Risks of Knee Replacement Surgery and Osteoarthritis

Updated on December 5, 2017
Patty Inglish, MS profile image

Patty uses her degrees in Preventive Medicine, Psychology, and TKM in research and treatment for public and private health agencies.

Knees are most important for our mobility.
Knees are most important for our mobility. | Source

Positive and Negative Outcomes of Knee Surgery

In this article, I provide my own experience with knee problems and first-person experience with individuals who suffered knee injuries, along with some useful criteria for making decisions for effective treatment.

In personal and professional settings, I have seen many individuals who suffer severe arthritis of the knees and hips. Several underwent knee replacement surgery with good outcomes, while others suffered increased pain and difficulty walking.

The field of joint replacement surgery is advancing in effectiveness, reduced surgery times, reduced recovery times, and overall patient benefit; and each patient can decide the pros and cons of joint replacement with the help of qualified medical professionals.

Examples from Team Treatment Work and Life

In a positive outcome of knee replacement in the 1990s, a female colleague of mine in her late seventies kept the same set of replacement knees for over 25 years, without pain or walking problems. At the age of 75, she was still taking a walk every day and never needed pain medications.

While working alongside physical therapists in the Ohio Industrial Commission Rehabilitation Division, I experienced a case of a woman in her fifties who rejected the idea of knee replacements, even though first and second medical opinions recommended to undergo the procedure. She suffered arthritis, which worsened, and she became wheelchair bound.

A neighbor of mine a few years ago was diagnosed with rheumatoid arthritis that particularly affected the hips, knee, and ankles. Knee and hip replacements had not been recommended; but, this patient was able to gain enough relief through exercise, orally-taken herbal preparations, and dietary changes that her condition improved. Each case is an individual challenge and surgery is not always the answer.

Some Advances in Knee Replacement

Dramatic improvements are underway since the late 1980s at The Ohio State University. Medical scientists and bio-engineers developed a ceramic knee replacement reported to last a lifetime. This relieved patients of the dread of looking forward to new knee replacements every 15 to 20 years.

Another improvement is the development of different replacements for men and women, based in the differences hip angles and lower body structures.

Source

My Avoidance of Surgery

I first injured my left knee at age five, when I struck my left instep against the sharp edge of a concrete step during a fall. The next injury occurred in fall on a gravelly playground at age seven.

At age 19, I sprained the same knee on a trampoline. That was the most interesting injury because it resulted in several occasions of the knee stiffening without pain—I would rise from my desk at school and, later, at work, with my knee remaining bent for a short time.

I sprained the same knee seven additional times over the years. These were all short-lived injuries that healed quickly, but in 2007, I discovered a book about knee health that I use even today. It explains the workings of the knee, how to exercise properly, how to use a proper diet to maintain healthy joints, how to use alternative medical knowledge for the joints, and even some information about how to decide to have surgery or not.

The useful book is called the One-Stop Knee Shop by Jack Jensen, MD, who has worked successfully with several Olympic athletes. It contains several suggestions I still use today, along with much pertinent information given by a qualified medical doctor. I recommend it to anyone with knee problems, as long as they consult their own physician as well. Athletes can also benefit from its contents.

Jack E. Jensen, M.D., F.A.C.S.M. is and has been a well known orthopedic surgeon, a director of a medical Knee Center, a consultant to US Swimming and US Gymnastic groups, and a team physician to Bela Karolyi Gymnastics.

What Are the Complications of Joint Surgery?

Knee Infections and Hospital Infections

Although a rare postoperative condition, a knee can become infected, showing signs of severe pain, joint swelling with heat or warmth, fevers, and inability to walk, bend the knee, or hold one's weight. This can occur with or without arthritis but can worsen the overall knee condition if arthritis is already present. Infections can be mistaken for arthritis.

Hospital infections are an ongoing challenge in hospitals, but many of these facilities have a complete department dedicated to the prevention and removal of such infections.

Obesity and Weight Gain

Morbid obesity works against the successful rebuilding of leg joints. A patient I saw during her rehabilitation with the Industrial Commission after a work-related accident needed to lose 80 pounds before surgery but was unable to do so. Osteoarthritis occurring before and after her accident damaged her knees to the extent that no further time for weight loss could be chanced.

Unfortunately, the first replacements failed and the second replacements provided her with limited range of motion. However, medications for the osteoarthritis help reduce her pain, but her weight continued to increase, given her limited ability to move. This contributed to Type II Diabetes and hypertension.

According to the 2010 discharge data from the Nationwide Inpatient Sample, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality, the in-hospital mortality rate for 721,443 hospital discharges for knee arthroplasty [replacement] was 0.08% [eight hundredths of one percent, small].

— H. Mulcahy. et.al.; American Journal of Roentgenology; 2014

Numbness

Temporary numbness may occur around the knee areas after surgery for an average of six weeks or less, but feeling should definitely return. For example, I recall that after a minor foot surgery, my instep was numb for about four weeks. The knee area may take a little longer.

Fatigue

Surgical patients often feel tired for a matter of weeks after surgery, but this should pass. Alert your physicians if you feel that fatigue is not declining.

Scar Tissue

Some individuals produce larger amounts of scar tissue than do others, and I have seen a few cases in which additional surgery has been necessary to remove accumulated scar tissue around knee replacements. Ask your physician and surgeon about this possibility before you attempt knee replacement surgery.

Failure Because of Delaying Surgery

One of my back-pain patients with the Industrial Commission was to have knee replacement surgery on both legs to relieve osteoarthritis and injuries connected to military service and factory work. He agreed to only one knee surgery the first time, having staved off pain with alcohol consumption for a period of years.

When he awoke after the procedure, he was informed that the knee replacement could not be accomplished, because the knee was in too deteriorated a condition. The bones had to be fused, eliminating the knee joint entirely. Unfortunately, he became wheelchair bound.

Results of Neglecting Physical Therapy and Exercise

I have worked with dozens of joint and back injury patients and found that they must attend all of their physical therapy sessions as scheduled and perform prescribed exercise on other days in order to see and maintain improvement.

After physical therapy is terminated, these individuals must continue to exercise in prescribed drills at least three times per week, in my experience. Some cases require exercise six times a week—once or twice a week sometimes produces no results at all.

This is an individual matter, but I think almost daily exercises are vital.

Failure to Have and Use Properly Fitted Shoes

Wearing the wrong type of shoes can lead to joint problems before and after knee replacement surgery.

Those folks that I have seen in practice improved best when they wore well-constructed shoes with a good arch support. In fact, one patient was able to wear four-inch high heels for work, just six weeks after surgery.

Additional Arthritis Post Surgery

A patient in a clinical psychology practice where I worked suffered additional arthritis after knee replacement surgery, according to her physician's reports. Pain increased with the spread of arthritis, and relaxation exercises helped somewhat.

Arthritis spread into the remaining bones of the legs and progressed into the back and even into some muscles (certain arthritis can attack muscles). It is important to maintain follow-up treatment with one's surgeon and general practitioner after surgery, because preventative treatments for arthritis may be appropriate.

Failure to Obtain a Second Opinion

Second and third opinions about the advisability of knee replacement therapy should be obtained and then the decision should still be carefully considered.

One item to consider is the type of hospital to which you will go for your surgery:

  • Teaching hospitals at universities can produce superior results since they are likely able to access the latest research and surgical techniques.
  • Orthopedic hospitals that specialize in join surgeries produce the most positive outcomes.

The best course of action is likely to read everything you can about knee replacement surgery, learn about the hospitals and doctors that will treat you, get a second and third opinion, and weigh all of the information carefully in making your decision.

Source

Other Risks in Knee Replacement Surgery

  • Blood clots, and not always in the knee/leg region. A clot can damage the lungs or brain.
  • Fractures in the bones of the leg during surgery, especially near the knees—Surgical cement is being used instead of metal screws, in many cases, and this damage is thereby avoided.
  • Neurological Involvement: 1) a type of palsy in the legs and/or 2) Restless Legs Syndrome
  • Pain and stiffness in some cases
  • Psychological involvement, particularly depression
  • Tissue death from over-long tourniquet use
  • Vascular disease associated with the tourniquet required on the leg during surgery

If you are considering joint surgery, make sure to understand the possible negative results of the procedures required. Read all the paperwork your doctors provide and ask them questions.

Source

Making a Decision About Knee Surgery

If left untreated, arthritis in the knees can become crippling. Sometimes non-surgical treatment does not even work. However, sometimes knee replacement surgery is not as successful as it might be in certain cases. On the other hand, dramatic improvements in knee replacement parts and therapy techniques make for a better picture for the future of knee patients.

The keys are

  1. Patient education and
  2. A partnership between doctor and patient to work together for the best possible outcome in each unique case.

Sources

  • Balato, G., Di Donato, S. L., Ascione, T., D’Addona, A., Smeraglia, F., Di Vico, G., & Rosa, D. (2017). Knee Septic Arthritis after Arthroscopy: Incidence, Risk Factors, Functional Outcome, and Infection Eradication Rate. Joints, 5(2), 107–113. http://doi.org/10.1055/s-0037-1603901
  • Jack E. Jensen, M.D., F.A.C.S.M. One Stop Knee Shop. Booksurge; 2007.
  • Meier, E., et al. (2016). First clinical study of a novel complete metal-free ceramic total knee replacement system. Journal of Orthopaedic Surgery and Research 2016 11:21
  • Mulcahy, H., & Chew, F. S. (2014). Current concepts in knee replacement: complications. AJR. American Journal Of Roentgenology, 202(1), W76-W86. doi:10.2214/AJR.13.11308
  • Zanasi, S. (2011). Innovations in total knee replacement: new trends in operative treatment and changes in peri-operative management. European Orthopaedics and Traumatology, 2(1-2), 21–31. http://doi.org/10.1007/s12570-011-0066-6

Questions & Answers

  • How do you improve balance after knee surgery?

    The U.S. National Institutes of Health suggest using a balance-oriented exercise program designed for people with leg-joint problems and people of advanced age ("Physical Therapy" 2010 Jun; 90(6): 880–894).

    The appropriate exercise program may include treatment of swelling, followed by the range of motion work, strength training, and walking.

    If you do not have access to a physical therapist, ask your physician for a set of exercises to perform. Your general practitioner or surgeon likely has printed instructions with graphics that will help you follow the program.

  • I have Osteoarthritis. Is it likely that I will need to replace my other natural knee (I have one replacement)?

    Each case is individual and needs a surgeon's specific recommendations. However, I know that some patients who had one replacement eventually needed the other knee replaced as well; the natural knee remaining was already weakened and eroded by OA and continued to worsen after the first surgery.

    Other patients have unilateral OA, which affects just one knee and after a replacement, their other knee does not erode. OA in both knees is called "bilateral osteoarthritis," and some people do need both of the knees replaced at once or one at a time. Sometimes, the OA is not noticed in the second knee until after the first knee is replaced, so it is always best to have a physician and a surgeon following your case to help you determine exactly what is occurring. New techniques and ways of examining knees are always developing, so have hope for your own case to be solved more easily than expected.

  • Is it normal to feel a popping in my knee after knee replacement surgery?

    Every patient experiences surgery differently to a degree, so I advise you to ask your doctors this question, especially your orthopedic surgeon.

  • What are the drawbacks to ankle replacements? I have not found anyone in East Tennessee that wants to do one.

    Ankle replacements can be expensive, some insurance companies quoting a price of over $40,000 per ankle, with the successes lasting up to 20 years. Even after surgery, a patient may suffer chronic pain. Regenerative Medicine in the late 2010s has developed several techniques for repairing ankles that include growing new bone and other tissues. Erlanger Baroness Hospital in East Tennessee -- 975 East Third Street; Chattanooga, TN 37403. Chad Ferguson, M.D. does the procedure in Knoxville and has three locations. Increasing numbers of providers can do the procedure all over Tennessee, having seen many successful total ankle replacements.

© 2008 Patty Inglish MS

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    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      2 months ago from USA. Member of Asgardia, the first space nation, since October 2016

      @GlenR - Thank you for sharing your healing experiences connected with your knee replacement.

      Patient compliance is indeed often a problem regarding exercises post-op. I recall one patient I knew that would do a daily exercise only twice per week, so recovery was an extremely long course. She was never able to bend her knees more than about 40 degrees from the straight-leg position again in her lifetime and had extreme difficulty climbing steps.

      If we can help motivate patients despite the initial recovery pain, that's a good thing.

      Best of health to you!

    • Glenis Rix profile image

      GlenR 

      4 months ago from UK

      Your assessment of the pros and cons of TKR is well balanced. I had the operation six years ago. I had suffered from increasingly severe pain for several years before I sought help. The initial recovery period was the worst experience in my life but after that was over I felt that I had been given a new lease of life. It was wonderful to be able to move around and sleep without pain. I feel that unsatisfactory outcomes associated with this surgery are often because patients are unwilling to do the extremely painful post-op exercises assiduously - but they are essential.

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      8 months ago from USA. Member of Asgardia, the first space nation, since October 2016

      Hello Richard,

      I do not know the specific answer regarding stem cells, but I know who you can ask--

      Instead of some replacements, knee and hip *preservation* is done at the Ohio State University via minimally invasive Subchondroplasty by Dr. Kelton Vasileff. This may or may not be a possibility for you. The OSU medical center webpage says you can contact him for information and advice at (614) 293-3600.

      In the Denver and Colorado Areas, try contacting a great specialist, Dr. Craig Loucks at 5060 S. Syracuse Street; Denver, CO 80237; Phone (303) 699-7325; email info@craigloucksmd.com. He has other offices as well and his website contains several videos of procedures and also mentions STEM CELL INJECTIONS.

      Either of these doctors may be able to tell you how they would handle your immune system in light of your transplant and regarding knee surgery. The fight against infections is making advances every day, so be encouraged. Surgeries are also becoming less and less invasive, so there is hope!

      Let me know how it goes and if I can answer any more questions or find other resources for you.

      Patty

    • profile image

      Richard 

      8 months ago

      I am a 74 year , I had a kidney transplant 20 years ago , I am a retired Industrial Maintenance Mechanic after 52 years of in and out of machine my knees got worse . I had knee surgery and because of my week immune system and high risk for infection and high blood pressure I almost lost my leg because of staff infection. I was going to have knee replacement this year but I decline it because of my health history . what are my chances with stem cell injections

    • profile image

      Anna 

      6 years ago

      I think you should strengthen your quads . Leg raises 5 second hold, tighten quad thigh muscles & relax do ten on each leg. Then sit level with your leg straight in front of you and pull back the knee cap using your quad muscle hold for 5 seconds then let go do as many as possible. If you do 100 that's fantastic strength your giving, after a couple of weeks you'll be surprised at your walking ability. Sorry on magic potions yet but I'm working on it, trust me, miracles come once every 100 years I believe.

    • profile image

      judyo 

      7 years ago

      I have osteoarthritis and I have bone on bone on one half of my knee. Should I get a partial knee replacement or a total one. Doc mentioned a total one. I am 65 and overweight as haven't been able to do exercise or walk much. What do you all think and what device is best.

    • profile image

      debbie 

      7 years ago

      am 46 have told carnt have knee replacement inconcent pain they have dischargme

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      7 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      I don't have access to Malaysian directories of phsycian specialists, but I hope that readers will see this and offer some names.

      Stem cell treatment, using the patient's own cells, is becoming more widely used for a variety of conditions and may hold hope for the knees as well.

    • profile image

      Nadia 

      7 years ago

      My mother is 63 years old. She has osteo-arthritis. She started Glucasamine almost 1 ans half year ago. Until a year ago she could go for long walks in the park. Since then she had to be very careful as her knees especially her left knee starts to ache. We have been getting couple of mixed reviews from the doctors regarding her treatment. While the doctors have been saying that her knee isn't in that bad of a shape yet to require a knee replacement surgery, her walking is very limited and she has to be extremely careful (like no shopping or climbing stairs) or she starts to experience pain. The doctors suggested for synvisc injections or even stem cell treatment. Would greatly appreciate any guidance and referral for good doctors/centres for consultation in Malaysia. I lost my father earlier this year and so am very anxious to help my mum get the right treatment.

    • profile image

      Jenny 

      7 years ago

      Do everything possible before getting a knee replacement. Believe me!

    • quuenieproac profile image

      quuenieproac 

      8 years ago from Malaysia

      I go for acupuncture at our Malaysian hospital where we have excellent acupuncturists from China, the relief from the knee pain is fantastic! They also prescribe herbal medicine but I am wary of the side effects so I do not take them . I also go for regular reflexology for soothing massages. I take glucosamine , need to go on a strict diet to reduce the pressure on my legs and have to exercise more to strengthen my legs. Eventually if my situation worsens I may need shots or knee replacement surgery. Meanwhile I pray and thank God for pain free knees with these short term measures.

      Thanks for the info in your hub.

    • Gigi2 profile image

      Gigi2 

      8 years ago from UK

      Great hub, which I read with great interest as I am about to have a partial knee repacement, see my hub - Doubt. Great advice and research, thanks, thumbs up.

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      8 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Be encouraged for that weight loss. I've seen replacements not work because they were done for folks that were more than that amount overweight. Sounds like you're fending well and using your surroundings and equipment to your benefit, alice. Best wishes to you.

    • profile image

      alice 

      8 years ago

      I've got pretty nasty osteoarthritis, worse in one knee than the other and use a brace, which helps a lot to keep the bone ends from rubbing. Lately I haven't been able to use the brace because it bothers my circulation so I got myself a folding cane and when I get that "Igor" thing where I can barely lift my legs I can use two canes. So far it's been great and I can really clip along so fast I get out of breath so it's going to help me get more out of my walking exercise so I can lose a bunch of weight. I go to the pool and do a lot of exercise there where it feels so nice to not have all that weight on my knees. I go to sleep pretty early, get up early, and rest quite well. I'm kind of avoiding knee replacements until the technology gets a whole lot better and of course until I manage to lose about 100 pounds. Fingers crossed!

    • profile image

      brtaiwo 

      8 years ago

      I have an old woman suffering such pain. I hope this works for her.

    • profile image

      AG 

      8 years ago

      What is MRSA ? I am searching possible treatment for my mother's knee problem. She is in her late 60's. I even remember her suffering from leg pain when I was little. Now her knees are painful severely and stiff. She can barely walk. She lives in India. I just sent her Flexin (Glucosamin & chond supplement) along with ca supplement. That's all I could do for now. Any other suggestion...

    • Pollyannalana profile image

      Pollyannalana 

      8 years ago from US

      Great Info and I know I will have to come back and study more thoroughly, great info I can certainly use.

    • profile image

      Carol Foster 

      9 years ago

      Re: the woman who put on 4 inch heels after the surgery. Since a good built in arch support is important, I'd like to know what brand of shoe that was. Seriously, I've never seen a shoe with good built in arch support and I've seen a lot of shoes in my decades. If someone needs arch supports, shoes aren't going to have them. Any comment?

    • Win2Win profile image

      Win2Win 

      9 years ago from Wales

      Thanks for the article, I'm heading towards knee replacement, but hopefully I can keep what I have managed for as long as possible.

      I've already had a total jaw replacement for over 7 years now and had no problems with that, although the post-op care was pants with 3 cock-ups by the staff.

    • franciaonline profile image

      franciaonline 

      9 years ago from Philippines

      Very informative hub! Thanks.

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      9 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      anitariley65! - yes, keep going to OSU. They've made great strides in knee health. Cortisone sounds dangerous.

    • anitariley65 profile image

      anitariley65 

      9 years ago from Little Town Ohio

      This is awesome Patty. I have had bad knees for over 10 years. I had been getting cortisone shots in both of them until I got MRSA in the right one. I ended up having 2 arthro's in one week to clean out the infection. That was almost 4 years ago and that same knee is still doing great. I have osteoarthritis throughout my body, but when they cleaned up that knee it sure made a difference. I hesitate greatly at the thought of getting another shot in the other knee. Cortisone sure puts on the weight. And the added weight just makes the knees and hips worse. The advice about finding younger Dr.s is great. My PCP always sends me to OSU here in Ohio because they are finding new things every day for everything. Keep up the great work. Some people just don't know what options are out there.

    • profile image

      John 

      9 years ago

      Great article. I sent it to my Aunt and highly recommend that she read it...

    • Lgali profile image

      Lgali 

      9 years ago

      very good article

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Get a least 1 second opinion, and consider getting 2 second opinions - call teh medical bureau and ask for a list of doctros to see, Ask these doctors that you choose if artificial cartlage can be implanted or if the arthritis has prevented that. I would look for younger doctors that are more likely to work with patients and not give up. Best wiahes to you both.

    • Netters profile image

      Netters 

      10 years ago from Land of Enchantment - NM

      Great information. My husband is considering knee replacement. The VA doctor told him there was nothing more they could do for his knee. Right now it's rubbing bone-on-bone. He got hurt while in the Marine Corps and had ACL Reconstruction in 1988. Over the years, he now has arthritis. We really don't know where to go from here. Probably get a second opinion from a civilian doctor. He's only 46 years old. Thank you for all this information.

      Jannette

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Sports Physio! _ Thanks for alerting readers about all of this remarkable information. My first Korean martial arts instructor told us that leg and especially knee strength would ward off the effects of old age and he was correct. I can support your evidence by saying that after 26 years of the training, I have no sign of oestoarthritis, even after ankle surgery. I am so blessed by people like you and my instructor that give out such good information!

    • profile image

      The Sports Physio 

      10 years ago

      Hi Patty,

      A useful "Did you know?" for your readers!Quadriceps muscle (at the front of the thigh) weakness is a risk factor in women for development of osteoarthritis, implying that knee strength training can prevent degenerative knee joint disease.

      For those who have it already though, its not the easiest batch of exercises to undertake because of the need to load the knee joint. Still - if sleep before 12 is a key, so too is preventative strength training.

      Keep well.

      Reference: Bennell, K., & Hinman, R. (2005). Exercise as a treatment for osteoarthritis. Curr Opin Rheumatol, 17(5), 634-640.

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      I'll go read it right now...

    • ProfoundPuns profile image

      ProfoundPuns 

      10 years ago from Maryland, USA

      I've finally finished writing about my mom's knee. Let me know what you think. Thank you.

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      ProfoundPuns, I'd be happy to look at your Hub for you. I feel bad for your mother, so I hope something can be done.

    • ProfoundPuns profile image

      ProfoundPuns 

      10 years ago from Maryland, USA

      My mother had knee replacement surgery over a year ago, and everything has gone wrong. I will be writing a Hub on her unique case, possibly later tonight or sometime this week. Do you think you could take a look at it (once it's written) and see if you have any suggestions for her?

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      10/03/2008

      SALT LAKE CITY (UPI) -- The supplements glucosamine and chondroitin sulfate perform no better than placebos in slowing the rate of cartilage loss in the knees, U.S. researchers say. University of Utah researchers said their ancillary study was conducted concurrently on a subset of patients enrolled in a larger trial The primary objective of this ancillary study was to investigate whether the dietary supplements could diminish the structural damage of osteoarthritis. The study, published in the October issue of Arthritis & Rheumatism, found none of the agents had a clinically significant effect on slowing the rate of joint space width loss -- the distance between the ends of joint bones as shown by X-ray. However, the researchers observed that all the study's participants had a slower rate of joint space width loss than expected, making it more difficult to detect the effects of the dietary supplements and other agents used in the study. "At two years, no treatment achieved what was predefined to be a clinically important reduction in joint space width loss," Dr. Allen D. Sawitzke said in a statement. "While we found a trend toward improvement among those with moderate osteoarthritis of the knee in those taking glucosamine, we were not able to draw any definitive conclusions."

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Sincere congratulations!!! I'm your fan for life!

      Dancing for joy --

      Patty

    • Clareo profile image

      Clareo 

      10 years ago from New Zealand

      Hi allI requested this hub 3 months ago...and I wanted to follow up with what happened. I fired my surgeon, took my notes and MRI results and went to a Professor of Surgery who specialised in knees and hips.His advice was:1 Stay away from surgeons2 While sitting down, bring your leg up to parallel, and lower from the knee just a little (before any creaks or grating occur - hard as I had very gratey knees), and repeat, holding it 10 seconds each time, and repeating 10 times. This was to focus and strengthen my thigh muscles.3 Add a weight to your ankles (I bought 1.5KG ankle weights), and do this RELIGIOUSLY 3 times a day...which I did and have now been able to stop without ill effect...although he said to make it a lifetime routine...I still do now and then.He GUARANTEED that I would experience 75% improvement in my knee, - I hadn't been able to walk to the corner (one house away from our home) without severe discomfort for 6 months - and was very worried about having surgery at 40 years of age. I have three young kids and wanted to be active again and enjoy them.Within a WEEK of this religious routine, I had experienced 75% improvement - and now barely notice my knees at ALL! It is nothing short of a miracle for me.I scooter or ride my bike to school with the kids each morning - or occasionally even walk the kilometre each way!!!!!!!!!!!!!Thank you God for the healing - and thank you for all your helpful advice and information which was awesome. It was really appreciated that you cared enough to share with me your expertise Patty.I have started to hub now about how much Glen (my husband) and I are enjoying the children - inspired by you all participating in this hub too! Check out Daddy's Diary (Glen is the better writer by far - so he is the author).God bless and thank you all.

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Couple of examples-

      A woman in her 20s came to me with rheumatoid arthritis and was told by her physician she'd be in a wheelchair in 12 months and dead in another year after that. Within 3 years, she was arthritis free, certified by her physician. Exercise, mental relaxation, and diet changes, along with herbal supplements she grew herself did it - plus prayer.

      A young teenager in middle school was a toe-walker, with knees that would not open more than half way. The family had reached its limit on physical therapy and treatment by insurance. Within a little over 2 years with my program, he was compeltly cured of all joint problems and was playing on his high school football and basketball teams. Not only that, he was taken out of special education classes and mainstreamed. He graduated from college when school and doctors said he would not even be able to get in. The family saved $60,000 by not submitting him to surgery in the mid 1990s.

      Surgery to me is always the last resort.

      Thanks for reading, Everyone!

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      I don't know what you're implying - I work with preventive medicine and alternative medicine contnually. I'm the one that gets people out of wheelchairs here.

      I've already stated in this article that some arthritis can indeed be reversed and prevented via diet, exercises, and other therapies. You must not have understood.

      Please add any other tips you have that will help others. Or we'd be pleased to read your own Hub on the subject as well.

      It is up to individual patients and those who seek prevention to work with their doctors and to read all they can about the subject, and Hub Pages is a step toward that increased knowledge.  

      As for treadmills - I don't like them for a variety of reasons.

      Thanks for the post.

    • tinyteddy profile image

      tinyteddy 

      10 years ago from INDIA

      PATTY

      good to post this kind ofstuff here but i would prefer it to be much more authentic with due respects to you

      do you know that the treadmill itself causes arthritis?not all but certain ones unsuited to specifications

      each and every patient contributes to learning medicine. it is not that we fit what is readymade to suit the patients

      sadly nowdays medical equipment companies and pharma dictate to the doctors

      a lot of osteoarthtritis can be doneaway without knee replacement treatment

      but google ads may not be happy though it is good news to the patients themselves

      sorry if i had barged in but then i know you are a good hubber i only want you to be more responsible.

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Best wishes and prayer for you going up now, Clareo - my hopes are that very little, if any, surgey should be done. Nutritional supplements sometimes help as well. Best success to you! - let us know how it's progressing, please.

      Patty

    • Josh Tam profile image

      Josh Tam 

      10 years ago from Kch

      Clareo, be sure to get enough sleep... ;D

    • Clareo profile image

      Clareo 

      10 years ago from New Zealand

      Thanks for all your advice..what a great post. It is really helpful...I am nearly 40, and looking at severe OsteoArthritis in both knees...about to have my first surgeon appointment after the diagnostic MRIs....it is good to have a little information before I am faced with big decisions.God bless you all.Clare

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Thanks Decrescendo - I sprained both kees a the same time one summer and was imboilized for a dew days. I'd hate to have bad knees from arthritis and am fortunately not prone it Thank God. In a few years knee replacements will be much better and easier to take, so there is hope fo rknee suffers.

      Thanks for your post!

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Haha - That's smart thinking, though. You'll be healthier than most at 100! :)

    • Josh Tam profile image

      Josh Tam 

      10 years ago from Kch

      Patty, you are welcome. But FYI, sleeping during 10-12 is very hard for most people, cause they are always either too busy and have some night work to do at that time, or they wanna watch TV. It's like they always have something to do at night.

      I'm no exception, but I'm always trying my best to get everything done by 10pm. I'm only 20+ but I have to start worrying about my old days... :D

    • Patty Inglish, MS profile imageAUTHOR

      Patty Inglish MS 

      10 years ago from USA. Member of Asgardia, the first space nation, since October 2016

      Josh - Thanks, I hope people try that and have better knees because of it.

      Zsuzsy - What an amazing story! I am very happy for the woman with new knees.  The surgery here in the states has already been reduced in the time needed to perform it, and with alternative treatments, in 10 years we may have this problem pretty much liked - People will have choices other than surgery, but surgery will be easier, if research keeps presenting new improvements. 6 months to clogging - a miracle!

      Cavyl - thanks for visiting!  Technology certainly is amazing.    

    • profile image

      Cavyl 

      10 years ago

      Very useful information that can be used by anyone considering any type of surgery. Like you said the keys are patient education and doctor/patient relationship. Technology has certainly come a long way.

    • Zsuzsy Bee profile image

      Zsuzsy Bee 

      10 years ago from Ontario/Canada

      Patty! Isn't this just so amazing. 25-30 years ago these type of opportunities were only on TV shows. One of my favorite customers at my sewing shop (79 years old) walked around with two canes for the most part of 5 years before her children were able to persuade her to get her knees done. From what I gather very few surgeon will do both knees at the same time...they did with her. 3 weeks later she was walking, still with a cane (she came in for a fitting). 6 weeks after surgery she walked without cane. 6 months after she joined clogging dance classes.

      another great hub. regards Zsuzsy

    • Josh Tam profile image

      Josh Tam 

      10 years ago from Kch

      I know a very inexpensive way to cure/avoid osteoarthritis. Sleep roughly at 10pm. At 10-12 at night, the body can replenish itself and rebuild worn-out tissues, including the knee. Providing you sleep at that time!

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