What To Expect Before A Total Knee Replacement

Join us on this insightful episode of Talking with Docs as our expert doctors delve into the nuances of life before a total knee replacement. Gain valuable insights and discover what to expect as our medical professionals share their expertise on this transformative journey. Don't miss this essential discussion for anyone considering or curious about the process. Subscribe now for a firsthand look at the world of orthopedics and the life-changing impact of total knee replacements.
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Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the Video.
General information is not medical advice
The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.
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[@TalkingWithDocs]

How did you guys like the podcast style?

[@suzanne296]

Like this better. You seem to like it?

[@traceyflater]

I like it!

[@JimAllen-Persona]

Don't notice that much of a difference. I'm not watching as much as listening. If it's easier for you and you want to pass on the sight gags... use this method.

[@halfabee]

@@JimAllen-Persona Content is more important than scenery.

[@tomlovinggood265]

Really enjoy the setting

[@suzierice9730]

PAU (pre-admission unit) nurse here. This was so informative. Feel like this video should be played in our waiting room. Thanks for all that you do.

[@cynthiasealy573]

Just had my first TKA - right knee - on December 8th (a week ago today). Dr. Vasarhelyi at University Hospital in London was my surgeon. I worked really hard and lost 124 pounds before surgery (340 to 216). I’m told the surgery went well. My pain has been absolutely brutal for several days afterwards but it’s under control now with Hydromorphone. Admittedly I’m a total wuss with pain and have a very low pain tolerance. Things are healing well and the physio’s are happy with my progress. I’m having my left knee done next November- same place, same Doc. The one thing I’ll do differently though is have the nerve block. I wanted to do a femoral block for the surgery but it didn’t happen and I have back issues so wasn’t comfortable with an epidural. I’m so looking forward to in about 16 months, I’ll be walking like a regular person again - it’s been 7-8 years that I’ve been on crutches! 😊 Thanks for taking the time to do this channel, you both are awesome!

[@TalkingWithDocs]

Holy wow you should be so proud congrats!!!! Glad we could help in any small way. Best of luck going forward

[@kelleefiola1336]

I absolutely love your presentations. Sometimes I just look you up to increase or create a good mood. Love your intermingled jokes-really liked the story of the person with the folding bed issue. Keep your presentations coming. I actually am planning a knee replacement this coming year.

[@lindawoolbright1960]

Love new format! Been following you since first learning I’d being having TKR. Your recommendation for preop knee rehab/pt has made all the difference in my recovery. I literally trained for 6 months with twice daily routine without missing a day. I’m a 70 year old female, 5’5”, 115 lbs, and I could not believe how much stronger I got. I’m 10 days postop, off all pain meds, sleeping 6-7 hours nightly, going to pt twice weekly, and exercising twice daily at home since day after op. First few days were very challenging after I developed surgical insomnia due to anesthesia & pain meds. My recovery will not be typical, because I had to have patella tendon repair as well as TKR & have to wear an immobilizer for time being. I’m aware I’ll be starting over when immobilizer comes off, but I do exercise without it. The only things I would do differently would be to preop trained my upper body harder and to prepared myself more mentally to accept fact that I am totally helpless at times. My husband has been a tremendous caregiver, but he’s definitely been on duty 24/7 and has lost lots of sleep himself. I really appreciate all your videos and thank you for the content in all of them!!

[@TalkingWithDocs]

That is so great to hear. Glad we could help. Keep up the good work!

[@jeanamckee9426]

Really appreciate these videos. As to the podcast style I like the op room cause it separates you from all the phd’s that call themselves doctors and do videos regarding health.

[@dbrawhip]

My surgery is next week (partial knee replacement), The Talking Docs series has really helped me understand what to expect. I work out 3 times/wk and have other athletic interests so I was doing the pre-op exercises I was assigned, but not 3 times a day. I still have some time to get back on track. Thank you for making all the videos that are available I have learned so much! I have also have a friend who is afraid of getting tkr. I told her what I told myself- “knowledge is power.

[@deejayreff]

I can't express how grateful I am for this info. I'm 8 weeeks out from a TKR and this info helps allay some concerns. Your presentations are very accessible to those who sometimes are intimidated by the complexities involved. The comments about any pre-op scrapes, etc. are critical for those of us who try to remain active until surgery. I hope hearing your anxiety-reducing, funny points, as well as being a healthy vegan will be in my favor. Peace, love, and kale!

[@betsybobb9908]

And humous

[@charlespowell5877]

I don't care where you do the shows. The operating room are in an office as long as you do the shows. You present some outstanding information

[@constantinafavas8407]

Hi Docs - Thank you Dr. Zalzal so much for the successful total knee surgery you performed on me a week ago as well as your pre and post advise and support you have given me. For those waiting for surgery don’t forget your overnight bag, walker, and ice machine.

[@TalkingWithDocs]

That's so awesome Very welcome

[@manax8775]

Ice machine?

[@susanaustman543]

Have my office pre-op with Dr. ZalZal Feb 7. Slowly getting to the big day. Not looking forward to this surgery but I am so looking forward to getting my life back and get travelling again!

[@richardstyron5716]

I had total knee replacement and thank to yall. I went thou it. The main thing is to get moving. Thanks again for your advice!!!

[@TalkingWithDocs]

Great job! That b is awesome to hear

[@julietb5678]

Before my first TKA, I had so many questions, and luckily I had a friend who had recently had one and she helped me prepare. But, it was while researching prehab exercises that I stumbled upon your channel and found it to be the best source of answers I could find. Thank you for all of the great information!

[@judcrandall6762]

My preadmission and admission were all pretty smooth. The worse part for me was the surgical holding room. I had a nurse/assistant who was fairly comforting but I still had a lot of scary thoughts running through my head. I really wish I could have listened to music while waiting for surgery. Having my own smart phone and a Bluetooth speaker would have been ideal, but almost anything from jazz to Michael Bublé would have been acceptable. I highly recommend prehab. I started do my rehab exercises beforehand and I firmly believe that move greatly accelerated my recovery. It was all worth it - my new knee is freedom from the old painful knee. I didn't realize how bad it was until I had the knee replacement.

[@TalkingWithDocs]

Thanks for sharing your experience

[@pamelanewton3669]

Love you guys. I’ve already had my knee replaced and it went well. Except for the fact that I slept in and was late getting to the hospital. I was the first one on the schedule for the day so this was not good. Must have been something in the air that day because the Dr was also late cause he slept in. Everything went great. I’m now a year post replacement and am loving my new knee. I knew what to expect because I had found you guys prior to surgery so I had no surprises.

[@jsstar76]

Hi Docs I really like the podcast format. Acoustic is better. I think you two enjoy it. Here it comes 611k🎉!

[@wesadrian6981]

It doesn’t matter which style you choose or use. I like to hear your views on all things medical 😊

[@TalkingWithDocs]

Thanks Wes!

[@jeremymurphy7320]

I had a partial patellofemoral replacement done on my left knee on a December 12, 2008. Either a small artery burst or it was nicked by during the surgery and I bled into my knee for a solid week. Fast forward to Friday the 19th and I had excruciating pain as I was trying to do my morning ritual and I had to have help to get the 20' back to bed. I ended up getting an ambulance ride to the hospital, which was a bit of an adventure in and of itself involving the fire department, my wife and a snowblower. After a bit of the morphine to full the pain, the Ortho doc working the ER tried to evacuate some of the fluid from my knee with a huge needle.....yeah, no dice so there we were back to the OR to have the staples pulled, the inside of my leg cleaned out, four units of new blood, one stitch from a vascular surgeon and a shiny new set of staples. I stayed overnight and was home by 3pm on Saturday where I found out my wife and kids had adopted a shelter cat that morning before coming to the hospital to see me. Max, as he came to be known, and I formed a long tight bond until he passed in 2022.

[@wtfd95]

Had both my total knees done six weeks apart and all went extremely well with no complications or pre or post surgery. Wish I had done it sooner. Have had no problems ever since and would recommend my surgeon and his team for giving me a second chance of life in regards to mobility and am more active since before replacements. My question today is how hard or what is involved in a revision of either joint? Thank you gentlemen for all your advice. My pre-op best advise is build up your quad muscles a lot! And become very active afterwards, NOT SIT AROUND! 🇺🇸

[@TalkingWithDocs]

So revision can be complicated depending on the cause and the quality of the host bone. Very doable though. Great advice!

[@wtfd95]

@@TalkingWithDocsI’m not having any issues and my implant hardware is stable and not loose or any pain. My tibial and femur base is fine but how long can I expect to have my joint evaluated as to when I might need a revision? I am a 72 year old male and little overweight and my knees are doing fine, very active. I am ten years out from surgery. Thanks!

[@gillianashley1820]

It’s good to see you guys taking the weight off your feet! I had my TKR a week prior to the first Covid lockdown here in the UK in 2020. I can therefore confirm that it is possible to manage alone with hardly any support, though it was a rather lonely experience. Be diligent with ice and exercise, and take prescribed painkillers regularly.

[@EmptyPocketsCarl]

Pre hab is SOOO important. Before my TKR I got a single visit to a hospital PT that just phoned it in. After surgery I found my own PT and it made all the difference.

[@philippirrip8761]

Especially upper body strengthening. That probably surprises a lot of people, but after surgery you really have to use arms and shoulders to get in and out of a bed, a chair, etc.

[@jeromemaxwell143]

Thanks for this video. I love the new style. I started watching you guys years ago when I was researching knee replacement. When I went in for pre-op they found a heart murmur. Turns out I had Aortic stenosis. So the knee problem saved my life. Then the corona thing happened. After that I had heart surgery. I have since become unemployed and homeless but I finally got disability payments and hopefully one day I can get knee replacements. Again thank you for your videos.

[@sharonkelly5437]

Your videos are so helpful and your sense of humor is wonderful!

[@TalkingWithDocs]

Why thank you Sharon!

[@suelange4674]

I am having my first knee replacement surgery next Friday. I am excited to get it done as it has taken 4 years to get it done. Covid and Dr retirements led to a really long wait!

[@teacher3catmom]

Love the podcast style! Sound quality is terrific!

[@TalkingWithDocs]

Yay, thank you!

[@AAtta-3286]

Had my total knee replacement here in the States a year ago. Always enjoy your videos and this one was spot on! Good info for someone going for knee surgery. As for the new set, well I kinda like the OR setting better. Less formal and the humor stands out more. All the best for a healthy holiday season. Anthony

[@TalkingWithDocs]

Thanks Anthony. Really appreciate the honest feedback

[@lisabaker9023]

I recently had a full knee replacement! Everything you commented on was on point! Thanks for sharing! I wish I would have seen this video before surgery! I’m recovering by doing my therapy and following g the surgeons recommendations! With many thanks!

[@paulwarner5674]

Had a TKR 8 years ago best thing I've ever done. Now squat 80kg at the gym. Have a great Personal Trainer who has built up the muscles over a 3 year period. Had a brilliant surgeon.

[@crystalheartstar]

That sounds very encouraging. I am a dancer who's been dealing with knee pain for 8 years and have stopped some of my other activities, and have even limited dance movements, sich as pivots, kicks, jumps and hops. I am hoping to be able to get to the point where I can have full range of motion again.

[@debsasleep5729]

Getting ready to start all of the surgeries soon. My knees are both bone on bone to the point that I can't walk without my cane and at times, that is difficult. My first knee will be done February 20th and the second one, if all goes well, is April 2. I'm currently doing Prehab Physical Therapy. I go once a week and do a lot of exercises here at home twice a day at least. I am gaining flexion and extension in both knees. I have watched a LOT of your videos and more than once. I want to be as prepared as I can be when the time comes. It helps to listen to what to expect so I can get the things I need in place. Thank you SO MUCH for making these videos! It's really helped me. My surgeon is great, highly recommended, but you only get so many minutes when you do get to see him. And you don't always remember the answers to what you asked, if you knew what to ask! You guys cover so much information! I have told a lot of people about these videos, including my surgeon. And, thanks again!

[@TalkingWithDocs]

Thanks so much Deb and best of luck to you Feb 20!

[@debsasleep5729]

@@TalkingWithDocs You are welcome!!!

[@declanwatson9325]

This is good guys. Finding these extremely helpful … posterior PVNS removal this Friday and TKR in April - it’s time! Informed patients recover better so thank you! 👍

[@halfabee]

I liked the light heartiness of the operating room environment. Sitting behind the desk seem so formal. I was told to stop taking all medicine 2 weeks before the operation. Vitamins and supplements. When I came around from the operation I was starving and thirsty. My right leg was numb from hip to toes for 9 hours after coming around. I eat and drank and my my small bowel and large bowel were not working. what followed was the worst constipation I ever had the following day. I had laxative poured into every orifice. I was in agony until the blockage moved.

[@willfields7128]

Love the format, love all of your videos. Very informative and thought provoking when it comes to planning for a total knee replacement.

[@joyeb8413]

Very helpful, I appreciate all the pre planning.

[@marciaborg77]

Thanks for sharing this video Doctors

[@sallymcmahan3896]

I love the new format. I liked information on preop and excercise. Its the first time i heard you 2 talk about it. The format looks so much professional. Ill listen anyways. God bless and wish me luck. ❤

[@lddixon2394]

You are so brilliant and reassuring. Thank you for making your knowledge and insights widely available.

[@karenweidauer6861]

Great video. Thank you for the important info.

[@thandie67]

Thank you. I knew I needed this information.

[@TalkingWithDocs]

Glad it was helpful!

[@dougbest4352]

FANTASTIC INFO. THANKS.

[@mw354]

The information you provide is awesome and relevant. I have no preference from where your podcasts are delivered. Appreciate the camaraderie and humor.🌷

[@katzensindweich3505]

Very pleasant and informative. THANK YOU :)

[@maxinebellows741]

I loved this podcast style!

[@pattysuemcgowen]

My orthopedic surgeon had me start physical therapy before my knee replacement to get it as strong as possible. It was very valuable. I healed very fast with no complications like. I had when I had by bi lateral replacement in 2007.

[@TalkingWithDocs]

That's great. We totally agree

[@Indysan09]

I have to have a double knee reconstruction (DKR) next month. I have been watching your podcasts and am enjoying them. I like your back and forth conversations. I am worried/scared about having a DKR but have to have them done as I can hardly walk. I've been in pain for 5 years now and I just want to walk normally again and live my life. This has caused lots of inflammation, swelling, fluid retention, achillies tendonitis and ankle swelling/pain. My knees were damaged in a car accident where a lady rammed me from behind at 100 klm. I am getting old but have been told this wouldn't have happened (gravel bone on crushing bone) at least until I was 70 years (if I didn't have this accident). R.A.C.Q refused to take responsibility for my injuries. I am a teacher but have been unable to work, of and on for 4 - 5years. I will stay with my daughter for a week or so after the op but wonder how I will be after a DKR. Can you give me some advice please?

[@lori2407]

Love your videos! Started watching when my husband shredded his rotator cuff. Now need TKR myself. Had had lots of surgery in the past but for some reason this one really has me worked up. Am doing EVERYTHING you talk about to make it the best I can. Thank you! PS wish I didn’t live on the other side side of the country so one of you could be my doctor!

[@GreggBB]

For me both settings work great. To me it's important you do the one you are most comfortable doing. This video had so much great information. And thank you for explaining for the reasoning behind all the different requirements. Without that, some of them leave folks scratching their heads as to why. Looking forward to the next one!

[@TalkingWithDocs]

Thanks Gregg. Always good feedback

[@marymaryquitecontrary]

What Gregg said, yeh! ❤

[@pamelabrooks1944]

I had hip surgery about 6 months ago. I met the anesthesiologist a few minutes before surgery. He asked a few questions but did not explain what he would be doing. I knew from my own research. Shortly after the needle went in my lower back I went to sleep and have no memory of anything. Never saw him again. Good work if you can get it.

[@salliealbertina897]

Really appreciate your advice, your humour and reassurances.....I feel so much better as I face this procedure, thank you both......love your presentations!

[@gnohn9366]

I have watched nearly all of your videos. I Like the new podcast style. Had both knees done recently. August 29 and November 7. It’s going fine, but quite an ordeal. The information from you videos has been helpful. Thank you.

[@TalkingWithDocs]

Glad we could help. Thanks for the feedback

[@dogsrgodsspelledbackwards3340]

I like both settings. This one however is easier to listen to. I was really glad I did prefab months before I even got the call to do the initial checklist. My recovery was as you two said it would be. Mind you my TKR was done April 8th 2022 . I’ve been able to get back to the activities I enjoyed before and continue to. Stumbling upon your first videos and still watching, I cannot recommend your channel enough. Keep up the great content.

[@TalkingWithDocs]

Thanks so much. You like listening to it better because better quality microphones!

[@jerrefisher2184]

Experiencing knee pain currently and will see doc next month. Have had both hips replaced, curious if the knee is next. Thanks for the info as always!

[@user-zh6pk6kz7k]

This setting is good but, personally, I like the operating room setting better. It's just a little better with you standing up so I get to see a little more of your body language. I think you two make it more fun in that setting, also. Whichever setting you choose will be good and the rest of us will get over it. Thank you for all the topics you inform your listeners or watchers on.

[@clarasmom9440]

I can hear you more consistently in the standing setting. This didn't work so well when you each looked at each other while speaking.

[@TalkingWithDocs]

Thanks for the thoughtful feedback

[@TalkingWithDocs]

Yes there was a bit of a hiccup there for sure

[@darlenericotta]

You sound different! You look good there. Thanks for all your great information! Things have changed a lot since I first watched you and went to my first surgery. Really good! Thanks as always Docs! Great video. Merry Christmas!

[@deidremartin5247]

Hi doctors, I had seen so many of your videos last year. Back last summer, had planned to have a total knee replacement surgery, but had to deal with other health problems. I was so sick and was tested for many types of cancer. Doing better now, and just met with a new to me orthopedic surgeon, to go forward with surgery, I think i was lucky to avoid surgery for a year, But as my surgeon told me with regards to my MRI results, the damage to my knee is too severe for arthroscopic surgery. I am looking forward to reviewing your videos--you guys are great!

[@theresadavis7440]

I like this new set of doing videos. Love you both and Merry Christmas ❤️☕️🎄⛄️☃️❄️

[@tesstessrr1984]

Agreed it’s high risk , I had my partial knee replacement surgery, went wrong, almost a year ago . Not working well, still very painful , they said only solution to have full knee replacement surgery. I’m really traumatised, apprehensive about it.

[@jeancaldwell5391]

I’ve had two knee replacements, one last summer and the second one this summer. Before the first one I had minimal pre-hab and my recovery was good, but not particularly fast. I went to rehab following surgery since I live alone and wanted the assistance and rehab I would get there. I had moderate pain and wasn’t off the narcotics until about 1 1/2 to 2 months after surgery. In general that knee was uncomfortable for several months (I’m not complaining; I know it takes time). Before the surgery this year I had good pre-hab and quite different results following surgery. After a couple of weeks in rehab the Physical Therapist and I agreed that I was progressing noticeably faster than I had the previous year. I was fortunate that I had the same PT both times and she was able to make a good comparison. I didn’t need the narcotics the last week I was in rehab and continued to have much lower pain levels than I had the year before. I realize that knees heal differently, even when done by the same excellent surgeon, as both of mine were, so I can’t say for certain that the pre-hab is what made the difference. But it certainly didn’t hurt my recovery! Another thing that I found very helpful were your videos about TKR. They gave me a good idea of what to expect as well as good exercises to do. This video was also excellent in that you gave such clear information on what to expect before surgery. I’m in the US, but almost everything you described is what I experienced prior to my surgeries. Thank you, and well done?

[@betsydoc3628]

In the US, had no pre-op visit at surgical center. Medical verification done by primary care doctor in office. Didn’t meet with Anesthesiologist till just before surgery. Did have a pre-op visit with physical therapy and occupational therapy.

[@VBeeMe]

I like the operating room chats. It’s more priendly and don’t have a desk between us. Nice sound.

[@TalkingWithDocs]

Fair enough. Thanks!

[@ChickenStamps]

Love this podcast style…I don’t have a preference of this type video over the other.

[@TalkingWithDocs]

Thanks for the honesty

[@timbomba9478]

I like the new setup. Better sound. Much better. As always, great session. PS If you go back to doing these in the hospital room, there is an audio plugin from a company Izotope, that can take out the roomy sound.

[@brendakerr7833]

I have had a total knee replacement in September and everything went good. I have another one planned for April 24th. I preying it goes as good. I loved your video. Where do I find the next video.

[@denisebiendarra5996]

I personally prefer the original informal operating videos (with the body language). But both types are good. Here in Wisconsin, USA there are quite a few differences and quite a few similarities in the pre-op process. I had a complex TKA, left leg, last Wednesday morning. I have a terrific surgeon and, at this point, I’m doing very well.

[@TalkingWithDocs]

That's awesome denise. One week down!

[@Bohemio77]

I really like and prefer this podcast format.

[@TalkingWithDocs]

Ok thank you

[@valmaemhofer3929]

Very good

[@DO-bn9hg]

Behind the desk seems more “formal”. Please don’t give up the operating room talks completely. Nice job guys!

[@TalkingWithDocs]

Ok deal. Hybrid

[@nicolaspencer]

Really loved watching this. You are my favourite docs to watch!.. having my TKR soon, had my pre op, in england, but it was pretty much as you explained. Ive got my after surgery plan in place, ive done loads of research but i know its different for everybody so im trying not to get my expectations too high but im going to work hard on my rehab, ive bought the cryo cuff ice system so im ready to go!.. im excited for my surgery day to arrive, i know it will be tough but im only 55 and my motivation is a disneyworld trip in a years time😊

[@VBeeMe]

I’m going in for my first meeting with the surgeon at the hospital. I’ve watched all your needs videos including the operation. Wish I could get them both done.

[@TalkingWithDocs]

Best of luck to you! Glad we could help

[@maureenedwards2388]

Both work from me. Always good information!

[@TalkingWithDocs]

Awesome! Thank you!

[@mrzif0013]

Best channel on KZbin! Hey any discussions on the topic on Mgus AT 70?

[@darlenericotta]

You both look very comfortable in front of your mikes!🥰🥰🎄

[@causey1956]

Thanks!

[@TalkingWithDocs]

Thanks so much ! That was kind of you.

[@ChrisCapoccia]

The audio is nice with this format. I kind of like the candid standing in the OR format better, but this is fine too

[@sharonchancey8938]

My husband is having knee replacement but we’re waiting a long time for everything to start bc he’s on pradaxa blood thinners and heart dr doesn’t want him off more than 2 days and knee surgeon wants him off a week. He’s in great pain bc knee dr says he’s bone on bone and it’s causing chipping of bone.

[@lisamaserjian-hj1js]

I am planning to buy a massage table, one that folds and can be packed away. This is so my pre-and post exercises will be much easier than getting up and down off the floor.

[@barbaragoodman1789]

Love the podcast in this setup or the operating room, it’s all great information. I’m out almost 4 months, TKR, doing pretty well, wish I would have been more informed about it all. We did have a class before surgery but “I didn’t know what I didn’t know”.

[@JimAllen-Persona]

Yeah ... my wife's class was via Zoom meeting with both hip and knee replacees. Fortunately my wife has a weath of people that have had it done.

[@TalkingWithDocs]

Thanks Barbara

[@TalkingWithDocs]

Yes the zoom is common

[@wenbray6396]

Docs, what advancements in knee replacement surgery for the better have happened in the last year, and anything on the horizon to make it easier on the patient in recovery and pain management?

[@BornToRun.]

New podcast style is great but I love the operating room.

[@johntracy9243]

Some medical equipment in the background. Great info and podcast thank you.

[@TalkingWithDocs]

Welcome. Thanks for the feedback

[@besame5504]

I had 2x TKR in 2022. Been quite an experience.

[@joykalt7551]

I prefer the OR setting! More legit! I have a dear friend who after have her TKR almost 2 yrs ago now is very unhappy with residual pain. She’s been to surgeon, PT, now Rheumatologist with now answers. I wish I could help. She’s not a complainer either.

[@TalkingWithDocs]

Sorry to hear about your friend. And thanks for the feedback on the podcast style video! Tell her to watch some of our other videos especially "why does my knee still hurt"

[@SheilaEnglish2]

At our hospital a very good booklet of information is given out but not until two weeks before the operation. There is information in there that patients should have way before that, for example pre hab exercises . The physio who ran the class said, “No point in doing them now”. Thankfully I borrowed a copy of the booklet months ahead from a neighbour who had had the surgery.

[@RoseBudFC]

I'd like to ask for a video explaining about the newer types of regional anesthesia for replacements vs general anesthetics. Going for TKR in mid April and very concerned about which to accept and if regional, how does it really happen safely!

[@TheJackl317]

Since my original break on my leg I had three of the hardware screws break and developed a bad infection had the hardware removed and then had two surgeries to remove the hardware and infection later I had a total knee replacement and during all the surgeries they had to remove bad muscle tissue the implant is fine and the bone healed but after two years after my knee replacement my knee and calf muscles along with the shin muscles tighten after only a short time walking or having my knee bent while sitting feels like the muscle is going to rip off the bone 😭 none of the muscle relaxers worked even had an rfa done with no improvement. My doctors and I are at a loss of what if anything else can be done to eliminate this constant pain. Would very much appreciate any insight you may have. Thank you ❤

[@lisab.akarenegadehamster8262]

My PCP does an EKG and has the bloodwork done. I have to see the nurse anesthetist about a week before and that’s when I sign all the paperwork and pay my copay and they also ask all the questions. My surgeon I see also about a week before they just take my vital signs and call in my prescription for meloxicam. He will answer any questions about the procedure and implant. He is also the one who requests the post op in home PT which for me was only 5 sessions. I was also required to watch an online video from the hospital which to me was mostly common sense stuff.

[@davidpescod7573]

I think it is important to read the consent form so the risks are understood. If you do not understand. Ask. All good surgeons, doctors and admin staff will take the time to make sure the patient understands. The more you know, the better prepared you are for surgery. Always take a list of the medications you are on. Don’t rely on memory. Make sure you know which medications to stop taking and how many days before surgery. Don’t mislead the surgeons, doctors or admin staff in any way. Be prepared for the operating rooms to feel cold. Practice before surgery the post operative exercises you must do. Don’t be embarrassed to ask for help. Latin in the official language of the Catholic Church. There are Latin specialists who create Latin for modern words. Many thanks Docs for a brilliant and informative video

[@TalkingWithDocs]

Very welcome. Thanks for your thoughtful comment

[@babtoronto]

Great info! I was hoping that the pre-op class had been discontinued. Perhaps an Orthopedic should attend the class occasionally to ensure the information is correct. At a different Ontario hospital, the person leading the class told me that a TKA revision was a shorter operation than a regular TKA "because they just slid the new parts over the old". Perhaps they were thinking of a bath replacement not knee replacement! I salute pre-op exercises and pre-planning for home care after the operation. My personal tip is to bend the knee as far as you can while right after the operation while the spinal anesthetic is still working. Getting the "bend" as fast as you can really helps with everything else.

[@TalkingWithDocs]

That is hilarious about the bath fitter reference. You are right we should sit in every now and then. Will look into that

[@stevebarker173]

As if I didn’t love you guys enough, you throw in a Dr. Johnny Fever/WKRP reference!! 😂 Had my left TKA done last March and my right one is getting done next month. Hoping this one goes as well! My only issue with the last one was sleeping. No major pain beyond a couple days but nagging soreness and discomfort made it difficultly to sleep more than a couple of hours.

[@TalkingWithDocs]

What about Herb? Good luck next month. Sleep is rough for 6-8 weeks. There is research about this and we did a video about it!

[@robinjones6999]

To be fair, having been involved in several thousand TKR I personally would dread having one. Friend of mine does them and I would trust him but I still dont fancy it. Your comments are absolutely spot on!! Maybe discuss bilateral TKR next time - WDYT??

[@TalkingWithDocs]

Thanks so much. We do have a video about bilateral total knee replacement 😀

[@emom358]

I live both formats. I have a question about recovery. I had my TKR in August 2022. I had 2 revisions (October and April), a lovely case of shingles, then an unrelated back surgery. I was curious about recovery time. Six months since last surgery? One year from the first?

[@TalkingWithDocs]

We would say 1-2 years total. Hang in there!

[@bettystevens5397]

Great platform but, do is the OR!! Thanks for sharing

[@MH-qq3kj]

I like the pod cast format. Not all the time, but sometimes.

[@TalkingWithDocs]

Yes maybe a mixture

[@robertkaminsky1691]

I think you guys are great. Have you ever done a video about osteochondritis

[@TalkingWithDocs]

Not yet. On the list. Thanks so much

[@brunodealmeidajabrayan5563]

Hi Docs, thank´s for the video, here in Brazil we speak portuguese.😃😃👍👍.

[@TalkingWithDocs]

Ok that's awesome!

[@joannehastings3696]

I had a knee replacement three months ago and I have the other knee booked for replacement in three months. I still get fatigued quickly and have some pain but haven’t had to take anything for it in 2-3 weeks. My question is, what can I do to strengthen both legs at this point, to make my upcoming recovery from surgery as successful as possible? I’ve never been an active person (except for swimming in the summer but of course our pool is closed now). Thanks!

[@archiveglide]

Audio is so much better! Also just green screen your background. So you can put whatever you want:)

[@mmcguire5687]

Apparently the system is different in Ontario. Over the several “years” I saw my surgeon, not one of those visits lasted more than 5 min tops! When I was “finally” placed on the infamous wait list, it was 14 months till my surgery. The next time I saw my surgeon was in OR. All other information etc was provided by nurses, staff. I am now almost 3 months post op, taking Advil and pregabollin (SP) as I experience CRPS which can be a real bugger!!! Post OP, I have been to the clinic several times for staple removal etc. I saw my surgeon there once for literally probably “one” minute….no exaggeration. Also, in Alberta all post op physio is done in groups….so a bunch of geriatrics sitting on bosu balls bouncing up and down. Luckily I have a strong background in athletics, anatomy etc. and have a full gym at home, so I am rehabbing myself. My flexibility is beyond expectations for this point. I don’t think I will ever gets used to the laxity and clicking of this joint though. Keep the videos coming!!!

[@TalkingWithDocs]

Thanks for sharing your Alberta experience. I (Dr Weening) used to live in Brooks!

[@youthrevisitedagain]

Getting ready for right knee surgery in Jan after successful left knee this past July. Same hospital, same surgeon, same son at home to help me. I have pre-op scheduled with PA & anesthesiology already. Ortho has videos & a handbook via internet which worked fine for me. I also had an advantage with both my sister & brother having had their knees (both knees) done before me so I had lots of questions answered. My biggest question this time is about the narcotic given. Is there another option besides Percocet? I will ask the PA for sure about that. Also PT reminded me that this knee will be different than the first; maybe easier, maybe not. Like kids, I guess.

[@TalkingWithDocs]

We often use hydromorphone (Dilaudid) instead especially for those over 65. Good luck!

[@suzanne296]

Hey Docs I'm listening now. I need partial knee replacement. Whats the difference? Illinois gal

[@elsafischer3247]

I have a total knee replacement,two years and I still have a little of pain. I have therapy and walk every day.I wasn’t able to do this before surgery

[@TalkingWithDocs]

Glad to hear you are better

[@bethmccall3735]

Hi Docs! Does the same procedure also work with feet procedures as well?

[@TalkingWithDocs]

Yes typically