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Knee Replacement

Knee replacement surgery is the removal of a damaged knee joint to be replaced with prosthesis. This procedure is known as total knee arthroplasty and is usually necessary for severe osteoarthritis or accidental injury.

415 Questions

What verbs start with O?

There are quite a few verbs that begin with the letter O. Here are a few examples:

open, oil, ooze, offer, order, oust, offering

What symptoms would you have if your 11 year old knee replacement needed revision?

both my knees were replaced 12 years ago, my right one was just 'replaced AGAIN' the symptoms I had were it hurt during the night, it hurt to walk on, I was miserable with it, saw the doctor he showed me the x-rays had it done. Its now been almost 8 months, I STILL go to therapy 3 times a week, it swells at times.... a pain in the neck!!!!(knee) haha Make sure your ready before you go ahead with another new knee........

Does having one knee replacement lead to having the other knee replaced?

Not necessarily. It all depends on whether the other knee has been injured or has degenerated.

Who is the best knee surgeon in norfolk virginia area?

When some one is performing a complicated but result oriented surgery like knee replacement, all are of some standard.

When you look for best knee surgeon you have to see so many criteria like:

  • Years of experience
  • Their nature
  • Their availability
  • If you have insurance does your doctor work with that insurance company or not?

And let me tell you one thing all surgeons would have some bad cases once in a while which can be fault of surgeon or a patient too but patient does not accepts it and puts everything on surgeon.

As long as you understand this you would not be having any trouble finding some good surgeon in your area.

What can you use for a replacement for a planchette?

A replacement for a planchette can be a small piece of cardboard or a glass, which can easily glide over a surface. Alternatively, you can use a small wooden block or an upside-down cup. Just ensure that the object has a smooth bottom for easy movement and is large enough for participants to place their fingers on.

Can needing to have a knee replacement op be hereditory?

Osteoarthritis, which often leads to Knee replacements does have a genetic factor.

What are the fees to stay at the hospital?

The fees vary tremendously.

A 16hr overnight visit can easily be $100-$1,000. There are a number of factors that can increase the cost. These are a few:

Does the patient need intensive care such as airway management? Is the patient underage? Has the patient suffered any trauma that needs bandage replacements? Is the patient on slow dose medications from an IV? Will the patient be able to eat, will they need food supplied via stomach tube, or even via IV? Food delivered by IV is very expensive per day.

One thing that will also significantly affect the price is the payment method used. Insurance or self-pay. Health insurance will usually require a co-pay fee and that you pay 20-70% of the total bill at a later time. Self-pay discounts vary between hospitals, but often a patient that pays cash/credit will receive a 30-75% discount off the entire bill if they pay in full within 90 days.

Contact the hospital billing department for a fee schedule.

Why is your knee still so unstable and without strength six months after total knee replacement?

The commonest cause is usually a poorly balanced knee ie: poor surgical technique. other causes are nerve damage and lack of patient participation in physical therapy post operatively.

Can percocet tolerance level be returned to my original level before I have total knee replacement if the dosage has been at 2 tablets 10325 every four to six hours for the last 24 months?

Oh God yes. I wish I was on that low a dose.

Tolerance levels take a long time at lower dosages to be realized, and even then it depends on the person. Dosage levels can be reduced much easier and faster though.

Depending on how fast withdrawal symptoms come upon you and how bad they are, the easiest and safest way to do it is to drop your dose incrementally over time.

Try cutting one pill in half, and then using 15mg instead of 20 per dose, and see if you can handle the withdrawal symptoms. If not, cut it in quarters, and start with 17.5mg per dose and work your way down. Try decreasing the dose every week at first to see if you can handle the withdrawal, if not extend it to 2 weeks. You get the idea.

If you have a problem with that, you can always get a drug from your doctor to help ease the withdrawal symptoms, but it's easier to do it the way I've listed above.

If you're curious, I've been in Pain Management for over 10 years and I've done that myself. Prior to my last spinal operation in 2006, my L3 disk had finally collapsed, with the vertebrae touching bone on bone. In addition to using between 120/150 Percocet 10/325's per month, I also use Duragesic 100 patches for primary pain. The pain was so bad that I had already had to double my patch dose because I was using a lot more Percocet than normal. When it collapsed, I was using my patches, my Percocet, 100mg Demerol tablets, AND 30mg MSContin tablets. It still didn't help the pain much. In the end I wound up using Prednisone to lower the inflammation enough so the pain meds could work.

It took about 6 weeks and a lot of withdrawals, but I was able to get back to my original dosages of 1 Duragesic 100 patch and Percocet 10/325's (2 or 3 as needed, still use the same amount per month).

I still don't understand though why you'd want to lower your dose before a major surgery though - you're still going to wind up needing more, so why lower the dose if you're just going to have to increase it again? Since you've been taking a set dose for a long time like me, it'll take a long time at a lower dose for your actual tolerance to go down. By "long time" I mean many months or longer depending on your system.

Depending also on how much you take regularly and if your pain is chronic and steady like mine, you might benefit more from a long term chronic pain med like Duragesic. The dose you're taking is relatively low for those of us experiencing severe pain. There's a direct conversion table for the equivalent amounts of Percocet related to a relative amount of morphine. Knowing that amount, you can then figure out the relative amount of morphine it would take to equal a certain dose of Fentanyl in a Duragesic patch. Knowing those, you can figure out how much Percocet is equivalent to certain dosages of Fentanyl in Duragesic. For your dose, I'd guess probably a 25 or 50 micro patch would be the equivalent. Something to think about.

Can rolfing help knee pain?

Of course it depends on the cause of the knee pain, but better alignment of the foot, knee and hip joints, which is achieved by Rolfing can reduce the pressure on the joint.

If tense muscles, adhesions and/or short fascia keeps pulling on one side of the knee, it can't function properly - in these cases Rolfing can help a lot.

I recommend finding a few Rolfers in your area and to talk to them - either over the phone, or better in person, and see what experience they have in treating specific conditions.

Most Rolfers offer free consultations.

When not to have a knee replacement?

Here are the criteria for when you should have a knee replacement

1) The pain in your knee is affecting your normal daily activities eg walking, stairs etc

2) Your knee pain is affecting your sleep - frequently keeps you awake or wakes you up

3) You have tried exercises to strengthen your knee for a reasonable period with no effect

4) You are in severe pain

If your symptoms are not as severe as these, a Knee Joint Replacement is not needed.

Cost of an osteotomy?

Knee osteotomy is a surgery that removes a part of the bone to increase the knee's stability. In 2014, osteotomy in the United States costs $11,400.