While some various reasons and ailments can degrade the knee joints but the most common reason attributing to TKR including OA. Depending on the stage of the progression of the condition, treatment is given accordingly. If detected in the earlier stages, no specific treatment is required. But if the condition progresses, the patient may feel extreme pain. At such stage, getting a total Knee Replacement remains the last resort option for them. Hence, explaining the myths and facts surrounding knee replacement, Dr Akhilesh Yadav, Senior Transplant Head Joint Replacement (Hip & Knee) shares his expertise exclusively with Onlymyhealth:
Q Alternative therapies such as acupressure, massage laser therapy, magnetic therapy, etc. can complete cure knee pain and can reduce chances of knee replacement surgeries in severe cases?
Dr Yadav: It is essential to understand the root cause of pain and discomfort to provide the best treatment option which aims to subside these. If the joint does not have the fluid between them, due to friction, the space between the joints is reduced and causes extreme pain. In such cases, therapies like acupressure, massage laser therapy, magnetic therapy, etc., may not have fruitful results. While it should be understood that TKR is never the first step of treatment and the treating doctor always analyses the condition and treats it according to the stages.
Also Read: 6 Home Remedies to Treat Knee Pain
Q: What are the limitations for obese people undergoing surgery?
Dr Yadav: Obesity is one of the causes to trigger knee pain and degradation in the long run. Patients awaiting knee replacement with a BMI more 30 (Morbidly obese) need to optimize their body weight. Even if a patient undergoes the advanced and minimally invasive procedure, they need to monitor their pressure to sustain the lifespan of the implants.
Q: A lot of people have this to say that lifelong medications can help avoid knee replacement therapy. Is it true?
Dr Yadav: When any joint degradation is identified in the earlier stages, physical therapy and exercises are prescribed for preventing the further deterioration, but if the pain doesn’t reduce with exercise, the next option comes to the medication. In a lot of many cases, the doctor may prescribe supplements and even pain killers to get rid of the extreme pain. In most cases, stage 3 of knee pain and joint pain can be treated with the help of medication, but none should be taken without the doctor’s approval.
Q: “I have Diabetes or Hypertension or Heart Ailment, so I cannot undergo knee replacement surgery.” Is this true?
Dr Yadav: Patients with lifestyle ailments such as diabetes and hypertension should regularly measure and monitor the same, before undergoing TKR. Those who are diabetics are more at the risk of getting any infection, and hence before undergoing any surgery, the doctor will have the patient monitor their levels on a regular basis. If all measures are taken care of properly, in any case, the replaced knee’s lifespan may have long-term benefits, and it is best to take guidance from the concerned surgeon.
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