Saturday, May 25, 2013

Friday, May 04, 2012 Daisy2012 asks

Q: Should I postpone total knee replacement for now?

About 4 1/2 yrs. ago, I had a partial knee replacement done due to bone on bone. I developed a blood clot after surgery and had a pulmonary embolism. Luckily, I was still in the hospital and was rescusitated by medical personnel. I started having more pain in the same knee about a year ago and had to stop my walking routine. I went to riding a bike, but last February, my knee hurt so much I had to stop that also. My hip also began to hurt and was keeping me awake, so I went to see another orthodpedic surgeon who said my partial knee was not stable and he would replace it with a total knee replacement. I am scheduled for surgery in about 6 weeks. Now, I am having second thoughts. My pain in my hip and knee seems to much less and I am now able to ride my bike again. Also, I am terrified of having another pulmonary embolism. I still have chronic pain (actually in both knees) from the osteoarthritis, but I am wondering if I should postpone the surgery for now. I also have atrial fibrillation and am afraid of all the surgery risks.  I have lasting effects from the first PE and I'm not sure what the risk of another would be - even if I would be put on blood thinners after surgery.   I would, however, like to be able to walk again for exercise. I just don't know what to do.  Are my concerns legitimate - or am I just scared?

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Answers (1)
5/14/12 10:15pm

Keep active and avoid surgery... those are great goals!! Strategies to accomplish both goals are as follows:

Use trekking poles to assist you when you go for walks

Learn other ways to help you walk with less pain like learning to stand on one leg

Consider swimming or walking in the pool to minimize the effects of ground impact and gravity

Start to follow an Anti-Inflammatory Diet Plan seriously

Add Tumeric (the spice) to your life; it protects the cartilage and reduces inflammation naturally

Find a sustainable pace that does not cause flare-ups and allows you to keep moving; the boom (do it all) or bust pace just causes more pain

Accept you new reality and live within your new reality; if you expect your knees to do things you used to be able to do then you will end up in the OR with great expectations

 

Well these are a few thoughts because staying active and avoiding surgery are two goals that can co-exist together if you play your cards right and continue to adapt.

 

 

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By Daisy2012— Last Modified: 05/14/12, First Published: 05/04/12