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Thread: Need a knee
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15th July 2021, 09:59 PM #16
Well that is no good. The nerve damage in my knee is worse and I am about to have injections into the nerves under ultrasound which may work. I will advise if it works or not.
There is a syndrome known as Surgical Induced Neuropathic Pain which I understand is where the nerves that have been agitated during surgery continue to fire and tell you your injured while you really are not. The sad thing is the longer this lasts the more the brain believes it. If you cant get your leg fully straight (or beyond 90deg) the surgeon can manipulate it under anaesthesia to break up the scar tissue which is probably what is stopping it straightening. But then you risk more nerve damage which is what happened with mine.
I would suggest it is worth giving it a bit more of go. If the surgeon has suggested replacing a wear strip that would indicate that there is a problem with it, and replacing it may well fix it. Perhaps …
Good luck with whatever you do.
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16th July 2021, 10:35 AM #17GOLD MEMBER
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I have been following this thread with interest.
My story. About 5 years ago I was cutting palm trees down and on number 5 the guy footing the ladder took one foot off it as I moved my weight tying the ladder in. So me, the chainsaw and ladder slid 6 metres down and I hit feet first. Main damage was split the cartilage in my left knee. I have managed till now but it limits me kneeling and getting up and down to get under the truck.
Bone doctor want to try growing my stem cells and injecting them into my knee and if that doesn't work, it's a replacement.
From all the people I have spoken to who have had replacements it appears only 50% are good.
Also apparently when you get a replacement you can't kneel down on it. That's the one thing that has me worried?
Rgds,
Crocy.
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16th July 2021, 11:11 AM #18
Japan - my knee - kneeling
Interesting thread. Very.
-- In Japan, sitting in "seiza" is a thing. I do it regularly as part of a self treatment for an old knee injury. I find that after sitting like this for a while my knee feels SO much better.
-- I injured my knee when 24. Badly fell a long distance and left knee (never that great due to hips dislocated at birth) went pop and the ACL snapped, plus some cartilage turned to gristle Repaired by surgery and told that a knee replacement was in my future.
The knee has given me bother and many falls due to weakness since.... but 25 years on its still going.
This brought me back to Japan and seiza....
I did Aikido for ages prior to that injury. I loved it. It finished that sport off completely, but I still sit on the floor and ssttrreettcchh that sucker, even now.
My injury made me highly curious as to the number of knee problems and treatments available in Japan. In all these years I cannot recall ever meeting, or hearing, of a Japanese person with the kind of knee problems that seem common in "The West". Google doesn't answer this question either.
I have read that hyper-extending ones knee joints by sitting in this method is actually "good" for it. BUT I don't know if this is true, or scientific, or just hopeful thinking.
None the less, very curious.
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16th July 2021, 12:53 PM #19
Hi Crocy
Good thoughts and questions.
I cannot kneel on my replacement comfortably as it feels like the flesh is getting squished against the steel of the implant. Which makes no sense as I doubt the bone was any softer than steel. But my nerves are really bad in their.
From my experience TKR’s have better outcomes than 50% being positive, however that may well be the result of the age of the recipient and the damage already done. I had mine at 52 as the arthritis was bad enough that the my alignment was starting to change. The surgeon said that they really only replicate the alignment you have, so if you leave it till your leg is bowed or misaligned you end up with a replica of that alignment.
I understand your concern though. My replacement has seriously affected my physical abilities, and it is not just physical exercise or sport. Simple things like climbing ladders, working around the yard, going shopping etc are more difficult, and sexual relations are somewhat limited, especially not being able to kneel or weight bare on the kneecap.
My thoughts are to get it done when it needs to be done, but be aware of the possible complications. Had my nerves not been damaged I think I would be super happy. My alignment is great, my strength through gym and physio is great, its just the constant pain and swelling that is difficult to deal with.
The main thing I have found is that when it comes to nerves, time is of the essence. The longer you live with nerve damage/ pain, the easier it is for your brain to convince itself that the knee is still in trauma and keep firing off pain.
Good luck with the future.
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19th July 2021, 02:31 PM #20
Just a follow-up to recent posts ... kneeling on the knee is totally out of the question (too painful). I hope no one takes photos of me
writhing on the ground endeavouring to repair my ride-on mower. Getting down to ground level is bad enough but trying to get
back up looks like I am having a fit. I almost 82 and have come to the conclusion that I cannot do the things I used to very easily.Life is short ... smile while you still have teeth.
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19th July 2021, 03:02 PM #21SENIOR MEMBER
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Really sorry to hear that Allan. At no time is it easy to see ourselves facing serious limitations.
One of the hard things for us Aussie guys is learning to accept help. I've got a 95yo adopted dad who still insists on doing everything himself. He got two new knees 20 years ago and they are OK but the rest of him is packing up now. Still he will do small concreting and gardening jobs and not tell me
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20th July 2021, 10:10 AM #22
Sorry Woodpixel, the camera is down on a low shelf in the cupboard and I cannot bend my knee to get to it. (lol).
Life is short ... smile while you still have teeth.
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31st July 2021, 10:48 PM #23GOLD MEMBER
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Dazzler, thank you for your frank and detailed response. For a long time I have been riding my bike daily for cardio, but my GP got me back to doing load bearing walking. I do 45 minutes daily and an extra hour 2 days a week with a Heart Foundation walking group at night. So far so good as I have a 4 month wait for an orthopod, my original guy no longer does knees? When I eventually see one I will report back.
Rgds,
Crocy.
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