How to Treat a Knee Replacement

Knee replacements are painful and it can take quite some time to get back into the swing of things following the replacement operation. With grit, patience, and a determination to get back to doing things as you did before the knee went wonky, you’ll be up and about in no time. Here are some suggestions to help you through.

Knee Replacement Surgery

1. Use the pain medication that is provided for you
Do not be afraid to consult orthopaedic doctor if the 4-6 hour interval between doses doesn’t manage the pain. You need to have treatment for the pain that works for you and the doctor might have to tailor it specifically.

2. Obey your physical therapist!
The rules are there for a reason, so that you don’t go past your limits, or so that you don’t simply give up and do nothing. Follow the therapist’s instructions as best you can and explain if anything is too difficult for you.

3. Be prepared for intense pain and find ways to distract yourself
The pain is intense the first 14 days post op. Have a raft of activities around you to keep your mind on other things and coping with it as it heals. Each day promises to be better as you mend.

4. Move, move, move! Keep moving
This is the best way to help your body heal and to prevent any complications from arising.

Source Content By – wikihow

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11 Tips to Take Care About Total Knee Replacement Surgery – Dr.Simon Coffey

1. On the Road to Recovery
When it comes to knee replacement surgery, the procedure itself, while obviously important, is just one step in the process. What happens after the surgery—the recovery and rehabilitation—is just essential to the overall success of the procedure.

Total Knee Replacement Surgery Sydney

Here are some strategies to help guide you through recovery and rehabilitation.

2. Take Your Recovery and Rehab Seriously
It’s important to not let your routine slide. Use your continuous passive motion (CPM) machine as advised by your doctor, and perform all the exercises your physical therapist prescribes. Attend your follow-up appointments with your surgeon and go to all your physical therapy sessions, even when you don’t feel like it. Take medications as prescribed and do not stop any medication without checking with your doctor.

3. Improve Your Extension and Flexion
Bend and straighten your leg as much as possible. One way to improve your extension is to lay down, with a rolled towel placed underneath your ankle while lying down—try to keep your leg as straight as possible. You can improve your flexion by sitting on a chair and bending your knee back (i.e., curling your leg underneath the seat of the chair). Also, talk to your physical therapist to learn if they recommend continuing use of the CPM machine to help you expand your range of motion.

4. Avoid Unnecessary Stress on Your Knee
Avoid lifting heavy objects that could place an excessive amount of stress on your artificial knee—and possibly damage it. Also, when you turn to face a different direction, make sure you turn your entire body and avoid twisting your knee pain. It is important to monitor your form when you bend down, kneel, and sit. Perform these regular movements with your physical therapist, so that he or she can help you learn how to do them safely and efficiently.

5. Take Recommended Supplements and Vitamins
Talk to your doctor about vitamins or supplements that might help. One study found that 43 percent of patients scheduled to undergo orthopaedic surgeon have insufficient levels of vitamin D. Also, many orthopedic patients take iron to help replenish blood count after surgery. Since you might be compensating with your non-operated knee during the early stages of rehab, you may want to consider supplements that can aid in muscle recovery.

6. Wear Compression Stockings
If your doctor suggests that you wear compression stockings post-surgery, keep them on at night or while lying down. They can help reduce the risk of blood clots. Make sure you wear them until your doctor says that it’s okay to stop.

7. Keep the Ice and Heat On
Icing your knee replacement can reduce inflammation and pain. It is particularly effective for the first several days after surgery and during any flare up. After the initial swelling has decreased, you can alternate ice and heat—which relaxes the muscles and eases stiffness.

8. Minimize or Avoid Alcohol & Smoking
Avoid drinking alcohol if you are taking a blood thinner such as warfarin (Coumadin) or taking any narcotic pain medication. If you smoke, make an effort to cut back or stop. Smoking shrinks your blood vessels, which makes the healing process slower. Healthier lungs lead to higher blood oxygen levels—and faster healing.

9. Watch Your Weight
Keep your weight down. Extra pounds put greater pressure on your new knee Surgery, and can slow your recovery. Also, if you are overweight you can risk developing osteoarthritis in your other knee. Learn more about the connection between your weight and your new knee.

10. Go for Walks and Exercise Sensibly
Walking and exercise help strengthen the muscles in your legs and improve overall blood flow. Take outside walks as soon as possible and increase the distance a bit each day. Moving around the house doesn’t provide enough exercise. In addition, as your knee grows stronger, consider low impact activities like swimming, golf, gardening, and peddling on a stationary bike to aid in rehab.

11. Avoid High Impact Activities
As your knee grows stronger you may be tempted to resume your favorite sports. However, high impact activities like running, downhill skiing, and vigorous court games could cause serious pain and problems or damage your prosthetic device. Explore ways in which you can engage in the sports you like, without excessive impact. For example, try power walking instead of running, or doubles instead of singles tennis.

Source Content By – healthline

 

Why Your Knee Hurts After Arthroscopic Surgery

Arthroscopic knee surgery is a useful surgical procedure to manage and treat many common knee conditions.  But not everyone finds relief of their knee pain after surgery.  Here are some of the top reasons why your knee may hurt after having a knee scope.

1. Persistent Swelling
knee swelling
aabejon / Getty Images

Arthroscopic surgery is a minimally invasive surgical procedure that is used to see inside your knee joint, and repair or remove any damage.  While this all sounds gentle and noninvasive, it needs to be understood that your body will react to the trauma of surgery.

Persistent swelling is one of the most common symptoms after a knee arthroscopy.  Swelling is a difficult problem to resolve, as there are many possible causes, some of these listed below.  In addition, some patients who have an arthroscopic surgery have persistent swelling as a result of lingering inflammation from the trauma of surgery.  If more serious problems related to surgery, such as infection, has been eliminated treatments of swelling may include:

2. Infection
knee scope
Jodi Jacobson / Getty Images

Infection is a very uncommon complication of an arthroscopic surgery, but it is the complication most feared by patients.  Typical symptoms of infection include:

  • Persistent swelling
  • Warmth of the joint
  • Redness around the incisions or draining fluid
  • Fevers, chills, or sweats

While an infection is an uncommon cause of pain after a knee arthroscopy, it is one that needs to be a the top of everyone’s list to consider as early treatment is essential to have the best chance at recovery.  Treatment of infection of requires prolonged antibiotic treatment and can require additional surgery to clean out the joint.

3. Inadequate Rehabilitation
meniscus repair rehab
Physical therapy is an important part of meniscus repair rehab. Hero Images / Getty Images

When people have a knee injury, such as a torn meniscus or cartilage damage, they can develop poor mechanics of the knee joint.  In order to protect their joint and reduce pain, people often limp or develop an abnormal gait.  Once the problem is taken care of, patients may need to correct these mechanical abnormalities of knee function.

In addition, some knee joint injuries are the result of poor mechanics of the extremity.  Current research is focused on the dynamic stability of the lower extremity–in other words, how sturdy your knee is when subjected to normal forces and movements.  Patients with dynamic instability may be more prone to injury and may require surgical treatment.

After surgery, your doctor may recommend specific rehabilitation to address weakness or gait abnormalities that may have caused an injury or be the result of having had an injury.  Insufficient rehabilitation can be a cause of persistent knee pain after injury.

4. Spontaneous Osteonecrosis
knee Mri
BSIP/UIG / Getty Images

 One complication that has been linked to knee arthroscopy is a condition called spontaneous osteonecrosis of the knee, or SONK.  This condition is most often found in middle-aged women who have a knee arthroscopy.  After their surgery, they develop persistent pain, typically along the inner (medial) side of the knee.

SONK is a condition that causes inflammation within the bone.  While the condition is called osteonecrosis, a word that means there is spontaneous bone cell death, the problem has been thought to be the result of microscopic fracture of the bone around the knee joint.  These subchondral fractures cause inflammation within the bone and significant pain.  The pain is typically worsened by activity and relieved by rest.

Treatment of SONK can be very frustrating, and many patients find the pain worse than the pain they had prior to arthroscopy.  Eventually, that pain does settle down, but often the only way to find relief is to limit weight by using crutches for weeks or months after the knee arthroscopy.  Braces and medications can also help with the symptoms.  In some patients, the symptoms can be so severe that patients end up having either a partial knee replacement or full knee replacement.

5. Arthritis in the Joint
J. M. Horrillo / Getty Images

Probably the most common reason why patients have persistent pain after an arthroscopic knee surgery is that their knee has damage to the cartilage of the joint that can’t be adequately repaired by an arthroscopic procedure.  It is well established that typical arthritis pain does not warrant an arthroscopic surgery; numerous studies have shown that the benefit of arthroscopy in these patients is no better than with nonsurgical treatments.

However, there are times when patients with osteoarthritis may have problems that can improve with arthroscopic surgery, or your surgeon may not be aware of the extent of arthritis until the time of surgery.  In these cases, patients may have an arthroscopic surgery, but may have to manage ongoing pain from arthritis that does not improve despite the surgical procedure.  The good news is that there are many treatments for knee arthritis, and often these can help patients find relief from their symptoms.

Source by – verywell

9 Tips About Hip Replacement Treatment – Dr.Simon Coffey

Dr Coffey is experienced in Revision Hip Replacement, where a worn out or painful hip replacement is converted to a new device. There are many reasons why this may be necessary including infection, loosening, metal hip failure, dislocation, fracture and wear.

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1. Hip replacements are not just for your grandparents.
2. The hospital will give you sex instructions.
3. Your hip will feel better, amazingly so, even as the rest of you aches.
4. Pain medication is both your best friend and your worst enemy.
5. You might get bizarrely emotional.
6. What you do before the surgery is as important as after.
7. You’ll lose some independence for awhile, no two ways about it.
8. Your doctor will likely tell you you’ll never run again, but that’s not necessarily the last word.
9. Fixing the joint is only part of the battle.

Dr Coffey has extensive experience in hip replacement surgery. Hip replacement is one of the most successful operations performed around the world, restoring function and relieving pain for many people disabled by hip arthritis.

Source – prevention

Hip Replacement Recovery

When I started my training in orthopaedics, hip replacement was seen as big operation with a high rate of blood transfusion and an extended stay in hospital. Despite its clearly defined long term success the operation often took over two hours and had infection rates between 2-5%.

Hip Replacement Recovery

Fast forward to 2017 and we find many things have changed. No doubt the technology of our devices has changed, but so has our approach to surgery, pain management and rehabilitation timelines.

SURGICAL APPROACH

There are a number of different ways of approaching the hip for performing hip replacement. The two most popular today are the posterolateral approach and the direct anterior approach. Both approaches have their pros and cons, but when performed well these approaches allow a safe and rapid return to activities without a long hospital stay. The most important considerations when assessing suitability for either approach are the patient’s own anatomy, the surgeon’s experience and training.

Today, hip replacement is routinely performed in less than one hour of operating time, which helps to reduce the risks of extended anaesthesia and infection.

BLOOD PRESERVATION

In the last 5-10 years surgeons have recognised that the lower the transfusion rate the lower the complication rate. This has led hip replacement surgeons to develop surgical approaches and anaesthetic techniques that minimise intraoperative and postoperative blood loss. Blood transfusion in routine hip replacement used to be commonplace, now it is rare.

PAIN MANAGEMENT

Along with shorter operating times and less invasive surgical approaches, better techniques of post-operative pain management have revolutionised total hip replacement. Instead of catching up with the pain modern pain management preemts pain to encourage early mobilisation and weight bearing from day one.

POST OPERATIVE REHABILITATION

Hip replacement rehabilitation today is a far cry from twenty years ago. Patients are encouraged to walk, with full weight bearing from day one. Crutches and sticks are used as ‘training wheels’ so that patients can confidently regain balance and confidence. These walking aids can be dispensed as soon as strength and confidence are restored. Often the soreness of the surgery is much less than the preoperative arthritis pain.

Many fit and healthy patients are ready for discharge from hospital after one or two days.

The best exercise after hip replacement is often walking, with appropriate advice for the physiotherapist about muscle control and retraining. Often the muscles around the hip have deteriorated before surgery, and specific strengthening exercises to strengthen the core and butt muscles will help a lot.

Depending on the patient and their physical condition, many patients are walking independently within 2 weeks of surgery and are ready to return to light work soon after.

How to treat hip pain at young age?

total_hip_replacement

Surgical Advancement to treat hip pain at a young age with Total Hip Replacement. The painful and stiff hip can keep you from doing even the least complex things in life.  Activities, like walking or moving between the stove and the sink, can turn out to be so challenging your ability to look after yourself is compromised. On the off chance that this happens, gradually all the essential demonstrations of self-care like shopping, eating, preparing, and notwithstanding dozing soundly, becomes the burden. So every one of the things that once came so effectively, turn out to be excessively difficult for you work appropriately on an everyday premise.

Without the assistance of family, companions or some type of home-care, individual’s general involvement of hip issues can be one of indignity and separation. Indeed, even with help, there is forever your loss of autonomy and the occasionally humiliating loss of privacy. Both choices have genuine drawbacks, so when your hip condition confines your development to this degree, one humane option is to have total hip replacement surgery.

One of the immense surgical advances throughout the most recent century is the total hip replacement. Total hip replacement revolutionised the treatment of hip ailments and is today one of the most successful, safe and reliable orthopaedic interventions in practice.

Prevalence and Benefits of hip Surgery

In 2010 in the US, 332,000 total hip replacements were performed, while in Australia for the same year there were approximately 34,000. It is also estimated by the American Academy of Orthopaedic Surgeons, that 10 years after the surgery, 90-95% of people don’t need revision surgery. The success rate is similarly high in Australia. This means in both countries in 2010 at least one in a thousand people relied on a total hip replacement to remain active and self-sufficient.

Since the inception of hip replacement surgery, the medical profession continues basically breaking down agent practices to enhance persistent results. This has implied techniques and the sorts of prosthesis materials utilised, have consistently turned out to be more secure and more compelling.

Total Hip Replacement Developments

The enhancements made since ivory was utilised as a part of 1891 to supplant the femoral heads of patients, have been various. Skin and different tissues, glass and afterwards stainless steel, have all been utilised to supplant corrupted joint surfaces, trying to make the development of the hip joint smooth and torment free.

In the 1960’s Sir John Charnley, planned what he called a ‘low friction arthroplasty’, which was on a fundamental level the same as the prostheses utilised today. His prosthesis came in three sections; a metal femoral stem, a polyethylene acetabular glass, settled with an acrylic bone bond. The component of ‘low friction’, Charnley figured out how to accomplish by the litter surface range of his femoral head outline.

These effects increase the longer the patient’s working life after surgery, so the younger the patient the more economic and social benefit. As the treatment gets more advanced, younger people are more regularly recommended and opting to have total hip replacements.  

Metal-on-polyethylene prostheses

Metal-on-polyethylene prostheses have become the most popular type and much of the hip replacement research carried out has been done to enhance metal-on-polyethylene prostheses exclusively.  

The most well-known issue to happen throughout the years with metal-on-polyethylene inserts is the arrival of polyethylene particles into the encompassing tissue of the joint. Though, exceptional treatment of the plastics utilised all the more as of late builds their wear resistance and limits the arrival of these hurtful particles.

 

Metal-on-metal prostheses

Metal-on-metal prostheses have recovered support since they were thought to possibly create  harmful metal ions. It is thought today that blemishes the early designs of metal-on-metal prostheses were the main reason for most of the troubles associated with these implants, instead of the material they were made from.

Metal-on-metal prostheses are much more durable than polyethylene implants.Because of this component the femoral head can be made bigger which builds the weight bearing stability of the implant.   

Ceramic-on-ceramic Hip Replacement prostheses

The utilization of ceramic-on-ceramic prostheses was embraced to reduce friction and wear. Ceramic-on-ceramic implants are hard and scratch safe also react well to dampness. Every one of these components constrain the likelihood and impacts of contact. Loose ceramic particles additionally dormant and favorable in contrast with polyethylene and metal debris when discharged into the body.

Because ceramic-on-ceramic prostheses are comparatively wear-resistant, they are more commonly used for younger and more active patients. Since fired on-artistic prostheses are similarly wear-safe, they are all the more generally utilized for more youthful and more dynamic patients. They are, be that as it may, more costly and require exact surgical inclusion to abstain from chipping and disengagement, both of which, can trade off the accomplishment of the embed.

Source: Total Hip Replacement Great Surgical Advances Over the Last Century.

The Common Causes Of Severe Knee Surgery Pain – Simon Coffey

Most people experience knee surgery pain at some point in their lives. Sports, exercise, and other activities can cause muscle strains, tendinitis, and more serious injuries to ligaments and cartilage. For some, knee pain can be so severe that it limits daily activities. For others, mild knee pain may be a chronic hindrance to the active lifestyle they desire. In either case, chances are that you’re dealing with a knee problem that shouldn’t be ignored.

knee-surgery-simon-coffey

Knee Ligament Injuries
The ligaments are what connect your thigh bone to your lower leg bones. They hold your bones together and keep the knee stable. Knee ligament sprains and tears are very common sports injuries and can occur to the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), and medial collateral ligament (MCL). Any of these injuries can result in severe knee pain and could require surgery.

Knee Cartilage Tears
Other injuries, including tears, can take place in the cartilage of the knee. Cartilage is a semi-hard (tough, but flexible) tissue that covers the end of your bones. Knee cartilage comprises the two menisci on either side of the joint: the medial meniscus, located on the inside of the knee and the lateral meniscus, positioned on the outside of the knee. You’ve probably heard the phrase “meniscus tear”. A tear in the knee cartilage is a common injury, and typically requires surgery.

Arthritis of the Knee
Arthritis is a common cause of severe knee pain and disability. Unfortunately, arthritis is a chronic degenerative condition that can eventually require surgery. The three most common types of arthritis are rheumatoid arthritis, post-traumatic arthritis, and osteoarthritis. In the case of any of these three, you may experience stiffness and swelling, and it may be hard to bend your knee.

Rheumatoid Arthritis of the Knee
Rheumatoid arthritis is an autoimmune disease that causes the tissue around the joint to become inflamed and thickened. Chronic inflammation often leads to damage and loss of cartilage. Rheumatoid arthritis represents only about 10 percent to 15 percent of all arthritis cases.

Post-Traumatic Arthritis
Post-traumatic arthritis can result after a serious knee injury, including bone fractures and ligament tears. These injuries can damage the cartilage in your knee over time and lead to pain, swelling, and stiffness.

Osteoarthritis of the Knee
The most common type of arthritis is osteoarthritis, which is a progressive wearing of the cartilage in the knee joint. It occurs more frequently in individuals 50 and older. After 50, the impact of osteoarthritis can worsen due to accumulated use and the wearing down of cartilage that occurs with age. Osteoarthritis of the knee causes pain, limited range of motion, stiffness of the knee, swelling of the joint, tenderness, deformity and weakness.

Causes of osteoarthritis include age, weight, genetics, previous injuries, infections, and illness (such as a tumor or gout). Osteoarthritis can also be caused by sports injuries and wear and tear resulting from physical work in occupations, such as construction and manufacturing.

Diagnosing Knee Pain
Doctors diagnose arthritis and other knee problems using x-rays and a physical evaluation. You will be asked about your pain level, knee flexibility and function, and general mobility. Medical professionals will also use special tests to identify the type of arthritis affecting your knee.

Treating Knee Pain from Arthritis
Knee pain usually becomes worse as arthritis progresses. Common treatments include: weight loss, strengthening exercises, wrapping, and pain relievers—such as acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs).

While osteoarthritis is the most common surgical patient diagnosis, those with severe pain from any type of arthritis may benefit from surgery, including a partial or total knee replacement. It’s crucial to discuss and explore all treatment options with your doctor before opting for surgery.

Source By – healthline