BEST REASONS to get a TOTAL KNEE replacement. How to know when & if you should have surgery

Patient: "Do I need a knee replacement?"
Surgeon: "You'll know when it is time.'
What does that mean?
Should I get a knee replacement?
Do I need a knee replacement?
When should I have my knee replaced?
How will I know when it is time for surgery?
These are the most frequent questions my patients have. One of the most common discussions I have with patients is if they need a knee replacement and when they should have knee surgery. In this video I go over the top 10 considerations to keep in mind when you are deciding on having a knee replacement.
00:00 Intro
00:35 Do you 'need' it
01:32 Arthritis on x-ray
02:19 My 0 - 10 scale
03:42 Conservative treatment
05:16 Strengthening
06:27 Night pain
07:39 Age
09:12 Waiting too long
10:26 Friends said don't wait
11:28 Bilaterals
13:26 Closing remarks
📘 Be sure to check out my book - 'The Knee Book - A Guide to the Aging Knee'
In the US
Amazon (paperback and ebook)
www.amazon.com/Knee-Book-Guid...
Disclaimer: The information found in this media presentation represents my own views and opinions. This has been produced for educational and informational purposes only. This does not qualify as medical advice. This in no way should take the place of professional medical advice. You should always talk with your physician, doctor, surgeon, therapist or other health care provider regarding your specific questions, complaints, diagnosis, and treatment. Do not delay seeking care based on what you find in these informational videos. Use this information at your own risk. No doctor-patient relationship is formed through watching these videos.
#kneearthritis #kneepain #healthcare #surgeryrecovery #health #surgeryday #surgeon #totalkneereplacementsurgery #kneerehab #kneereplacementsurgeon #kneesurgey #arthritis #jointpain #osteoarthritis

Пікірлер: 33

  • @faithwilley3171
    @faithwilley31712 күн бұрын

    Preparing for surgery soon. Watching lots of videos and gathering information. Your video is very well thought out and hits on all of the questions I have. I'm still fairly young, but can only walk about 1/4 mile before I hit the invisible wall that debilitates me. Pills don't make a difference, the first two injections helped for about a month each, and the third shot did nothing. MRI shows torn ligaments due to the lack of cartilage. My surgeon explained he can clean it up, but could not say how long before the lack of cartilage would create the same situation. Your video did not change my mind, but gave me confidence that I have weighed my decision appropriately. Thank you for your candor, and may your patients appreciate you.

  • @TomFerguson-xb9ns
    @TomFerguson-xb9ns2 ай бұрын

    I waited so long to get my knee done its been 9 months still recovering . Wish I never have ot done

  • @maryannsimms7189
    @maryannsimms71892 ай бұрын

    My surgeon never went over anything or warned of what kind of miserable recovery it is. No discussion at all. I wish I had seen this earlier.

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    Sorry for your experience.

  • @teriwrong
    @teriwrong10 сағат бұрын

    I guess I’m ready…can hardly walk. Using a walker all the time. Going from the parking lot into the store isn’t feasible. I’m level 3 severity in both knees. Unfortunately, I’m 20 lbs overweight (have already lost 50 lbs) so Kaiser won’t do it. I used to go to the gym 2-3x/wk w/ personal trainer and water aerobics 3-5x/wk but bc breathlessness that turned out to be pulmonary embolisms and now I’ve lost my quad strength.I developed adrenal insufficiency from cortisone injections. Had pulmonary embolisms and DVTs in January (maybe caused by Covid-I had a very mild infection but developed Long Covid w/in a month) causing diastolic heart failure! Dropped out of my exercise routine bc I couldn’t catch my breath…pulmonologist thinks I had been throwing clots for months before it was correctly diagnosed (nope, it wasn’t “anxiety”-thanks, no thanks to Kaiser). I think I’m a mess healthwise so don’t know if they will even do knee replacements at this point.

  • @stephdaniels5587
    @stephdaniels55872 ай бұрын

    Spot on content 👍 Dr Rosen, thank you so much for all your videos and your book ❤.

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    My pleasure!

  • @pattis2505
    @pattis25052 ай бұрын

    That was very helpful. Thank you for sharing. I bought your book and the information in it is awesome! Thank you for sharing your expertise. Take care!

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    Awesome! Thank you!

  • @steveharris7189
    @steveharris7189Ай бұрын

    Excellent video, honest and highly informative.

  • @dradamrosen

    @dradamrosen

    Ай бұрын

    Glad you liked it.

  • @sharonleong4185
    @sharonleong41852 ай бұрын

    Thank you for the information. Very helpful.

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    You are so welcome!

  • @YingziHao
    @YingziHao13 күн бұрын

    Thank you for the advice !😊

  • @dradamrosen

    @dradamrosen

    13 күн бұрын

    You're so welcome!

  • @LalitaBhasin
    @LalitaBhasin16 күн бұрын

    I had monovisc injection about four weeks ago but pain still persists there at the back of knee, also doing PT. Can’t stand for a long time.

  • @Maris-W
    @Maris-W2 ай бұрын

    Great advice, thank you. I had a recent knee replacement because of severe pain and it went great. My other knee, also with arthritis, doesn't have constant pain, just occasional twinges. I now plan to wait a while because that leg has pins in the ankle from a years ago crushing of my ankle, which will be a slight hindrance to PT exercises needed after for recovery. I was going back and forth on that decision until I watched your video. Meanwhile I'll be enjoying the ability to move easily and keep up with family and friends.

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    Sounds like a good plan.

  • @allkindsamusicchick
    @allkindsamusicchickАй бұрын

    Again...thank you for the information and your professional honesty. Could you tell me if you believe that a Carnivore or low-carb diet might help reduce inflammation in arthritic knees? Also...Do you have any thoughts on those floor sliders that help you slide the leg back and forth while in a sitting position. Does that movement help to lubricate the knee?

  • @angeladibble
    @angeladibbleАй бұрын

    I have mild knee arthrtitis and its really painful. I'm dreading having to cope with this for a lot longer before I can have a replacement.

  • @dradamrosen

    @dradamrosen

    Ай бұрын

    Definitely work with your surgeon to maximize non-operative treatments (strengthening, activity modification, weight loss (if indicated), oral meds and/or injections. If they fail to relieve pain then you might be ready for surgery.

  • @KT-eh6yv
    @KT-eh6yv2 ай бұрын

    Thank you! Could you say, in general, how the recovery for TKA compares to recovery from a femoral osteotomy?

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    Depends on the osteotomy and the surgeon. Your weight bearing may be restricted for a while under the bone heals. Usually the range of motion is not an issue since the work is done outside of the joint. So the recovery is usually shorter and easier than a knee replacement.

  • @carolc6364
    @carolc63642 ай бұрын

    Would you say this information can be applied in a general way to a hip replacement?

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    Yes, the comparison if very similar.

  • @carolc6364

    @carolc6364

    2 ай бұрын

    Thank you! I will share this with a friend who needs a hip replacement, but is reluctant to do it. Your videos are super helpful.

  • @tomotten3165
    @tomotten3165Ай бұрын

    Dr Rosen do you do partial knee replacements? I have your book and have really benefited from your videos. Thanks

  • @dradamrosen

    @dradamrosen

    Ай бұрын

    Yes, maybe I'll do a video about partials. Glad the book and videos helped.

  • @lisatalley296
    @lisatalley2962 ай бұрын

    I waited 10 years to have my first knee replaced in January. I had been doing PRP do keep my pain manageable, and my doctor at the time had said their goal was to keep me comfortable until technology caught up. This past summer I got to the point that I was in so much pain that I realized it was time to talk to a surgeon. He looked at my knees and said they were as severe as they can be. At my 6 week check up my surgeon said I hit it out the ball park. I’m 4 months post TLKR, and almost 3 weeks after having an Iovera injection in my right knee. Because it has numbed my right knee, I can’t believe the difference. I’m not pain free totally, but my husband has even commented on how much energy I have. I had no idea how debilitating my knee pain was. In 4 days I will get my right knee done. I know what is in store with recovery, but the peek at how my life can become is very encouraging.

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    Many chronic pain sufferers don't realize how bad it has become until after surgery and the chronic pain is gone. Good luck on knee #2.

  • @funnymemes2276
    @funnymemes22762 ай бұрын

    Are you under general anesthesia with this surgery???

  • @dradamrosen

    @dradamrosen

    2 ай бұрын

    Most are under general anesthesia and a nerve block or a spinal with sedation

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