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When should I have total joint surgery on my knee?

February 26, 2018

in General, Knee, Orthopedic Physician, Physical therapy, Total Joint Replacement
February 26, 2018
Tagged With: best orthopedic surgeon in Missoula, knee pain, knee surgery in missoula, Missoula Bone and Joint, total knee replacement, when is the right time for knee surgery
 

 

Based upon your history, x-rays and physical exam, your orthopedic surgeon can make some general recommendations. However, you will know when the time is right for you. We will ask you to decide if your discomfort, stiffness, and inability to perform tasks justify undergoing surgery. There is no harm in waiting to have surgery if conservative, non-operative methods can adequately control your discomfort. When your knee pain is stopping you from doing the things you love, may be the right time.

Why does my knee hurt? The bones in your joints are covered by a layer of cartilage. Cartilage is a tough lubricating tissue that provides smooth, pain-free motion to your joints. Arthritis causes the cartilage to wear away, eventually resulting in painful bone-on-bone contact. Pain, inflammation, and stiffness is the result of the bones rubbing against each other.

What is a total knee replacement? This involves surgical removal of the arthritic joint surfaces. Basically the knee joint and the damaged cartilage is replaced with a metal and plastic prosthesis by cementing these components into the bone.

How long does the knee implant last? All implants have a limited life expectancy depending on the patient’s age, weight, activity level and medical conditions. On the average most total knee replacements last between 15 and 20 years.

What are the risks of surgery? Infection (<1%), blood clots, damage to nerves or arteries, stiffness, implant failure, death. To help avoid these complications surgeons routinely prescribe antibiotics and blood thinners during and after surgery.

How do I prepare for the best surgery outcome? Some orthopedic surgeons recommend 4-6 weeks of physical therapy before your surgery to get your muscles around the knee joint and hip in the best possible condition to enhance your recovery after surgery.

How long does it take to recover? Initially it takes approximately 6 weeks for the soft tissue (muscles, ligaments, tendons) to heal. You will begin walking with support (walker or crutches) the day after surgery. Most patients are able to negotiate stairs by 3 days and are discharged to home. You will continue to use support for 3-6 weeks and do your home exercise program. You may ride in a car but will not be able to drive a car for 4-6 weeks. Return to work depends on the type of work you do. Office workers may return as early as 3 weeks.

Here is a timeline guide:

 

Can I kneel on my new knee? After 3 months you may start kneeling. Approximately 50% of patients are able to kneel and 50% cannot kneel due to discomfort.

Do I need physical therapy after my surgery? For the first 6 weeks you will do your home strengthening program that the in-patient physical therapist gave to you at the hospital.  At your 6 week and 3 month check up with your surgeon you can evaluate together if physical therapy may help you get back to doing the things you want to do. Physical therapy can help promote a good range of motion and help to decrease any swelling and stiffness in the joint. It is hard to stay motivated and know how much to move through any discomfort, the support of a physical therapist guiding your through your recovery could be the key to a successful outcome. Physical therapy can address any muscle imbalances as a result of compensating from years of knee pain.

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TESTIMONIALS

“My experience could not have been better. Being 73 years old means that I have seen hundreds of medical staff over the years. Bone and Joint is the best I have ever experienced!”

“I appreciated everything about this urgent care visit.”

“Another great visit and as usual, fantastic staff all the way from check in to seeing Dr.”

“Msla B & J is a well-managed and knowledgeable facility. Everyone was very pleasant and very comfortable to be with. I had a wonderful experience.”

“I had a great therapist who explained what she was doing and why she was doing it. It put me more at ease.”

“My physical therapy has helped me immensely! So grateful for all of her kindness and support.”

“Bone and Joint staff are the very best. They care about your needs. They listen very carefully and do everything to make you feel better. Their bright smiles put you at ease right away. I would never go anyplace else for replacement surgery. I am very pleased with all the staff and their services.”

“Great experience. Everyone from beginning to end was friendly and helpful. I am also happy to have a diagnosis and a plan! Thank you.”

“I have always had a great experience at bone and joint. The doctors and staff are all really helpful, listen closely to my issues and provide exceptional care.”

“All the staff was awesome, from checking in, to the nurse, xray and Dr that saw me. I had moved to Thompson Falls in June and was worried about my knee condition and who to trust, I think my need for cortisone injection in my left knee lead me to the right place! Super thanks to your staff that are amazing folks that seem to really care!”

“I have lived in Houston, TX and Seattle. I think the care I received at the Walk-in Clinic of your facility was the best I have ever experienced. I am 75 years old with lots of experience.”

“The staff were positive, courteous and very efficient. The PA was informative and descriptive about my injury, and about managing my expectations for recovery. Overall a very good experience that I shared with family and friends.”

“I have been there dozens of times, never had a Doctor or Assistant that has been less than professional in my care. The office staff are excellent and professional in their dealings with me and my needs. An A Number 1 operation. Thank you!”

“World Class Care at MB&J. Succinct teamwork, truly the staff always friendly and caring. Just strongly recommended MB&J to someone yesterday.”

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Read our Blog

Well, here is where my story begins. I started out as a patient at Missoula Bone & Joint (MBJ) 22 years ago. I had an accident that left me with a crushed right foot. I was referred to Dr. Jarrett at Missoula Bone & joint. The care I received was outstanding! I thought to myself,… 

Filed Under: Orthopedics, Patient Testimony, Physical therapy
Tagged With: compassion, determination, gratitude, physical therapy, quality medical care, surgical solution
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  • MISSOULA BONE & JOINT
    2360 Mullan Road, Suite C,
    Missoula, Montana 59808

    Clinic, Suite C: (406) 721-4436
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Missoula Bone & Joint provides comprehensive orthopedic care in Western Montana. Our highly experienced orthopedic surgeons specialize in the following surgical procedures: general orthopedics, sports medicine, joint replacement, foot & ankle surgery, elbow surgery, hand surgery, wrist surgery, hip surgery, knee surgery, shoulder surgery, spine surgery and SI joint surgery. Missoula Bone and Joint Surgery Center offers the following services and programs: Physical Therapy, Urgent Care, Surgery Center, Wellness Program, Bone Health Clinic,  Athletic Training Outreach Program, and a Sports Performance Group.

  • Home
  • About Us
    • Why Choose MBJ?
    • Our Mission
    • History of MBJ
    • Back
  • Our Team
    • Find a Provider
    • Physicians
    • Mid Level Providers
    • Physical/Hand Therapists
    • Management
    • Staff Directory
    • Join Our Team
    • Back
  • Specialties
    • Elbow, Hand & Wrist
    • Foot & Ankle
    • Fracture Care
    • Hip
    • Joint Replacement
    • Knee
    • Pain Management
    • Shoulder
    • SI Joint
    • Spine
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  • Services
    • Athletic Training
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    • Digital X-Ray
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