Just went over my 2 mouth mark of TKR on R knee. Still in a lot of pain. There is still a lot of swelling, swelling and pain henders my PT alone with no sleep. I just believe that this will be a long tough road.😥😭
@RevCelesteАй бұрын
Thanks
@Rae-yv7md2 ай бұрын
Barbaric surgery. Intense pain and now even surgeons are afraid to give adquate pain relief. Sorry but i find your explanation cowardly.
@paulb.jacobdo10442 ай бұрын
The United States makes up 4.4% of the world's population, and consumes over 80% of the world's opioids. The US consumes approximately 99% percent of the world's hydrocodone. We have a problem and opioids are not the only answer. I feel for you, I really do. The answer is not more opioids. The answer is multimodal pain control. I truly hope you find relief. www.health.state.mn.us/communities/opioids/prevention/painperception.html#:~:text=The%20United%20States%20makes%20up,80%25%20of%20the%20world's%20opioids.
@Insolation12 ай бұрын
Like getting a new liver and then continue drinking, play stupid games and you'll 'eventually' win stupid prizes.
@rayclark4742 ай бұрын
I had to have a knee revision a few years ago, I was referred to another surgeon in the group and I trusted my ortho Dr to do me right. I didn't do my due diligence and research this dr, look at reviews etc. Day of surgery I asked about post op pain management, being in pain management for years I had developed a high tolerance for pain meds. He said he would adjust as needed, he lied. I had to spend 4 days in the hospital and get IV antibiotics to prevent infection and he only allowed 1 5mg norco(vicodin) every 6 hrs. Now, I was on 20mg vicodin ER before so what he allowed did nothing. One of my nurses saw my pain and sent in the in house pain management team, they changed to 10mg oxy every 4 hrs and .5 unit dilaudid every 4 as needed. Surgeon saw this, came in and ripped me a new one saying I didn’t need it, I said the nurse contacted them, NOT me. Needless to say I was miserable, now I need my other knee done and am looking for a different Dr. ALWAYS ask about post op pain management in your first appt, make sure they know if you are already taking pain meds and are open to adjustments as needed.
@johnmartin46504 ай бұрын
Very painful afterwards .
@Stardancer7004 ай бұрын
This is 2024, I am having bilateral knee replacement surgery in May of this year. This program has been extremly helpful. I want to have pre op exercise I wonder if insurance covers that. Some friends believe I am crazy to do it together. Since my knees are bone on bone I think it makes sense to do them at the same time. Any thoughts on this_
@angieadcox1954 ай бұрын
It is not a good idea to have them both done at the same time. You will be miserable. It’s a roller coaster on pain and emotions. Just do one at a time. You will be glad you did. Good luck to you
@Stardancer7004 ай бұрын
@@angieadcox195 Thank you.
@smackinkraken72882 ай бұрын
I had bilateral total knee replacements 10 months ago. As I said to the surgeon later, if I only had one knee done at a time, I would never go back for the second. I was fit and really put an effort into the 'Pre-hab' exercises for three months prior and put in a big effort into my rehab exercises after the operation. Thank the Lord that I did the Pre-hab because the pain was like nothing I had experienced before (and I have had several significant injuries including broken bones, a gunshot wound, and a high-speed motorcycle accident). Nothing had prepared me for the pain of getting out of bed after the operation. Without post-op oxycodone there would have been no way I could have done my rehab exercises as well as I did. As others have commented, the medical staff do not want you to get addicted and they are very cautious about giving you oxy. Panadol is a poor substitute and I really noticed the pain as they wean you off the oxycodone. That pain at doing simple tasks really knocked me around physically and mentally. (I was thinking there would definitely be a PHD for anyone who looked at post-op depression in Bilateral TKR patients). My advice is to put the effort into your rehab in hospital and continue when you are discharged. Focus on the little indicators of getting better each and every day. Push too hard and you will regret it - push too little and your range on movement in your legs will diminish. Definitely a balancing act. Recognising those little improvements will keep you positive. Good luck with your op.
@lorinelson48124 ай бұрын
I am one month post-op and I love my new knee (left). It feels tight, there still is pain, but it is a good, healing pain.
@wutz4tea5 ай бұрын
This was very good. Filled in some blanks to what I've already learned and answered some questions as well. Nice to hear the doc is from Akron. About to have lefty knee done at Cleveland Clinic in Bath, Ohio near Akron.
@mildredlyon40286 ай бұрын
New buzz word by surgeons for not prescribing appropriate opiate pain mgmt post op is multimodal pain mgmt. Run!
@Mickey-jn8hz7 ай бұрын
I will be one month post-op January 11, and I am taking Oxi 9AM and 9PM, if I have breakthrough pain in between I will take 2 extra strenght Tylenol during the day. I tried oneOxi but did nit work. Will be glad to get rid of the opioids and the side effects…..is this good or am I relying too much on pain pills? At night is the worse…can’t find a comfortable position and wake up around 5….not getting enough sleep.
@Brenda-xw3fr7 ай бұрын
Why does no one mention pain meds are constipating! It adds to the problem.
@kathygildea20256 ай бұрын
Yes it does, makes the pain so much worse! I called my nurse practitioner, and they suggested Murillo, can be taken 1 times daily, and of course do not forget your stool softeners ❤️
@lorinelson48124 ай бұрын
Drink your prune juice.
@JimRedland8 ай бұрын
Dr Jacob’s explanation is probably the best I’ve heard….Thank you.
@JimRedland8 ай бұрын
Excellent
@joblink1008 ай бұрын
Very happy with my Hip Dr. Jacob put in Jan. 2019, No problems.
@joblink1008 ай бұрын
I went to a nurseing home for 2 weeks, was up and going when i got home with my walker.
@yogeshjoshi41199 ай бұрын
Hello docter How r u ? Docter, i was the patient of AVN last 15yr and on 16 sep 2023 i have done my Right hip replacement, before surgery my right hip was 2 to 3mm already increase which i was don't feel much but after total hip arthoplasty it increase 8mm & i feel lot of Changes. So, my question is why it happen and how it canbe correct ? Please please answer me and explain. Thanks & Regards Yogesh joshi ( Newdelhi, India)
@mdalamin-cc8eh10 ай бұрын
sir❤❤
@B6east Жыл бұрын
I have suffered bilateral knee pain for over two years, have been through ALL of his suggested treatments and procedures, including radio frequency nerve ablation on both . I am scheduled for the left one in 30 days (🎉😊🎉), and plan on having the other knee done approx 6-8 weeks later. My friend said she hadn’t ever seen anyone looking forward to surgery, and I told her that when it’s your best chance of getting your life back, then it’s pretty exciting ! 🥳
@Shailo911-11 ай бұрын
How are you feeling now? I hope everything is going smoothly. My surgery is in November which feels like torture having to wait so long. 😢😩
@tamianderson1239 ай бұрын
@@Shailo911- I'm December. How are you doing?
@Shailo911-9 ай бұрын
@@tamianderson123 Still the same, I'm going in for a MRI this week so no surgery yet.
@tamianderson1239 ай бұрын
@@Shailo911- Sending good thought for you.
@kelligreer39756 ай бұрын
I'd love to know how having both knees done back to back. I'm getting one done tomorrow and the second one in 4 months. Like you I am looking forward to it. I know it will be really painful but I've lived with knee pain for 15+ yrs. Gradually getting worse over the years of course. Several scoops over the years. I'm SO ready. I wondered if 4 months was enough time. Heck I'd have done them at the same time if I could!! I'm ready to get my life back!!
@dmatus725 Жыл бұрын
Oh, elevate feet. Yes! But this shows her also crossing her feet at the ankle🤷
@yesache Жыл бұрын
I live in SC and the rules for pain medication are very tight. I had my TKR 2 months ago and my doctor sent me home with only 15 .5 oxycodone pills and would give no more! I have never abused drugs in my life and it is so very unfair for people like me to have to suffer like this! I am going to have my other knee done in about March and I know I will be facing great pain again.
@yesache Жыл бұрын
@Ana Kraszewski I did voice my concerns, very loudly. He still wouldn't refill them. It would do me no good to change doctors, they are all like that in SC
@earnestinehibble5883 Жыл бұрын
What's the Dr Name
@aliciacowan8111 Жыл бұрын
Find a doc with a better pain management protocol. One that will meet your pain needs. My doc included, oxy , gabapentin, tylenol, baby aspirin, I had to refill the oxy twice with no problem. I had also left over hydrocodone from a surgery 2 years earlier (disregard exp. dates they are good for years), and i used it as a supplement when my oxy got low or when the pain was a bit less. Do your research, find the doc who has compassion, discuss pain med fears with him or her.
@yesache Жыл бұрын
@@earnestinehibble5883 Dr. Weiss Atrium Healthcare
@yesache Жыл бұрын
@@aliciacowan8111 I don't think there are any in SC and I can't travel...I just don't know what to do
@nicolesissons2534 Жыл бұрын
I just had a total left hip replacement with Dr. Jacob 4 weeks ago and I could kiss him for all the relief I feel. I was bone on bone in that hip. Now I'm looking forward to getting the right one done because now it is hurting and popping. Dr. Jacob is amazing! In my opinion everyone with hip or knee problems should definitely go see him!! 💜👍
@suegoff2684 Жыл бұрын
What are your thoughts on Iovera ? My surgeon has me scheduled and I don't know about the freezing of nerves. It's supposed to reduce your pain to avoid use of narcotics.
@susievanderweele75772 ай бұрын
I had Iovero injections...I'm actually wondering what my pain would have been without it...I still had lots of pain post op with narcotics and added Tylenol...
@lindaelston4728Ай бұрын
My pain dr said he does Genicular nerve knee ablation AND iovera I’ve had both, so far very pleased and my replacement is early August.
@marilynwheeler7201 Жыл бұрын
Should a 72 years women should have gotten knee replacement with Fibroid pain in the body
@paulb.jacobdo1044 Жыл бұрын
I can’t give you medical advice as I have not examined you but I can try and answer your question as a generality. There are no contradictions that I am aware for knee replacement for a 72 y/o or for a patient with fibroid pain. I would consider that patient a candidate for knee replacement if the appropriate criteria was met.
@annamariearnold2626 Жыл бұрын
I did pre therapy I’ll let you know how I do after. However I am on opioids b4 surgery
@frostar701 Жыл бұрын
how did it go? im doing a lot of pre-hab as well also losing weight, 60lb so far and hope fore 40-50 more b4 I have a tkr
@Eric-kv1ip Жыл бұрын
Excellent presentation. My wife is having TKR under Canadian Medicare in three days. Using the VAS pain scale, what number should she expect to be at while taking pain meds? Thanks.
@paulb.jacobdo1044 Жыл бұрын
If is difficult to say as each patient handles pain differently. I tell my patients if your pain is 0-3 / 10 then take a non-narcotic pain med like Tylenol and or ibuprofen. If your pain is a 4-7 (most patients) then follow the instructions that come with your pain meds but just take one tablet (not two). If your pain is 7-10 then take the maximum indicated pain meds and supplement with non-narcotic pain medications. Most patients (certainly not all patients) have one or two bad days then they can control their pain nicely. Sleep can be difficult for a few weeks but once bowel movements, sleep, and eating patterns return to normal things get much easier. I wish you and your wife the best of luck!
@andrewt7607 Жыл бұрын
p̶r̶o̶m̶o̶s̶m̶
@shirleyhale4909 Жыл бұрын
I had a knee replacement 2 years ago it didnt work the pain is very bad wish i never had it done i cant walk without a frame
@paulb.jacobdo1044 Жыл бұрын
I hope you have discussed this with your doctor. There are some things that should be ruled out.
@marieeconomus8688 Жыл бұрын
I am post op 8 wks and I still have swelling and pain. Akron Ohio is dear to me. My husband went to law school in Akon and went on to be a State Judge . He latter was appointed to the Federal bench by President Clinton. Dr. Jacob is another amazing person that makes Ohio great. Cleveland Clinic is our hospital of choice. Dr.Richard Lang is our doctor at the Clinic. We live in FL. now so I had my leg done here . Not real happy with my results . I am 78 and wonder if ablation would help me. Thank you so much for your expertise.
@paulb.jacobdo1044 Жыл бұрын
Hello Marie, I usually give my patients the following timeline: I see patients back at 3 weeks, 6 weeks, 4 months, and 1 year. At 3 weeks most patients hate me and would love to strangle me with the TED hose they are still being forced to wear. At 6 weeks the usually say….meh - it’s not as bad as it was at 3 weeks and it’s not as good as I thought I would be at a month and a half. At 4 months patients first start to see the light at the end of the tunnel and you can expect full recovery at 12-18 months. Your knee will swell on and off during that entire time and it will also feel warm to the touch as compared to the other knee during that time frame. Rapid changes in the barometer will also cause significant changes in your symptoms (usually for the worse). Please know that all the effort and the suffering will come to an end and your symptoms will improve. Don’t give up on your P.T. Your window of time for regaining range of motion is starting to close. Stay positive (glass half full) and this too shall pass! I hope this helped you but if not I am happy to assist any way I can.
@paulb.jacobdo1044 Жыл бұрын
I miss Akron, it’s strange in that when you are there you can’t wait to leave and then when you leave you can’t wait to get back. It is truly a special place. Thank you for sharing
@judycohen3768 Жыл бұрын
Why is pain GREATEST post-op at night in bed? No knee position helps. Sleep is near impossible.
@alysiahensley1435 Жыл бұрын
All surgical pain is worse at night in my experience! Your brain is not as busy and you’re more tired I think that has a lot to do with it !
@paulb.jacobdo1044 Жыл бұрын
Often, you have done the days activity and created inflammation throughout the day. Also, cellular mitosis (cell division) primarily occurs at night. Rapid cellular growth is painful (remember growing pains as a child)
@dherman00015 ай бұрын
@paulb.jacobdo1044 I went from 5'2 to 6'3 in 18 months. Let me tell you about growing pains. I could feel my leg bones stretching at night. Just horrible. I had a thyroid problem(goiter?), they put me on medication and I exploded.
@carolbrooks1812Ай бұрын
@@paulb.jacobdo1044
@darlenericotta75502 жыл бұрын
I had the pain before surgery so take what the doctor tells to use for pain and move around. It helps. The less you move the more pain before and after. Makes your muscles stronger unless your doctor tells you different.
@myopinion8062 Жыл бұрын
Hi there Darlene I've just been given the ok for knee replacement I'm 53 from Australia how are you going with knee
@tonyrobertson94522 жыл бұрын
I refuse to get my knee replacement because I am worried that they want treat my pain after surgery, Ibuprofen want cut it my GI doctor says no Ibuprofen at all due to Gastrial Problems Thanks to UNC hospital for feeding them to me for 10 years for osteoarthritis and Arthritis, and I know Doctors want treat your pain with medication no more because today's kids that overdose on them so we all must suffer .. sucks the way today's DRs treat there patients, I'm surprised they don't have their PAs. Doing the surgery that let them do everything else there supposed to do , I have no respect for Dr.s these days as do alot of other people think like I do.
@paulb.jacobdo10442 жыл бұрын
I am sorry you feel this way. I hope that you are able to find a good doctor in your area that you respect. Remember, there are several options besides narcotics to treat hip and knee pain.
@aphill22086 ай бұрын
What are the options??@@paulb.jacobdo1044
@billydaniel9002 жыл бұрын
I'm 6wks in and it has been very painful. I think the dea has told the doctors how much to give. I have had a lot of surgery so i know. This was a crime against humanity!!!
@bridgetlewis24212 жыл бұрын
I'm five weeks out. And im having a lot of pain also. Unbearable:(
@paulajohnson87112 жыл бұрын
I’m scared too death to have it. 😩
@kungfu5561 Жыл бұрын
The ridiculous part is the CDC and DEA are grouping patients with severe pain in with recreational abusers.If acute pain is not managed optimally,the chronic pain is much more likely to set in.Everyone is different.
@rick6582CNCMedicalParts Жыл бұрын
@@bridgetlewis2421 ice machine helped me 25 mins at a time had 2 total knee replacements after 3 mon not much pain at all just little sore
@B6east Жыл бұрын
@@kungfu5561Yes ! It’s just absurd, and people who want recreational drugs will always find them ( like all the bootleg “fentanyl “ mfr. by drug cartels!) , so making post-op patients suffer does nothing to decrease illegal drug trafficking !
@out2fun2 жыл бұрын
People as myself have to use pain medication to function daily, I thankfully don't have an addiction gene,, however, I have to beg for extra medication for post op...Really is madness with the pain management and surgeon relaying back and forth while I am suffering.
@dr.pauljacob43052 жыл бұрын
I completely sunder stand the frustration. In todays environment, most states have imposed maximums on the amount of pain medications you can receive. I’m my cases, physicians hands are tied. There are some strategies that may help. For instance, decreasing your pain medication usage to 50% a minimum of two weeks prior to surgery. The best practice is to work out a plan between you and your surgeon as well as your pain management specialist PRIOR to any surgery. This will help all parties involved feel a bit more comfortable about controlling your pain. This will also Keep your pre-op anxiety in check which will in turn help you control your post op pain much easier.
@kungfu5561 Жыл бұрын
Gvmt.regulators dictating medical post op protocol to doctors.Is this even justifiable?
@carladolphson73272 жыл бұрын
Truly enjoyed this informative discussion. Currently into my 8th week of recovery, seem to be up to par where I should be according to the doctor and therapist. I am now concerned about things just uncovered about misalignment, unseen preop X-rays, and tightness. Thank you for enlightening my needed awareness of conditions and concerns, truly appreciated. Carl Adolphson, baker wv
@paulb.jacobdo10442 жыл бұрын
Thank you for your kind words
@myopinion8062 Жыл бұрын
@@paulb.jacobdo1044 Hi Dr I'm in Sydney Australia saw my specialist today I'm haveing knee replacement December they are sending my mri over to the States and it's comeing back as a 3D MODEL MADE OF BLOCKS HAVE YOU EVER HESRD OF THIS CHEERS DOCTOR
@paulb.jacobdo1044 Жыл бұрын
@@myopinion8062 I have not heard of this but it sounds very interesting. I wish you the best of luck in your joint replacement journey
@hipsandkneesbydr.tomcalton70222 жыл бұрын
Nice piece. I also do total hips and knees using the Mako. Thanks for helping educate the public!
@paulb.jacobdo10442 жыл бұрын
Thanks Dr Calton!
@arunsehgal66522 жыл бұрын
It is a human slaughter avoid at all cost.
@arunseghal3692 жыл бұрын
Joint replacement is a failed treatment for arthritis and hence should be avoided totally.there’s no Resurgery only amputation.why do it??
@paulb.jacobdo10442 жыл бұрын
Although I respect your opinion, nothing could be further from the truth.
@arunseghal3692 жыл бұрын
@@paulb.jacobdo1044 I have undergone TKR both knees at Max Hospital Mohali on 25th May 2015 from Dr Manuj Wathwa 7 times limca book of records holder.Smith and nephew primary implants are used. Life is living hell, alignment is out, right leg is short. Constant pain is there, bone scan, crp, cbc etc are all OK. I feel implants are loose. Nothing can be done except amputation during revision. That's how I am frustrated. Regards
@fabienlamour36442 жыл бұрын
You wanna know how???? Smoke some pot!!!! I had a replacement in 2013 and the best way to cut pain and fall asleep is smoking a big joint and relax.... Try you'll see. Not a joke.
@roberthaynie84736 ай бұрын
Ya, unfortunately I get tested for my job.
@debbiechadwick8613 ай бұрын
I hated being stoned. The actual pain relief wasn't much more than ibuprofen and barely lasted a few hours.
@michaelmcdermott89932 ай бұрын
Dont forget put the joint out before you fall asleep
@hulavickiwicki1721 күн бұрын
It hurts like hell. Left done in 22, right done on 23. I’ve done everything “right”. Still suffering. I am active in spite of the pain. Pain makes me tired. It is a vicious cycle. I’m still hoping to get some relief.
@ToddDouglasFox2 жыл бұрын
Shame. We see these patients later on when we can no longer treat the joint with regenerative injections because surgeons have removed the tissues we could have otherwise regenerated.
@paulb.jacobdo10442 жыл бұрын
Although I appreciate your opinion Todd, I have yet to see a joint "regenerated". There is certainly a role for regenerative medicine in the treatment of arthritis, especially early on in the disease process, and my partner who specializes in regenerative medicine evaluates and treats as many of these patients as possible. The true shame is on sham clinics swindling patients out of money, assets, and time with treatments that will never work. Once these patients are out of money they are turned away. When the science and the data support the use in late stage disease we will all be happy to use these treatments on each and every patient but we clearly have a LONG WAY TO GO.
@ToddDouglasFox2 жыл бұрын
@@paulb.jacobdo1044 No, you are wrong. We have run a DO based regenerative clinic for 25 years. Message me on my channel (I don’t want to put info here due to this is your channel) and I will invite you to meet our patients and find out what really works. You are correct, most of those doing what they erroneously call “regenerative” treatments to joints are either ignorant or greedy as they are not regenerating anything. You want knowledge…take me up on my offer.
@barbt.92112 жыл бұрын
BS most American doctors are concerned with one thing that's the DEA. Remember they don't feel the pain you do.This guy sounds like he would give you a bottle of aspirins and tell you see me in three months. Remember doctors and the government don't want you to be addicted Too pain medication even if you have only 1 year to live.
@joysoverall70632 жыл бұрын
What kind of exercise would you recommend before knee replacement
@paulb.jacobdo10442 жыл бұрын
hipknee.aahks.org/exercise-guides/
@frankpalacios6021 Жыл бұрын
Joy, am 1- 1/2 weeks in post surgery, I was given 10 exercises to do then following that rehab center provide another five exercises. Important thing is to do them. My recommendation is to switch to heat gel pack before doing. This will help warm muscles and tendons around knee.
@arunsehgal66522 жыл бұрын
Joint replacement is a failed treatment for arthritis and hence avoid totally.
@christianjoe3842 жыл бұрын
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@berlinadejager72322 жыл бұрын
THIS IS NONSENSE
@Daisy-jd7br2 жыл бұрын
I had my surgery 6 weeks ago. I STILL have not been able to be able to sleep a full night's sleep. I am in constant pain. My knee is still somewhat stiff. Although I am doing daily movement and have in homr physical therapy. *oh after surgery xrays ended up showing a fracture to my tibia fue to cement expansion. So now 0-20% weight bearing for a while abd use of walker only. What can I do to help the pain? The healing of the fracture? When can I walk unassisted of walker?
@paulb.jacobdo10442 жыл бұрын
This is exceptionally difficult for me to give any advice on as it depends on so many factors. Most will start to see their sleep start to normalize at or before the 3 month mark. As for the weight bearing, it is impossible to advise you here having no knowledge of the surgery, fracture or standard recovery of your surgeon.
@carladolphson73272 жыл бұрын
I have wondered why they needed the hammer
@kungfu55612 жыл бұрын
I find it incomprehensible why our DEA and CDC have gone overboard treating opioids like street drugs.Interfering with pain control directly impacts surgical outcomes by making therapy intolerable for many TKR patients.
@billydaniel9002 жыл бұрын
@@kungfu5561 your 100% right, this is insane.
@annamariearnold2626 Жыл бұрын
Yes the DEA & CDC should butt out of the controlling of pain. Not everyone becomes an addict. We have more compassion for animals that are in pain than humans.
@jonathanborrow96882 жыл бұрын
What a load of crap but clickbait, 68 and back to sports after 4 weeks “He’ll No” don’t mislead your viewers to gain business you medical offices and providers should be ashamed. I’m only 46 EX military in great shape, I’m 4 weeks post op from a Total Knee Replacement and I can at best manage 5 minutes on a stationary bike then my leg balloons right back up and painful as hell so out comes the ice. Oh and those doctors or paid patients who say after a week I only take Tylenol for pain is Horsecrap, this is a brutal surgery and your gonna need something 10 times stronger than Tylenol for weeks maybe months, don’t be fooled into agreeing with your Doc that you will be fine with Tylenol. If you do then you will be in an ambulance to ER for uncomfortable pain and more crazy medical bills.,
@davidmckinley53432 жыл бұрын
Very skeptical of being back at sports after 4 weeks. Actually, there is no freaking way you were playing any sports after four weeks. I am at six weeks and 57 years old and in pretty decent shape. Physical therapy is saying I am ahead of schedule and I am nowhere near back to even being able to walk normal let alone do any activity. Everybody heals differently but a 68 year old going back to sports at 4 weeks is impossible.
@therealdeal8942 жыл бұрын
Clickbait!! This is just a fucking commercial!!!!
@arunsehgal66522 жыл бұрын
I m a enlightened patient of b/l TKR at max hospital mohali on 25 May2015 at max hospital mohali and life is living hell. I was having gd 4 ,OA and of 60 yrs of age .thx surgery is inhuman surgery and should be banned forthwith.This is a failed treatment for OA patien gets nothing as this is a life style surgery .not essential..Avoid totally
@paulb.jacobdo10442 жыл бұрын
I am so very sorry to hear about your struggles. although 5-15% of patients are unsatisfied with their outcome (and some even requiring further surgery) millions of patients have benighted greatly from joint replacement.