Knee Pain Answers: Reason Why Surgery and Medications May Be a Bad Idea

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Berkson doesn't seem to have a firm command of science-based medicine. The article starts out strong, recommending the most effective therapies, but then wanders into unproven therapies, and concludes with Berkson making an unscientific recommendation for the most wildly ineffective treatment of all: acupuncture.

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The most effective treatments, according to Dr. Berkson, are physical therapy and weight loss. Next is a discussion of chondroitin and glucosamine, two very popular supplements that are often used to treat joint pain. The conclusion: celecoxib worked, but the supplements did not. Perhaps he's referring to patients with moderate to severe pain from the GAIT study, but the article doesn't explain if that's what he means.

The article then describes three different treatments that involve injections of various substances into the knee. It's supposed to help lubricate the joint, which sounds plausible: after all, we lubricate machines to keep them running smoothly. For hyalonuric acid, the answer is simply no. Oh my. Aside: I might seem to be picking on Dr.

Berkson here, but I think his responses are probably typical of many practicing doctors. It's worth trying if other things aren't working for you.

Despite Dr. Berkson's comment, the science doesn't support him. Berkson's recommendation is akin to a shrug: while admitting that he doesn't know why it might work, he just says to give it a try. It usually needs to be treated with another surgery. But this problem is not common. Blood clots. These can be dangerous if they block blood flow from the leg back to the heart or move to the lungs. They are more common in older people, those who are very overweight, those who have had blood clots before, and those who have cancer. Wound-healing problems.

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These are more common in people who take steroid medicines or who have diseases that affect the immune system, such as rheumatoid arthritis and diabetes. People who have any sort of artificial material in their bodies, including artificial joints, have a risk of infection around the material. But infection is rare. There is also a small risk of infection with any surgery. Instability in the joint.

The knee may be unstable or wobbly if the replacement parts are not properly aligned. You may need a second surgery to align the parts correctly so that your knee is stable. The usual risks of general anesthesia. Problems from anesthesia are not common, especially in people who are in good health overall. But all anesthesia has some risk. What do numbers tell us about the benefits and risks of knee replacement?

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Results of knee replacement surgery Outcomes after surgery Number of people All or almost all pain goes away within 6 months after surgery 80 out of footnote 1 Need for repeat surgery within 10 years 5 to 12 out of footnote 2 , footnote 3 , footnote 4 , footnote 5 , footnote 6 Heart attack within 3 months after surgery 1 out of footnote 7 , footnote 8 , footnote 9 Blood clot in lung within 3 months after surgery 1 out of footnote 7 , footnote 8 , footnote 9 Serious joint infection within 3 months after surgery Less than 1 out of footnote 10 footnote 8 , footnote 9 Death within 3 months after surgery Less than 1 out of footnote 7 , footnote 9 , footnote 8 Pain relief with surgery The evidence about knee replacement surgery suggests that most people are happy with the results.

Serious problems that can occur include: Serious joint infection. Within 3 months after surgery, 1 out of people will get a serious infection. This means that 99 people out of will not get an infection. Within 3 months after surgery, 1 out of people will have a heart attack. This means that 99 out of will not have a heart attack. Within 3 months after surgery, 1 out of people will have a life-threatening blood clot in the lung. This means that 99 out of will not have a life-threatening blood clot in the lung. Within 3 months after surgery, less than 1 out of people will die.

This means that more than 99 people out of who had the surgery will not die within 3 months. Why might your doctor recommend knee replacement surgery? Your doctor might recommend knee replacement if: You have very bad arthritis pain, and other treatments have not helped. You have lost a large amount of cartilage. Your knee pain is keeping you from being active enough to keep up your strength, flexibility, balance, or endurance.

You don't have health problems that would make it dangerous for you to have surgery. Compare your options. Compare Option 1 Have knee replacement surgery Try other treatment. Compare Option 2 Have knee replacement surgery Try other treatment. Have knee replacement surgery Have knee replacement surgery You may be asleep during this surgery.

Or you may be awake but numb from the waist down. You will probably have a short stay in the hospital, but some people go home the day of surgery. You will need several weeks of physiotherapy, including exercises you can do at home. It usually takes people 2 to 3 months to get back to doing their usual activities. But it may take a little longer than that for some people.

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A full recovery may take 6 to 12 months. Most people have much less pain and are able to do many of their daily activities more easily.

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Risks include: A blood clot. Infection or wound-healing problems. A heart attack. Possible side effects: Your knee won't bend as far as it did before you started having knee problems. You may need to avoid activities that put a lot of stress on the joint, like running or playing tennis.

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You may eventually need another replacement, because the artificial joint can wear out. Try other treatment Try other treatment You can try exercise, weight loss if you're overweight , medicines, joint injections, or, in some cases, another type of surgery. You can try using crutches, braces, and other types of walking support to help ease the stress on your knee. You avoid the risks and side effects of surgery.

checkout.midtrans.com/alfarp-quiero-conocer-chicas.php You avoid months of physiotherapy, although exercise is still important. The strong medicines used for severe pain may cause constipation, mental confusion, drowsiness, and nausea and vomiting. Steroid injections can cause pain and swelling in the knee. There are no bad effects from home treatments such as staying at a healthy weight, exercising, and using heat and cold therapy.

If you decide to have surgery later, and your limited activity has already caused you to lose strength, flexibility, balance, or endurance, it may be harder to return to your normal activities. Personal stories about knee replacement surgery for osteoarthritis These stories are based on information gathered from health professionals and consumers. What matters most to you? Reasons to have knee replacement surgery Reasons not to have knee replacement surgery. I have more bad days than good.

I have more good days than bad.

I'm worried about needing another surgery in 10 or 20 years. I'm very worried about problems from surgery. My other important reasons: My other important reasons:. Where are you leaning now? Having knee replacement surgery NOT having knee replacement. What else do you need to make your decision? Check the facts. Yes Sorry, that's not correct. Knee replacement surgery should be considered only when other treatments—such as exercise, medicines, physiotherapy, and a change in your daily activities—haven't worked to ease your symptoms.

No You're right. I'm not sure It may help to go back and read "Get the Facts. Rehabilitation after knee replacement surgery is usually intense and requires daily exercises for several weeks. No You are right. Yes You are right.