Sunday, July 21, 2013

Knee Arthritis - Osteoarthritis and Knee Replacement


Do you suffer knee pain? Do you notice abnormal knee swelling after walking or light physical activity? Do you have osteoarthritis and are avoiding the doctor because you don't want knee surgery? Surgical knee replacement is a highly successful treatment for arthritis. Many patients regain up to 90% of mobility and quality of life after surgery. You may suffer from cartilage tears (meniscus tears). There are two menisci in your knee, made up of tough cartilage conforming to your bones. If these tear or wear down, the bones rub against each other and cause severe pain. If cartilage tears are caused through age and not traumatic injury, the symptoms can appear arthritic. Whether you have a meniscus tear or osteoarthritis, you may need knee replacement surgery.

Prior to any operation for knee pain or cartilage tears, you will need to discuss a range of issues with your doctor or surgeon. He/she will make an assessment of your knee including x-rays or other imaging techniques. Drugs such as aspirin that you are taking to deal with the pain and knee swelling may affect the body's ability to clot blood - be sure to let your doctor know. Your doctor may refer you to a surgeon for knee arthroscopy - where a small camera is surgically inserted into the knee so your orthopedic surgeon can diagnose the best procedure.

Knee replacement surgery has made great strides in 50 years. Patients used to be happy with 100 degrees of knee flexibility. Now, many patients find they get up to 155 degrees of flexibility with a greater sense of knee rotation and complete relief of cartilage tears, knee pain and knee swelling. Aggressive physiotherapy is necessary after knee arthroscopy and replacement surgery to gain this much mobility. Activities such as cycling and swimming promote the strength building in the hamstrings and quadriceps.

Recovery from knee arthroscopy and replacement surgery is quicker now because the operation is less invasive. Only a small 9cm incision in needed and no incisions into the quadriceps are required. Knee replacement surgery is not as unbearable as you might think - in fact the relief of knee pain and knee swelling greatly improves the quality of life. There are things you should be aware of and steps you will need to take when the surgery is over to get back your mobility, but the result will be a better quality of life.

While there have been great advances in medical technology, a successful outcome is determined by the patient's attitude and willingness to do the necessary therapy. Based on their experience, many doctors have somewhat low expectations for recovery and may not be very encouraging. It is up to the patient to find and follow an exercise program that has already shown proven results. Equally important is finding a trainer or mentor who has a positive attitude toward recovery from knee surgery and who can teach anyone the same mindset. Believing it can be done and working with someone who has already achieved the desired results is the key to returning to normal activities and remaining free from pain.

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