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Old 16 August 2017, 10:54 AM   #31
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Had both knees done! Left knee, and right knee twice. I was in my 40's when I had my surgeries and was back to work in a week! They really felt good for a long time, but now with arthritis, I've had 2 cortisone shots in the last 8 months. Like Tim said, getting old sucks! Good luck Paul.
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Old 16 August 2017, 10:56 AM   #32
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I broke my knee and tore my ACL 20 years ago.
If I would have known what I know now, I would've never let anyone cut it open.
I went to the so-called "best" surgeon in the country (Belgium), and everything continued to get worse and worse. I've had 6 knee surgeries so far, and I'm in more pain than I ever was. I need a new knee now, and I'm still far from 40!
If you can strengthen the muscles supporting your knee, I would go that route first. A knee should not be cut on, except for extreme cases IMO.
This my friend....is the best advice. Surgery as last option.
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Old 16 August 2017, 03:59 PM   #33
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I hope that's how I'll feel about it one day. Right now I just don't have the time for down time. The recovery is what scares me the most. I've gone to physical therapy hundreds of times. I'm tired.


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Like most people, I rely on my knees I'm out on survey in India now and travelling back home tonight. I found that I was reasonable fine walking on the flat but as soon as I had to climb the stairs from the main deck to the bridge, my knee started hurting like a motherfather. I train my legs twice a week and even though they're small, they're pretty strong and I don't think any amount of physio will help me now, at least not until after the op.

I'm looking forward to the rehab because I have a great physio. Get your knee replaced, Vanessa. The longer you put it off, the worse it's likely to get. Good luck

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My dad had both knees replaced when he was 70. Rehab was about two weeks. He had put it off for ten years and said he shouldn't have waited to get it done. Pain free and on the golf course every day at 80.
This gives me hope!

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Hi Paul

Best of luck as I'm going through this now. I've had lots of therapy and nothing. It settles down and it's ok for a while, inside left knee area. It's very painful when it get flared up. It locks, it swells and cracks and literally when getting up from couch or chair it's almost impossible when it hurts. I'm going for MRI very soon as it's been 6 months with pain
The only difference is that my knee hasn't locked up, not once. However, every time I bend down, it cracks like a gunshot when I stand up. I had the MRI done as soon as I decided I couldn't stand the pain anymore. Back home tomorrow morning and then surgery on Friday.

Good luck with yours, Mark
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Old 16 August 2017, 11:06 PM   #34
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Another knee story:

After a cycling accident, ER doc indicated a knee sprain, and we treated it conservatively as such. Over the years, my knee would 'go out' (for lack of a better term) during routine activities. These events were incredibly painful, but I believed it was something I had to live with. I thought I just had a bad knee.

8 years after accident, knee 'went out' again, and this time I couldn't straighten the knee; it was locked bent. MRI revealed what ortho called a bucket-handle meniscus tear; both meniscus badly torn/shredded, and ACL basically gone. That knee 'sprain' suffered years prior was actually an ACL tear. Had arthroscopic surgery to remove meniscus and started serious physical therapy, hoping it with help improve knee stability.

Despite this work, I continued to suffer serious knee instability. One year after arthroscopic procedure, I had ACL reconstruction with patellar graft. That was 11 years ago.

My conclusion: I wish I had done ACL surgery sooner. Delaying it caused me to have years of intermittent serious pain from many instability episodes, as well as significant arthritis and bone wear in that knee. However, now I appreciate having a stable knee and can do all my normal activities with no fear of my knee going out.
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Old 17 August 2017, 12:21 AM   #35
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Another knee story:

After a cycling accident, ER doc indicated a knee sprain, and we treated it conservatively as such. Over the years, my knee would 'go out' (for lack of a better term) during routine activities. These events were incredibly painful, but I believed it was something I had to live with. I thought I just had a bad knee.

8 years after accident, knee 'went out' again, and this time I couldn't straighten the knee; it was locked bent. MRI revealed what ortho called a bucket-handle meniscus tear; both meniscus badly torn/shredded, and ACL basically gone. That knee 'sprain' suffered years prior was actually an ACL tear. Had arthroscopic surgery to remove meniscus and started serious physical therapy, hoping it with help improve knee stability.

Despite this work, I continued to suffer serious knee instability. One year after arthroscopic procedure, I had ACL reconstruction with patellar graft. That was 11 years ago.

My conclusion: I wish I had done ACL surgery sooner. Delaying it caused me to have years of intermittent serious pain from many instability episodes, as well as significant arthritis and bone wear in that knee. However, now I appreciate having a stable knee and can do all my normal activities with no fear of my knee going out.
I had 3 unsuccessful ACL reconstructions. It scares the heck out of me to have my knee replaced. I wear a brace (with metal hinges) every single day without fail, to keep my knee from giving out. It makes the pain bearable. I know I'm only postponing the inevitable, but I'm 37 years old, and these new knees last 20-30 years max. If I'm fortunate enough to live a long life I'll have to have another new knee before I'm 70. I'm so tired of surgeries. I've had 17 so far.


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Old 17 August 2017, 12:28 AM   #36
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Here's another vote for surgery early... Although it was on my ankle. Seriously messed it up (Achillies snapped and other damage) playing sports at age 40 when I thought I was still 20. Convinced myself it was just a bad sprain and let it go for almost a month! (Pretty Dorklehead of me I admit). When I finally see the surgeon he says it's bad, I will never be able to run again and probably have a limp the rest of my life... so I go see a different surgeon. Anyway, two surgeries about six weeks apart, a LOT of rehab, patience etc. And the end result is while I did have a limp for a couple years, eventually it dissapeared. Oh, and I go running (not very far or fast mind you) three or four times a week with no pain other then muscle soreness. I know it's a difficult decision to go under the knife, and I wish you all the best of luck and quick and complete recoveries, but I suggest the sooner the better. Why live in pain?
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Old 17 August 2017, 12:31 AM   #37
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Why live in pain?
Is there another way to live?

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Old 17 August 2017, 12:35 AM   #38
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Is there another way to live?

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Old 17 August 2017, 08:14 AM   #39
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Sorry if this is longish...

I've been down this road recently, and though of course every case is different, I can tell you about my similar situation. A little over two years ago I was playing in a recreations soccer league, at age 49. I planted my left foot to shoot with my right, and a defender tackled me from the side. I went down and had immediate instability and pain, though less pain than you might expect. I limped off and at one point even thought about getting back on the field, though I suspect this was mostly my way of convincing myself I wasn't really hurt! An hour later I basically couldn't walk, and the next day my orthopedic doc diagnosed 80% ACL tear, torn meniscus, and badly strained MCL. ACL reconstruction was suggested as something to consider, but my doc took a pretty conservative approach. The things I had going for me were that in spite of a significant tear I didn't have all that much swelling or pain. He has noticed my "loose" knees in the past, and thinks that's probably why I got away without an ACL tear for as long as I had.

I was in a brace for almost six months, and on a combination of steroids and anti-inflammatories. I took up swimming as soon as my stability returned, did some cycling, and gave up soccer. Two years later I started to do a little running and now I'm playing tennis at a 3.5 level 2-3 times a week. My knee feels stable and my only issue is the meniscus will occasionally catch in my joint and I'll have some pain and swelling for a couple of days. I've had prior meniscus tears in that, and the other knee, so this is something I've been used to for twenty years. It gets sore if I abuse it, but I'm 51 now and I think that just goes with the territory.

It was probably time to give up soccer anyway, and for now my knee doesn't seem to affect me much. I've long accepted that at some point that one or both of my knees will need some work, if not partial replacment due to all the abuse I've inflicted on them, but for now I feel like I'm ahead of the game.

This is just my personal experience, but I'm very glad I waited to see how my ACL healed and didn't jump into a reconstruction. It's major surgery with a long rehab for the average person. The stories of athletes rebounding quickly from ACL recon are elite athletes with access to the best surgeons, treatments, and have nothing to do but concentrate on rehab.

One newer therapy appears to be spinning your blood and injecting stem cells into the knee to promote healing. Maybe one of the docs on the forum can chime in, but this appears to have real results.

Hope this gives you some insight!
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Old 17 August 2017, 08:31 AM   #40
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Wow Vanessa, that's really unfortunate. I understand the newest techniques for replacement are far less invasive and allow for easier updates when the time comes to do so. I have to ask; did you have multiple doctors and surgeons over the course of all of these procedures, and did they have any explanation why they were so unsuccessful in treating you?

I have a client who's wife (probably around 50) had a partial replacement and was out of the hospital the same day. Six weeks later she competed in and won a golf tournament. She had previously been walking with a bad limp for the better part of the ten years I've known her, and now it's gone.



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I had 3 unsuccessful ACL reconstructions. It scares the heck out of me to have my knee replaced. I wear a brace (with metal hinges) every single day without fail, to keep my knee from giving out. It makes the pain bearable. I know I'm only postponing the inevitable, but I'm 37 years old, and these new knees last 20-30 years max. If I'm fortunate enough to live a long life I'll have to have another new knee before I'm 70. I'm so tired of surgeries. I've had 17 so far.


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Old 17 August 2017, 08:47 AM   #41
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Wow Vanessa, that's really unfortunate. I understand the newest techniques for replacement are far less invasive and allow for easier updates when the time comes to do so. I have to ask; did you have multiple doctors and surgeons over the course of all of these procedures, and did they have any explanation why they were so unsuccessful in treating you?

I have a client who's wife (probably around 50) had a partial replacement and was out of the hospital the same day. Six weeks later she competed in and won a golf tournament. She had previously been walking with a bad limp for the better part of the ten years I've known her, and now it's gone.
All reconstructions were done by different surgeons. The last 2 both blamed the previous surgeons for messing up my knee. The first surgeon was in Belgium. He literally saved my life. He was the on-call doctor when I was brought into the ER by ambulance, with a ruptured spleen, and liver, open femur fracture, broken knee/ ligaments, broken elbow/ ligaments, cracked pelvis, broken pubic bone and neck/ back/ head injuries. He had to resuscitate me several times. He didn't give up on me and patched me back together. I had him do the ACL reconstruction 1.5 years later. His techniques were outdated, but I didn't know. My parents and I trusted him. I was 18 back then.

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Old 19 August 2017, 01:27 AM   #42
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All reconstructions were done by different surgeons. The last 2 both blamed the previous surgeons for messing up my knee. The first surgeon was in Belgium. He literally saved my life. He was the on-call doctor when I was brought into the ER by ambulance, with a ruptured spleen, and liver, open femur fracture, broken knee/ ligaments, broken elbow/ ligaments, cracked pelvis, broken pubic bone and neck/ back/ head injuries. He had to resuscitate me several times. He didn't give up on me and patched me back together. I had him do the ACL reconstruction 1.5 years later. His techniques were outdated, but I didn't know. My parents and I trusted him. I was 18 back then.

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Holy cow, you are one lucky girl!


As for my comparitevly minor issue, I'm in hospital ow and had the surgery today. He's done the meniscus but left my ACL alone. I guess time will now tell if it went well or not but he's a very senior specialist orthopaedic surgeon, so he ought to have a fair idea of what's he's doing
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Old 19 August 2017, 01:38 AM   #43
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Holy cow, you are one lucky girl!


As for my comparitevly minor issue, I'm in hospital ow and had the surgery today. He's done the meniscus but left my ACL alone. I guess time will now tell if it went well or not but he's a very senior specialist orthopaedic surgeon, so he ought to have a fair idea of what's he's doing
Thanks.
You look great! Wishing you a speedy recovery, with minimal pain!


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Old 19 August 2017, 01:43 AM   #44
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Thanks.
You look great! Wishing you a speedy recovery, with minimal pain!


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Thank you, Vanessa. I hope you get yours fixed too. Please don't leave it too long, get it fixed while you're still young
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Old 19 August 2017, 06:27 AM   #45
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Speedy recovery Paul!!!! Btw, something tell's me Gerardo didn't make you lunch!! get well soon!
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Old 19 August 2017, 12:25 PM   #46
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Hope all is well,Ruud!
Middle age is over rated but beats the alternative. From the pic,it looks like you are doing well.
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Old 19 August 2017, 01:04 PM   #47
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Speedy recovery Paul!!!! Btw, something tell's me Gerardo didn't make you lunch!! get well soon!
Thanks, Rob. As hospital food goes it's not bad but at S$600 (US$440) per night, I'd expect something a bit better. It's nowhere near Gerardo's league

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Hope all is well,Ruud!
Middle age is over rated but beats the alternative. From the pic,it looks like you are doing well.
I feel surprisingly good, aside from being tired from a major lack of sleep last night. Thank you.

Doc been and said the op went well after he removed about 60% of my meniscus. Fortunately, he left the ACL alone to heal itself. Two weeks off work and intense physio over next couple of months
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Old 19 August 2017, 08:03 PM   #48
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Good luck Paul, immobility is a dangerous thing....there is a good chance of another incoming.....an idle mind is a dangerous mind they say. Get well soon my friend
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Old 19 August 2017, 08:29 PM   #49
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If your surgeon recommends steroid injections for pain, avoid those. They don't help for long and can make things worse over time.

I had quite a bit of swelling that caused most of my pain (hydraulic pressure pushing things the wrong way). Aspirating the knee was magical making the pain go away. It's only a pin prick and puts everything right again.

Heal fast Paul, and stay away from the squats rack.
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Old 19 August 2017, 08:44 PM   #50
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Quick recovery my friend! Best to get it moving right away.
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Old 19 August 2017, 11:33 PM   #51
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Looking good Paul, here's to a very speedy recovery!
Getting old sucks but it does beat the alternative I guess!
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Old 22 August 2017, 12:25 PM   #52
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You look fabulous for someone who just had surgery. :-). I wish you a speedy recovery ( if only to get a decent meal..). That room looks like a hotel room with your very own wall mounted hair dryer. in our rooms, you get a towel.
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Old 22 August 2017, 12:28 PM   #53
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Sorry to thread jack... Vanessa, so distressing to hear of your journey thus far. Sending positive thoughts to you that one day you will forget what that pain feels like.
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Old 22 August 2017, 02:35 PM   #54
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Sorry to thread jack... Vanessa, so distressing to hear of your journey thus far. Sending positive thoughts to you that one day you will forget what that pain feels like.
Thank you. It's all good. I've long time forgotten what it feels like without the pain. Life goes on.

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Old 22 August 2017, 10:56 PM   #55
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Vanessa

For more than a decade, I watched my nurse sister hobble around with her bad, painful knee(s), always with a reason not to get the replacement done. 'Too busy with the kids', 'If I can wait a few more years, may not have to get it done again down the road'. So on she went, constantly in pain. Then about 2 years ago, she broke down and got the worst of the two replaced. Within a few months, she was moving around better and with less pain, than she had known in her adult life. She was so impressed with the results, she had the other knee done this past March.

Can't tell you how many times I've heard her ask, 'Why did I wait so long?'


Paul,

Best of luck with the rehab
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Old 23 August 2017, 12:50 AM   #56
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Vanessa

For more than a decade, I watched my nurse sister hobble around with her bad, painful knee(s), always with a reason not to get the replacement done. 'Too busy with the kids', 'If I can wait a few more years, may not have to get it done again down the road'. So on she went, constantly in pain. Then about 2 years ago, she broke down and got the worst of the two replaced. Within a few months, she was moving around better and with less pain, than she had known in her adult life. She was so impressed with the results, she had the other knee done this past March.

Can't tell you how many times I've heard her ask, 'Why did I wait so long?'


Paul,

Best of luck with the rehab
Thank you, Paul. If it was only my knee that was giving me grief, I would've taken care of it already. Unfortunately I have other chronic pain that's prevented me from being able to rehab properly after surgery. My knee isn't my biggest source of pain. I have PCS, post concussion syndrome, and I haven't had a minute without a headache in 20 years. The pain varies between a 3 and a 8 out of 10, all day every day. There's nothing that I haven't tried to get rid of it. I am in treatment with Keck Med of USC now, after Stanford gave up on me as well. I've tried all the alternative crap also, without relief.
When I get my knee operated on, I won't be able to do physical therapy the way it should be done, because my headache gets unbearable when I exercise. That's what's holding me back...
I do appreciate you sharing your sister's story. I does give me hope. Thank you.

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Old 23 August 2017, 04:30 PM   #57
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Good luck Paul, immobility is a dangerous thing....there is a good chance of another incoming.....an idle mind is a dangerous mind they say. Get well soon my friend
Thanks, Nick. No more incomings, I've spent all my money

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If your surgeon recommends steroid injections for pain, avoid those. They don't help for long and can make things worse over time.

I had quite a bit of swelling that caused most of my pain (hydraulic pressure pushing things the wrong way). Aspirating the knee was magical making the pain go away. It's only a pin prick and puts everything right again.

Heal fast Paul, and stay away from the squats rack.
Thank you, my friend.

When the surgeon came to se me on Saturday morning, he was a little concerned when he asked how the pain was and I said "what pain?". He then said that he injected steroid and anti-inflammatories in there before he closed my knee up. I don't know how long these drugs last but I've only had a few minor bouts of pain since the op and most of those were from me forgetting myself and over-bending or extending my leg.

I have crutches and have to limit the amount of weight on my left leg to no more than 50%. I can walk without crutches but if I get too cocky, my knee starts knacking soon after sitting down. I now stay on my crutches.

The only drugs I'm on now are two antibiotics a day, as a preventative measure, and one combined pain killer/anti-inflammatory in the evening. I actually don't feel the need for the latter but Mrs Van D bugs me to take it to keep the swelling down.

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Quick recovery my friend! Best to get it moving right away.
Thank you, Travis.

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Looking good Paul, here's to a very speedy recovery!
Getting old sucks but it does beat the alternative I guess!
Cheers, Sarge.

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You look fabulous for someone who just had surgery. :-). I wish you a speedy recovery ( if only to get a decent meal..). That room looks like a hotel room with your very own wall mounted hair dryer. in our rooms, you get a towel.
Thank you, Judy. Good to see you back.

The normal rooms were all full so I was 'upgraded' into the suite. Saying that, the normal rooms aren't too shabby at all. I spent five days in one last year and it was pretty comfortable. I don't have much use for the hair dryer though

Quote:
Originally Posted by vitalsignsrn View Post
Sorry to thread jack... Vanessa, so distressing to hear of your journey thus far. Sending positive thoughts to you that one day you will forget what that pain feels like.
Don't worry about that, Judy. It's not allaboutruud.com, anyone with dodgy joints can join in.

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Originally Posted by AzPaul View Post
Vanessa

For more than a decade, I watched my nurse sister hobble around with her bad, painful knee(s), always with a reason not to get the replacement done. 'Too busy with the kids', 'If I can wait a few more years, may not have to get it done again down the road'. So on she went, constantly in pain. Then about 2 years ago, she broke down and got the worst of the two replaced. Within a few months, she was moving around better and with less pain, than she had known in her adult life. She was so impressed with the results, she had the other knee done this past March.

Can't tell you how many times I've heard her ask, 'Why did I wait so long?'


Paul,

Best of luck with the rehab

Thank you, Paul.

Vanessa, I'm with Paul here. Get yourself sorted. I'm feeling the benefits already; I can actually cross my legs now; not a huge deal in the grand scheme of things but it sure seems like when I couldn't for a month before my op as my knee got progressively worse.


I was actually back in hospital for a few hours on Monday. Ruud Van Dickhead managed to knock the dressing off in the shower and dislodge one of my stitches at the same time. The nurse patched me back up and the surgeon poked his head in and pronounced that he was pleased with the way it was healing. Check out my pics.

Talking of showers, I have to wear what can only be described as an enormous condom on my left leg when showering to keep my wounds and dressings dry. It's hilarious but effective
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Old 23 August 2017, 05:08 PM   #58
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Best wishes Paul
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Old 23 August 2017, 05:40 PM   #59
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Get well soon!
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Old 23 August 2017, 07:14 PM   #60
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Originally Posted by Vanessa CW21 View Post
I had 3 unsuccessful ACL reconstructions. It scares the heck out of me to have my knee replaced. I wear a brace (with metal hinges) every single day without fail, to keep my knee from giving out. It makes the pain bearable. I know I'm only postponing the inevitable, but I'm 37 years old, and these new knees last 20-30 years max. If I'm fortunate enough to live a long life I'll have to have another new knee before I'm 70. I'm so tired of surgeries. I've had 17 so far.


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Hi Vanessa,
I'm sorry to hear about your knee trouble. Here's my two cents for what it's worth and what I would personally consider. You said it's been 20 years since you hurt your knee and you've had 17 surgeries. If you did choose to get a knee replacement you would probably need another before you're 70.You've had almost 1 surgery per year on average since you're injury 20 years ago and that's when you were young. As you get older I'd imagine there's a significant chance that this trend could get worse as we all get weaker with old age.
If I had a chance to have a knee replacement one time and then hopefully only have another in 20 or 30 years time that's 2 surgeries instead of god knows how many more if you continue as you are. It would also relieve pain and you wouldn't have to wear a knee brace every day too.
I'm sure it's scary for you but the possibilities of what you could have to go through over 20-30 years (pain/possible surgeries etc) would make my decision easy for me.
Good luck with whatever you do.
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