Knee replacement

Mrs G had a half knee replacement early last year.

The reason for asking whether you were planning to go NHS or private is that the current waiting time on the NHS is somewhere between 18 and 21 weeks. That’s between first referral and the operation. However when Mrs G had her consultation she was told that she would’t get referred until the pain was significant - “chronic” was the word I think they used. She had had a hip replacement about 8 years ago, and the thought of having to wait again to be referred until the pain was that great encouraged us to go private.

She had her first consultation in about August 2023, making the decision to go under the knife in perhaps October or November, and she then had her operation in early February last year.

If you go private you can also have the opportunity to elect which consultant you use. This can make a significant difference, so I’d strongly suggest you do some research. We are near Oxford, and Mrs G had the professor who was part of the team that established what’s known as the “Oxford knee”. He was fantastic throughout.

As others have said, exercise both before and after is key. From the x-rays and MRI scans Mrs G was advised to do as much exercise as possible pre-op. This may seem counter-intuitive, but as the Prof said, you can’t damage your knee through doing these exercises and all muscle build up pre-op will help post-op.

Mrs G also stuck religiously to the post-op exercises. These helped immensely, and she had a whole course of physio (7 or 8 sessions, I think). They also provided a machine that pumps iced water around the knee, which again really helped - I can find out the name of the machine if that would help?

Progress seemed slow for the first few weeks, and Mrs G had an allergic reaction to the iodine that didn’t help. But after about 6 weeks post-op it was like a switch had been hit - Mrs G was suddenly walking around as though there had never been a problem. Coming up to a year after the op she is now out every week working our labradors and going for walks without a second thought.

They reckon that after two years you will see no more improvement.

Mrs G is likely to need to have the other hip and knee replaced at some point, but the dread she had about doing so has been greatly alleviated by her experience with the knee replacement.

Whatever you decide, best wishes, and let us know how it goes
 
Mrs G had a half knee replacement early last year.

The reason for asking whether you were planning to go NHS or private is that the current waiting time on the NHS is somewhere between 18 and 21 weeks. That’s between first referral and the operation. However when Mrs G had her consultation she was told that she would’t get referred until the pain was significant - “chronic” was the word I think they used. She had had a hip replacement about 8 years ago, and the thought of having to wait again to be referred until the pain was that great encouraged us to go private.

She had her first consultation in about August 2023, making the decision to go under the knife in perhaps October or November, and she then had her operation in early February last year.

If you go private you can also have the opportunity to elect which consultant you use. This can make a significant difference, so I’d strongly suggest you do some research. We are near Oxford, and Mrs G had the professor who was part of the team that established what’s known as the “Oxford knee”. He was fantastic throughout.

As others have said, exercise both before and after is key. From the x-rays and MRI scans Mrs G was advised to do as much exercise as possible pre-op. This may seem counter-intuitive, but as the Prof said, you can’t damage your knee through doing these exercises and all muscle build up pre-op will help post-op.

Mrs G also stuck religiously to the post-op exercises. These helped immensely, and she had a whole course of physio (7 or 8 sessions, I think). They also provided a machine that pumps iced water around the knee, which again really helped - I can find out the name of the machine if that would help?

Progress seemed slow for the first few weeks, and Mrs G had an allergic reaction to the iodine that didn’t help. But after about 6 weeks post-op it was like a switch had been hit - Mrs G was suddenly walking around as though there had never been a problem. Coming up to a year after the op she is now out every week working our labradors and going for walks without a second thought.

They reckon that after two years you will see no more improvement.

Mrs G is likely to need to have the other hip and knee replaced at some point, but the dread she had about doing so has been greatly alleviated by her experience with the knee replacement.

Whatever you decide, best wishes, and let us know how it goes
Thank you. I think it very likely I will go private as I do not want to wait - for sporting as well as pain reasons. In addition to stalking I do a lot of picking up and am out at least two and often four days a week. So getting an operation soon could be timely to get back for some or most of next season. I understand the consultant choice issue and am drawn towards the one my wife had just pre-Covid for a hip replacement. Although this was under NHS funding it was carried out at a private hospital and the wait time was very short at that time. My son is a GP and has offered to filter in/out consultants if I make the decision to go private.
Thank you for the offer of information about the water pump I had not heard of this. A friend recently had his knee replaced and did not have this. Seeing the pain he was in before the operation in then I think he waited too long. His knee is very good now but he has problems with his ankles! Perhaps contributed to by many marathons run when younger?
 
Good luck with it. My Mrs had a double knee replacement back in 2012 at age 42. She had some slight complications during the op so ended up in hospital for 10 days and was another 8 or 9 weeks before she could drive, but she’s never looked back. Definitely the right decision for her.
Also, a lad that works for me had a full knee replacement just 12 days ago. He was saying today that he’s up to 3 lamp posts on crutches 3 times a day already.
 
Thank you. I think it very likely I will go private as I do not want to wait - for sporting as well as pain reasons. In addition to stalking I do a lot of picking up and am out at least two and often four days a week. So getting an operation soon could be timely to get back for some or most of next season. I understand the consultant choice issue and am drawn towards the one my wife had just pre-Covid for a hip replacement. Although this was under NHS funding it was carried out at a private hospital and the wait time was very short at that time. My son is a GP and has offered to filter in/out consultants if I make the decision to go private.
Thank you for the offer of information about the water pump I had not heard of this. A friend recently had his knee replaced and did not have this. Seeing the pain he was in before the operation in then I think he waited too long. His knee is very good now but he has problems with his ankles! Perhaps contributed to by many marathons run when younger?
This is the ice therapy pump that Mrs G rented for the recovery period, but there are plenty of others. I’d personally recommend one that has a built-in timer, as you may want to run the therapy overnight as well:

 
I had 2 partial knee replacements in May last year, paid for a private job as I wanted both done at the same time, as has been said you MUST do the excercises or end up with problems. I must be lucky I never had any pain issues post op and currently in Scotland tackeling clear fell and restock without knee pain. An x ray and scan will confirm the suitability for full or partial replacement I'm 74 and wish I'd had it done 4-5 years ago as the pain/discomfort and instability severly restricted my activities. My advice is pay to see a consultant and follow his advice. BTW I was only in hospital 1 night and driving after 4 weeks.
 
Keep your own as long as you can get 2kg of frozen peas and a towel 😉
Last resort should be a tkr trust me have had the same one done twice but they have failed and now need doing again ! Last one was only 2011.?
This is the right advice.
 
Are you overweight?
No need to answer that personal question if you don't want to, but it does seem to have a major bearing on the success or otherwise of knee surgery. Or even whether knee surgery is necessary. I know of a few large people who struggled with knees, and were told they had to reduce their weight before surgery. Having successfully lost weight, they then found that their knee problems more-or-less disappeared without intervention.
That is a question that might well have an influence on things! I had a PKR a few years ago. I had complications set in a few days after the op (I had a visiting nurse come every day to put clean dressings on it but after a couple of days she noticed that it got infected and was going septic) However they soon managed to clear that that up and I haven't looked back since! I did all of the physio daily as instructed and was walking and driving again quite comfortably within 2 weeks. Since then had no problems and the PKR has left me fairly mobile. Yes I did get a little (And I stress that it was only a little) pain/ache if I had done a lot of walking but I realised that I was getting seriously overweight so I went on a diet. I lost over 1.5 stone and have felt a lot better for it and now I barely notice any "pain" in my knee except if I make a mistake and try to kneel on it. That PKR made a huge difference for me!
I honestly believe that dieting to loose that 1.5 stone definitely helped so if by chance you are a little overweight (And I am not saying that you are) try to loose a little weight, you might well find that it helps towards easing any pain in your knee!
Having said that I would not hesitate in having the other knee done if it needed it, regardless of it it were private or NHS, it made a hell of a difference to my life!
I wish you well whatever you decide!
 
Thank you for all of your comments. I’m 70 so the number of years I’m likely to be doing strenuous stalking are limited in any case. I just want to do as much as I can for as long as I can. So I would be prepared to go private rather than have an extensive NHS wait. I now have a follow up physio appointment at my GP in a week or so will so what is said. I was just wanting to ask the experiences of others who have been here before. So thank you again. I had a cortisone injection about 5 months ago but I’m not sure it helped. Ibuprofen tablets and gel help short term. I have taken turmeric and chondroitin (iMove) daily for a number of years.
I went private. You will wait for years on the NHS.
 
My left knee is painful after a day’s stalking, and this keeps me awake at night. It has been diagnosed a mild/moderate osteoarthritis. The question is do I consider a knee replacement sooner while the pain is still bearable or later when it becomes greater? Advice please, has anyone been in this position?
Thanks
I was diagnosed with advanced osteoarthritis(knee) and prescribed Paracetomol, Ibuprofen gel an Amitriptyline. Ibuprofen leads to constipation! When I stopped taking amitriptyline because the pain had gone after about 7-8 months, I had panic attacks and found it was a low-dose antidepressant that you should be weaned off of. I then found Arnica Gel, and have been using that in the years since. Wash your hands after rubbing it in, as it's a poison. I tablet form, you can easily fatally overdose, so only use tablet under supervision.
 
My wife has had 2 knees and a hip between 15 and 20 years ago.
Now 70 and all going strong.
All on NHS , with 2 done in private hospital.
Excellent service ,and obviously good value.
Her only advice is - don’t rush to get going too quick and do everything that your physiotherapist tells you.
 
Travel to Sheffield and see either of these surgeons, Simon Buckley or Jez Brown at Claremont or Thornbury Hospitals.

They both work for Sheffield Orthopaedics Limited ( S O L ), and their services are accessible via the NHS.

Their considered opinions are the definitive answer.
 
I had a full NHS knee replacement in 2013 ,2 months short of my 65 birthday .General wear and tear, football, cricket ,falling of motorbikes and 25 years keepering.The surgeon didn’t want me to have mine done “your too young “he said but I was in so much pain I had it done .Best thing I’ve ever done ,76 now ,I can still do virtually all I want to just slower.Tring says have it done privately but a friend had both knees done one privately one on the NHS and the one done privately first was never any good!! I rode a bike for 12 months prior to the surgery to keep my leg muscle In order and stayed on my crutches for over 8 weeks just as the Doctor and physio told me to do.
 
My dad is 91 & having a knee replacement on 13th Feb. He was a active beater till he was 89 when his knee became to painful to carry on. He also is the main carer for my mum (88) with help from me & my sisters. I’m hoping the replacement will give him a better quality of life as his knee seems to be the only thing slowing him down.
 
I’m of an age where many of my mates have had knee replacements and I too will require one in the not too distant future. A couple of points:

Try and loose weight if you need to- it helps.
Take Glucosamine (probably not spelt right) - buy it in bulk from Costco or Holland & Barrett etc.
Take fish oil.

Both these supplements were recommended by a knee surgeon.

Get a good brace - I use a good quality tubigrip on occasion.

Make sure you wear good fitting boots and insoles. There’s a lot to said for ensuring you whole leg is aligned when covering rough ground.

Finally, Ibuprofen and ice are your friends if you over do it.

Of course if all of these measures aren’t helping or the pain is just too bad - get the knee replaced. Short-term pain for linger-term gain.
 
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