The Free Press, Mankato, MN

Health & Fitness

November 17, 2012

Medical Edge: Knee replacement a reasonable option for older adults

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Knee replacement surgery can help. But you should try treatment options that don’t involve surgery first. Changing your exercise routine to include low-impact activities, such as swimming and walking, rather than high-impact activities such as running, can help relieve some knee pain. Maintaining a healthy weight is one of the best things you can do for your knees, as every extra pound puts additional strain on your joints. Over-the-counter and prescription pain medications can be useful, as can steroid injections. If you haven’t tried these treatments yet, talk to your doctor about them.

If you still have significant knee pain despite these measures, then knee replacement surgery may be the right approach. Recovery after surgery is quicker than it used to be. That’s because anesthetic techniques and postoperative pain control have improved over the last 10 to 15 years.

The surgical technique now used allows people to get up and start moving almost immediately after surgery. I’ve seen some patients return to the swimming pool or use a stationary bike as soon as two weeks after knee replacement surgery. Complete recovery usually takes about a year. But in many cases, people can go back to doing most of the activities they normally do in about four to six weeks. Most people can expect to eventually be able to return to activities such as dancing, swimming, biking and hiking.

As with all surgeries, knee replacement does come with some risks, including blood clots and infection. But the rate of complications associated with knee replacement is small, and doctors can take precautions to minimize the risks. Some people do have stiffness in the knee after surgery, and about 10 to 15 percent of patients experience mild knee bursitis.

Talk to your doctor about the benefits and drawbacks of knee replacement. Review your medical history and any other current health problems you have, as well as what you would like to be able to do after the surgery. In many cases, knee replacement can help people your age regain mobility and return to activities they enjoy. — Robert Trousdale, M.D., Orthopedic Surgery, Mayo Clinic, Rochester, Minn.

 

Medical Edge from Mayo Clinic is an educational resource and doesn’t replace regular medical care. Email a question to medicaledge@mayo.edu. For more information, visit www.mayoclinic.org.

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