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Author Topic: it may be time for knee replacement ...any advice ?  (Read 1167 times)

ArdraF

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Re: it may be time for knee replacement ...any advice ?
« Reply #30 on: August 18, 2017, 11:58:26 PM »
I never heard of Hyalgan but I would want to know WHY the doctor wants to use it, how long it has been on the market, and what are the side effects.  I did a quick check on Drugs.com and you shouldn't use it if you are allergic to birds or bird products including eggs, feathers, poultry.  I'm very cautious about new drugs that haven't been around very long and don't have much of a track record.  It's apparently used for knee pain in patients with osteoarthritis who haven't received relief from other treatments.  Hope this helps some.

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prfcdoc

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Re: it may be time for knee replacement ...any advice ?
« Reply #31 on: August 19, 2017, 07:20:20 AM »

and now the VA wants to inject this stuff called "Hyalgan" repeatedly into my knees starting in September... it's not another Cortisone shot.  Very little info on this stuff other than it's called a "Chicken" shot.

any thoughts ?
Hyalgan is a viscous substance that improves the "shock absorber" effect and reduces friction in the joint. It's actually been around for quite a few years. It's not an inappropriate thing to try because, for a few patients, it gives variable amounts of relief that lasts variable amounts of time and, as one previous poster said, the surgery is not always successful and has the chance of complications, including death. Hyalgan has a lot less chance of any significant complications. Trying not to be too negative, I wouldn't allow any physicians from the VA in the Dallas area do a knee replacement on me. They don't tend to be the most top notch docs in the world. There are other brands of this substance as well, such as Symvisc, if you want to research it further.
Bob
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Ernie n Tara

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Re: it may be time for knee replacement ...any advice ?
« Reply #32 on: August 19, 2017, 07:29:02 AM »
I talked to my GP about it and he said that for many people it would help for a few years. I didn't ask how many/often the shos would be.

Ernie
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prfcdoc

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Re: it may be time for knee replacement ...any advice ?
« Reply #33 on: August 19, 2017, 07:36:47 AM »
I talked to my GP about it and he said that for many people it would help for a few years. I didn't ask how many/often the shos would be.

Ernie
A few years is optimistic but possible and the frequency is variable depending on the response. Generally around 6-9 months.
Bob
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gwcowgill

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Re: it may be time for knee replacement ...any advice ?
« Reply #34 on: August 19, 2017, 09:57:34 AM »
I had the Hyalgan injection and it really only lasted about 2 1/2 months. I am debating knee replacement but the next time I see my regular doctor I am going to speak with him about the regenerative process offered by Bluetail Medical Group in Naples, FL.
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1PlasticMan1

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Re: it may be time for knee replacement ...any advice ?
« Reply #35 on: September 01, 2017, 11:02:19 AM »
My wife has used both Synvisc and cortisone for her knees.  Synvisc wasn't very effective, cortisone lasts 6 months, full pain relief.
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prfcdoc

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Re: it may be time for knee replacement ...any advice ?
« Reply #36 on: September 01, 2017, 09:41:55 PM »
My wife has used both Synvisc and cortisone for her knees.  Synvisc wasn't very effective, cortisone lasts 6 months, full pain relief.
But I've also seen the exact opposite in some individuals. Remember that we're humans and not man made machines. Almost anything can happen depending on a huge number of variables.
Bob
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DearMissMermaid

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Re: it may be time for knee replacement ...any advice ?
« Reply #37 on: September 01, 2017, 10:12:40 PM »
Riding a bicycle may be one of the best things you can do for knees. I took up bicycle riding in part because walking was so painful. What a huge difference this has made for me. I try to ride my bicycle every day, sometimes several times a day. But I still have to walk too, because of my energetic doggy needs to do his business and he prefers to do that far away from the campsite.

Walking is rarely ever painful now. Amazing! I owe it to the bicycle riding. A friend of mine harped on me for years to give it a try. I am so glad I finally took his advice. Of course bicycle riding was painful as my muscles got used to different movements but that all passed.

Now I start off slow and sedate on my bicycle to give my muscles a chance to warm up. As time goes on, I get up more speed without even noticing. And it's FUN!

All the crazy rains we've had in my neck of the woods recently has really put a dent in my riding, and it's making me a little nutty, as I do enjoy the benefits of more energy and less pain when I am able to ride some every day. Yes, a bike ride can give me more energy to get through the rest of the day.

I have some senior friends that are long term avid riders but not racers and none of them have replaced knees. So I think maybe there is a connection there somewhere.

Ironically, I had a horrible boating accident during a bad storm years go that wrecked my knee, I was overseas and no one said anything about knee replacement, but I still have the ugly scars where they tried to stitch it back together and I remember the doctor saying "I've run out of skin and it's not closed up yet."  I said "Oh, maybe there is a hunk of skin back at the boat we can get." She thought I was joking, but I was serious (good pain meds!)
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Larry N.

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Re: it may be time for knee replacement ...any advice ?
« Reply #38 on: September 02, 2017, 05:26:24 AM »
I'll go along with the bike riding. It's the only form of regular exercise that I'll keep doing (I've tried several ways), and a few years back I got an inexpensive (~$400) Trek mountain-style bike (I hate those thin tires), and I try to get in at least two to three miles a day (20-30 minutes), sometimes more. I've definitely got more energy since doing this, and while walking long distances is hard on my knees (and sometimes a hip) after a while, I have no such problem with bike riding. Be sure the bike fits you, though, as I've encountered some weird positions when trying some bikes.

Note that I replaced the handlebars so that I could sit more upright, and I replaced the thin, knifelike seat with a much more broad, padded seat. Other than that, and adding some lights, it's as it came from the store.
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Ernie n Tara

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Re: it may be time for knee replacement ...any advice ?
« Reply #39 on: September 02, 2017, 07:21:42 AM »
For me it's about an hour and a half walking in five feet of water. Takes the load off the joints while still exercising them.

Ernie
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Oldgator73

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Re: it may be time for knee replacement ...any advice ?
« Reply #40 on: September 02, 2017, 09:43:12 AM »
For me it's about an hour and a half walking in five feet of water. Takes the load off the joints while still exercising them.

Ernie

Since 5' would be over my head that would have to be characterized as swimming.
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vito55

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Re: it may be time for knee replacement ...any advice ?
« Reply #41 on: September 02, 2017, 10:20:42 AM »
Re Synvisc. Many years when this first came out and my knees were becoming very painful I had this material injected into both my knees. The injections were uncomfortable but not what I would call painful. I had almost total relief from the arthritis pain for about six months. When the pain returned I prevailed on my orthopedic surgeon to try it again, even though he said it rarely works a second time. I had both knees injected and got zero pain relief. It wasn't much later than I had my knees replaced, both at the same time. For me, it was the right decision and one that I have never regretted.
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joester

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Re: it may be time for knee replacement ...any advice ?
« Reply #42 on: September 02, 2017, 12:19:56 PM »
Be sure to follow surgery with the physical therapy as mentioned - no sense getting the surgery if you don not follow thru with your post-op exercises. I seen both the positive results from extensive exercise after surgery, and also a continued pain situation where MIL did no PT or exercise - still in lots of pain.
Get in shape, and get the surgery. A recumbent stationary exercise bike is a great tool for home.
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TonyDtorch

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Re: it may be time for knee replacement ...any advice ?
« Reply #43 on: September 02, 2017, 02:46:09 PM »
Since it appears no one trusts VA to do the surgery I may see if there is a way to have Medicare do it. 

 I do get to see and talk to a lot of old Vietnam vets at the hospital.   Next time I see an old warrior with a 12' scar on his knee I'll ask him a bunch of knee questions....(and hope I don't have to walk down V/N memory lane with him.. :-\ )

For the time being I'm gonna try the Hylagan treatment and some bicycle and swimming time.
« Last Edit: September 02, 2017, 03:11:52 PM by TonyDtorch »

henkelphoto

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Re: it may be time for knee replacement ...any advice ?
« Reply #44 on: September 02, 2017, 03:25:15 PM »
Tony, I had my left knee done about 10 years ago. The thing about everyone saying they wished they had done it sooner, there is a finite life to the replacement knee. They say they are good for 15-20 years, less if you extremely athletic. That's why surgeons want to delay if possible. If you are in your 50s or early 60s, plan on replacing the replacement knee before you pass on.

If you can find a doctor who works on professional athletes, that's the way to go, especially if he is a football/rugby specialist.

As for doing therapy at home, they will give you a sheet with exercises to do at home, as others have said, DO THEM!!! But, they do a lot of massage and some other things at the PT centers which you really can't do at home, so you will need to go for at least a period of time, perhaps 4-8 weeks.

Good luck!
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prnebs

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Re: it may be time for knee replacement ...any advice ?
« Reply #45 on: September 11, 2017, 11:14:52 PM »
I'll go along with the bike riding. It's the only form of regular exercise that I'll keep doing (I've tried several ways), and a few years back I got an inexpensive (~$400) Trek mountain-style bike (I hate those thin tires), and I try to get in at least two to three miles a day (20-30 minutes), sometimes more. I've definitely got more energy since doing this, and while walking long distances is hard on my knees (and sometimes a hip) after a while, I have no such problem with bike riding. Be sure the bike fits you, though, as I've encountered some weird positions when trying some bikes.

Note that I replaced the handlebars so that I could sit more upright, and I replaced the thin, knifelike seat with a much more broad, padded seat. Other than that, and adding some lights, it's as it came from the store.

I got a nice bike for Christmas to get some to help with my knees.  Had a minor accident, flipped over the handlebars, fractured my elbow and sprained my shoulder.  In a sling for 6 weeks and pt for elbow.  But it did take my mind of the knee pain.  I don't recommend it however, there are other options. :)
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prnebs

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Re: it may be time for knee replacement ...any advice ?
« Reply #46 on: September 11, 2017, 11:30:29 PM »
My wife has used both Synvisc and cortisone for her knees.  Synvisc wasn't very effective, cortisone lasts 6 months, full pain relief.

I had cortisone shots in April and still no pain.  Mechanically not working correctly, but has made a hugh difference.  I had them a few days before we went on a 2 week trip knowing I was going to be walking alot.  Such a big relief.
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Oldgator73

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Re: it may be time for knee replacement ...any advice ?
« Reply #47 on: September 12, 2017, 07:13:41 AM »
It hurts my knees to ride my bike but not as much as walking does.
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