I like both sitting or standing. Which ever is more comfortable for you. I love watching you, you provide such beneficial information! Keep up the great UA-cam videos!
Last March I had my first knee replacement, I was 56, with severe arthritis, it went very well, got my second one in September, went even better, got out the hospital the same day. If somebody needs a knee replacement, don't wait until you are not able to walk, because then the recovery will be very hard. Of course, it's my opinion, and I'm not a doctor. Thank you for your great videos, they helped me a lot to prepare for my surgeries.
@@RiDankulous I did not strength trained, but I was walking 2 miles a day in average, also I live in a 2 stories house, with a basement, so a lot of stairs, I consider myself in an ok shape, I use to jog, bike, snowboard etc, that was before my arthritis got worse. The better shape you are, the easier the recovery will be.
I had one knee replaced 12 years ago. It has given me 12 years of quality life that I may not have otherwise. My other knee is starting to have a bit of problems now but I am seeing a manual physiotherapist and do not want another replacement if possible because I fear the day when I have to do a revision of the replaced knee. There are things that a replaced knee cannot do, like squats which can be a problem when I get older, like Iif I fall I may not be able to get up easily. Is revision inevitable in a knee replacement?
I had my left done at 57 in 07. Got a major staph infection and was on a pic line for 2.5 months. Have had 3 more surgeries since and my ROM today is about 60. The hospital had a history of staph I found out later. Check the hospital before going in.🤔
I had 5 surgeries prior to my total knee surgery - 1 minor and 4 major surgeries. I pulled the cord and had the total knee. 3 weeks later, the MCL ruptured during gentle bending (PT) and the hardware dislodged and I had to have a revision. I made PT and icing my full time job and was back to work in 6 weeks. 2 years later, I still full movement, no pain, and I can even kneel on it without any pain. Either God had his hand in this, or my knee is dead inside and I can't feel anything, or perhaps a combination of both. I am so happy and feel sad for those with bad outcomes.
@TalkingWithDocs : As a Marathon runner and UltraMarathon runner I can tolerate a lot of discomfort. It's not surprising that by the time I went through physical therapy and knee injections, when the orthopedic surgeon saw the x-rays of my knees, he was not at all hesitant to suggest it was time for total replacement surgery. I am 15 months out from the first TKR and the 9 months out from the second. I am absolutely joyful. Almost all the pain is gone. I am not allowed to go back to running because of the impact, but I am power-walking 8 hours a week. I go dancing several nights a week. I take stairs instead of elevators. I'm so happy!
Had a total knee replacement on my left knee, it's been 9 months I get stiff every day. But the arthritis pain is gone. It's not and will never be the same like in the beginning.
I had my left knee replaced 5 weeks ago(Dec 2023).I’m very happy with the results so far because I was in excruciating pain before my surgery.At 5 weeks out it’s the best my knee has felt in years and I can’t wait to have the right one done.At 65 it’s time to live again!Thanks for all the great info on your channel!
I had my left knee, total knee replaced in April 2023. It was a life-changing procedure for me. I am in Canada, so had to wait two years for the operation. I was overly prepared. I’m that sort of person. Super organized. Read everything. Your channel was one of the channels I watched religiously. I was scared crap less before having the surgery, but had realistic expectations. And for me, it was the quality of life. I could barely run errands and getting up and down was excruciating. Anything that helped was going to be better. I had cortisone injections, tylenol and advil and finally codeine just to get around and even at the end, pain was a 7. I am now contemplating my right knee which had been offsetting the weight of my left one for so long. But I don’t know that I would get another replacement, unless I was as bad off as I was with my left knee. And not really sure of that either. I currently take just Tylenol and exercise the right knee and I’m looking to lose some weight to help. Not saying I regret having the knee replacement because I am so much better than without it but the recovery is very hard - it is a mentally and physically taxing lead up to operation and the first six weeks is brutal. I’m not sure I’d want to repeat. Anyway, Thank you for your videos, as I said, they were extremely helpful.
I totally agree and have the same timeline. I am 85% happy with the results of a partial knee replacement, but I don’t think I can bear the thought of a repeat on my other knee. I can’t/won’t go through that again. I will do all the before-surgery treatments instead.
That’s where my head is at as well. They say the experience is not always the same with the other, could be worse or better. Even if it was the same, which would mean Id know what I was going to experience, still not eager to experience any of it again. Don’t think I have the mental capacity to go through it Once again. So I will be doing all the other things. I’m hoping for the best.
I had left knee replaced Nov.2023. Sadly I was given an opioid in my iv. I reacted very badly and stop breathing . Then was given high Tylenol which I told them know because it made me sick. But I had no more pain in my new knee. Once I came home I work hard to get stronger . I was hospitalized once more with kidney failure . Never had kidney issues before . But I am healing from that . Would I do my other knee, the answer is that if the cortisone shots stop working , yes . But I’d make sure that I get no opioids , and wouldn’t take Tylenol either . You have to know your own body . And take with your doctors a lot first . I was high risk I assume . The doctors dis a great job.
November 2023 I had a total knee replacement at 56 and I absolutely love my new knee. I’m 7 weeks into recovery and I still have way to go still. I don’t regret the operation at all. I knew it was going to be painful and it seriously was but it is getting better. Mainly now stiffness every day. If anyone is making this decision just make sure you have a support system in place for the first few weeks. You will need it. Also before the operation make sure you have someone you know who does physiotherapy well. You will starting that 3 days after surgery. Physiotherapy is very important for the movement of this knee. Exercise every single day multiple times and day with ice being your best friend after. The Docs made some very valid points.
Even better; start rehab/exercising with BOTH legs several months before surgery. Your "good knee" is going to be carrying a big load during recovery. I wish I'd known this before my first TKR.
My knee is not that painful all the time but it bows out makes my toe point in so I can't walk straight. I have moderate arthritis and surgery date given do I'm hoping I can walk straight after recovering.
@@defrost8648 My quads muscles were weak. You lose tone from surgery so I started recovery in the negative. My best advice? Build up those quads before surgery! Quads are crucial to a full recovery.
I had my right knee replaced 6 years ago and my left knee 5 years ago. 9 months after the second I went on holiday and walked 154,000 steps in one week, success!!! So my experience was a positive one. I hear other people complain that their experience was less than positive or they're not happy with the results. I think part of this is that they have unreal expectations. I expected that I would not have completely pain free knees afterwards, I expected that I would always have some level of pain. So when pain happened, even after the recovery, I was mentally prepared. I had physio afterwards. I expected to need physio afterwards. I wasn't prepared, was not informed, that I needed to actively exercise, use my knees, every day or they would stiffen, it would be a life-long fight against scar tissue. I think that needs to be stressed more. Managing expectations is a large part in having a positive outcome, I think.
THANK YOU! I've been pushed by my GP to have both knees replaced (bone on bone for years) and have delayed because I have animals to care for and I live alone (age 70). But I had started depending on crutches to get around--highly inconvenient. I finally scheduled a consult this past year, but after waiting months for the appt., it was cancelled as the surgeon was leaving the practice. It turned out to be providential. Frustrated about another months'-long delay (after being stubborn so long), I made an appt. with a manual orthopedic therapist and learned much of my knee pain was related to compensation issues from an old spinal fusion. I could have gone through a TKR only to have it fail because I'd never addressed the imbalances and gait changes that had crept in over the years. I will probably need one in the future, but with daily prescribed exercises, I'm off NSAIDs, off my crutches, have minimal discomfort, and am able to care for the horses, dogs, cats and garden satisfactorily. You have confirmed that TKR is appropriately on hold--it's not the right answer for me just now.
I have a 7 horses & property to care for. I live alone and am your age. TKR scheduled 25 days out. I'm petrified. Odd one thing to take on the pain & recovery but now I have to have drivers to physio, someone to mow, water the garden, AND care for horses. 😵💫😬
I appreciate seeing the age of the person making the comment about their experience. I'm about to turn 76 and will see an orthopedist for the first time to get their opinion and information. My right knee is at 4 and left at 3. The pain has gotten worse. Almost 100% surgery phobic, so looking for other options.
@@cheztano10 hi, I'm where you are, saw one ortho, he gave me cortisone, didn't work, then the gel, didn't work (hurt like hell) haven't gone back. but maybe I'm like claire who needed P/T.
I would love to hear you talk about whether there’s such a thing as waiting too long to get a knee replacement. Maybe: - The knee would get so bad that TKR couldn’t be done? - The knee might cause or exacerbate other conditions (hip or back, I suppose)? - The knee condition might make the TKR surgery more difficult or more risky? - Any other concerns you can imagine?
My crap old Anthum hmo insurance had me wait so long for bone on bone knees that overused dependance and leaning on a walker for over a year and a half exacerbated arthritic shoulder conditions that did not cause me ANY pain. Now I have to get both shoulders done due to torn rotator cuffs. I am 74/fem and will go in for the first reverse shoulder surgery when scheduled the next month.
I had my left knee done in 2014. Successful but after surgery my incision opened up d/t what was called fat necrosis. That took a vac dressing and 8 months to totally heal. My right knee has not been done. I have no pain weight bearing. My pain comes from sitting with my knee bent. Severe pain on the inside of my knee. Not sure what to do. Covid and health care in Ontario have scared me off from getting a consult
I would also like to know if waiting too long for TKR would compromise the effectiveness and recovery? I had an orthopaedic surgeon tell me 10 years ago that if I wait too long, the bones that are going to anchor the artificial joint might not be strong and healthy enough bc of arthritis damage. So far I’ve put it off and according to this video, I should still wait and continue with what I’m doing.
My partial knee replacement changed my life! I had my right knee replaced in 2019 and my right hip replaced in 2023. Also, my hip replacement totally changed my life as I had been walking with a cane due to the pain. The day after my knee replacement I walked into my PT office unassisted and without a walker or cane. Minimal rehab and I was released after three weeks for international travel. My hip took a little longer, 6 weeks to feel comfortable, but at eleven weeks I walked 50 miles over a 2-week period of time touring Turkey and Greece. I’m 69 yo, healthy and maintain a reasonable weight. No more knee or hip pain! I am grateful for my surgeons.
This video helped me realize that I do not need a new replacement right now. As long as I avoid stairs I have very little pain. I think it’s probably in my future sometime but for now I choose not to have the surgery.
Had partial knee or “uni-Compartmental “ in Canada Feb 2023, I’m now 63 , yes painful but if you do the physio that is tough but worthwhile recovery is faster. Now at almost 11 months I’m so glad that the Surgeon did it for me. I feel very lucky as I now walk pain free for first time in 10 years. What you guys do is a life saver! I remember before surgery saying to the Doc I’d be good to go in 3 months and he looked at me and sternly said , maybe one Year ! , well he was right of course. But recovery is truly a mindset and how hard you’re willing to work at Physiotherapy.
Yes, great overview. I will address my knee problem with my new GPN. I was told years ago that my left knee was bone on bone. Then, after a fall, I was told I had crushed cartilage in my right knee. It gives me pain during a rainy period. If I drive a lot, it bothers me, but I take an Advil and it helps. The Orthopedic Surgeon told me he could go in and scrape the right knee, same recovery as having it replaced. That was 11 years ago. I am 81, and am in good health. I don't take any medication except an Advil or 2. My Mom lived to 101 1/2 and had arthritis in her knees. All she took was a thyroid medication and tramadol for her knee pain. Thanks, I read an article that said our life is a gift and we need to treat it like a precious gift.
I am 85, had both knees replaced a year ago. Could not walk because of the pain. Now I play tennis again, 100% pain free. Only difference is that my knees bend less. This operation plus replacing eye cataracts with lenses that allow to see all distances have given me a whole new life.
Thank you both very much for laying it all out. I have had people pressure me to "just have it replaced " like it's a piece of cake. They are so unaware about the ingredients to make that cake. ❤
Thanks for this. I was sent to a very good orthopedic surgeon for meniscus repair 15 years ago. He did the standing X-ray and said “you are too late, come back in 5 years and I will do a knee replacement.” Still getting by with braces and injections. Everyone so often I have a bad day or two or three.
I am scheduled to get a knee replacement this month. My right knee is in worse shape and it's bone on bone, but my left knee has been giving me more problems because it's turned into a trick knee and also very stiff and is liable to give out on me at any time I do have pain in both knees and stiffness and it's hard to walk but when I am laying down or sitting, I have zero pain unless I move it in an odd way. Bottom line is, it is affecting my quality of life because I cannot walk any kind of distance, or do anything that requires more than a few steps of walking. I've been debating whether I should get either of the knees replaced for a while, and I've decided that quality of life is important . I am 59 years old which I have been told is young to have knee replacement surgery, but I don't want to wait until I'm 75 and miss out on all the things I would like to do now
I can't believe how similar our symptoms are. Left knee feels worse but x-rays show right is worse. Also no pain unless moving in an odd way. I am 83 so quite a bit older. This probably means quality of remaining life is more important to you. Still, I am contemplating left knee replacement after trying injection therapies.
@@stevedowney9185 Hey Steve...I also tried knee injection (gel..not cortisone) a few times At first it was miraculous, but on my 3rd time trying them the magic was gone. I did end up having my left knee replaced on 01/25/24. I had heard horror stories about the rehab but hasn't been as bad as I imagined. I WAS surprised that the incision was so big! About 16" long!!! I guess I thought with modern medical technology it would be a lot smaller and less invasive. Anyway I'm sure you and your doctor can figure out what's right for you. 83 is not as old as it sounded when you were a kid!!! You have a long time to enjoy still!!!! Good luck with whatever you choose!!! Sending good thoughts your way!!!
How are you doing now? Did you have the surgery? Are you sorry you did it?? I am having same issues only both knees now are bad. And I have to stand to do my job and I hobble instead of walk. I am 61.
@@fancyfrancy2244 Well, if you had posted this 2 weeks ago I would have said it was going great. I had the left knee replaced on Jan 25. They gave me a walker to use for a few weeks. After one day I stopped using the walker and was able to walk around and do my rehab exercises without it. Then, suddenly, this past, Friday, March 8, it became extremely painful, swelled up, and I got a bad fever had to be taken to the emergency room, where they determined that I had an infection in the knee. I am now waiting for them to perform surgery on me tomorrow so that they can remove the plastic piece of the knee, clean it out and put in a new plastic piece. They told me I will now be on antibiotics for the rest of my life, so I'm obviously having second thoughts about having done it in the first place. They say the odds of developing an infection are 1 in 100. I was that 1 person I guess.
I had my right knee done when I was 59. Now I'm going to have my left one done in April. I can't wait. I just haven't been able to do any amount of walking in 10 years. I wish you the best.
My surgeon flat out said you need a tkr. We could try injections but I think we would just be friggin around. 8 months later, biking, walking, skiing, rowing, pain free. Couldn't be happier. My overall health is greatly improved because it no longer hurts to be active again. Wish I had done it sooner. It sucks for a month, then it gets better every week. You old knee won't. I encourage others with knee pain to get it done, have it behind you and enjoy the improved quality of life. Tkr at 73.
4065 Winchester - It baffles me that patients aren't given enough pain medicine to make it relatively pain free afterwards. A month of agonizing pain afterwards??? Why? Hip replacement is totally pain free.
Had my TKR Aug. 2023 This is a very informative video, if I’d have seen it before my TKR I WOULD HAVE NEVER DONE IT, I don’t think I had enough information like THIS VIEDO !!! Thank you both for all you do for us.
I'm contemplating a knee replacement sometime in 2024 or later. I have severe arthritis and Baker's cyst in my right knee. I have chronic pain, without much relief o a daily basis. Love this video, really helping me determine "when" I should press the green light and have a new knee. I also like th sit-down, discussion format you have done for this video . Watch you daily. Keep up the informational videos!
I had a total knee replacement of my right knee in November 2022 and my left one in November 2023, and I am thrilled with the results. My right knee is everything I hoped it would be, and at almost 10 weeks post op on my left, I’m very happy with what I have experienced so far with that one. Being in the right place mentally and physically prior to the surgery is key, recovery is brutal at first and you have to be prepared. Physical therapy is so important, both outpatient and home exercises. You are in charge of your own outcome, you get out of it what you put in.
@@MichaelHoggardYes, the surgery is very painful, but my surgeon believes in pain control, and my meds kept the pain manageable. Don’t let that keep you from getting the surgery, if I can get through it twice, you’ll do fine.
Struggled with bad knee for 12 years, had many injections with no relief finally had TKR late January - 31 --- March 16 walked over a mile away from my house to check my hog trap over ruff terrain ! WHY did I wait so long?
Recently I had both tkr. The results have been awesome! I never used or needed a cane, walker or crutches. I went to Dr. Gouch at Southern Sports Medicine in Gallatin, TN. ...just outside Nashville. Both incisions are around the sides of the knees. Highly recommend his method!!!
@@BarryGill-z5y I have been hearing about this method! Maybe I can stave mine off until this becomes more mainstream! Gonna definitely ask my ortho about it. I also heard about the smaller incision where the quads are not cut. My ortho does do that procedure but side method sounds even better!
@@fancyfrancy2244 I've been told other ortho say the Southern Method of tkr is no better. I think it's because they do the Ole incision down middle and never experienced it!
I was diagnosed with knee arthritis during couvid. I was attempting a h.i.t type work out and doing a lot of stairs for exercise. Big mistake! After the diagnosis, i decided to address knee pain by physio and just working out. Year 1. Walking lost 10lbs Year 2(now) joined gym working out every 2nd day. Just started leg press recently slowing increasing weight. My knees are the best they have ever been! The first winter in 5 years where my knees dont hurt. Still walk about 10k steps per day plus gym for weight training. Walking! Helps and makes a huge difference. I wish i would have joined gym long time ago. Walking is truly under rated exercise. Lost my belly by better diet and walking.
I had TKR both knees & it’s been 10 months since right knee & 8 months since left. No pain or stiffness now but I do still kinda struggle with stairs. Am thankful for my surgeon who gave me my life back.
Thanks for this! Am heading down the road for replacement. Retired nurse, so I know a little bit about what to expect. Plus, MANY friends have had both knees done and not a single one is unhappy! Can’t wait to get rid of this mind numbing pain.
I am 61 years old. I had my first knee replacement a year and a half ago. I had my second knee replacement five days ago. The recovery is no joke. But based on my experience with my first knee replacement, it was well worth it. I got to the point where I could not sleep. I again reached that point with my second knee. There are a few things that one needs to consider after a knee replacement. Other than the arduous recovery there are some things you will never do again one of them is to kneel on the knee; at least not more than once. While some have told me differently, you may not be-able to run again. Fortunately I was not much of a runner to begin. There are other minor things that I could do better with my natural knee, but overall removing the amount of pain that I had in my life, made it worth my decision to have my knees replaced.
Thank you so much...I'm on the cusp of this decision. It's really hard when you live alone...and alot of trauma from loss. I appreciate you guys and happy I found you.
Do you have a friend that can come stay with you? If you are depressed or have a lot of sorrow, now might not be the time to do the surgery. Wait until you are in a better place because pushing yourself to heal mentally is exhausting enough in itself. Having to do it physically, well, you might not have it in you right now. ❤️🙏🙏🙏🙏
@@fancyfrancy2244 I'm alone too, and agree with the docs, you have to get things ready, have people you can rely on. Especially if you have pets. These docs are amazing. Hope things went well for you Kathy. Let us know, K? (aa)
Thanks for a great discussion. I am a very active, healthy 79 year old. Due to a motorcycle accident 50 years ago I have had arthritis in my right knee set in 20 years ago. I had knee surgery to remove cartilage in 1990 and a second surgery in 1996 for ACL replacement. I have had a bone on bone knee situation for the last 15 years. From then on, I had to give up running due to pain. Long distance hiking and walking have taken its place. I have a custom fitted knee brace that I use on longer hikes. As a preventative, I may take an extra strength Advil or Tylenol before a hike of more than 2 hours. Other than that I don't suffer much pain. I also bike regularly, do yoga, and kayak in the summer and x-country ski in the winter. I have a stationary bike and a rowing machine that I use regularly. After watching your video I think the risks of a knee replacement may be greater than the benefits at this time. Maybe, I should put a total knee replacement on hold and possibly go for knee injections instead. Could I hold off on knee replacement forever? Who knows!
I just watched your video and appreciate it. Today is 1-29-24 and I'm scheduled for knee replacement on 2-1-24. I am suffering from "second thoughts." My situation is as follows: I am not in any discernible pain. My issue is that I need a cane if I walk any long distance, I am bone on bone on the medial side of my right leg. With the cane there is no pain. I have no problem with stairs and I sleep just fine. I am 76 years old, 5' 9" tall and 170 lbs. I lift weights and ride a stationary bike with no problems. I am retired. I will say that if I work with no cane and do yard work or carry heavy loads I am discomforted. All that being said I am suffering from indecision. Lastly, I am in very good health, take no medications and have never had a surgery. Although having had a career in I.T. this is the first website that I ever contacted. I admire your work!
Doctors this video has to be a prerequisite for everyone contemplating knee replacement. You were spot on! I had my rt knee done a little over a year ago. My surgeon showed me an xray of both knees which really helped me understand why i had so much pain. Bone on bone on the rt knee and plently of cartlige on my left. The problem I now have is "sporadic" pain in my left knee. I attribute it to all the stress that was placed on it during physical therapy for the rt knee replacement. I have to have my wife and sons see your video because they want me to have the left knee replaced now. Your video CLEARLY addresses the criteria and although i maybe in pain every so often, its nothing like the bone on bone pain i had with the rt knee. I truly feel its a meniscus tear and until it really hampers my way of life, i will do physical therapy. The family think because I'm 73 I should go now for the left knee but it wasnt a walk in the park the first go around. Thank God, I'm TOTALLY pleased with the outcome of my first surgery and my surgeon also believes "possibly" down the road, I'll need that 2nd one but not at this time. Thank you both sooooo much for clearly explaining the need for a knee replacement. Anthony
I’m 62 and had a complex TKA, left side, on 12/6. I had put it off for years, but it was one on the best things I’ve ever done. The worst issue I’m dealing with now is stiffness, but at PT today my extension was -5 degrees, and my flexion was 106 degrees. Not bad for how involved my surgery was and only 4 1/2 weeks post-op
I had my TKR, left side in 2015. I am not happy with the PT provider I was sent to. I have dealt with dizziness and occasional black outs for years, but no cause has been found. When I told the therapist I was going to faint during my first session I was promptly told "not on their watch" and discharged. Personal chit chat with other staff across the room was more important than spotting me when needed. I was so mad! I live in a rural area so I just went home and used my knee gently. I believe if I had gotten the physical therapy I needed I wouldn't be in as much pain as I have been all these years. I have 4 joints that are total replacements, and one rotator cuff repair behind me. Only the knee is an ongoing problem. I forgot to mention that when I noticed the surgical sight appeared infected it took the surgeon a week before he saw me. That ended with 7 months of wound care that culminated in hyperbaric therapy for a couple of months! PS: I later discovered that there was a member of my church who is a doctor of physical therapy with a clinic that has a "sky hook" throughout the therapy room. I got physical therapy from him while in a 5 point safety harness, connected to a bungee cord running in a ceiling track. There was no fear of falling and my knee feels a bit better now. Proper physical therapy makes a difference.
I feel so badly for you. I was blessed with not only an excellent, proactive surgeon, but a PT team that worked closely with me to meet my goals - and also worked closely with my orthopedic surgeon. Since I'm in Alaska, I'll add that having good insurance helped. I know way to many people who were cut off from much-needed PT after about 8-10 visits.
I'm a month away from a LPKR. I'm 63. I've had osteoarthritis and have been a candidate for knee replacement for over 20 years. I don't "NEED" it, but I believe it will improve the quality of my life and vastly increase the number of pain-free steps I can take in a day.
Excellent advice for any elective procedure. As far as mental health, yes, but there's also the other side where your deteriorating condition and constant pain will eventually wear on your mental health. So look out for that too. And once you decide to go for it, be all in. You can get through it. You need to do the physical therapy, and yes, it's difficult but yes, you can do it. If you need to take pain meds to do the therapy, yes you can do it without getting addicted. [random thoughts from a hip replacement guy which you knee sufferers may find helpful.]
I had a knee replacement 5 years ago. It took me three years before it worked to my satisfaction. One thing above all others DO ALL THE EXERCISES!!! Videos are very good good and (dare I say it?) most enjoyable!!
I needed new knees 10 years ago but since I was in my 40s the surgeon thought I was too young. I am glad I waited but by the point I had my left knee done on December 1, 2023 (5 weeks ago), Prior to TKR, I could barely walk, Standing was extremely painful for anything more than a couple minutes and buckling was some thing that had started happening. The new knee is such a vast improvement that everyone is amazed at my progress. I have to point out that it’s so much better than it was before. I’m scheduled for my right knee in February 11 weeks after the left. Not looking forward to going through the beginning parts again but hoping for the same level of improvement so that by 2025 I will be back to “normal“.
It is refreshing to hear from the surgeon that there are options! I'm 66, and my right knee has been painful and does not straighten all the way. I saw my primary doctor and was referred to Physical Therapy and an Orthopedic Dr.. The PT helped strengthen and I was able to get a bit more straightened. I was disappointed though that the PT's seemed to just be prepping me for surgery! I was not interested in surgery as I was a caregiver for my dad and after he passed, not mentally prepared for a surgery (thanks for saying that!). I found the most relief from following a manual physical therapist (UA-cam!)and concentrating on muscle balance and especially glute strengthening to help the position of the knee. Exercises I did in PT before were too much quad strengthening which was causing more pain. My knee is still painful at times, but overall feels better. Not ready for surgery yet!
Had my left knee replacement surgery in May 2022. it took about 14 months for me to feel like my recovery had plateaued. My pain is now pretty much nonexistent, ROM is better than pre-surgery and strength is better than the right leg. I am very happy with the result and expect my right knee will be replaced at some point in the future but it is not there yet.
Another excellent video. Thanks Docs. I had both knees replaced in 2006/7 and have been immensely pleased with the result in both cases. After a TKR it is absolutely vital to do physio and exercise daily, and to see these activities as long term. The more one is capable of doing, step by step, the greater will be the outcome, and, I think, the more pleased will one be with the progress made. Two questions - In the video you briefly mentioned total knee replacement by robot. What are the benefits of having a robotic procedure? What symptoms should one expect when a total knee replacement has reached the end of its life? Although I enjoy watching both formats I honestly feel your choice of sitting behind a desk talking to each other and the viewers is the better one
Had my knee replacement 2 weeks ago and so happy so far. I was a commercial roofer for 32 years I couldn’t hardly walk anymore. I’m so glad I finally got it done on to the other knee hopefully in a couple months
Good piece, as always. I will be in the waiting room for TKR in the future. Great realistic advice. Reading the patient reactions confirmed I am not "there" yet, but intelligent preparation is a necessity for all of us.
This was extremely helpful in my decision-making process. Had my left knee replaced (met all your criteria) 5 years ago, but went into afib. My rehab was impacted by the two ablations I had to have in the three months following TKR. Is the knee better...yes? It is extremely stable, but due to abbreviated rehab, my range of motion is not where I hoped it would be. Had my left hip replaced a year ago...that went amazingly well. My right knee is a mess, but I can sleep and I'm extremely active (for 71). The things I can't do, like you pointed out, are things I won't be able to do after the TKR anyway. So you helped me make the decision to wait. Thank you.
6 months out from a left TKR. I’d say that I LIKE my new knee, but don’t LOVE it. Much less pain, although there’s still some discomfort. Had good PT afterwards and range of motion is excellent. Much better stability, knee was buckling with pain spikes prior to surgery…not anymore. I’m in a much better place both physically and mentally. What keeps me from LOVING my new knee is the ongoing discomfort and the FEELING that it’s not a natural joint.
I am so happy to have had a good outcome from having both TKR's. It is a Very painful recovery with lots of hard work in therapy. But on the other side I can say its worth it. To have a better quality of life and be pain free. Its a spiritual journey as well. I have learned to be less judgemental of people including myself, and understand that each person is so unique in their healing process.
Real good points made here. Some people are always in rush for surgery, but not always the best option. This has nothing to do with knees or bones. I am wondering if you could do a segment on Hypertrophic Cardiomyopathy and diastolic dysfunction?
I love, love, love my new knee ! I had pain, severe arthritis and several bone spurs to the point that I could hardly walk after 10 years. I probably waited too long but I still love my new knee ! ❤
Although this comment is not about my knee replacement it is about someone I know who has had both hips replaced (yes I know we are talking knees but please let me finish) and now is talking about havine a knee replacement. What I have learned from her experience is that if you are not willing nor have the dedication to put the time and effort into doing the follow up exercises then don't expect to have the best outcome. It takes sweat 'equity' for the best to happen. As for this video, thank you it has given me the information I needed to hear as I address my own knee issues.
For me I knew when I needed my knee replaced just as I did when I got my hip replacement first. Second knee is still working with Euflexxa/steroid injections keeping me pain free until that one gets replaced later this year...trying to give myself a bit of a break between these major surgeries. Thanks guys!
After resisting for many years (primarily anesthesia fear which was alleviated by a wonderful anesthesiologist) I had a right partial replacement April 2023. It has been a God send. I can do stairs without pain. We recently went on a cruise & excursions were not limited by my pain level. The post op pain was not as bad as I expected and was well controlled with Tylenol, Tramadol, 2 wees of Lyrica and lots of ice. Opioids don't work for me and can't take NSAIDs due to a GI bleed. But make sure you pre-medicate before PT.
as always, your content is extremely helpful! i started watching your vids 6 plus years ago before my first knee replacement (48 years of age). i had issues with the dissovable sutures not dissolving, but eventually made a full recovery. 6 weeks ago i had my other knee replaced. this time my doc used staples vs sutures and what a difference it has made. my incision is fully healed and i'm making good progress. i had osteo arthritis in both knees... glad i got the cementless replacements...hope they last a lifetime! it's so nice to have new knees... however it's definitely a process to recover from the surgery. for me, the first 2 weeks are the toughest. after that, it gets easier! totally worth it!!
I’m 63 years old very active love playing softball and golfing,it got to the point that both knees are worn out and the pain was terrible just walking,I did the injections for a few years it worked but the pain would come back,I had complete knee replacement 1/11/24 , I’ve prepared myself for the surgery by doing research, watching videos, speaking to friends that had the procedure, also preparing my body by working out physically and mental, knowing what to expect, made it very easy to decide I needed the surgery, so far the biggest hurdle I’ve had to overcome was stomach issues, with all the pills 💊,the pain wasn’t as bad as I was expecting, i know I have a long road ahead of me, but I feel it was the right thing for me, I’m going take time to completely heal , to determine if replacing the other knee is right for me
Wow. I'm a 1st-time viewer as I'm beginning the process of evaluating pathways to knee-health. I saw your other video on PRP& hyaluronic acid, & corticosteroids, which is the path I've chosen (I have bone on bone, but no pain). I just have to say how vital your perspectives are on these topics. Incredible insight. Many thanks.
I’m currently suffering from grade 3 osteoarthritis in both knees. Two ortho doctors both said I wasn’t at the point to get TKR. So far the pain is “manageable” and I realize I’m not 25 anymore. That said, I asked how I’d know when the time would come. Both basically said “Oh, you’ll know…” meaning the pain becomes too great and impacts my quality of life. Honestly, I’m not looking forward to it being necessary.
@@RiDankulous Pre-op PT helped with strength and balance which was good post op but not pain. And post op I was familiar with the exercises and not trying to learn something new while in pain.
@@RiDankulous. Thanks. I’ll admit I used to work out regularly including bike riding. But I’ve had a few health issues that so far have not been completely resolved, back pain being one. I have an appointment on Wednesday so the physiatrist can provide a diagnosis and a hopefully a treatment plan. 🤞🏼
Both styles work great for me. It's the information that is most important to me. Which style do you two like better? Having had both shoulders and both hips replaced, I "fear" the knees the most. For right or wrong. To me 20% being not satisfied is a significant number compared to what I think shoulder and hip folks feel. I also think too many people have unreasonable expectations of what a knee replacement will get them. While my hips and shoulders are pain free, I would never expect a knee replacement to get me to pain free if I was in bad enough situation to qualify for one. Same for mobility/activity. now if it were to make the difference between not being able to sleep and afterward getting good sleep, I'd do a knee in a heart beat. That's a lot of pain, and sleep is very important.
I had a hip replacement but have nerve damage from operation down the front of my leg ...its been almost 5 months so far...maybe feeling will return maybe not. any operation has risks
Dr. Zalzal and Dr. Weening. Thank you very much for your excellent video. You have explained knee replacement very well. I have knee pain and it is swollen at the end of the day. Plus there can most times be bad pain at the end of the day. I wear a knee brace which is a good help. I have had kidney problems in the past and am being looked after by a excellent kidney doctor here in Thailand and done a great job on my kidneys. And because of my kidneys and coming up to 81 years of age. I have now decided against having a knee replacement. Thank you again for explaining so clearly.
I had total knee replacement 2 months now and it is so good it's thale best thing I ever do after suffering for 22 years with Osteoarthritis. I am almost full recovery, still doing my exercises.
I had both of my knees replaced because of the pain. I think this video is spot on especially about the mental health issues! So important and not a lot of people talk about that part, thank you!
Thank you for this video. I had my first knee surgery about 50 years ago (I am 71 years old), it was open knee surgery on the left knee. Since, I have had multiple arthroscopic surgeries on both knees. The last surgery, 10 years ago, was on the left knee to remove a number of osteophytes, they were not sure that it would be successful. About 4 years ago, I started having PRP injections in both knees. This has been relatively successful, until now. The lates round of PRP has helped the right knee very much, but the left knee has a lot of pain. I have developed a limp. Any time I try to put weight on the leg I get shooting pain up and down my leg, from the hip to the ankle. Many nights I struggle to go to sleep. I use to be able to walk a minimum of 10K steps per day, now I struggle to get 5K. I don't have expectations of being a marathon runner or tennis player, I would just like to be able to walk more or less normally and reduce the pain. I am trying to decide about a knee replacement.
Very helpful video, I'm 68 with bad arthritis in right knee. My surgeon said he can replace it when I'm ready. Meanwhile I've lost 15 lbs, 10 more to go and started doing yoga daily. I walk my mutt 2 miles per day also. It hurts but I think ill hold off for awhile. I'm widowed and live alone so there's that to figure out. Hate to burden my friends. The worst is my bakers cyst which causes intense pain sporadically. But massage and ice helps that. Oh well it'll be fine till I cant take it. Thanks for the advice.
Great advice, you both really covered all of the necessary considerations for a knee replacement. I played rugby and soccer until I was 50 when my right knee basically told me I had to stop. At 66 I could try to walk my dog or cut the grass but I couldn't do both on the same day. My operation was truly a game changer, enabling me to live without pain. A positive attitude going into this is a must along with total commitment to your rehabilitation program, and do the exercises at home as well! Into my third year with my new knee I don't run as I want to make this last as long as possible. But I did kick a soccer ball with one of my grand sons. Something I never thought I would do again. Thanks Doc's.
Great info. I was told 10 years ago that my knee will have to replaced at some point. I made the decision to avoid it if possible. I workout within my limitations, given up some activities and do my best to keep my muscles strong. Hearing some of the things a surgeon considers is excellent. Thank you for helping us stay informed. I personally like the sit down style.
This post is not to brag or exaggerate my knee replacement. The honest truth is I have zero pain, no swelling, same range of motion as my other knee and have logged 5,457 miles riding my bike and walking in 2023. Yesterday was my 4 year surgery anniversary and at my last checkup in June of 2023 the doctor saw no visible wear. It feels like my real knee, I can hike, bike, walk and any other activity I want to with the exception of running. I worked hard in therapy and I have my life back after 42 years of pain and swelling. I severely damaged my knee playing high school football followed by several surgeries and injections.
You asked for comments so here goes: I was in severe pain for months, no sleep, unable to walk without a cane or be on my feet for more than an hour and I was getting cortisone shots every 6-8 weeks for some relief. My Dr. sent me for an MRI, not an x-ray and sent out a recommendation for surgery Nov. 2022. More than one year later, Dec. 2023, I finally saw a surgeon who said exactly what you have said in this video and I will tell you why. About 6 months before I saw the surgeon, I discovered a place that builds unloader braces. I had one made for me and wearing it changed my life so much. I am not pain free but I am able to accomplish most of the work I need to do without having to sit down for 2 hours after working for 1 hour. The $2000 is worth every penny and as you and my surgeon have said, wait until I am in a state where surgery is the only option. Thank you for the second opinion. I am 70 and have always been very active so I believe I will be ok for a while yet.
Very good video and full of interesting points. I had a new knee five years ago and it took three years before I could say it was a success. To me the most important lesson ( this is afterwards!) was DO YOUR EXERCISES!!!!
I am in the process of going through the steps of partial knee replacement. I injured my Right knee 2 years ago and did all the PT, shot, bracing etc. this past June I then injured my left knee and now I am unable to work. I’ve done all the creams, cortisone shots,PT, braces etc and have not been able to recover enough to be released back to my job. I am a commercial truck driver and while I shy away from doing the heavy deliveries I used to enjoy, I would still like or hope I can return to finish my career path in a reduced physical position and still drive.
I’m getting soon a total knee replacement, and I needed an MRI, because the doctor couldn’t explain why I was in so much pain. The femur and the kneecap had really high osteoarthritis, even though the femur and tibia still had some space. Thank you for your videos
Thank you for this. I am on wait list for a knee replacement at 69 years of age. You have both given for me lots to think about. My athletic husband had a very successful placement five years ago. Watching with he went through, I am afraid of surgery. For sure. I will weigh my options
thank you! 76 yr old female. 2 hips/1knee replaced. i have always been active; never overweight; scoliosis surgery when 13. the left knee that was replaced 7 years ago, after so much pain & inflammation for years and then a bakers cyst development, has been in chronic pain since surgery. I definitely can walk, but the pain is constant. no orthopedic doctor has determined what is causing this pain. Now, i have developed a bakers cyst in the other knee and it has been a constant source of pain since March of last year. getting an MRI on the knee this week; but, your counsel seems to think that won't be very helpful. i am opposed to taking ibuprofen everyday, which would be the MO, if i were to try and alleviate the pain. Just another person's journey through this thing called life, right? sometimes, there are no answers.
This was very helpful thank you. Often people are made to feel like failures if they opt for knee surgery (social media) Like one should just be able to exercise it away. My mom suffered greatly for 20 yrs not getting one. I’m 71 and feel it’s in my best interest to do sooner than later. Scared but I will give it my all! TNR Scheduled for end of Aug 24.
Very informative video especially relating the part about when to finally say yes to the surgery. I will recommend to anyone considering knee replacement. In general, I prefer the sitting videos to the standing ones (I always think TV news anchors standing to deliver the news is weird) but doing a standing video on occasion would provide a nice change such as when you have guest doctors on the show.
I am 75 and have been on a list for the past couple of years for left knee and left hip replacement. My knee is absolutely crooked. Pain at night and I prop the knee up on two pillows. I have no heart issues and lost a significant amount of weight in the past two years. I do have bad varicose veins on that left knee. I so am quite scared of the surgery but x-rays show that I need it. I just wish that it would be over and done with. Your videos are terrific!
My dad has had two hip replacements and one knee done twice. He has found the key factor is a good surgeon. He's had 3 different surgeons. Knee replacements were like night and day and 1 year apart. First knee replacement was horrible. Second was a totally different and so much better experience. Same with hip. First not good with bad recovery and second just fine. The same surgeon did both second surgeries, first hip, then knee. If I ever need a knee or hip replacement, I'm scared I won't get a good surgeon. How do you tell the good from not good?
I had my left knee replaced 6 1/2 weeks ago. I am happy with my knee. Still having pain at night when I straighten my knee out to get up. Not as bad as before the operation. I am very glad I did it. I can walk down my steep driveway now without the risk of falling. My knees were knocking together and getting in the way of walking. I am a 71 year old female. I will get the other one done next year.
I had both knees replaced in the last 16 months. I had severe bone on bone arthritis and pain. I took ibuprofen to help with pain management, but only received partial relief. Totally thrilled with both operations and completely pain free. Worked with a great PT who helped me attain 0 degrees to 127 degrees range of motion. I still have numbness in both legs, my surgeon from Keck USC says this can take up to a year to have the numbness disappear. Will see...
I had a knee replacement in Dec 2021. It has taken 2 years to finally feel good (not great). I still have some swelling and a bit of stiffness at times but so much better than I was before. I have decided it’s time for my other knee to be replaced. I’m bone on bone with pain. Been using cortisone shots for some time but they aren’t working as well as they used to and wearing off faster each time. Also, my replaced knee leg is 1/2” longer than my bad knee leg and causing me back pain. I use heels inserts in my shoes but I still have some back pain. I’m not looking forward to the whole healing process again but I know in the end I will feel better. Thank you for all your great videos and information. ❤
I’m in the UK and have painful arthritis in both knees. I still work part time. I found your video very helpful. It’s made me realise that I need to make the most of the use I have in my knees and live life to the full as best I can knowing knee replacement is not the only option (in the UK it’s very unlikely if would be done in my lifetime with our NHS situation!). Thank you both for such a sensible discussion.
I’m an active 64 yr old. I had TKR on rt knee in early September and left knee in late November. I would not recommend that close of dates if possible. Both surgeries went excellent, but because I felt so good after the first one, I overworked the other and also strained the ligaments in both ankles. I’m dealing with that pain as much as knee pain. I returned to a somewhat normal work schedule after about 4 weeks, but the Surgeon gave me the “stand down “ orders until I get the swelling and pain down. I’m happy to have had the surgery, just waiting for the healing to finish!
Both of you are knowledgeable and U appreciate that. Im getting Synvics injections and one more to go in both knees. Yesterday I had both, but I’m in a lot of pain in my right knee. This was unlike my first round injections. I used ice and now using heat. In September I’m having total knee replacement via robotic procedure and January the second knee. I’ve put this off for 12 years. Thank you.
I haven’t made it to the clinic yet but was checking out doctors in Oakville and saw a review and she mentioned your videos. Thank you! It’s helped me not to freak out and shown me options then just having surgery. I’ve put weight on this past year so I’ll start there and try to decrease that while I wait for my appointment to rapid knee! Thanks!
I have been doing hyaluronic acid injections for pain relief every 6 months on my left knee. So far so good. Had an ACL surgery 30 years ago and am 70 years old and active...yoga, rebounder exercising and walk often.
Had a full replacement 2 years ago. Healthy 72 at time eating healthy , no smoking , no drinking, CV exercise along with weight training, moderately thin w no systemic disorders. The op went well but the recovery from 2 weeks till 10 weeks was hell. I do have restless leg syndrome . This got aggravated and i could not sleep more than 2 hours per night for that period. This resulted in getting a respiratory virus for three weeks followed by a digestion viral infection. This drove me nuts and no docs I went to see was able to help. Finally after about 35 visits and ready to get myself to a hospital my PC care doc recommended a different medication which helped break the cycle. Just a word of caution if you have a moderate / severe sleep disorder , such as RLS , before you sign on.
I am in my early 50's and had a knee replacement at the age of 38. In my case my right knee was completely bone on bone and I was actually badly knock kneed on my right side as well. This all stems from a bad downhill skiing accident when I was 16 plus many years of playing sports. My orthopedic surgeon could here my grinding in my knee from across the room. After have many arthroscopic surgeries through the years to "clean up" my knee, and living on Percocet's just to be able to get out of bed and go work, it had to be done. If I had to do it all over again, I would in a heartbeat. Last year I had my liner replaced but the actual hardware is holding up very well.
I'm 60-years-old I just had total knee replacement 4 weeks ago and I'm walking around very nicely I had severe osteoarthritis and bone on bone. I know it's early but I keep doing my Physio and exercises constantly which makes it feel better the only problem I have now is my hip is getting worse because of the good knee replacement I was also told I needed the left hip replaced as well
After severe life limiting pain I had both knees done about 3 months apart. The recovery was tough but after 2 weeks the knees hurt much less. I got so good with no pain I over did, now my hip hurts. Had right shoulder done after 24/7 pain. Now no pain. Recovery is tough but worth it.
I just had one of mine replaced two weeks ago and this has been the best I’ve felt in the last four years. I have had no issues at all and I’ve even gone back to work already.
Both knees replaced (‘18 and ‘19). I’m 78 now. I miss long distance running bc it would destroy my knees. But I’ve focused, now, on ultra bicycling. Last year I rode 5,000 miles and climbed more than 250,000 feet. No pain. Legs get sore and I pay attention to gearing. But I have no problem with knees. Frankly, it has been a lifesaver.
So a meniscus tear at 40 (that was a hard recovery) on the left knee and now 26 years later a bakers cyst--(that popped) have arthritis two surgeon said yes for total knee--having the no sleep, pain, swelling--did rehab 3 months so decided to finally have it done. The right leg did total knee at age 60--took a very long time to heal--but doing great now. I walk up and down hills to do major yard work, have an orchard. So a lot of physical need to work hard. A lot of heavy weight baring work. Hoping the left knee is as good as the right but it takes a lot longer than you realize--Lots of rehab--lots of swelling--but better than giving up what you do.
Had total replacement of right knee 7yrs ago at age 62 and doing great, I walk 3-5 miles a day with no discomfort. If contemplating the procedure be prepared to have a few weeks of pain during recovery but it’s worth it😉
I'm 68 years old, a former marathoner, and a fit 135lbs. I had medial meniscus surgery in both knees, one in 2008 and the other in 2012. Recently my left knee has been swelling and has become more bowed than my right leg. (I am slightly bow legged) I was preparing for a backcountry hike with a 25lb pack for in Glacier National Park and was concerned about my left knee. I went to my Ortho Dr. and he indicated that it may be time for TKR of my left knee, gave me a cortisone shot and I went on the hike. I did fine on the 52 mile hike with the exception of some aching pain that kept me awake during 3 of 6 nights. Upon return I had a consultation with the knee surgeon and he pretty much told me that it was my decision on whether I wanted to have it done or not. Initially I decided to schedule the TKR for January of 2025. Now after watching this video I'm thinking of cancelling the surgery. As you have suggested, I don't feel that the pain is such that it interferes with my quality of life to the extent that a TKR is justified. I will be going for a second opinion, only to question the issue of my leg bowing out, and if delaying TKR will effect successful surgery when ultimately required in the future. Would appreciate if you have an opinion on this. Love Talking with Docs!! Keep up the great work!!
I had left in 2010 bone to bone, hardest rehab ever. Right knee in 2013 while unknowingly having Lyme disease. Took months to recover. Both knees doing great so far. At 70, I hope they last me, rest of my life.🙏 only thing I can’t do is, kneel on them. Sit through mass.🙏🤷🏼♀️😂
Do you guys like the sit down video style or the standing up video style better?
I say whatever feels comfortable for both of you. I don't mind. Both are fine. You both play a doctor on UA-cam fine. 😊
I like both sitting or standing. Which ever is more comfortable for you. I love watching you, you provide such beneficial information!
Keep up the great UA-cam videos!
Sitting for sure.
This was super but really love the standing.
Guys can you please help me I was supposed to get a colinscopy done a few months back should I find someone who can do it?
Last March I had my first knee replacement, I was 56, with severe arthritis, it went very well, got my second one in September, went even better, got out the hospital the same day. If somebody needs a knee replacement, don't wait until you are not able to walk, because then the recovery will be very hard. Of course, it's my opinion, and I'm not a doctor. Thank you for your great videos, they helped me a lot to prepare for my surgeries.
@@RiDankulous I did not strength trained, but I was walking 2 miles a day in average, also I live in a 2 stories house, with a basement, so a lot of stairs, I consider myself in an ok shape, I use to jog, bike, snowboard etc, that was before my arthritis got worse. The better shape you are, the easier the recovery will be.
You should be ok, don't minimize stretching exercises, I would do more, knowing what I know, what you gain before, you keep it after. Good luck
I had one knee replaced 12 years ago. It has given me 12 years of quality life that I may not have otherwise. My other knee is starting to have a bit of problems now but I am seeing a manual physiotherapist and do not want another replacement if possible because I fear the day when I have to do a revision of the replaced knee. There are things that a replaced knee cannot do, like squats which can be a problem when I get older, like Iif I fall I may not be able to get up easily. Is revision inevitable in a knee replacement?
Same situation for me. You are absolutely right. Do not wait until you can’t walk and develop another whole host of issues.
I had my left done at 57 in 07. Got a major staph infection and was on a pic line for 2.5 months. Have had 3 more surgeries since and my ROM today is about 60. The hospital had a history of staph I found out later. Check the hospital before going in.🤔
I had 5 surgeries prior to my total knee surgery - 1 minor and 4 major surgeries. I pulled the cord and had the total knee. 3 weeks later, the MCL ruptured during gentle bending (PT) and the hardware dislodged and I had to have a revision. I made PT and icing my full time job and was back to work in 6 weeks. 2 years later, I still full movement, no pain, and I can even kneel on it without any pain. Either God had his hand in this, or my knee is dead inside and I can't feel anything, or perhaps a combination of both. I am so happy and feel sad for those with bad outcomes.
@TalkingWithDocs :
As a Marathon runner and UltraMarathon runner I can tolerate a lot of discomfort. It's not surprising that by the time I went through physical therapy and knee injections, when the orthopedic surgeon saw the x-rays of my knees, he was not at all hesitant to suggest it was time for total replacement surgery.
I am 15 months out from the first TKR and the 9 months out from the second. I am absolutely joyful. Almost all the pain is gone. I am not allowed to go back to running because of the impact, but I am power-walking 8 hours a week. I go dancing several nights a week. I take stairs instead of elevators. I'm so happy!
Can you knee anymore or is that a big NO NO?
Kneeling is painful. I need a cushion.
How did you feel the first couple of days after surgery? Joyful as well?
Had a total knee replacement on my left knee, it's been 9 months I get stiff every day. But the arthritis pain is gone. It's not and will never be the same like in the beginning.
Why can't you so that activity after a knee replacement?
I had my left knee replaced 5 weeks ago(Dec 2023).I’m very happy with the results so far because I was in excruciating pain before my surgery.At 5 weeks out it’s the best my knee has felt in years and I can’t wait to have the right one done.At 65 it’s time to live again!Thanks for all the great info on your channel!
I had my left knee, total knee replaced in April 2023. It was a life-changing procedure for me. I am in Canada, so had to wait two years for the operation. I was overly prepared. I’m that sort of person. Super organized. Read everything. Your channel was one of the channels I watched religiously. I was scared crap less before having the surgery, but had realistic expectations. And for me, it was the quality of life. I could barely run errands and getting up and down was excruciating. Anything that helped was going to be better. I had cortisone injections, tylenol and advil and finally codeine just to get around and even at the end, pain was a 7. I am now contemplating my right knee which had been offsetting the weight of my left one for so long. But I don’t know that I would get another replacement, unless I was as bad off as I was with my left knee. And not really sure of that either. I currently take just Tylenol and exercise the right knee and I’m looking to lose some weight to help. Not saying I regret having the knee replacement because I am so much better than without it but the recovery is very hard - it is a mentally and physically taxing lead up to operation and the first six weeks is brutal. I’m not sure I’d want to repeat. Anyway, Thank you for your videos, as I said, they were extremely helpful.
I totally agree and have the same timeline. I am 85% happy with the results of a partial knee replacement, but I don’t think I can bear the thought of a repeat on my other knee. I can’t/won’t go through that again. I will do all the before-surgery treatments instead.
That’s where my head is at as well. They say the experience is not always the same with the other, could be worse or better. Even if it was the same, which would mean Id know what I was going to experience, still not eager to experience any of it again. Don’t think I have the mental capacity to go through it Once again. So I will be doing all the other things. I’m hoping for the best.
I had left knee replaced Nov.2023. Sadly I was given an opioid in my iv. I reacted very badly and stop breathing . Then was given high Tylenol which I told them know because it made me sick. But I had no more pain in my new knee. Once I came home I work hard to get stronger . I was hospitalized once more with kidney failure . Never had kidney issues before . But I am healing from that . Would I do my other knee, the answer is that if the cortisone shots stop working , yes . But I’d make sure that I get no opioids , and wouldn’t take Tylenol either . You have to know your own body . And take with your doctors a lot first . I was high risk I assume . The doctors dis a great job.
November 2023 I had a total knee replacement at 56 and I absolutely love my new knee. I’m 7 weeks into recovery and I still have way to go still. I don’t regret the operation at all. I knew it was going to be painful and it seriously was but it is getting better. Mainly now stiffness every day. If anyone is making this decision just make sure you have a support system in place for the first few weeks. You will need it. Also before the operation make sure you have someone you know who does physiotherapy well. You will starting that 3 days after surgery.
Physiotherapy is very important for the movement of this knee. Exercise every single day multiple times and day with ice being your best friend after.
The Docs made some very valid points.
Even better; start rehab/exercising with BOTH legs several months before surgery. Your "good knee" is going to be carrying a big load during recovery. I wish I'd known this before my first TKR.
My knee is not that painful all the time but it bows out makes my toe point in so I can't walk straight. I have moderate arthritis and surgery date given do I'm hoping I can walk straight after recovering.
@@defrost8648What kind of exercises before the surgery?
@@defrost8648 My quads muscles were weak. You lose tone from surgery so I started recovery in the negative. My best advice? Build up those quads before surgery! Quads are crucial to a full recovery.
I had my right knee replaced 6 years ago and my left knee 5 years ago. 9 months after the second I went on holiday and walked 154,000 steps in one week, success!!! So my experience was a positive one. I hear other people complain that their experience was less than positive or they're not happy with the results. I think part of this is that they have unreal expectations. I expected that I would not have completely pain free knees afterwards, I expected that I would always have some level of pain. So when pain happened, even after the recovery, I was mentally prepared. I had physio afterwards. I expected to need physio afterwards. I wasn't prepared, was not informed, that I needed to actively exercise, use my knees, every day or they would stiffen, it would be a life-long fight against scar tissue. I think that needs to be stressed more. Managing expectations is a large part in having a positive outcome, I think.
Are your knees NOT completely pain free since the surgery? After a hip replacement you're pain free. Not with knees?
THANK YOU! I've been pushed by my GP to have both knees replaced (bone on bone for years) and have delayed because I have animals to care for and I live alone (age 70). But I had started depending on crutches to get around--highly inconvenient. I finally scheduled a consult this past year, but after waiting months for the appt., it was cancelled as the surgeon was leaving the practice. It turned out to be providential. Frustrated about another months'-long delay (after being stubborn so long), I made an appt. with a manual orthopedic therapist and learned much of my knee pain was related to compensation issues from an old spinal fusion. I could have gone through a TKR only to have it fail because I'd never addressed the imbalances and gait changes that had crept in over the years. I will probably need one in the future, but with daily prescribed exercises, I'm off NSAIDs, off my crutches, have minimal discomfort, and am able to care for the horses, dogs, cats and garden satisfactorily. You have confirmed that TKR is appropriately on hold--it's not the right answer for me just now.
The body is self healing
I have a 7 horses & property to care for. I live alone and am your age. TKR scheduled 25 days out. I'm petrified. Odd one thing to take on the pain & recovery but now I have to have drivers to physio, someone to mow, water the garden, AND care for horses. 😵💫😬
I appreciate seeing the age of the person making the comment about their experience. I'm about to turn 76 and will see an orthopedist for the first time to get their opinion and information. My right knee is at 4 and left at 3. The pain has gotten worse. Almost 100% surgery phobic, so looking for other options.
@@cheztano10 hi, I'm where you are, saw one ortho, he gave me cortisone, didn't work, then the gel, didn't work (hurt like hell) haven't gone back. but maybe I'm like claire who needed P/T.
I would love to hear you talk about whether there’s such a thing as waiting too long to get a knee replacement. Maybe:
- The knee would get so bad that TKR couldn’t be done?
- The knee might cause or exacerbate other conditions (hip or back, I suppose)?
- The knee condition might make the TKR surgery more difficult or more risky?
- Any other concerns you can imagine?
My crap old Anthum hmo insurance had me wait so long for bone on bone knees that overused dependance and leaning on a walker for over a year and a half exacerbated arthritic shoulder conditions that did not cause me ANY pain. Now I have to get both shoulders done due to torn rotator cuffs. I am 74/fem and will go in for the first reverse shoulder surgery when scheduled the next month.
I waited and finally got mine 1.5 years ago. Had to build the muscles back up cause the atrophied so bad. That also should be considered.
I had my left knee done in 2014. Successful but after surgery my incision opened up d/t what was called fat necrosis. That took a vac dressing and 8 months to totally heal. My right knee has not been done. I have no pain weight bearing. My pain comes from sitting with my knee bent. Severe pain on the inside of my knee. Not sure what to do. Covid and health care in Ontario have scared me off from getting a consult
I would also like to know if waiting too long for TKR would compromise the effectiveness and recovery? I had an orthopaedic surgeon tell me 10 years ago that if I wait too long, the bones that are going to anchor the artificial joint might not be strong and healthy enough bc of arthritis damage. So far I’ve put it off and according to this video, I should still wait and continue with what I’m doing.
My partial knee replacement changed my life! I had my right knee replaced in 2019 and my right hip replaced in 2023. Also, my hip replacement totally changed my life as I had been walking with a cane due to the pain. The day after my knee replacement I walked into my PT office unassisted and without a walker or cane. Minimal rehab and I was released after three weeks for international travel. My hip took a little longer, 6 weeks to feel comfortable, but at eleven weeks I walked 50 miles over a 2-week period of time touring Turkey and Greece. I’m 69 yo, healthy and maintain a reasonable weight. No more knee or hip pain! I am grateful for my surgeons.
This video helped me realize that I do not need a new replacement right now. As long as I avoid stairs I have very little pain. I think it’s probably in my future sometime but for now I choose not to have the surgery.
Had partial knee or “uni-Compartmental “ in Canada Feb 2023, I’m now 63 , yes painful but if you do the physio that is tough but worthwhile recovery is faster. Now at almost 11 months I’m so glad that the Surgeon did it for me. I feel very lucky as I now walk pain free for first time in 10 years. What you guys do is a life saver! I remember before surgery saying to the Doc I’d be good to go in 3 months and he looked at me and sternly said , maybe one Year ! , well he was right of course. But recovery is truly a mindset and how hard you’re willing to work at Physiotherapy.
Yes, great overview. I will address my knee problem with my new GPN. I was told years ago that my left knee was bone on bone. Then, after a fall, I was told I had crushed cartilage in my right knee. It gives me pain during a rainy period. If I drive a lot, it bothers me, but I take an Advil and it helps. The Orthopedic Surgeon told me he could go in and scrape the right knee, same recovery as having it replaced. That was 11 years ago. I am 81, and am in good health. I don't take any medication except an Advil or 2. My Mom lived to 101 1/2 and had arthritis in her knees. All she took was a thyroid medication and tramadol for her knee pain. Thanks, I read an article that said our life is a gift and we need to treat it like a precious gift.
I'm glad you are doing so well. Good choice in not having the surgery!
I am 85, had both knees replaced a year ago. Could not walk because of the pain. Now I play tennis again, 100% pain free. Only difference is that my knees bend less. This operation plus replacing eye cataracts with lenses that allow to see all distances have given me a whole new life.
Thank you both very much for laying it all out. I have had people pressure me to "just have it replaced " like it's a piece of cake. They are so unaware about the ingredients to make that cake. ❤
Thanks for this. I was sent to a very good orthopedic surgeon for meniscus repair 15 years ago. He did the standing X-ray and said “you are too late, come back in 5 years and I will do a knee replacement.” Still getting by with braces and injections. Everyone so often I have a bad day or two or three.
May I ask you what braces work for you please?
May i ask i you had a miniscus repair about 8 months back in wat time do i need an tkr anyway.
Are you not in pain?
I am scheduled to get a knee replacement this month. My right knee is in worse shape and it's bone on bone, but my left knee has been giving me more problems because it's turned into a trick knee and also very stiff and is liable to give out on me at any time I do have pain in both knees and stiffness and it's hard to walk but when I am laying down or sitting, I have zero pain unless I move it in an odd way.
Bottom line is, it is affecting my quality of life because I cannot walk any kind of distance, or do anything that requires more than a few steps of walking. I've been debating whether I should get either of the knees replaced for a while, and I've decided that quality of life is important . I am 59 years old which I have been told is young to have knee replacement surgery, but I don't want to wait until I'm 75 and miss out on all the things I would like to do now
I can't believe how similar our symptoms are. Left knee feels worse but x-rays show right is worse. Also no pain unless moving in an odd way. I am 83 so quite a bit older. This probably means quality of remaining life is more important to you. Still, I am contemplating left knee replacement after trying injection therapies.
@@stevedowney9185 Hey Steve...I also tried knee injection (gel..not cortisone) a few times At first it was miraculous, but on my 3rd time trying them the magic was gone.
I did end up having my left knee replaced on 01/25/24. I had heard horror stories about the rehab but hasn't been as bad as I imagined. I WAS surprised that the incision was so big! About 16" long!!! I guess I thought with modern medical technology it would be a lot smaller and less invasive.
Anyway I'm sure you and your doctor can figure out what's right for you. 83 is not as old as it sounded when you were a kid!!! You have a long time to enjoy still!!!! Good luck with whatever you choose!!! Sending good thoughts your way!!!
How are you doing now? Did you have the surgery? Are you sorry you did it??
I am having same issues only both knees now are bad. And I have to stand to do my job and I hobble instead of walk. I am 61.
@@fancyfrancy2244 Well, if you had posted this 2 weeks ago I would have said it was going great. I had the left knee replaced on Jan 25. They gave me a walker to use for a few weeks. After one day I stopped using the walker and was able to walk around and do my rehab exercises without it.
Then, suddenly, this past, Friday, March 8, it became extremely painful, swelled up, and I got a bad fever had to be taken to the emergency room, where they determined that I had an infection in the knee. I am now waiting for them to perform surgery on me tomorrow so that they can remove the plastic piece of the knee, clean it out and put in a new plastic piece. They told me I will now be on antibiotics for the rest of my life, so I'm obviously having second thoughts about having done it in the first place. They say the odds of developing an infection are 1 in 100. I was that 1 person I guess.
I had my right knee done when I was 59. Now I'm going to have my left one done in April. I can't wait. I just haven't been able to do any amount of walking in 10 years. I wish you the best.
My surgeon flat out said you need a tkr. We could try injections but I think we would just be friggin around. 8 months later, biking, walking, skiing, rowing, pain free. Couldn't be happier. My overall health is greatly improved because it no longer hurts to be active again. Wish I had done it sooner. It sucks for a month, then it gets better every week. You old knee won't. I encourage others with knee pain to get it done, have it behind you and enjoy the improved quality of life. Tkr at 73.
I hope by the time I’m 73 the medical has advanced to where they can just scan my knee and it will be fixed
May be!!!
4065 Winchester - It baffles me that patients aren't given enough pain medicine to make it relatively pain free afterwards. A month of agonizing pain afterwards??? Why? Hip replacement is totally pain free.
@@jakboi6529haha, wishful thinking 👍
Had my TKR Aug. 2023 This is a very informative video, if I’d have seen it before my TKR I WOULD HAVE NEVER DONE IT, I don’t think I had enough information like THIS VIEDO !!!
Thank you both for all you do for us.
I'm contemplating a knee replacement sometime in 2024 or later. I have severe arthritis and Baker's cyst in my right knee. I have chronic pain, without much relief o a daily basis. Love this video, really helping me determine "when" I should press the green light and have a new knee. I also like th sit-down, discussion format you have done for this video . Watch you daily. Keep up the informational videos!
I had a total knee replacement of my right knee in November 2022 and my left one in November 2023, and I am thrilled with the results. My right knee is everything I hoped it would be, and at almost 10 weeks post op on my left, I’m very happy with what I have experienced so far with that one. Being in the right place mentally and physically prior to the surgery is key, recovery is brutal at first and you have to be prepared. Physical therapy is so important, both outpatient and home exercises. You are in charge of your own outcome, you get out of it what you put in.
when you say 'brutal', that means pain, right? Do they give you enough pain meds that you can continue through the healing process?
@@MichaelHoggardYes, the surgery is very painful, but my surgeon believes in pain control, and my meds kept the pain manageable. Don’t let that keep you from getting the surgery, if I can get through it twice, you’ll do fine.
As a retired CRNA, I tell friends to “ keep your original parts as long as you can”. Great overview, love you guys!
Struggled with bad knee for 12 years, had many injections with no relief finally had TKR late January - 31 --- March 16 walked over a mile away from my house to check my hog trap over ruff terrain ! WHY did I wait so long?
@@JamesDuffey-f7u Did you have horrible pain after the surgery?
May I ask your age? I’m glad your surgery went well.
Recently I had both tkr. The results have been awesome! I never used or needed a cane, walker or crutches. I went to Dr. Gouch at Southern Sports Medicine in Gallatin, TN. ...just outside Nashville. Both incisions are around the sides of the knees. Highly recommend his method!!!
@@BarryGill-z5y I have been hearing about this method! Maybe I can stave mine off until this becomes more mainstream!
Gonna definitely ask my ortho about it. I also heard about the smaller incision where the quads are not cut. My ortho does do that procedure but side method sounds even better!
@@fancyfrancy2244
I've been told other ortho say the Southern Method of tkr is no better. I think it's because they do the Ole incision down middle and never experienced it!
I was diagnosed with knee arthritis during couvid. I was attempting a h.i.t type work out and doing a lot of stairs for exercise. Big mistake!
After the diagnosis, i decided to address knee pain by physio and just working out.
Year 1. Walking lost 10lbs
Year 2(now) joined gym working out every 2nd day.
Just started leg press recently slowing increasing weight.
My knees are the best they have ever been! The first winter in 5 years where my knees dont hurt.
Still walk about 10k steps per day plus gym for weight training.
Walking! Helps and makes a huge difference.
I wish i would have joined gym long time ago.
Walking is truly under rated exercise. Lost my belly by better diet and walking.
I had TKR both knees & it’s been 10 months since right knee & 8 months since left. No pain or stiffness now but I do still kinda struggle with stairs. Am thankful for my surgeon who gave me my life back.
Thanks for this! Am heading down the road for replacement. Retired nurse, so I know a little bit about what to expect. Plus, MANY friends have had both knees done and not a single one is unhappy! Can’t wait to get rid of this mind numbing pain.
I am 61 years old. I had my first knee replacement a year and a half ago. I had my second knee replacement five days ago. The recovery is no joke. But based on my experience with my first knee replacement, it was well worth it. I got to the point where I could not sleep. I again reached that point with my second knee. There are a few things that one needs to consider after a knee replacement. Other than the arduous recovery there are some things you will never do again one of them is to kneel on the knee; at least not more than once. While some have told me differently, you may not be-able to run again. Fortunately I was not much of a runner to begin. There are other minor things that I could do better with my natural knee, but overall removing the amount of pain that I had in my life, made it worth my decision to have my knees replaced.
Thank you so much...I'm on the cusp of this decision. It's really hard when you live alone...and alot of trauma from loss. I appreciate you guys and happy I found you.
Do you have a friend that can come stay with you? If you are depressed or have a lot of sorrow, now might not be the time to do the surgery. Wait until you are in a better place because pushing yourself to heal mentally is exhausting enough in itself. Having to do it physically, well, you might not have it in you right now. ❤️🙏🙏🙏🙏
@@fancyfrancy2244 I'm alone too, and agree with the docs, you have to get things ready, have people you can rely on. Especially if you have pets. These docs are amazing. Hope things went well for you Kathy. Let us know, K? (aa)
Thanks for a great discussion. I am a very active, healthy 79 year old. Due to a motorcycle accident 50 years ago I have had arthritis in my right knee set in 20 years ago.
I had knee surgery to remove cartilage in 1990 and a second surgery in 1996 for ACL replacement.
I have had a bone on bone knee situation for the last 15 years. From then on, I had to give up running due to pain. Long distance hiking and walking have taken its place. I have a custom fitted knee brace that I use on longer hikes. As a preventative, I may take an extra strength Advil or Tylenol before a hike of more than 2 hours. Other than that I don't suffer much pain. I also bike regularly, do yoga, and kayak in the summer and x-country ski in the winter. I have a stationary bike and a rowing machine that I use regularly.
After watching your video I think the risks of a knee replacement may be greater than the benefits at this time. Maybe, I should put a total knee replacement on hold and possibly go for knee injections instead. Could I hold off on knee replacement forever? Who knows!
I just watched your video and appreciate it. Today is 1-29-24 and I'm scheduled for knee replacement on 2-1-24. I am suffering from "second thoughts." My situation is as follows: I am not in any discernible pain. My issue is that I need a cane if I walk any long distance, I am bone on bone on the medial side of my right leg. With the cane there is no pain. I have no problem with stairs and I sleep just fine. I am 76 years old, 5' 9" tall and 170 lbs. I lift weights and ride a stationary bike with no problems. I am retired. I will say that if I work with no cane and do yard work or carry heavy loads I am
discomforted. All that being said I am suffering from indecision. Lastly, I am in very good health, take no medications and have never had a surgery. Although having had a career in I.T. this is the first website that I ever contacted. I admire your work!
me also.. it's 2/29 today , let us know what happened.. good luck either way.
Doctors this video has to be a prerequisite for everyone contemplating knee replacement. You were spot on! I had my rt knee done a little over a year ago. My surgeon showed me an xray of both knees which really helped me understand why i had so much pain. Bone on bone on the rt knee and plently of cartlige on my left. The problem I now have is "sporadic" pain in my left knee. I attribute it to all the stress that was placed on it during physical therapy for the rt knee replacement. I have to have my wife and sons see your video because they want me to have the left knee replaced now. Your video CLEARLY addresses the criteria and although i maybe in pain every so often, its nothing like the bone on bone pain i had with the rt knee. I truly feel its a meniscus tear and until it really hampers my way of life, i will do physical therapy. The family think because I'm 73 I should go now for the left knee but it wasnt a walk in the park the first go around. Thank God, I'm TOTALLY pleased with the outcome of my first surgery and my surgeon also believes "possibly" down the road, I'll need that 2nd one but not at this time.
Thank you both sooooo much for clearly explaining the need for a knee replacement.
Anthony
I’m 62 and had a complex TKA, left side, on 12/6. I had put it off for years, but it was one on the best things I’ve ever done. The worst issue I’m dealing with now is stiffness, but at PT today my extension was -5 degrees, and my flexion was 106 degrees. Not bad for how involved my surgery was and only 4 1/2 weeks post-op
I had my TKR, left side in 2015. I am not happy with the PT provider I was sent to. I have dealt with dizziness and occasional black outs for years, but no cause has been found. When I told the therapist I was going to faint during my first session I was promptly told "not on their watch" and discharged. Personal chit chat with other staff across the room was more important than spotting me when needed. I was so mad! I live in a rural area so I just went home and used my knee gently. I believe if I had gotten the physical therapy I needed I wouldn't be in as much pain as I have been all these years. I have 4 joints that are total replacements, and one rotator cuff repair behind me. Only the knee is an ongoing problem. I forgot to mention that when I noticed the surgical sight appeared infected it took the surgeon a week before he saw me. That ended with 7 months of wound care that culminated in hyperbaric therapy for a couple of months! PS: I later discovered that there was a member of my church who is a doctor of physical therapy with a clinic that has a "sky hook" throughout the therapy room. I got physical therapy from him while in a 5 point safety harness, connected to a bungee cord running in a ceiling track. There was no fear of falling and my knee feels a bit better now. Proper physical therapy makes a difference.
I feel so badly for you. I was blessed with not only an excellent, proactive surgeon, but a PT team that worked closely with me to meet my goals - and also worked closely with my orthopedic surgeon. Since I'm in Alaska, I'll add that having good insurance helped. I know way to many people who were cut off from much-needed PT after about 8-10 visits.
I'm a month away from a LPKR. I'm 63. I've had osteoarthritis and have been a candidate for knee replacement for over 20 years. I don't "NEED" it, but I believe it will improve the quality of my life and vastly increase the number of pain-free steps I can take in a day.
I just had a knee replacement 4 weeks ago. I'm still healing. This video gives a very realistic approach to whether or not to get one. Thanks.
Excellent advice for any elective procedure. As far as mental health, yes, but there's also the other side where your deteriorating condition and constant pain will eventually wear on your mental health. So look out for that too. And once you decide to go for it, be all in. You can get through it. You need to do the physical therapy, and yes, it's difficult but yes, you can do it. If you need to take pain meds to do the therapy, yes you can do it without getting addicted. [random thoughts from a hip replacement guy which you knee sufferers may find helpful.]
Except that the hip is pain free afterwards but the knee suffers excruciating pain afterwards 😢
I had a knee replacement 5 years ago. It took me three years before it worked to my satisfaction. One thing above all others DO ALL THE EXERCISES!!! Videos are very good good and (dare I say it?) most enjoyable!!
I needed new knees 10 years ago but since I was in my 40s the surgeon thought I was too young. I am glad I waited but by the point I had my left knee done on December 1, 2023 (5 weeks ago), Prior to TKR, I could barely walk, Standing was extremely painful for anything more than a couple minutes and buckling was some thing that had started happening. The new knee is such a vast improvement that everyone is amazed at my progress. I have to point out that it’s so much better than it was before. I’m scheduled for my right knee in February 11 weeks after the left. Not looking forward to going through the beginning parts again but hoping for the same level of improvement so that by 2025 I will be back to “normal“.
It is refreshing to hear from the surgeon that there are options! I'm 66, and my right knee has been painful and does not straighten all the way. I saw my primary doctor and was referred to Physical Therapy and an Orthopedic Dr.. The PT helped strengthen and I was able to get a bit more straightened. I was disappointed though that the PT's seemed to just be prepping me for surgery! I was not interested in surgery as I was a caregiver for my dad and after he passed, not mentally prepared for a surgery (thanks for saying that!). I found the most relief from following a manual physical therapist (UA-cam!)and concentrating on muscle balance and especially glute strengthening to help the position of the knee. Exercises I did in PT before were too much quad strengthening which was causing more pain. My knee is still painful at times, but overall feels better. Not ready for surgery yet!
The El Paso guy?😊
I’m following him now too and hoping his exercises help me.
Yes, El Paso Manual Physical Therapy. Its really helped me!@@fancyfrancy2244
Had my left knee replacement surgery in May 2022. it took about 14 months for me to feel like my recovery had plateaued. My pain is now pretty much nonexistent, ROM is better than pre-surgery and strength is better than the right leg. I am very happy with the result and expect my right knee will be replaced at some point in the future but it is not there yet.
Another excellent video. Thanks Docs. I had both knees replaced in 2006/7 and have been immensely pleased with the result in both cases. After a TKR it is absolutely vital to do physio and exercise daily, and to see these activities as long term. The more one is capable of doing, step by step, the greater will be the outcome, and, I think, the more pleased will one be with the progress made. Two questions - In the video you briefly mentioned total knee replacement by robot. What are the benefits of having a robotic procedure? What symptoms should one expect when a total knee replacement has reached the end of its life?
Although I enjoy watching both formats I honestly feel your choice of sitting behind a desk talking to each other and the viewers is the better one
Good question about longevity of a replacement. I know there are many variables.
Had my knee replacement 2 weeks ago and so happy so far. I was a commercial roofer for 32 years I couldn’t hardly walk anymore. I’m so glad I finally got it done on to the other knee hopefully in a couple months
Good piece, as always. I will be in the waiting room for TKR in the future. Great realistic advice. Reading the patient reactions confirmed I am not "there" yet, but intelligent preparation is a necessity for all of us.
Glad we can help in any small way
I love your videos. My thanks to both if you for taking the time to make them.
This was extremely helpful in my decision-making process. Had my left knee replaced (met all your criteria) 5 years ago, but went into afib. My rehab was impacted by the two ablations I had to have in the three months following TKR. Is the knee better...yes? It is extremely stable, but due to abbreviated rehab, my range of motion is not where I hoped it would be. Had my left hip replaced a year ago...that went amazingly well. My right knee is a mess, but I can sleep and I'm extremely active (for 71). The things I can't do, like you pointed out, are things I won't be able to do after the TKR anyway. So you helped me make the decision to wait. Thank you.
6 months out from a left TKR. I’d say that I LIKE my new knee, but don’t LOVE it. Much less pain, although there’s still some discomfort. Had good PT afterwards and range of motion is excellent. Much better stability, knee was buckling with pain spikes prior to surgery…not anymore. I’m in a much better place both physically and mentally. What keeps me from LOVING my new knee is the ongoing discomfort and the FEELING that it’s not a natural joint.
I am so happy to have had a good outcome from having both TKR's. It is a Very painful recovery with lots of hard work in therapy. But on the other side I can say its worth it. To have a better quality of life and be pain free.
Its a spiritual journey as well. I have learned to be less judgemental of people including myself, and understand that each person is so unique in their healing process.
Real good points made here. Some people are always in rush for surgery, but not always the best option. This has nothing to do with knees or bones. I am wondering if you could do a segment on Hypertrophic Cardiomyopathy and diastolic dysfunction?
I love, love, love my new knee ! I had pain, severe arthritis and several bone spurs to the point that I could hardly walk after 10 years. I probably waited too long but I still love my new knee ! ❤
How long since your surgery? Were you in agony for months afterwards?
Although this comment is not about my knee replacement it is about someone I know who has had both hips replaced (yes I know we are talking knees but please let me finish) and now is talking about havine a knee replacement. What I have learned from her experience is that if you are not willing nor have the dedication to put the time and effort into doing the follow up exercises then don't expect to have the best outcome. It takes sweat 'equity' for the best to happen. As for this video, thank you it has given me the information I needed to hear as I address my own knee issues.
Thanks for the straightforward and practical assessment that should be made before a knee replacement is contemplated. You guys are great!
For me I knew when I needed my knee replaced just as I did when I got my hip replacement first. Second knee is still working with Euflexxa/steroid injections keeping me pain free until that one gets replaced later this year...trying to give myself a bit of a break between these major surgeries. Thanks guys!
After resisting for many years (primarily anesthesia fear which was alleviated by a wonderful anesthesiologist) I had a right partial replacement April 2023. It has been a God send. I can do stairs without pain. We recently went on a cruise & excursions were not limited by my pain level. The post op pain was not as bad as I expected and was well controlled with Tylenol, Tramadol, 2 wees of Lyrica and lots of ice. Opioids don't work for me and can't take NSAIDs due to a GI bleed. But make sure you pre-medicate before PT.
as always, your content is extremely helpful! i started watching your vids 6 plus years ago before my first knee replacement (48 years of age). i had issues with the dissovable sutures not dissolving, but eventually made a full recovery. 6 weeks ago i had my other knee replaced. this time my doc used staples vs sutures and what a difference it has made. my incision is fully healed and i'm making good progress. i had osteo arthritis in both knees... glad i got the cementless replacements...hope they last a lifetime! it's so nice to have new knees... however it's definitely a process to recover from the surgery. for me, the first 2 weeks are the toughest. after that, it gets easier! totally worth it!!
I’m 63 years old very active love playing softball and golfing,it got to the point that both knees are worn out and the pain was terrible just walking,I did the injections for a few years it worked but the pain would come back,I had complete knee replacement 1/11/24 , I’ve prepared myself for the surgery by doing research, watching videos, speaking to friends that had the procedure, also preparing my body by working out physically and mental, knowing what to expect, made it very easy to decide I needed the surgery, so far the biggest hurdle I’ve had to overcome was stomach issues, with all the pills 💊,the pain wasn’t as bad as I was expecting, i know I have a long road ahead of me, but I feel it was the right thing for me, I’m going take time to completely heal , to determine if replacing the other knee is right for me
Wow. I'm a 1st-time viewer as I'm beginning the process of evaluating pathways to knee-health. I saw your other video on PRP& hyaluronic acid, & corticosteroids, which is the path I've chosen (I have bone on bone, but no pain). I just have to say how vital your perspectives are on these topics. Incredible insight. Many thanks.
Wow thanks so much. Glad to be along for your journey
I’m currently suffering from grade 3 osteoarthritis in both knees. Two ortho doctors both said I wasn’t at the point to get TKR. So far the pain is “manageable” and I realize I’m not 25 anymore. That said, I asked how I’d know when the time would come. Both basically said “Oh, you’ll know…” meaning the pain becomes too great and impacts my quality of life. Honestly, I’m not looking forward to it being necessary.
@@RiDankulous Pre-op PT helped with strength and balance which was good post op but not pain. And post op I was familiar with the exercises and not trying to learn something new while in pain.
@@RiDankulous. Thanks. I’ll admit I used to work out regularly including bike riding. But I’ve had a few health issues that so far have not been completely resolved, back pain being one. I have an appointment on Wednesday so the physiatrist can provide a diagnosis and a hopefully a treatment plan. 🤞🏼
Thank you for such a complete explanation of why you should or shouldn’t have a knee replacement.
Both styles work great for me. It's the information that is most important to me. Which style do you two like better? Having had both shoulders and both hips replaced, I "fear" the knees the most. For right or wrong. To me 20% being not satisfied is a significant number compared to what I think shoulder and hip folks feel. I also think too many people have unreasonable expectations of what a knee replacement will get them. While my hips and shoulders are pain free, I would never expect a knee replacement to get me to pain free if I was in bad enough situation to qualify for one. Same for mobility/activity. now if it were to make the difference between not being able to sleep and afterward getting good sleep, I'd do a knee in a heart beat. That's a lot of pain, and sleep is very important.
I had a hip replacement but have nerve damage from operation down the front of my leg ...its been almost 5 months so far...maybe feeling will return maybe not. any operation has risks
Dr. Zalzal and Dr. Weening.
Thank you very much for your excellent video. You have explained knee replacement very well.
I have knee pain and it is swollen at the end of the day. Plus there can most times be bad pain at the end of the day.
I wear a knee brace which is a good help.
I have had kidney problems in the past and am being looked after by a excellent kidney doctor here in Thailand and done a great job on my kidneys.
And because of my kidneys and coming up to 81 years of age.
I have now decided against having a knee replacement.
Thank you again for explaining so clearly.
I had total knee replacement 2 months now and it is so good it's thale best thing I ever do after suffering for 22 years with Osteoarthritis. I am almost full recovery, still doing my exercises.
Awesome!
I had both of my knees replaced because of the pain. I think this video is spot on especially about the mental health issues! So important and not a lot of people talk about that part, thank you!
This was so informative I found it extremely helpful.
67 years old had cell implantation 22 years ago. Currently taking Cortizone injections heading toward future knee replacement. Thanks for the video.
Thank you for this video. I had my first knee surgery about 50 years ago (I am 71 years old), it was open knee surgery on the left knee. Since, I have had multiple arthroscopic surgeries on both knees. The last surgery, 10 years ago, was on the left knee to remove a number of osteophytes, they were not sure that it would be successful. About 4 years ago, I started having PRP injections in both knees. This has been relatively successful, until now. The lates round of PRP has helped the right knee very much, but the left knee has a lot of pain. I have developed a limp. Any time I try to put weight on the leg I get shooting pain up and down my leg, from the hip to the ankle. Many nights I struggle to go to sleep. I use to be able to walk a minimum of 10K steps per day, now I struggle to get 5K. I don't have expectations of being a marathon runner or tennis player, I would just like to be able to walk more or less normally and reduce the pain. I am trying to decide about a knee replacement.
Those are very reasonable goals. Best of luck with your decision
Very helpful video, I'm 68 with bad arthritis in right knee. My surgeon said he can replace it when I'm ready. Meanwhile I've lost 15 lbs, 10 more to go and started doing yoga daily. I walk my mutt 2 miles per day also. It hurts but I think ill hold off for awhile. I'm widowed and live alone so there's that to figure out. Hate to burden my friends. The worst is my bakers cyst which causes intense pain sporadically. But massage and ice helps that. Oh well it'll be fine till I cant take it. Thanks for the advice.
Great advice, you both really covered all of the necessary considerations for a knee replacement. I played rugby and soccer until I was 50 when my right knee basically told me I had to stop. At 66 I could try to walk my dog or cut the grass but I couldn't do both on the same day. My operation was truly a game changer, enabling me to live without pain. A positive attitude going into this is a must along with total commitment to your rehabilitation program, and do the exercises at home as well! Into my third year with my new knee I don't run as I want to make this last as long as possible. But I did kick a soccer ball with one of my grand sons. Something I never thought I would do again. Thanks Doc's.
Hadn’t knee replacement done Dec 2023. Looking forward to full recovery. Love the videos! Thank you
Great info. I was told 10 years ago that my knee will have to replaced at some point. I made the decision to avoid it if possible. I workout within my limitations, given up some activities and do my best to keep my muscles strong. Hearing some of the things a surgeon considers is excellent. Thank you for helping us stay informed. I personally like the sit down style.
This post is not to brag or exaggerate my knee replacement. The honest truth is I have zero pain, no swelling, same range of motion as my other knee and have logged 5,457 miles riding my bike and walking in 2023. Yesterday was my 4 year surgery anniversary and at my last checkup in June of 2023 the doctor saw no visible wear. It feels like my real knee, I can hike, bike, walk and any other activity I want to with the exception of running. I worked hard in therapy and I have my life back after 42 years of pain and swelling. I severely damaged my knee playing high school football followed by several surgeries and injections.
Is running painful, not recommended or not possible because or reduced range of motion?
@@Elizerinc Hello, I could run without pain but it is not recommended by my doctor. I have full range of motion on my replacement.
Thank you. Sounds like you got a good surgeon to do your replacement! @@Mike_MTB_XC
You asked for comments so here goes: I was in severe pain for months, no sleep, unable to walk without a cane or be on my feet for more than an hour and I was getting cortisone shots every 6-8 weeks for some relief. My Dr. sent me for an MRI, not an x-ray and sent out a recommendation for surgery Nov. 2022. More than one year later, Dec. 2023, I finally saw a surgeon who said exactly what you have said in this video and I will tell you why. About 6 months before I saw the surgeon, I discovered a place that builds unloader braces. I had one made for me and wearing it changed my life so much. I am not pain free but I am able to accomplish most of the work I need to do without having to sit down for 2 hours after working for 1 hour. The $2000 is worth every penny and as you and my surgeon have said, wait until I am in a state where surgery is the only option. Thank you for the second opinion. I am 70 and have always been very active so I believe I will be ok for a while yet.
Very good video and full of interesting points. I had a new knee five years ago and it took three years before I could say it was a success. To me the most important lesson ( this is afterwards!) was DO YOUR EXERCISES!!!!
I am in the process of going through the steps of partial knee replacement. I injured my Right knee 2 years ago and did all the PT, shot, bracing etc. this past June I then injured my left knee and now I am unable to work. I’ve done all the creams, cortisone shots,PT, braces etc and have not been able to recover enough to be released back to my job. I am a commercial truck driver and while I shy away from doing the heavy deliveries I used to enjoy, I would still like or hope I can return to finish my career path in a reduced physical position and still drive.
What kind of leg strengthening leg exercises can you do ahead of time? Do you have any videos on this for us to see?
I’m getting soon a total knee replacement, and I needed an MRI, because the doctor couldn’t explain why I was in so much pain. The femur and the kneecap had really high osteoarthritis, even though the femur and tibia still had some space. Thank you for your videos
Thank you for this. I am on wait list for a knee replacement at 69 years of age. You have both given for me lots to think about. My athletic husband had a very successful placement five years ago. Watching with he went through, I am afraid of surgery. For sure. I will weigh my options
thank you! 76 yr old female. 2 hips/1knee replaced. i have always been active; never overweight; scoliosis surgery when 13. the left knee that was replaced 7 years ago, after so much
pain & inflammation for years and then a bakers cyst development, has been in chronic pain since surgery. I definitely can walk, but the pain is constant. no orthopedic doctor has determined what is causing this pain. Now, i have developed a bakers cyst in the other knee and it has been a constant source of pain since March of last year. getting an MRI on the knee this week; but, your counsel seems to think that won't be very helpful. i am opposed to taking ibuprofen everyday, which would be the MO, if i were to try and alleviate the pain. Just another person's journey through this thing called life, right? sometimes, there are no answers.
Like the sit downs. You seem more relaxed which relaxes me. 👍
This was very helpful thank you. Often people are made to feel like failures if they opt for knee surgery (social media) Like one should just be able to exercise it away. My mom suffered greatly for 20 yrs not getting one. I’m 71 and feel it’s in my best interest to do sooner than later. Scared but I will give it my all! TNR Scheduled for end of Aug 24.
Having my first knee replacement in 9 days. I’m nervous but looking forward to getting my life back.
Hi Susan, hope your surgery was successful. Please let us know how it went?
Very informative video especially relating the part about when to finally say yes to the surgery. I will recommend to anyone considering knee replacement. In general, I prefer the sitting videos to the standing ones (I always think TV news anchors standing to deliver the news is weird) but doing a standing video on occasion would provide a nice change such as when you have guest doctors on the show.
I am 75 and have been on a list for the past couple of years for left knee and left hip replacement. My knee is absolutely crooked. Pain at night and I prop the knee up on two pillows. I have no heart issues and lost a significant amount of weight in the past two years. I do have bad varicose veins on that left knee. I so am quite scared of the surgery but x-rays show that I need it. I just wish that it would be over and done with. Your videos are terrific!
where do you live...that you have to be on a waiting list for a couple of years?
My dad has had two hip replacements and one knee done twice. He has found the key factor is a good surgeon. He's had 3 different surgeons. Knee replacements were like night and day and 1 year apart. First knee replacement was horrible. Second was a totally different and so much better experience. Same with hip. First not good with bad recovery and second just fine. The same surgeon did both second surgeries, first hip, then knee. If I ever need a knee or hip replacement, I'm scared I won't get a good surgeon. How do you tell the good from not good?
I had my left knee replaced 6 1/2 weeks ago. I am happy with my knee. Still having pain at night when I straighten my knee out to get up. Not as bad as before the operation. I am very glad I did it. I can walk down my steep driveway now without the risk of falling. My knees were knocking together and getting in the way of walking. I am a 71 year old female. I will get the other one done next year.
I had both knees replaced in the last 16 months. I had severe bone on bone arthritis and pain. I took ibuprofen to help with pain management, but only received partial relief. Totally thrilled with both operations and completely pain free. Worked with a great PT who helped me attain 0 degrees to 127 degrees range of motion. I still have numbness in both legs, my surgeon from Keck USC says this can take up to a year to have the numbness disappear. Will see...
That is awesome. Congrats
I had a knee replacement in Dec 2021. It has taken 2 years to finally feel good (not great). I still have some swelling and a bit of stiffness at times but so much better than I was before. I have decided it’s time for my other knee to be replaced. I’m bone on bone with pain. Been using cortisone shots for some time but they aren’t working as well as they used to and wearing off faster each time. Also, my replaced knee leg is 1/2” longer than my bad knee leg and causing me back pain. I use heels inserts in my shoes but I still have some back pain. I’m not looking forward to the whole healing process again but I know in the end I will feel better. Thank you for all your great videos and information. ❤
I’m in the UK and have painful arthritis in both knees. I still work part time. I found your video very helpful. It’s made me realise that I need to make the most of the use I have in my knees and live life to the full as best I can knowing knee replacement is not the only option (in the UK it’s very unlikely if would be done in my lifetime with our NHS situation!). Thank you both for such a sensible discussion.
Finally! Answers.The doctor I saw didn't talk to me at all,just looked at xray,you need a replacement! I left office.
Sorry to hear that. Hope this was helpful
I’m an active 64 yr old. I had TKR on rt knee in early September and left knee in late November. I would not recommend that close of dates if possible. Both surgeries went excellent, but because I felt so good after the first one, I overworked the other and also strained the ligaments in both ankles. I’m dealing with that pain as much as knee pain. I returned to a somewhat normal work schedule after about 4 weeks, but the Surgeon gave me the “stand down “ orders until I get the swelling and pain down. I’m happy to have had the surgery, just waiting for the healing to finish!
Both of you are knowledgeable and U appreciate that. Im getting Synvics injections and one more to go in both knees. Yesterday I had both, but I’m in a lot of pain in my right knee. This was unlike my first round injections.
I used ice and now using heat.
In September I’m having total knee replacement via robotic procedure and January the second knee. I’ve put this off for 12 years.
Thank you.
I haven’t made it to the clinic yet but was checking out doctors in Oakville and saw a review and she mentioned your videos. Thank you! It’s helped me not to freak out and shown me options then just having surgery. I’ve put weight on this past year so I’ll start there and try to decrease that while I wait for my appointment to rapid knee! Thanks!
I have been doing hyaluronic acid injections for pain relief every 6 months on my left knee. So far so good. Had an ACL surgery 30 years ago and am 70 years old and active...yoga, rebounder exercising and walk often.
Awesome robin!
Had a full replacement 2 years ago. Healthy 72 at time eating healthy , no smoking , no drinking, CV exercise along with weight training, moderately thin w no systemic disorders. The op went well but the recovery from 2 weeks till 10 weeks was hell. I do have restless leg syndrome . This got aggravated and i could not sleep more than 2 hours per night for that period. This resulted in getting a respiratory virus for three weeks followed by a digestion viral infection. This drove me nuts and no docs I went to see was able to help. Finally after about 35 visits and ready to get myself to a hospital my PC care doc recommended a different medication which helped break the cycle. Just a word of caution if you have a moderate / severe sleep disorder , such as RLS , before you sign on.
I am in my early 50's and had a knee replacement at the age of 38. In my case my right knee was completely bone on bone and I was actually badly knock kneed on my right side as well. This all stems from a bad downhill skiing accident when I was 16 plus many years of playing sports. My orthopedic surgeon could here my grinding in my knee from across the room. After have many arthroscopic surgeries through the years to "clean up" my knee, and living on Percocet's just to be able to get out of bed and go work, it had to be done. If I had to do it all over again, I would in a heartbeat. Last year I had my liner replaced but the actual hardware is holding up very well.
I'm 60-years-old I just had total knee replacement 4 weeks ago and I'm walking around very nicely I had severe osteoarthritis and bone on bone. I know it's early but I keep doing my Physio and exercises constantly which makes it feel better the only problem I have now is my hip is getting worse because of the good knee replacement I was also told I needed the left hip replaced as well
After severe life limiting pain I had both knees done about 3 months apart. The recovery was tough but after 2 weeks the knees hurt much less. I got so good with no pain I over did, now my hip hurts. Had right shoulder done after 24/7 pain. Now no pain. Recovery is tough but worth it.
Thanks for sharing
I just had one of mine replaced two weeks ago and this has been the best I’ve felt in the last four years. I have had no issues at all and I’ve even gone back to work already.
Both knees replaced (‘18 and ‘19). I’m 78 now. I miss long distance running bc it would destroy my knees. But I’ve focused, now, on ultra bicycling. Last year I rode 5,000 miles and climbed more than 250,000 feet. No pain. Legs get sore and I pay attention to gearing. But I have no problem with knees. Frankly, it has been a lifesaver.
So a meniscus tear at 40 (that was a hard recovery) on the left knee and now 26 years later a bakers cyst--(that popped) have arthritis two surgeon said yes for total knee--having the no sleep, pain, swelling--did rehab 3 months so decided to finally have it done. The right leg did total knee at age 60--took a very long time to heal--but doing great now. I walk up and down hills to do major yard work, have an orchard. So a lot of physical need to work hard. A lot of heavy weight baring work. Hoping the left knee is as good as the right but it takes a lot longer than you realize--Lots of rehab--lots of swelling--but better than giving up what you do.
Had total replacement of right knee 7yrs ago at age 62 and doing great, I walk 3-5 miles a day with no discomfort. If contemplating the procedure be prepared to have a few weeks of pain during recovery but it’s worth it😉
I'm 68 years old, a former marathoner, and a fit 135lbs. I had medial meniscus surgery in both knees, one in 2008 and the other in 2012. Recently my left knee has been swelling and has become more bowed than my right leg. (I am slightly bow legged) I was preparing for a backcountry hike with a 25lb pack for in Glacier National Park and was concerned about my left knee. I went to my Ortho Dr. and he indicated that it may be time for TKR of my left knee, gave me a cortisone shot and I went on the hike. I did fine on the 52 mile hike with the exception of some aching pain that kept me awake during 3 of 6 nights. Upon return I had a consultation with the knee surgeon and he pretty much told me that it was my decision on whether I wanted to have it done or not. Initially I decided to schedule the TKR for January of 2025. Now after watching this video I'm thinking of cancelling the surgery. As you have suggested, I don't feel that the pain is such that it interferes with my quality of life to the extent that a TKR is justified. I will be going for a second opinion, only to question the issue of my leg bowing out, and if delaying TKR will effect successful surgery when ultimately required in the future. Would appreciate if you have an opinion on this. Love Talking with Docs!! Keep up the great work!!
I had left in 2010 bone to bone, hardest rehab ever. Right knee in 2013 while unknowingly having Lyme disease. Took months to recover. Both knees doing great so far. At 70, I hope they last me, rest of my life.🙏 only thing I can’t do is, kneel on them. Sit through mass.🙏🤷🏼♀️😂