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Full Knee replacement

(27 Posts)
NanaTuesday Sun 29-Sept-24 10:26:04

After months of waiting yesterday I finally had a Consultants appointment for my left knee( I have issues with both btw)
I have had an ongoing problem I used to do a lot of dancing then & in the preceding years , since prior to 2007 when I first had a clear out of my left knee. Fast forward & I have had at least 3 steriud injections in same knee & two in my right , I have been offered more in right but at those times I felt I didn’t need it .
I have Laos had both NHS & paid for private physio .
Anyway back to the appointment, the consultant suggested a full knee replacement .
Here is my problem , he put the fear of god in me with all the things that could go wrong 😑 from catching Covid being the least of my concerns . I know that they have to point out the risks involved .
The operation is also not done with a GA but a Spinal where you are awake .
I can hear some of the criticism on my concerns . Do I actually want this sorted ,Well that’s the thing isn’t it , I am not sure if I want to risk further problems , infections & worse or manage my problem.
Yes added to this I do need to loose a small amount of weight , which I have found hard but now aim to be more on this & get a handle on the duet & exercise front ,
What has been others experiences in choosing when crunch time came . I was always against having this op & for the most part manage without pain relief unless I have to be doing something that pain relief will benefit e .
Also I was never a great one for taking the prescribed’ Naproxen’ even before any controversy regarding it, I would find myself reaching for the packet on a rare occasion to find that it was 4 years old !

argymargy Mon 30-Sept-24 13:35:14

Sorry that was for @Allira

argymargy Mon 30-Sept-24 13:34:28

Ah ok! Possibly because you can buy it over the counter so they don’t want to prescribe…

MayBee70 Mon 30-Sept-24 12:33:20

The problem is my knee was like this @14 years ago and a chiropractor got me walking again ( the NHS were useless). But he was ver brutal with my knee and I’m not sure that I want it manipulated in that way now that it’s obviously deteriorated. So I still have it in my mind that it will improve. At least it means I can ask my family to help me get my house prepared for a possible post operation recovery time as it’s still a dumping ground for everyone.

Charleygirl5 Mon 30-Sept-24 10:51:02

Please decide to have the surgery because if you decide no, over time you will find that other bones such as your tibia will become affected. The surgeons dithered with me so I ended up having a tibial osteotomy as well.

You will not be out of action for 6 months. I was still in a lot of pain at 6 weeks but fine at 3 months. If you have a garden can you throw balls for your dogs and that will release some of their energy. Are there helpful teenagers around?

I have had both knees done and I hope they will "see me out".

Allira Mon 30-Sept-24 10:33:56

argymargy

Naproxen has not been banned (at least not in the uk). There are some concerns about using it when people have certain other health conditions, eg asthma. This is not unusual with medicines.

Oh, I'm sure it's still available, argymargy!

It's our surgery which has banned it.

NanaTuesday Mon 30-Sept-24 07:34:19

MayBee70

Did the steroid injection give you a lot of relief and for how long? I’m asking because I want to do as many exercises as possible prior to having a TKR at some point and I think an injection would help me achieve that. I did a group dog walk today that I did a year ago and was very aware of how much worse my knee was compared to last year. I’m on a TKR Facebook page and must admit that it’s scaring me. Then again, people who sail through it are less likely to join a Facebook page I suppose. The thought of possibly losing six months of my life recovering ( and having to get someone else to look after my beloved dog) is really worrying me.

MayBee70
The last steroid injection did not last long at all , this was in January 24 & probably lasted 12 weeks no more than that !
My first one was over 12 years ago which was more successful & the next was during Covid times .
Like you I find walking my pooches quite difficult a lot of the time . I can start out ok but soon want to turn back .But I am going to push on , yesterday we drove to a park as it meant we would all get a longer walk & with the added benefit of benches if needed & a coffee shop for respite lol That’s my plan in future , though the rain today may change that .
On holiday last week , we went to an area in Spain that we last visited pre Covid . Back then I was up & out walking miles to the next town . Last week, it was a case of me saying to my husband “ I’ll sit on this bench “ every 200 feet or so . I feel like a little old lady. Omg the airport was murder as well .

argymargy Mon 30-Sept-24 07:34:02

Naproxen has not been banned (at least not in the uk). There are some concerns about using it when people have certain other health conditions, eg asthma. This is not unusual with medicines.

NanaTuesday Mon 30-Sept-24 07:24:19

Allira
I was given the option of ‘another ‘ steroid injection.on Saturday .
My last one in January didn’t last too long at all , ie no more than 12 weeks, if that ! However that was the option if I chose not to go down the TKR route.
For now I am on that list , I’ll take the next few months to work on the weight loss & give thought to the operation.
Thankfully , as I mentioned those banned Naproxen prescriptions would on the whole stay in the drawer . I chose to take them on a very very limited basis .
It’s funny though as I think GP surgeries should have on behalf of the NHS sent letters to patients explaining the whole Naproxen story. There must be people who took it as a daily basis !
Thats another matter though .

MayBee70 Sun 29-Sept-24 23:24:32

Annoyingly I just read that steroids, even in the form of injections, can affect your immune system and I’m worried about that with so much covid around still.

Allira Sun 29-Sept-24 23:22:08

NanaTuesday

Allira

They give strong sedation as well as an epidural.
It's a big decision but it's not going to get better on its own, NanaTuesday
I don't think you're allowed more than three steroid injections either.

Allira ,
That was my thought on steroid injections .
I was given the option of another steroid while at my appointment yesterday . But the last one only lasted not quite 3 months & that was given in January!

One I had lasted for quite a long time, the other in the other knee not so well.

They won't give a steroid injection if you are due to have the operation in the next few months. They'll only suggest Paracetamol here too, no Naproxen - it's banned, said the GP. 🤔

MayBee70 Sun 29-Sept-24 18:52:38

Did the steroid injection give you a lot of relief and for how long? I’m asking because I want to do as many exercises as possible prior to having a TKR at some point and I think an injection would help me achieve that. I did a group dog walk today that I did a year ago and was very aware of how much worse my knee was compared to last year. I’m on a TKR Facebook page and must admit that it’s scaring me. Then again, people who sail through it are less likely to join a Facebook page I suppose. The thought of possibly losing six months of my life recovering ( and having to get someone else to look after my beloved dog) is really worrying me.

silverlining48 Sun 29-Sept-24 18:46:18

It’s an ongoing thread nanaT , look for the 👯 👯.
We are hardly ever on active list, none if us understand why, but the 👯 make us easy to spot on the health forum list.

NanaTuesday Sun 29-Sept-24 18:25:54

Silverliming48
Thank you , I think I did see that but as I was reading g I saw it was 2 years old & didn’t continue scrolling . I will give it a whirl .

NanaTuesday Sun 29-Sept-24 18:23:39

Allira

They give strong sedation as well as an epidural.
It's a big decision but it's not going to get better on its own, NanaTuesday
I don't think you're allowed more than three steroid injections either.

Allira ,
That was my thought on steroid injections .
I was given the option of another steroid while at my appointment yesterday . But the last one only lasted not quite 3 months & that was given in January!

ginny Sun 29-Sept-24 11:49:28

I’ve had both knees and a hip done with a spinal. Brilliant !
Recovery with rest and exercise was steady and after 6 weeks each time I was doing all the normal things, just with a little care.

silverlining48 Sun 29-Sept-24 11:49:05

I was also told you can’t have more than 3 steroid injections
and have already had two, so will save up my third as I have another hip and two knees to think about.

silverlining48 Sun 29-Sept-24 11:44:27

Hello nana Tuesday just wanted to let you know that we have a hip and knee thread which has been going ipfir ovdr 2 years so lots of help and information on there.
We rarely get into Active so you need to look under the health forum and click.
As for being awake with spinal you won’t be aware of anything. They add a lighter anaesthetic at the same time. You won’t feel a thing.

henetha Sun 29-Sept-24 11:05:36

Hopefully I can reassure that it will be fine. I've had both knees replaced and both operations were very successful.
I had a full GE for the first one years ago, but a spinal anaesthetic for the second one just a few years back. I was simply dreading it, but it was far easier than I thought. Lots of tiny injections in your back, barely felt, just pinpricks, - then compete numbness when the big needle goes in. I felt nothing.
Soreness afterwards of course, then a few weeks of physio.
It was wonderful to be able to walk without pain .
Good luck, whatever you decide.

Pearl30 Sun 29-Sept-24 11:05:12

OH has had both replaced a few years apart. The second op began with him ‘awake’ but they soon put him out completely.
Another friend had both his replaced within three months. They had a quick recovery.
OH’s recovery took longer but he is older. Now fine, with both living normally and pain free.
You must do the physio exercises afterwards to gain full mobility. You will definitely need to take the meds.
Not an easy op to go through, but both would go through it again.
Good luck!

Keeper1 Sun 29-Sept-24 11:03:55

My husband has had both knees replaced under epidural he was not looking forward to it and was very nervous so he asked for plenty of sedation. He didn’t hear anything and can’t actually remember the op. Go for it

Visgir1 Sun 29-Sept-24 10:56:52

This as others have said is fine...I have had both Hips and a Knee done this way. Apparently better recovery time, you don't remember a thing, just getting on the table and then it's all done.
It's more painful in recovery than a Hip but so pleased I has it done.

SiobhanSharpe Sun 29-Sept-24 10:53:26

That should read ‘spinal block.. ‘

SiobhanSharpe Sun 29-Sept-24 10:51:50

I had a total knee replacement with the sounal block and ‘light sedation’ and ot was absolutely fine. In fact I was quite out of it.
I was numb from the waist down for about three hours after the surgery but otherwise felt ok — but i did take the paid meds. You do need them, IME.
I had it done privately and they were very good on timely pain relief. I had paracetamol and codeine with oral morphine as needed.
It all helped as they get you up either later that day or the next, with physio starting the next day too.

Allira Sun 29-Sept-24 10:39:12

They give strong sedation as well as an epidural.
It's a big decision but it's not going to get better on its own, NanaTuesday
I don't think you're allowed more than three steroid injections either.

BlueBelle Sun 29-Sept-24 10:36:06

Oh my word I wouldn’t want it without a GA is that how they do it now ?
I know people who are happy they ve had it and two who have both said they d never get the other one done, even if badly needed I do know that knees are harder to get over than hips butI m sure you ll get lots and lots of positive help on here