower back spasms. Since I started physiotherapy pain in my left knee and lower have lessened to the point of disappearing completiy. However, the pain in my right knee persists albeit is lessened with weekly therapy sessions.
At some point I'll have to see an orthopedist for perscribed antiinflamatory and or injections. There are days that my pain is less and other days where my range of motion is severely limited with intense pain. I apply ice and it helps. I changed my aerobic activity at the gym from high impact to low impact workouts. As for over the counter antiinflamatory meds, I read Ibuprofin take during prolonged perios of time could affecr kidney function.Thank you again for your helpful discussion on this topic and look forward to more videos from you both.
Hi Daniel. Sensible approach. Keep it up. Best of luck. Thanks for watching and subscribing if you did
I posted elsewhere that with nopal cactus CAPSULES I have controlled the pain for over 15 years. It’s a natural anti inflammatory. Just google to make sure it’s ok with any meds you might be taking. I take ibuprofen once every few months now.
Daily soak in spa/hot tub also helps.
This may be asking too much but you guys seem so straightforward in the video and open to questions below. My fathers wife had a total knee replacement several years ago but has had a terrible time with it almost ever since. I happened to be visiting my dad last week when she came home from a trip to see family. She had been on a 4-5 hr flight (I think) and then a couple hour shuttle ride from the airport and her knee was just killing her. I was so surprised when she lifted her pant leg to see just how swollen the knee was, I have no doubt she was in tremendous pain. I was figuring it was from being restricted and bent for all that time and that may very well be but she told me the next morning that the doctor (or surgeon) said her problems were probably due to being allergic to one of the metals in her replacement knee. This is all 3rd hand but apparently her replacement knee is made up of multiple metals one being nickle I think she said and the likely culprit but it will cost her $800 I think it is to have a test to see if she is indeed allergic to one of the metals, a test she has to pay for out of pocket and if it's positive there isn't anything they can do about it anyway. Does she have all of this right? Why wouldn't they have tested her for allergies to any of the metals used in this knee prior to putting it in her body, especially if as she was told it isn't uncommon for people to have allergies to this knee/metal? She swears no one said anything about this possibility prior to surgery and the whole thing seems ludicrous to me and walking the line of malpractice, certainly unethical. How can there not be a treatment or help for this and how can either her medicare, supplement or the surgeon and manufacturer not be responsible for testing her to see if this is indeed the issue so they can proceed from there? I mean if it isn't the issue something is wrong and if it is seems like something could be done... She has a lot of life left and right now a lot of what seems unnecessary suffering to me. Do you have any other suggestion for things she could do/try to alleviate some of her pain and suffering? I'm guessing most of the things you describe here don't apply to a replacement knee but maybe that's wrong do any of the things mentioned here (video and discussion) apply to metal replacement parts too? Sorry for the length, guess I needed to vent too, I'm just so dumbfounded by all of this after seeing her knee with my own eyes after a day of travel (not even a lot of walking).
Hi Gwse vt. So lots of questions. First of all it is important to recognize that 1 in 5 knee replacements are not totally happy and have residual pain, stiffness or unmet expectations. Some will have persistent swelling. This can also be related to many other things - like the veins, the arteries, skin conditions, etc. Metal allergies are a possibility but are very, very rare. Typically if patients have metal allergies they know about them due to significant skin irritation due to costume jewelry, etc. We definitely do not routinely test for metal allergy as it is so rare. Without seeing the patient, it is difficult to provide a definitive answer but if she was our patient it would be important to do a proper history and physical examination, order new xrays and reassess. It is important to rule out an occult infection if her pain is persistent. Rule out loosening of the prosthesis. Metal allergy would be far down the list for us. Hopefully that helps. The hard part is that there is a significant proportion of total knee replacements that are not totally happy. Good luck.
Talking With Docs The are a “significant proportion” of folks who have TKRs that aren’t happy??? OMG. I’m scheduled for a LTKR in November! I had a left medial meniscectomy in 1987. Now it’s bone-on-bone and working in the yard to stay active results in minimal swelling with popping/snapping pain making me scream out and grab for support. I was thinking TKR was going to help.... 😮☹️😣😖
P
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@@mrsmctier How are you doing?
What a good service your are providing with these videos. I have tried many of the things you mention with some small relief. I ice my knee often. Thanks!
You are very welcome Pamela! Thanks for watching and subscribing if you did.
I just turned 51 and have had my first Baker's cyst 10 years ago. I first noticed them when I moved to a new home which had hard wood floors. Within a few weeks of moving in and walking on the hard wood I had my first bakers cyst. I didn't even know I had a lump on the back of my knee until my fiance noticed it. It was huge! At the time I wasn't sure what it was but looked online and self diagnosed the issue. It went on for several days / weeks and it would not go away. It was only in my left knee. I started to wear slippers with cushioning to see if it would help. And it did!!! I now wear slippers at all times when on hard wood floors. If I remove the slippers only for 10 minutes my knee pain will come back and I will have another cyst. The best thing you can do is wear shoes or slippers with as much cushioning as you can. If you don't notice any improvement try another pair. Do not use just rubber like crocks because it does not help. You need slippers that are like walking shows for support. I would imagine if you have hip pain this might help as well. Needless to say 10 years later so long as I keep wearing my slippers and use good shoes I have been able to keep them away. But I am not kidding, if I take them off, within 10 minutes of walking on hard wood floors I will have bad pain and a lump will start.
Please pass this along to anyone who has baker's cysts!
I have tried a lot of the methods, topical, and weight loss is the best. I have had many arguments with my body, mostly end in me tell my knees that this is my body shut up legs were are doing squats today. :-) so I believe in just keep moving. A body in motion stays in motion.
Hi Sheila. We love that attitude! Good for you for pushing through some of the pain. Thanks for sharing and best of luck going forward. Thanks for watching.
Just take Boron and fix the root problem!
Our food no longer has the trace minerals it used to have and almost everyone is Boron deficient. Boron helps rebuild bones and cartilage.
Took me about a week to start feeling better. After a couple months the arthritis is mostly gone.
The medical/drug community has been suppressing this for decades. Watch some of the videos on Boron for Arthritis. It works!
Arthritis should not be the huge problem it is today. This information needs to get out.
Hi Richard. Thanks for your comments. There had been some interest in boron for arthritis in the past however there are no recent studies that have proven its effectiveness. It had been shown in the past to improve bone healthy and possibly reduce symptoms related to arthritis. Hopefully one of the companies that sells it can get organized enough to do a proper trial to prove its benefit. We are always looking for more natural ways to counteract the symptoms of arthritis. Thanks for watching!
Thanks for the info ill look up boron, never heard of it
Yes there's a really good informational maybe a booklet called "nothing boring about boron" Studies by a man by the name of dr. Wallach he was a veterinarian for the Wild Kingdom and studied minerals lack of in animals and people
a quarter teaspoon once a day. For my weight 5 days on 2 days off and started it today
Jane Stibbe ...Hi Jane....I learned about Boron from what is required in fertilizer for the field....remember that it is a “trace” element, so you do not need much...don’t overdo it. What I learned about some farmers’ fields that are tested, many are short of Boron because the land is depleted from all the farming, that’s probably why the foods are lacking this mineral. Even the nutrients that ARE there, many cannot be unleashed or used until a trace element, as Boron, is introduced. Maybe it’s also true for our bodies??
Love both of your humor. So easy to listen to. Thanks!
Hi Doe in Idaho! That rhymes. Glad we could be of any assistance and yes we do try and keep it light but informative. All the best to you in your arthritis journey. Thanks for watching from the midwest.
I avoid oral medications. Needle injections have not worked for me. When I use a topical it's pain patches and it works for me. I hope to never need surgery. Thank you for this thorough and thoughtful information
Good luck Cora! Thanks for watching and subscribing
I saw my (new) primary care dr yesterday for some discomfort in my left knee. She prescribed a pill way to fast - which I’m not going to take. Think I’ll try crème and maybe a brace. I’m having knee X-ray tomorrow - not real thrilled about her hasty prescription. Thanks for the time you doctors take in making these vids.
You are very welcome J. Often an NSAID is a safe way to start but understand your comment. Best of luck. Maybe add some physio. Thanks for watching and subscribing
Best topical I've used, cbd
It's not expensive check out different brands
Hi Diane. Thanks for your comment. Patients have shared mixed results but CBD definitely worth a closer look. Thanks for watching
Agree. I’ve used it on both my lower back and my outer hip, with good success.
What is cbd?
Rosa Ling it’s cannabis, without the effects
Great video. Thanks for the info & sharing ideas to help & calm it down.
You are very welcome Alleta. Good luck.
Alleta Baltes n
Glad to hear you mention activity mod. Activity modification fits into occupational therapy, including joint protection. We look at work condition or altering work where necessary and activities of daily living too. Do you refer to OT.
Many don't know about OT or the holistic approach. We also deal with stress management, relaxation, guided visualization, developing adequate sleep in both quantity and quality which is so important for someone in pain.
I requested a referral to OT but the doctor insisted knees are for PT only and that OTs only work with hands. Only after saying I wrote a book to educate what OT is did I get a referral, however the secretary refuses to book an appointment as she too, believes that OT is for hands only. I am doing my own rehabilitation, thanks to being an OT for over 25 years. But many with arthritis in the knee don't have the luxury of being an OT. Please refer so that others can receive the help they need to add to their PT
Hi Shoshanah. Yes we include OT, PT and social work as part of our discharge team. Thanks for sharing.
GOD Bless you Drs. that aim to help people with medical ailments. You people are the unsung hero's on this planet and without you doing what your doing this world would be a much worse place. I thank You with all my heart and keep up the good work.
Thanks so much Katina. Thanks for watching and subscribing
My 2 favorite doctors! Hello! Thanks for this reminder. I need to lose 25 lbs.!!! I got out of my knee exercise habit, started quilting classes and believe it or not, that did me in! Using muscles that were stagnant! My knees and lower back were so bad in 2 days of classes, I had to take Aleve and Tylenol. So, I’m back to my stretches, gradual, and my compression sleeves. Thanks again for your knowledge and help. ❤
That is sweet to say Vicky! We are here to keep you on the straight and narrow. Thanks for watching and subscribing
Thank you for your presentation and important points to try
Hi Gina. You are very welcome! Thanks for watching and for subscribing if you did.
Thank you so much,have to say the keto diet has helped alot,ive cut down on advil,but does flare up sometimes.Thank you for all the great information.
Hi Anita. Thanks for the positive feedback. Glad you have enjoyed the videos and good luck going forward.
Started KETO 12 months ago, lost 30 kg my inflamation is so much better give it a try. so much better
This information is invaluable, many thanks and am glad that someone actually 'talks' about this and helps knee sufferers get better educated about this.
Hi Tina. So glad we could help in any way! Good luck to you. Thanks for watching and for subscribing if you did.
Thanks for the honesty.Thanks for not prescribing some off the way treatment that will cure my arthritis in 20 minutes .
Ha Robert. There are way too many of those videos already! Thanks for watching and subscribing
By listening to your video I have decided to put off my tkr against my orthopedic surgeon.
I discussed it with my primary and do walking 30 mins a day and change of food intake
I'm down 15#s not bone on bone and feeling much better! The weight loss has been a tremendous help ! I do take methelpredizone as needed a which has decreased to about every 6 months. Ty so much for the time you take to explain all this!!!
Very welcome Dana. Sounds sensible. Thanks for watching and subscribing
I've had knee problems for years. For flair ups, I use an elastic compression sleeve with a soft elastic bandage wrap. I take several tissue and bone support supplements and herbal remedies in my home medicine arsenal. I use a tens machine regularly. I dangle my feet back and forth while sitting on an elevated surface. (IE: the tailgate of my pickup truck or my desktop)...and other knee exercises and gentle stretches. Recently I've found that applying OTC liquid ibuprofen to directly to my knee works much better than taking it orally. The liquid is sticky and sort of sticks to your jeans or pant leg, but I find it well worth it because this absolutely works very well...Within just a few minutes! Not sure of the absorption rate or liver effect, but it takes less than the recommended dosage to rub on all part of your knees front and back. These things work for me and I'm willing to do whatever it takes to avoid surgery. I read another post below asking about stem cell treatment. I am interested in the success rate and cost of that too if you have any info about it? Thanks for the video Docs.
Hi Donna. Everyone is different so trying a bunch of things is a great idea. Stem cells are a work in progress and often very expensive. Stay active and try to delay as long as possible. Thanks for watching.
I use 4% lidocaine Aspercreme sometimes.
What is the topical ibuprofen called?
@@susanhawkes2519 Oh...I forgot to mention my source for the liquid ibuprofen. It's actually OTC children's liquid Ibuprofen. The reason it's sticky is because the sweetener they use to make it palatable for children. I believe the percentage dose recommended for the liquid is quite a bit lower than adult ibuprofen pill or capsules and I only use a little bit right on the painful area. I'm not recommending anyone else try this...Just saying what I do and what works for me...
Question: 7 years ago when I was 70, an orthoepedic doctor said I was bone on bone in both knees and candidate for knee replacements. The x rays showed nothing between them. yeah, they hurt a lot. I asked if there was any alternative and he said sure, keep walking and when the pain gets too bad, come back. Well, I started walking every day even though they hurt a lot and about 10 months later realized that there was little pain and then it went away entirely at about the year mark and has been gone every since. What happened? did I grow new cartilage or kill all the nerves? A miracle? I am very grateful for being able to walk and dance now with no pain but don't have a clue as to how it happened. Just asking or any ideas?
Phil i have mild bone on bone in my left knee and it is terrible some days. I like to think i have thick skin since im in construction but i couldnt imagine both knees and complete bone on bone! God bless you and walk on buddy.
@@croboy751 I certainly plan to keep on walking. You too buddy, despite the pain.
Cartilage does regenerate through movement. Our bodies are meant to move and not be sedetary. With good blood supply and a healthy diet that also helps. I learned that cortisol e shots, Aleve, Ibuprofen, Tylenol....actually cause joints to break down. Temporary relief but a lifetime of pain. I stopped taking it . Have noticed a difference with all of the changes I have made.
@@DodgeChic69 i hope what you say is true im to young to be getting cortisone shots every year
@@croboy751 me too. I follow a Dr on UA-cam. Dr John Bergman..he's a chiropractor. He has a few videos in regards to the knee. Some really great info. It may she'd some light on it for you and help you out. I wish you luck my friend.
I have knee pain, had hyaluronic shots and did very well with them and physical therapy and graduated to a gym membership. I had two years pain free until covid-19 lockdown, and no gym, less physical activity. I had an accident and am back to square one with knee pain. It's very frustrating. Thanks for a great video. Will try a brace and am looking into p/t videos to work my way back up to TRX and squats.
Hi merlins twin. You have a great attitude. Get right back at it and hopefully you can recover. Very welcome for the videos. Sorry for the delayed response. Thanks for watching and subscribing if you did.
Interesting mention about modifying your activity if it causes pain or discomfort. I am a runner, mid 50's, with right knee pain that developed almost overnight six months ago. My x-ray was normal except for some "very mild" age related osteoarthritis behind my kneecap. The physician suggested an MRI because he suspects a mild degenerative meniscus tear, but when he immediately began talking about surgery without a conservative approach first I told him to go smoke his front lawn in a nice way. But he did say that I can continue running based on my x-ray. No stress fractures or advanced arthritis. Still hurts though :)) Muscle tone, range of motion, squats, etc all normal. But the pain manifests when I'm static and doing nothing.
Hi Alpha. Yes it can often be benign activity or rest where pain presents itself. Not always straightforward. Best of luck. Thanks for watching and subscribing
As a Trager® Practitioner I have seen so much benefit with the Trager Approach and Mentastics for severe knee problems - Bringing people again in their natural posture - so the weight of the body is received on the top of the bridge of the foot and not on the knees - this happens due to bad posture ( some people stand more than shoulder-width apart and others stand less than shouder - width apart). People do not have to exercise but regain their natural posture in standing and walking. And this really works miracles! The joints gets again oiled as there is no unnecessary strain on the bones anymore. We can regain health and support the self-healing capacity of our bodies. I am so happy to see two chirurgeons giving advice not to go so easily to knee replacement. Even young people get the advice to go for a knee replacement!
Thanks for sharing Satsavya and for watching!
Very down to earth and very helpful.
Hi Kirsty. Thanks so much. We are trying to keep it real. Sorry for the slow response.
When talking about braces it might be a good idea to show them so we have an idea what they look like....thank you for your video.
That is a great suggestion Sandra. We will try and do a video about that. Thanks for watching, subscribing and sharing with someone if you did.
Thank you both for all this information I am 80 years old and have bone on bone I am afraid to have knee surgery.
@@lorrainepelletier28 I have a friend in Australia she is turning 80 next month, she has just had a knee replacement and is recovering now, she was very nervous about the surgery, but so glad of the relief of the pain in her knee, it was successful, I have done a lot of research for myself I am 72 and probably will have to have the surgery myself, I just watched a video on Dame Judy Dench who had the surgery 3 years ago, I enjoyed her frank discussion, maybe you will enjoy it too, she is 86 years old, whatever you decide think of your quality of life and please Lorraine stay safe.
@@lorrainepelletier28 ... 82 here. I'm with you. Shoulder, and knee. Have to do as much exercise as possible.
Loosing weight: KETO diet + intermittent fasting
Excercise: walking 30mn daily.
Weekly baths Epsom salt (30 mn)
Wet cupping (near knees).
Supplements: silica rich water, glutathione, fenugreek tablets, liposomal vitamin C, honey, Spirulina, ginger tea.
Good health.
Thank you for sharing your approach Ethereum. Thanks for watching, subscribing and sharing with someone if you did.
Thanks for the great video and information. I was wondering about your thoughts on TENS or EMS?
Very informative video. I have used the sleeve on my knee, and it did help some with stabilization and pain, but I could only wear it for limited amount of time because it was so tight. I used ace bandages too, that helped. Six-year-old video. Wow, didn't know you'd been doing this so long. Glad I finally found your channel.
Yeah time flies Words. Thanks for watching and subscribing
Great video. Wondering why you never mentioned ice. I’ve found ice works incredibly well for my pretty bad osteo knee pain. It’s a pain in the butt, no pun intended, to do, but twenty minutes a couple of times a day is a big reliever of pain.
Hi joetoot. Just an oversight. We feel strongly that ice is worth trying for sure. Especially after surgery. All the best. Thanks for watching, subscribing and sharing with someone if you did.
Thank you so much Doctors!
Hi Marie. You are very welcome. Thanks for watching.
I swim at the ymca a every day, lap pool for 1/2 an hour and aqua class 1 hour. Works well.
Great idea laurel. Thanks for watching and for subscribing if you did.
Thank you for the Very Candid discussion on Knee Arthritis and the various possible treatments. 👍 Keep up the Strong 💪 Effort.
Thanks so much Ken. Thanks for watching and subscribing
Great summary...validated what I am doing presently for early osteoarthritis at age 61...will be looking for input on a torn medial meniscus (full) with no pain or buckling. Do not want surgery.
Hi Al. So good idea to discuss it but even with a full tear, we would rarely recommend surgery if patients are not having any pain or instability. Hope that helps. Good luck and thanks for watching
I had a physical therapist and a chiropractor working with me. The physical therapist gave me some exercises to do myself after the treatments were over. I was a CNA on my feet a lot in nursing facilities so I started to do one on one Private Duty client. And I did lose weight and it was a lot better. I have a very sturdy knee brace that I can use from time to time. I don't need pain pills right now. I take a warm bath with Epsom salts and it works. I call it my muscle relaxant. Thanks for the information. Now I have more options. I'm retired since last year so I'm not on my feet in the hospitals and healthcare facilities anymore. I get massage sometimes and it really helps. I have used Bengay before. I told one of my young coworkers and she asked me," who is Ben Gay? " LoL! 😂
And Volteran! But no 10,000 pt study ( my husband was a Dr). I use Vital Protein 2 scoops in my coffee. Works for me…. No academic study! Stops the grinding. Over 4 yrs 2 cortizone shots. Didn’t feel it! So far no surgery
Thank you so so much for all the great advice. May I ask where you practice at ? Would love to get n opinion on my knee. Been in horrible pain past few days and can barely walk. I am in San Diego, California. Thanks so much
Hi Alexandra. Thanks so much for the kind words and you are very welcome for the advice. We are in Ontario, Canada but we love San Diego! Our borders are currently closed to eachother in this time of world crisis. Best advice for right now would be ice, rest, activity modification and over the counter medications that are safe like acetaminophen. Hope that helps. Best of luck to you. Thanks for watching and subscribing if you did.
In San Diego also... Left knee replaced 7 yrs ago @UCSD by Dr Scott Ball..seems appliance is off by an ‘nth’ of a degree so not pain free. Right knee is horrible, but refuse to have surgery, but consequently knee pain can go off the charts...can’t take over-the-counter pain meds due to ulcers...Can’t stand braces.. What to do is tough.
And reduce your intake of sugar and carbs....in trying different treatments for my knee problem...while doing exercises for my knee and working on losing weight which is difficult when you are always in pain.....once I cut out the added sugars and cut back on carbs...after two days I had no pain and was able to walk normally and exercise more.. it's a process and it will take time but I am determined to rebilitate my knee without surgery.
Hi ViXxen. Thanks for your input. There is certainly growing evidence to support that certain foods and diets increase inflammation. Refined sugars and carbohydrates seem to be getting the most negative press and for good reason. Most successful diets include a sensible balanced diet with a trend towards less meat and bread and more fruits and vegetables. Thanks for watching
Same here. Luckily my arthitis subsides for months at a time and flares up from time to time. I think you have to manage expectations too. I don't expect to be completely pain free, I'm happy to reduce pain to bearable levels. I will take paracetamol if the pain is bad but I don't take it all the time. I have been pleasantly surprised by the results of topical application of creams with eucalyptus, lavender, curcurmin. Didn't really believe they worked but was happy to take the placebo affect. Since the knee is near the surface perhaps it is possible some effective ingredients get to the joint!
ViXxen totally agree with you about the importance of reducing sugar in your diet as this causes inflammation. Over Christmas I indulged in a lot of sugary foods again and my knee pain and stiffness really flared up again. I have since gone back to eliminating sugar as much as possible and my knee pain has settled down considerably.
We need carbohydrates. There are two kinds: 1) refined carbohydrates like sugar, refined wheat, and 2) vegetables and some fruits.
@@susanreed666 no that is incorrect, we do not NEED carbs.....some can get away with a higher amount of carbs while others can not. I am much healthier since cutting out most carbs. I still eat the good ones from vegetables....leafy greens have tons of health benefits. That's a whole other story. But no we do not need carbs. There's a lot we do need but carbs is not one of them
Weight loss! I’m trying to make a friend understand that when they lose more weight, that her pain “might” decrease immensely. She is very slow in walking, wears a knee band on both legs. She’s got about 50-60 lbs more to lose. She’s insisting that the pain won’t ever go away until she gets a knee replacement. Her GP told hr she needs the knee replaced. I told her to not count on getting the surgery for sure as sometimes GPS are mistaken, that’s why there’s specialists. Go by whatever a surgeon tells her. A surgeon may decide she doesn’t need the surgery
You are a good friend Cathy. Thanks for watching, subscribing and sharing with someone if you did.
I appreciate your responses to many who leave questions. Thank you for that follow through. We all learn form each other and benefit from more insights. Thank you so much! May you have happy, long and healthy lives!
Very welcome. We try to answer every comment. Thanks for watching and subscribing
Acupuncture has relieved a lot of my pain.
Glad to hear it Karen. Thanks for sharing. Thanks for watching and subscribing if you did.
Very informative. Used most of the suggestions and they work.
Hi Perry B. That is great to hear. They do not reverse the arthritis but can help manage it and keep you in your own knees for as long as possible. Continued good luck to you! Thanks for watching.
Thank you gents, learned more from this, than 10-visits to the orthopedics!
Hi sherp2u1. Thanks for the positive comments. We are doing our best to provide as much information as we can.
I have had almost every joint that can be replaced done. I suffer from severe arthritis. Five back surgeries four have been fusions. My right hip replaced twice due to periprostetic fracture. At that time more than 50% of my hip abductor muscles were torn. Have been to Stanford, CEDARS, Sacramento and lastly UCLA. The surgeon at UCLA said the muscles could be fixed but possibly would open pandora's box and make matters worst because could damage fusions to lumbar area of my back. I have right sided weakness when i walk and lots of pain. He sent me to physical therapy and recommended I work on strengthening the muscles I have left to compensate for lost muscles. I truly appreciated his honesty and did go to physical therapy with that goal in mind. I now have a NMES unit and it helps but even with the muscle strengthening the pain doesn't get better. I think I am just grasping for miracles but get tired of the pain.
Any suggestions for how to deal with pain?
Not really. Physio. Ice. NSAIDs. Topicals. Some people try CBD. Other people use a brace
Just the suggestion of the adjustment of my stationary bike will give me relief . Ty so much
So very welcome J. Glad we could help. Thanks for watching and subscribing
Thanks doc. I’m ready to implement all of these immediately.
That is awesome Absolutely Jamacian. Good luck and thanks for watching!
@@TalkingWithDocs b
Thank you for your comments about the benefits of PT and the importance of a home exercise program. The comment about "driving by" PT made me laugh out loud.
E M YES you have to actually DO physiotherapy yourself for it to work!
@@iamwright99 The results of thigh strengthening are wonderful.
Glad you liked it E. thanks for watching and subscribing if you did
Hi, Great talk. I wish my ortho was as communicative. I had an MRI that showed my left medial meniscus had substantially worn down. This has effectively ended my daily basketball activities. I'm 62 by the way and have been very athletically active all my life. I've tried the anti inflammatories, steroid inj and had a viscio supp injection as well. None of these has brought me to where I can run even a little w/o pain. Do you have any recommendations of an off loading brace to wear during athletic activities?
Thanks for the question. A proper physical examination and review of your imaging is required to give a specific answer however if the majority of your symptoms are coming from a torn meniscus, and the amount of arthritis in your knee is minimal, it is not unreasonable to discuss the role of arthroscopy with your surgeon. If however you do have significant arthritis, then a custom medial unloader brace will often help improve symptoms during every day and sporting activities. Hope that helps.
mystique0417
Platelet rich prolotherapy
Another U.S. physio team , Bob and Brad, really helped me overcome a 3 part femeral fracture 3 yrs back. Have almost a 90 % shoulder turn and can still do backstroke, no pain no gain, deep breaths whilst doing physio, strong muscles is a must.
Agree Susan. Thanks for watching and subscribing
love love love Bob and Brad! Check them out, on UA-cam, FB and on their website. These docs are great but Bob and Brad also have a great many suggestions
Been doing PT, and recently started doing PT exercises in the pool! It is EXTREMELY helpful, so if you have access try it. My PT therapists encourage it and are really impressed with the improvement?
This was a very accurate and honest evaluation of available treatments. I have tried them all. My hip replacement is on the (long) list but my same side knee is bending sideways and aches. It's tollerable, but excercise and walking/bending over makes snapping clicking noises with little pain but scarey sounds. Is it the hip or the knee? I can't tell.
Hard to say as both can click. Try to put your hand where the click is coming from. Thanks for watching and subscribing
Hi gents. Thank you for this video. It's great to see doctors supporting and promoting alternative methods to knee replacement. I use acupuncture to treat patients with knee pain, some who have had TKR and it has been very helpful. Not to mention, I have advanced arthritis and I use all of the methods you mentioned. Keep up the great work!
Thanks Damian. We feel strongly that the best approach to controlling pain is multimodal and very patient specific. Not every treatment will work for every patient so you need to be open to various strategies. Good luck with your arthritis
Damian McCleod Acupuncture it is good to know there others alternative instead knee replacement.
@@TalkingWithDocs b xtra chy 7 7u6 yu