Probable knee replacement

[villagetinker]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

[tophcfa]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

Had my right knee replaced 13 years ago with the old fashioned front procedure. Knee still works great except it’s difficult to kneel on it. I had it done up north so can’t recommend a doctor in the greater Villages area. I’m very happy I had it done and the left one will be getting replaced very soon when I’m eligible for Medicare and a good Medigap plan. Football, basketball, lacrosse, water skiing, and mogul sking trashed my knees at a relatively young age. The key to a successful replacement (other than a good surgeon) is to really commit to work hard on the post operative rehabilitation regime. If you don’t work hard on the range of motion exercises (which are painful), you’ll never get back close to full range of motion. Any exercise you can get pre operative to strengthen the leg and muscles around the knee will also help with the recovery process. Best of luck!

[laboutj]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

My wife had a knee replacement done by Dr. Karl Siebuhr of Reconstructive Orthopedics in Ocala. Had the procedure done December 1st and is now playing golf. We cannot say enough how wonderful both he and his office is to work with. He's so good patients go to him to fix mistakes other orthopedic doctors make.

[bagboy]

Without question, Dr. Steve Nguyen is the go to TKR surgeon. He replaced my left knee 11 years ago and I'm still pain free and mobile. I recommend being diligent with respect to physical rehab, which should cover about three months. I was back to bowling soon after rehab with no ill side effects, even to this day.
He does the side approach, and I've heard he now does it as an out patient, though I can't confirm that.
I put up with knee pain since high school, so my experience says "get it replaced " as soon as Dr. Nguyen is available. Good Luck!!!

Steve Nguyen, MD, FAAOS | Joint Replacement Surgeon and Orthopaedic Surgeon Orlando FL (https://www.optimotion.com/steve-v-nguyen-md-orthopaedic-surgeon-orlando-fl.html)

[jimbomaybe]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

You have been a great help to many here, demonstrating a thoughtful, analytical thinking process that will take you to the best outcome. There are many possible reason for knee problems and many ways to approach those problems. My knee problem is due to some structures being torn and other being delaminated , I was told that all they could offer is knee replacement,, if it bothered me enough. As one poster pointed out strengthening the knee prior to any surgery can be a great help in recovery, a strong knee is a happy knee, I am very active for a geezer, I have added a leg extension , leg curl attachment to my weight bench as long as I use it religiously, use aspercreme morning and night no problems,, Good luck

[ThirdOfFive]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.
I had my left knee done six years ago. Fantastic surgeon. Unfortunately he practices in Minnesota.

One thing I would suggest is to check your insurance coverage first. While it is true that most of the stuff that is done short of a replacement is merely a band-aid (my surgeon told me as much, admitting that anything he could do short of a replacement was only a short-term remedy at best) some insurances do require those band-aids, and will approve major replacement only in the event that the band-aids fail. Irritating as hell--it took me well over two years of dinking around when I could have had everything done--surgery and healing--in less than a year. But necessary.

Your insurance might be different. But it doesn't hurt to check.

[MightyDog]

I'm curious as to how the Doc measured the "loss of cartilage"? I had some knee issues back in my 20s (almost 40 yrs ago) and the orthopod Doc deduced that also in my case but, I don't remember how. Anyhow, they weren't really doing knee replacements back then and it would have been drastic for someone that age.

So, he put me on another plan - which was fairly intense physical therapy (appropriate at that age) with the idea being to build up the muscles surrounding the knee to compensate for its weakness (like another commenter mentioned). It basically worked. Fast-forward decades later and I've never had either knees replaced or even seen another orthopod about them.

Which also brings me to this -- and I know it will sound very simplistic but, it is worth a try and won't hurt you to do so. For a dozen+ years, I've taken a supplement of glucosamine with chondroitin, about 500 mgs/ 4 times p/week. But, if I were new to it, I'd take 1000 mgs/ 5 per/week and if it's going to help, you'll know in about 2 weeks. If the pain subsides, keep taking for another 2 to 4 weeks and then, if you want to test it, stop taking it and see what happens.

Twice, during those dozen+ years, I ran out of it, forgot about it and, oh boy, did my joints...mostly knees and elbows REMIND ME with deep aching. I got worried at first but, remembered I hadn't been taking the glucosamine, bought more and, both times, in about 10 days...all the pain disappeared. I have often wondered if many joint surgeries could be avoided by the simple taking of that "wonder drug" that eliminates the pain. However, don't expect the Docs to tell you about it. It's a revenue-killer for them.

[Michael G.]

Don't forget to check for "baker cyst" behind the knee.
That was my knee pain for months.

[daveersk]

Hi - I'm four months since total knee replacement. It's not as bad as other orthopedic operations. Do rehab as suggested.

At seven weeks I was playing golf gently.

Dr. Timothy Van De Leur M.D.
Orthopaedic Institute Brownwood.

Getting other knee done in a few months. NOOO rush.

take care, dave

[kcrazorbackfan]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

Dr. Joe Tutorino, Jewett Orthopedic in Orlando, 407.629.2444. Has done both mine and my wife’s knees; a great surgeon. We were both back to playing golf in 6 weeks.

[villagetinker]

I'm curious as to how the Doc measured the "loss of cartilage"? I had some knee issues back in my 20s (almost 40 yrs ago) and the orthopod Doc deduced that also in my case but, I don't remember how. Anyhow, they weren't really doing knee replacements back then and it would have been drastic for someone that age.

So, he put me on another plan - which was fairly intense physical therapy (appropriate at that age) with the idea being to build up the muscles surrounding the knee to compensate for its weakness (like another commenter mentioned). It basically worked. Fast-forward decades later and I've never had either knees replaced or even seen another orthopod about them.

Which also brings me to this -- and I know it will sound very simplistic but, it is worth a try and won't hurt you to do so. For a dozen+ years, I've taken a supplement of glucosamine with chondroitin, about 500 mgs/ 4 times p/week. But, if I were new to it, I'd take 1000 mgs/ 5 per/week and if it's going to help, you'll know in about 2 weeks. If the pain subsides, keep taking for another 2 to 4 weeks and then, if you want to test it, stop taking it and see what happens.

Twice, during those dozen+ years, I ran out of it, forgot about it and, oh boy, did my joints...mostly knees and elbows REMIND ME with deep aching. I got worried at first but, remembered I hadn't been taking the glucosamine, bought more and, both times, in about 10 days...all the pain disappeared. I have often wondered if many joint surgeries could be avoided by the simple taking of that "wonder drug" that eliminates the pain. However, don't expect the Docs to tell you about it. It's a revenue-killer for them.

My wife just picked up some for me I will try it out, thank you for the tip.

[villagetinker]

I had my left knee done six years ago. Fantastic surgeon. Unfortunately he practices in Minnesota.

One thing I would suggest is to check your insurance coverage first. While it is true that most of the stuff that is done short of a replacement is merely a band-aid (my surgeon told me as much, admitting that anything he could do short of a replacement was only a short-term remedy at best) some insurances do require those band-aids, and will approve major replacement only in the event that the band-aids fail. Irritating as hell--it took me well over two years of dinking around when I could have had everything done--surgery and healing--in less than a year. But necessary.

Your insurance might be different. But it doesn't hurt to check.

Interesting point about insurance, I guess i will be making some calls.

[jebartle]

Without question, Dr. Steve Nguyen is the go to TKR surgeon. He replaced my left knee 11 years ago and I'm still pain free and mobile. I recommend being diligent with respect to physical rehab, which should cover about three months. I was back to bowling soon after rehab with no ill side effects, even to this day.
He does the side approach, and I've heard he now does it as an out patient, though I can't confirm that.
I put up with knee pain since high school, so my experience says "get it replaced " as soon as Dr. Nguyen is available. Good Luck!!!

Steve Nguyen, MD, FAAOS | Joint Replacement Surgeon and Orthopaedic Surgeon Orlando FL (https://www.optimotion.com/steve-v-nguyen-md-orthopaedic-surgeon-orlando-fl.html)

Take care tinker, without doubt Dr. NGUYEN, you won't be sorry, many many friends highly recommend.

[Two Bills]

For my ten cents, all I would add is, do the exercises religiously after surgery, and use plenty of ice in between.
My replacement knee is now the best joint in my body.
Go for it.

[Lisuccia]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

Dr. Timothy VanDeLeur at Orthopedic Institute. He has an office at the Brownwood Specialty Care Facility. He will take the time to discuss your specific problem. He will not rush you into surgery if he feels you have other options at the time. He replaced my husband's hip and my knee. I lead 2 exercise classes a week and I was back to my regular activities in a few weeks. I followed all of his instructions and went to physical therapy as he prescribed. P.S. I went to St. Pius X High School in Pottstown, PA so you know I wouldn't steer you wrong. :-)

[pendi99]

Dr vanderleur. orthopedic institute

[Rwirish]

Best place to get medical opinions and recommendations - social media.

[Laforce]

The possibility of the need for a revision procedure at some point in the post-surgical recovery process should be in the back of your mind. Doctors are human and therefore cannot always be as perfect as we would hope them to be. Knee replacements are prolific; however, they still require a lot of good judgement along with a lot of skill on the part of the doc. I would recommend having the procedure done by a doc/facility who uses a robot. The literature shows improved outcomes and a better patient experience.

[Federspiel]

I am in 5th week of recovery from TKR. Van de leur performed front procedure.

Since then I have also heard good things about Nguyen and his side procedure which I believe has a quicker less painful recovery.

I have also learned that not everyone is a candidate for the side procedure. Because of my age (80) and extent of damage I was not.

I think your approach is a good one. I will go slower when I start having problems with my good knee.

Currently, I can bend TKR 118° and am 5° short of a flat straight knee. I have 2 weeks left of physical therapy and it is a bitch. I believe your recovery and pain tolerance is a trade-off between how much pain meds you are comfortable with (side effects) and how diligent you are with therapy.

My opinion is that Van de Leur is a very competent surgeon. Based on what I have since learned, Nguyen might be slightly better.

However, my currently good knee will have to be a lot worse than my bad knee was before I would ever undergo a TKR on it.

Getting old is a bitch. Strengthening your knee is always a good idea, before surgery.

"Trust God with all your heart and lean not on your own understanding, acknowledge Him in all your ways and He will direct your path."

[rsmurano]

If you need new knees, get it done. I lived with bone on bone for years before I had both done 5 years ago. I had friends try the stem cell route and didn’t work, they had to have them replaced.
The most crucial part of the knee surgery is the PT work done after surgery. If you have a dr or medical institution tell you to wait 1 week before starting PT, go with someone else. I know friends that waited and they too needed a manipulation.
My dr told me to go to a PT company but I chose to have in-home therapy. Didn’t work and I had to get a manipulation done 10 weeks post surgery to get it to bend. Second time, I started PT the next day and I was playing sports 8 weeks later.

[Dkintzer]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

I am a nurse & The best in the area for knees & hips…Dr. Van de Leur @ The Orthopedic Institute. Timothy J. van de Leur, M.D. - The Orthopaedic Institute (https://www.toi-health.com/physicians/timothy-j-van-de-leur-m-d/)
He has operated on folks I know, most recently a total hip replacement right side, & this person was driving in 2 weeks! He only does hips & knees & the West Marion HCA hospital where they operate is one of the best I’ve been to. He has an office @ Brownwood & Summerfield on 441.

[pikeselectric]

Hi there! I would like to share with you my firsthand experience with QC Kinetix. My dad had similar issues with one of his knees and he felt he may need a replacement ror procedures. He was in extreme pain and struggled to walk/work (he's a plumbing contractor and has strenuous work on the day to day). He looked into the regenerative treatment for knees through QC Kinetix Ocala location. He ended up going through the procedures for both knees and it went really well! His pain is completely gone and he is working in full swing. The staff at the office were great throughout. I highly suggest looking into this option for anyone who may benefit :)

Link to their website: Non-Surgical Knee Pain Treatment | QC Kinetix (https://qckinetix.com/knee-pain/)

[LonnyP]

I have had a knee replacement but up in Iowa. I was young at 53, it is still one of the best things I have ever done. I have a few friends down here that have had this new method of going in from the side. Seems like they have pretty amazing results. Sorry, I do not have any Dr recomendations. Advice though, stay on meds to help get through physical therapy, it is very difficult. Good luck.

[bobw123]

I am a retired 73 y/o retired Doctor of Chiropractic.
My wife and I have had continuing degenerative knees and backs, & both of one of our knees were bone on bone with little cartiledge left. We had been on glucosamine/chondroiten for years. Adjustments of the spine and knees, then 3 years ago started Cortisone injections, hyloranic gel shots, and then resorted to PRP plasma rich protien which uses your own blood plasma to try to stimulate your own stem cells. But that and stem cell therapy is not covered by insurance, and both are very expensive. I also then tried Soft shock therapy which is also not covered by insurance, and gave me temporary relief. However the knees for us continued to be a constant worsoning source of agony, so my knee surgeon thought a reconstruction, repair of my dminiscus, and patella would help. It did but I still have chronic pain upon movement and activity, but much less than before. So after an extremly successful hip replacement from the side, where they did not have to cut into muscle ligament tendon or bone, and I was back golfing in 4 weeks and playing sports again, my wife could not bear the pain in her knee any longer. So I researched again, and found Dr. Nguen and his team of Doctors in the optimotion group who invented the technique of doing a short Lateral from the side knee replacement that had a much shorter recovery and much less pain! No one in Atlanta or anywhere else that I searched was trained in that approach, so we came back to the Villages and my wife had it done. She walked immediately after the surgery and on the 2nd day did not need a cane or a walker! Normal range of motion goals is to have PT and get to 125 degrees of flexion. Most patients are lucky to get to 90 within 4 weeks. Carol was there within a week, and is now at full range of motion! Can squat, get on her knees and golfed with me at the 4th week! Friends of ours had the optimotion group and golfed after 1-2 weeks! Carol was overly cautious. At her pre-op consult I also had a consult and was advised to leave my operated knee alone and that there was not enough deteriozation in my right knee to advise a replacement as it just occassionaly gives out. So when I can afford it, I will spend $20,000 plus for stem cell injections of 100 BILLION stem cell into both knees and a transfusion of 200 billion that will affect all throughout the body including my spine and organs. Good luck in your decisions, I'm just giving you our history! And as an aside, when I had 4 herniated discs and djd degenerative disc disease, and stenosis, and could not walk after a 70 mile/hour rear end collision, I did everything again and a failed back surgery that made it worse, and then discovered IDD internal disc decompression, a machine that increases, rehydrates and takes the pressure off the nerves from the discs. It got me walking, pain free again and put a golf club back into my hands. And I specialized in that until I retired! Now I keep my original machine in my home in Kennesaw Ga, and if I bend wrong, put the tee in the ground, cough or sneeze and get symptomatic again, my wife puts me on my table and 4 days later am back doing the things I could not do for 40 years! I always told my patients IF you could do natural 1st, drugs 2nd and surgery LAST. Do that before you decide on invasive procedures. Good luck

[banjobob]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.
I have first hand experience with Synvisc-One knee injections. My knee was diagnosed as arthritis as I assume yours is and painful beyond tolerable .Surgery was the option until mt as doctor recommended Synvisc. Long story short I have had 5 injection over the past 12 years , length of pain free varies but mostly 1 year sometimes longer. I am currently scheduled for another injection next week. I .am not familiar with any other brands or medicine but SynVisc-one . Google Synvisc - One for information

[rhood]

Hi - I'm four months since total knee replacement. It's not as bad as other orthopedic operations. Do rehab as suggested.

At seven weeks I was playing golf gently.

Dr. Timothy Van De Leur M.D.
Orthopaedic Institute Brownwood.

Getting other knee done in a few months. NOOO rush.

take care, dave

Van DeLeur did both of mine within the past 8 months. Sep and Dec. I’m very happy with the outcome. There is a Facebook group here in The Villages called Bees Knees. They meet weekly at Tierra Del Sol, Tuesdays, I think.

[Janie123]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.
I’ve had both knees replaced using Makoplasty, a robotic procedure using Stryker and small implants avoiding the entire knee replacement… thus keeping all the ligaments and the good parts. Twin Palms in Ocala, Derek Farr is the surgeon and has done 100s of partial knees. That is where I go now for maintenance checks. Mine was done in Colorado but there are a handful of docs in the area doing mako partial knees.. recovery is much shorter than a full knee. Now if all three knee compartments is bad, you will need a full knee.

[Dusty_Star]

I don't have a doctor recommendation or advice, but I would like to wish you well. It seems you have received a lot of helpful tips, please keep us informed of your choices & recovery.

Best wishes!!!

[dlebuis]

Doing your exercises advice is spot on. I did exercises both before and after surgery and had no problems with recovery. Dr Kerina at UNOVA Orthopedic on Rolling Acres Rd did mine 5 years ago and I’ve had no knee issues since.

[DonnaNi4os]

I had my left knee replaced in my late 40’s and my right knee done almost 14 years ago at 58. It already had five previous surgeries on the right, starting as a teen. I have no regrets. The side procedure was done on the right and center on the left. The surgery is no picnic but if you are diligent with your physical therapy you will reap the benefits. I walk everyday and am able to function so much better than prior to the surgeries. I have conditions that led to the early need for the surgeries which means I still do have some joint pain but nothing like I had previously. Find a good surgeon who has a history of successful outcomes. Good luck to you. My advice, get it done!

[lvlwallach]

Injections are good. If doing surgery Dr Steve Nguyen best surgeon. Has f/u office here. Definitely have side approach. I've had both. World of difference. Exercise BEFORE and after. Including pool Exercise. Good luck. Lavelle

[bonrich]

First get a full knee replacement, you do not want to go through another surgery within a few years, second be faithful with your PT. Very important, you want to get full flexion and extension, and lastly, use ICE. Really important to ice your new knee during the healing process to help reduce inflammation, which holds you back from getting extension.

[DonnaNi4os]

I'm curious as to how the Doc measured the "loss of cartilage"? I had some knee issues back in my 20s (almost 40 yrs ago) and the orthopod Doc deduced that also in my case but, I don't remember how. Anyhow, they weren't really doing knee replacements back then and it would have been drastic for someone that age.

So, he put me on another plan - which was fairly intense physical therapy (appropriate at that age) with the idea being to build up the muscles surrounding the knee to compensate for its weakness (like another commenter mentioned). It basically worked. Fast-forward decades later and I've never had either knees replaced or even seen another orthopod about them.

Which also brings me to this -- and I know it will sound very simplistic but, it is worth a try and won't hurt you to do so. For a dozen+ years, I've taken a supplement of glucosamine with chondroitin, about 500 mgs/ 4 times p/week. But, if I were new to it, I'd take 1000 mgs/ 5 per/week and if it's going to help, you'll know in about 2 weeks. If the pain subsides, keep taking for another 2 to 4 weeks and then, if you want to test it, stop taking it and see what happens.

Twice, during those dozen+ years, I ran out of it, forgot about it and, oh boy, did my joints...mostly knees and elbows REMIND ME with deep aching. I got worried at first but, remembered I hadn't been taking the glucosamine, bought more and, both times, in about 10 days...all the pain disappeared. I have often wondered if many joint surgeries could be avoided by the simple taking of that "wonder drug" that eliminates the pain. However, don't expect the Docs to tell you about it. It's a revenue-killer for them.

I suspect that you had an MRI that diagnosed your loss of cartilage. If you had fluid aspirated you would likely see floating flakes of cartilage in the fluid that was removed.

[mkjelenbaas]

Make sure your doctor will prescribe pain medication!!

[Ragtop]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

I have had replacement of both knees. Yes you can live with the discomfort but why. First knee, over the top. Normal recovery, crutches, slow heal. Second knee over the side. I was walking with a walker that afternoon, on the street. Optimotion, has an office on. Hwy 44. I vote for the side.

[DianaS]

My husband wishes he had done the surgery sooner. He is thrilled with the result! We highly recommend Dr. Michael Messieh for both his skill and manner. One caveat, the harder you are willing to work on your recovery therapy, the better your end result will be.

[bragones]

I'm curious as to how the Doc measured the "loss of cartilage"? I had some knee issues back in my 20s (almost 40 yrs ago) and the orthopod Doc deduced that also in my case but, I don't remember how. Anyhow, they weren't really doing knee replacements back then and it would have been drastic for someone that age.

So, he put me on another plan - which was fairly intense physical therapy (appropriate at that age) with the idea being to build up the muscles surrounding the knee to compensate for its weakness (like another commenter mentioned). It basically worked. Fast-forward decades later and I've never had either knees replaced or even seen another orthopod about them.

Which also brings me to this -- and I know it will sound very simplistic but, it is worth a try and won't hurt you to do so. For a dozen+ years, I've taken a supplement of glucosamine with chondroitin, about 500 mgs/ 4 times p/week. But, if I were new to it, I'd take 1000 mgs/ 5 per/week and if it's going to help, you'll know in about 2 weeks. If the pain subsides, keep taking for another 2 to 4 weeks and then, if you want to test it, stop taking it and see what happens.

Twice, during those dozen+ years, I ran out of it, forgot about it and, oh boy, did my joints...mostly knees and elbows REMIND ME with deep aching. I got worried at first but, remembered I hadn't been taking the glucosamine, bought more and, both times, in about 10 days...all the pain disappeared. I have often wondered if many joint surgeries could be avoided by the simple taking of that "wonder drug" that eliminates the pain. However, don't expect the Docs to tell you about it. It's a revenue-killer for them.

Here's another vote for the miracle capabilities of glucosamine with chondroitin. During the course of 40 years of long distance running, I trashed my knees, very early on. In the last 5 years, the pain was so bad that I could not bend or run. I tried glucosamine without chondroitin and it did nothing for me. I could hear my knees crunch when I bend. About 2 years ago, a friend told me about the significance of adding chondroitin to the glucosamine. I gave it a try. The first 3 weeks did nothing. Around week 4 I started noticing relief. 2 years later, I am back running and 90% pain free.

[Ckbarger2]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.
I was told I was bone on bone and needed a knee replacement! I seen an ad for Aromotion. Had the procedure done. No surgery, no pain and still have my knee! It has been 8 months since the procedure!

[Biskopski]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

My replacement was in 2019. Any surgeon you are considering you can google their education and experience info. Mine was not local so I can't give you a local name but can suggest a few things to make all easier for recovery.
Sign up now with a therapist to start building up your leg muscles so your muscles are strong post surgery rehab. Your doc will set you up with therapy group post surgery that will be in your home for several weeks then move to a local center for continued therapy. Go online Amazon and purchase a shower chair, a toilet seat elevation seat and an adjustable leg elevation pillow looks like a leg trough (you can thank me later) and Senecot. You will be miserable from the pain pills without the Senecot help. Knee replacement is so perfected and if you do all your exercises faithfully post surgery you will say why didn't I get this done sooner!

[Duppman]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

My wife had both knees replaced a year apart, so I'm looking at this from the role of caregiver. Both of hers were the front procedure, and she couldn't be happier. The first two months are the worst with diminishing pain but swelling would continue. So ice, ice ,ice. My advice (multiple self inflicted surgeries) would be to do what your doc and PT tells, when they tell you to do it. I have seen first hand bad results of people that didn't follow orders. Good luck!

[BobAugustine]

Without question, Dr. Steve Nguyen is the go to TKR surgeon. He replaced my left knee 11 years ago and I'm still pain free and mobile. I recommend being diligent with respect to physical rehab, which should cover about three months. I was back to bowling soon after rehab with no ill side effects, even to this day.
He does the side approach, and I've heard he now does it as an out patient, though I can't confirm that.
I put up with knee pain since high school, so my experience says "get it replaced " as soon as Dr. Nguyen is available. Good Luck!!!

Steve Nguyen, MD, FAAOS | Joint Replacement Surgeon and Orthopaedic Surgeon Orlando FL (https://www.optimotion.com/steve-v-nguyen-md-orthopaedic-surgeon-orlando-fl.html)

My wife just had knee replacement by Dr Nguyen (pronounced Win). The surgery started at 9AM. She was out at 9:45 and by 1PM we were on our way back home. She seems to be recovering well.

My father had his two knees replaced about 10 years ago by Dr Nguyen. The have held up well.

I would highly recommend Dr Nguyen!

[Yellowrose]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

Optimotion Orthopedic phone 407-3553120. Best ever. Dr Dihn did mine 4 months ago. Surgery is in Orlando. Ask to see the Dr at the Wildwood office. There are 3 Dr. in this group. All are exceptional. Dr. Nguyen patented this procedure. He has been doing the side cut 15-20 yrs. Look at their web site.

[AZTOFLA]

My replacement was in 2019. Any surgeon you are considering you can google their education and experience info. Mine was not local so I can't give you a local name but can suggest a few things to make all easier for recovery.
Sign up now with a therapist to start building up your leg muscles so your muscles are strong post surgery rehab. Your doc will set you up with therapy group post surgery that will be in your home for several weeks then move to a local center for continued therapy. Go online Amazon and purchase a shower chair, a toilet seat elevation seat and an adjustable leg elevation pillow looks like a leg trough (you can thank me later) and Senecot. You will be miserable from the pain pills without the Senecot help. Knee replacement is so perfected and if you do all your exercises faithfully post surgery you will say why didn't I get this done sooner!

I agree with the recommended equipment noted above. I would add that you might also get at least 2 really good ice packs. For the toilet seat riser, please get one with arms to help you descend and rise safely. As an alternative, you could consider a bed side commode ( aka potty chair) that just sits over the toilet ( with the bucket removed). It can also be used as a shower chair. I will also add that post surgical pain combined with therapy is tough. In order to be successful, the pain must be controlled well enough to participate fully. Just sayin', as most people don't like to take their pain meds, and it can limit progress. The first 2 weeks are the worst. Best wishes for a successful surgery and recovery.

[sallyg]

Dr. Pulido at U of F in Gainesville. Top notch!

[Villagesgal]

Dr. Steve Nguyen is the go to TKR surgeon. He did my husband's 10 years ago, side incision, he was golfing, cycling and doing great after 4 weeks. He had his other knee done 14 years ago the front incision way and was in pain 6 months later and said he'd never do his other knee. After a lot of research we found Dr. Steve Nguyen and his then new side approach. After going to his office and talking with people who had had the surgery he went for it and was so happy he did. I know if I ever need a knee replacement I'm going with Dr. Steve Nguyen and the side approach myself.

[psoccermom]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

My husband had his knee replaced 10 years ago by Dr. Duke in Ocala, who put the wrong device in. Since he would not admit the error or fix it we went to Dr. Nguyen in Orlando (who now has an office in The Villages). Dr. Duke did the traditional incision while Dr. Nguyen did the side incision. Boy, could he tell a difference. The recovery is so much faster since muscles aren't being cut like in the traditional. He highly recommends Dr. Nguyen's office. You'll be back to bowling in no time. Good luck.

[rickaslin]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

@10 years ago I had 2 total knee replacement (front) not side. One thing I say is REHAB,REHAB AND REHAB some more, good luck

[Lancer]

My wife had both knees replaced by Optimotion Orthopedic. They do the side procedure. First one last July second one in January. Walking hours after the procedure with walker. Her surgery was done by Dr. Martinez who is a part of Dr Steve Nguyen’s group.

[Gerrys]

Dr. Sergio Martinez 407 355 3120. He has an office here in Wildwood. My friend had both her knees done by him and she was very pleased.

[tophcfa]

Lots of good information in this thread. I would add that I highly recommend getting a cryo/cuff for post operative icing of the knee.

[Marine30]

My doctor recommended the following: Turmeric, Osteo Bi-Flex (both available at Publix) and Tart Cherry 1,000mg available from Amazon. I've been taking this combination for four years and haven't needed a cortizone short during that time. Worth trying.

[gigndee]

Tinker, Dr Messiah 352 248 6899. Local office @466 and Rolling Acres. Single practitioner with great staff. Did my knee 8 years ago. Hit shorter shots in 6 weeks, full swing in 8.
Recent visit for left knee pain. Drained and added cortisone shot. Solved that issue. Takes a common sense approach to solve the issue but can schedule surgery in a very timely fashion, not months out. I highly recommend him. He also does the less invasive side/lateral surgery that gets you back to life, quicker.

[Ronlynch@comcast.net]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

The Orthopaedic Institute - Improving Lives Everyday For Over 30 Years (http://www.toi-health.com)
TIMOTHY VAN DE LEUR
17270 SE 109TH TERRACE Rd, SUMMERFIELD, FL 34491
(352) 336-6000
The Orthopaedic Institute, Several Locations including Somerville and Brownwood. Specializes in Knees and Hips only. From Rothman Institute in Philly. Extremely Thorough, Personable, Professional, Great Staff! I had Left Knee replaced 4 years ago and still get injections in my Right Knee. They seem to work for over a year. His quote is "you'll know when it is time".

[jswirs]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

I started experiencing knee pain in my early 60's. I have been taking Glucosamine / Chondroitin WITH msm for about 15 years now. I am relatively free of knee pain. Best of luck to you.

[prothfuss]

Dr Nguyen in Orlando did my wife surgery 2+ years ago. He does the side surgery and after surgery walked out of the hospital using a walker to assist. No pain now. Main thing is to make sure you follow up with the rehab instructions.

[jimjamuser]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.
I know a softball player that was very fast and could play the outfield well. He had a knee operation of some kind (total, partial ????). he NEVER really recovered his speed after that operation and he could only play 1st base. I know a tennis player that wanted to have both knees done at once. Most Doctors would NOT do that. He finally found one that would. He took a long time to recover. Prior to the surgery he was a capable singles player. After the operation he was a very incapable doubles player that tired out easily. it was a shame because when he was 40 years old, he was BY FAR the best tennis player in TV Land. He had strokes as pretty as anything that you would see from professionals on TV.
..........My wife is in the medical field and she says to think twice BEFORE you get a knee operation and think 10 times BEFORE you get a hip operation. And I know that knee operations keep improving, but still?????

[villagetinker]

Thank you for the recommendation, I use to go past Cardinal O'hara high school, I grew up in Broomall, Pa.

[Atamasco]

Probably the best around is Dr Steve Nguyen (pronounced "Win") 407-355-3120

[villagetinker]

To ALL that have replies, a BIG THANK YOU, this has given me a lot to think about. I have just started with the OTC supplements knee brace should be on the way soon. I also received about a dozen or more private messages with additional information. So I will now be contacting 2 or 3 surgeons as well as my insurance to see what are the next steps.
Again thank you for all the replies.

[laboutj]

The possibility of the need for a revision procedure at some point in the post-surgical recovery process should be in the back of your mind. Doctors are human and therefore cannot always be as perfect as we would hope them to be. Knee replacements are prolific; however, they still require a lot of good judgement along with a lot of skill on the part of the doc. I would recommend having the procedure done by a doc/facility who uses a robot. The literature shows improved outcomes and a better patient experience.

Dr Siebuhr used a robot for my wife's knee. Got it to 140 degrees on the operating table. And the surgery before hers he was doing a revision procedure done by the side entry guy from Orlando.

[Lillyangel]

I'm curious as to how the Doc measured the "loss of cartilage"? I had some knee issues back in my 20s (almost 40 yrs ago) and the orthopod Doc deduced that also in my case but, I don't remember how. Anyhow, they weren't really doing knee replacements back then and it would have been drastic for someone that age.

So, he put me on another plan - which was fairly intense physical therapy (appropriate at that age) with the idea being to build up the muscles surrounding the knee to compensate for its weakness (like another commenter mentioned). It basically worked. Fast-forward decades later and I've never had either knees replaced or even seen another orthopod about them.

Which also brings me to this -- and I know it will sound very simplistic but, it is worth a try and won't hurt you to do so. For a dozen+ years, I've taken a supplement of glucosamine with chondroitin, about 500 mgs/ 4 times p/week. But, if I were new to it, I'd take 1000 mgs/ 5 per/week and if it's going to help, you'll know in about 2 weeks. If the pain subsides, keep taking for another 2 to 4 weeks and then, if you want to test it, stop taking it and see what happens.

Twice, during those dozen+ years, I ran out of it, forgot about it and, oh boy, did my joints...mostly knees and elbows REMIND ME with deep aching. I got worried at first but, remembered I hadn't been taking the glucosamine, bought more and, both times, in about 10 days...all the pain disappeared. I have often wondered if many joint surgeries could be avoided by the simple taking of that "wonder drug" that eliminates the pain. However, don't expect the Docs to tell you about it. It's a revenue-killer for them.
SYNFLEX, great stuff!

[Stu from NYC]

My wife just picked up some for me I will try it out, thank you for the tip.

I second glucosamine. Had a very sore shoulder about 10 years ago, primary care physician told me to take one a day and very soon pain totally went away. Told me to continue take one a day and so far so good. If it helps you should know in a few days.

[dougawhite]

it is worth a try and won't hurt you to do so. For a dozen+ years, I've taken a supplement of glucosamine with chondroitin, about 500 mgs/ 4 times p/week. But, if I were new to it, I'd take 1000 mgs/ 5 per/week and if it's going to help, you'll know in about 2 weeks.

I 2nd the motion for glucosamine-chondroitin. Starting taking 750mg per day 20 years ago for degenerative disc disease. I was wearing a back brace for any activity then. After just a year, my back was so much better and I've never been laid up again for 20 years now!

[Jeremy#1]

Agree with Bagboy response. Knee replacement 3 yrs ago by Dr. Steve Nguyen and outpatient surgery.

[jimjamuser]

I know a softball player that was very fast and could play the outfield well. He had a knee operation of some kind (total, partial ????). he NEVER really recovered his speed after that operation and he could only play 1st base. I know a tennis player that wanted to have both knees done at once. Most Doctors would NOT do that. He finally found one that would. He took a long time to recover. Prior to the surgery he was a capable singles player. After the operation he was a very incapable doubles player that tired out easily. it was a shame because when he was 40 years old, he was BY FAR the best tennis player in TV Land. He had strokes as pretty as anything that you would see from professionals on TV.
..........My wife is in the medical field and she says to think twice BEFORE you get a knee operation and think 10 times BEFORE you get a hip operation. And I know that knee operations keep improving, but still?????
My wife also said that a knee operation should be done when the pain is very great AND THERE IS A "BONE ON BONE" situation. She also said that the rehab will be painful!

[Vicxyz]

In addition to the glucosamine that others have suggested, I would suggest you try taking MSM (methylsulfonylmethane). I get mine from bulksupplements.com. It is an all natural sulfur that our bodies need and it gets depleted as we age. I have more than a dozen friends taking it, and every one of them has eliminated or greatly reduced their pain.

[Shipping up to Boston]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.

You’re a good guy. Thought you could use a laugh!

Every time somebody recommends a doctor, he's always the best. "Oh, is he good? -- Oh, he's the best. This guy's the best." They can't all be the best. There can't be this many bests. Someone's graduating at the bottom of these classes. Where are these doctors? Is somewhere someone saying to their friend, "You should see my doctor. He's the worst. Oh, yeah. He's the worst. He's the absolute worst there is. Whatever you've got, it'll be worse after you see him. Yeah. He's just a... He's a butcher. The man's a butcher." And then there's always that, "Make sure that you tell him that, you know, you know me." Why? What's the difference? He's a doctor. What is he...? "Oh, you know Bob. Oh, okay, I'll give you the real medicine. Yeah, everybody else I'm giving Tic Tacs ~Jerry Seinfeld

[Freeda]

Before you have any surgery, I would strongly suggest you read The Plant Paradox, by Dr. Steven Gundry MD (a famous cardiac and transplant surgeon / inventor) published 2017. NYT best seller. It is life-changing.
Years ago I had the same knee problem, and by my early 50s was being recommended to have replacement surgery. Between high quality supplements and dietary changes (which I researched and was taught about, even though Dr. Gundry's famous book came out years later) my knee problem healed, my joint space returned to normal, pain, swelling, and weakness / "giving way" / "catching sensation" problems gradually went away; and today at age 72 (73 next week) I have no joint or health problems at all. I never had to have that surgery.
Unfortunately, many physicians are unaware of these methods; though some probably are.

[MightyDog]

From Comment #54 - My wife is in the medical field and she says to think twice BEFORE you get a knee operation and think 10 times BEFORE you get a hip operation.
Couldn't agree more. I'm not anti-surgery by any means; it's absolutely necessary in some cases. But, there are millions performed every year in the USA that do not need to be. Surgeons want to operate, period. It's also how they make a living so, that has to be factored by the patient since it's a built-in conflict of interest. (The Hippocratic Oath went out the window for many Docs years ago, I'm sure plenty have noticed.) Try all non-invasive options first!

Regarding Comment #66 - I haven't read that book but, the overriding message here is really important. Better diets and appropriate supplements can make a huge difference in many health issues. I came across a book many years ago that looked so interesting. It was written by a Doctor a few decades ago whereby he claimed that most ill health occurs because of a lack of necessary vitamins or minerals. He detailed his findings and what deficiencies cause which illnesses plus what the optimal levels are for vitamins and minerals. But, grrrr, I bookmarked that book and no longer have that computer so I don't know the title or author! I will dig around and see if I can find it. Lastly, it has become commonly accepted that refined sugar is quite inflammatory and most American diets are very sugar-infused.

[MerryAnn]

I avoided knee replacement with fetal stem cell injections. I still had some cartilage. The stem cells stimulated regrowth
I've been fully functional and pain free for 5 years. If you're brave switching to a vegan diet will eliminate knee arthritis pain in 2 weeks. My husband had a double knee replacement after he developed bowed legs. He did extremely well and returned to work part time within 2 weeks, full time in 3 weeks. He did intensive residential rehab. He was off pain meds in 6 days despite having both knees replaced at the same time. My stem cell injections were completely covered by my husband's Tricare for life. Talk to an Orthopedic surgeon or pain management doctor about stem cells. I don't know about the side approach. Many people believe it is an easier recovery because not as many muscles & ligaments are cut. In any case best of luck. Last, PT before replacement will help condition you to recover faster. PT will not replace the need for new knees.

[jimjamuser]

Before you have any surgery, I would strongly suggest you read The Plant Paradox, by Dr. Steven Gundry MD (a famous cardiac and transplant surgeon / inventor) published 2017. NYT best seller. It is life-changing.
Years ago I had the same knee problem, and by my early 50s was being recommended to have replacement surgery. Between high quality supplements and dietary changes (which I researched and was taught about, even though Dr. Gundry's famous book came out years later) my knee problem healed, my joint space returned to normal, pain, swelling, and weakness / "giving way" / "catching sensation" problems gradually went away; and today at age 72 (73 next week) I have no joint or health problems at all. I never had to have that surgery.
Unfortunately, many physicians are unaware of these methods; though some probably are.
I read Dr. Gundry's book and was very impressed. I have altered my diet somewhat on the basis of reading that book, however some of the menu recommendations can be somewhat expensive. I have no pain and perfect function in my knees. Occasionally a little pain in my right hip. I recommend that everyone read his book as it opens up a lot of possibilities, especially as we age.

[jimjamuser]

Couldn't agree more. I'm not anti-surgery by any means; it's absolutely necessary in some cases. But, there are millions performed every year in the USA that do not need to be. Surgeons want to operate, period. It's also how they make a living so, that has to be factored by the patient since it's a built-in conflict of interest. (The Hippocratic Oath went out the window for many Docs years ago, I'm sure plenty have noticed.) Try all non-invasive options first!

Regarding Comment #66 - I haven't read that book but, the overriding message here is really important. Better diets and appropriate supplements can make a huge difference in many health issues. I came across a book many years ago that looked so interesting. It was written by a Doctor a few decades ago whereby he claimed that most ill health occurs because of a lack of necessary vitamins or minerals. He detailed his findings and what deficiencies cause which illnesses plus what the optimal levels are for vitamins and minerals. But, grrrr, I bookmarked that book and no longer have that computer so I don't know the title or author! I will dig around and see if I can find it. Lastly, it has become commonly accepted that refined sugar is quite inflammatory and most American diets are very sugar-infused.
Regarding SUGAR. In 1960 I was reading a weight lifting magazine and a guy named Joe Weider (former Mr America and Mr Universe) wrote an article about sugar and how and why it was so bad for you. Since that time I have NEVER put a spoonful of sugar into anything that I ate or drank. I never buy sugar at the grocery. Unfortunately, it is difficult to avoid completely because it is an ingredient in most processed foods that we buy. If everyone eliminate sugar in their diet, the American lifespan would probably go up 3 to 5 years. And honey is REALLY not much better.

[Shipping up to Boston]

Regarding SUGAR. In 1960 I was reading a weight lifting magazine and a guy named Joe Weider (former Mr America and Mr Universe) wrote an article about sugar and how and why it was so bad for you. Since that time I have NEVER put a spoonful of sugar into anything that I ate or drank. I never buy sugar at the grocery. Unfortunately, it is difficult to avoid completely because it is an ingredient in most processed foods that we buy. If everyone eliminate sugar in their diet, the American lifespan would probably go up 3 to 5 years. And honey is REALLY not much better.

Agree with your post and premise. I guess salt would fall into that category as well. For me, I do disagree with your honey take. Not the store grade stuff that is basically pancake syrup....but, in moderation, direct from the hive fresh honey is helpful to many that are able to consume it

[yankygrl]

Agree with your post and premise. I guess salt would fall into that category as well. For me, I do disagree with your honey take. Not the store grade stuff that is basically pancake syrup....but, in moderation, direct from the hive fresh honey is helpful to many that are able to consume it
What does this thread have to do with knee surgery?

[Shipping up to Boston]

What does this thread have to do with knee surgery?

Maybe if people read threads in their entirety, they would know that I responded to a prior post authored by someone other than me.

[MightyDog]

What does this thread have to do with knee surgery?
Various aspects of our diets are known to cause inflammation.

It would be a rotten shame if people went under the knife to fix a problem that might be remedied by simple diet modification.

[villagetinker]

I agree with the mention about eating habits. I will be asking several questions of my doctor when I see him in a couple of weeks, I have already made some changes.

[keepsake]

Dr. in Orlando -- pronounced 'When'
Lateral approach is the term.
Also Dr Cheong in Clearwater

[Bwanajim]

I had both knees done 2 years apart. Surgery on Monday & walking with a walker that nite.
Went home Tuesday & used walker Tuesday & Wednesday, switched to cane Thursday & threw it away Saturday AM & went & shot sporting clays in the woods.
Bad news is he’s in Ft Lauderdale.
Dr William Burke. I think he’s at Holy Cross. He’s worth the trip!

[Bruce3055]

I have been diagnosed with a loss of cartlidge in my knee. I talking to several people that have been in similar situation it seems they all said to forget about the braces and injections, etc., and just go for the replacement, anything else is just delaying the inevitable. Also, many have said that the side procedure is much better than the front procedure.

So, I am looking for advice from people that have had this done and a recommendation for very good surgeon, as well any other firsthand advice, like who to stay away from.
Please feel free to use Private Message if you would prefer not to put your comments on the open site or to talk to me directly.

My goal is to get back to bowling and some golfing without the current pain.


You need to be fully aware knee replacement is major surgery.

I'd suggest you join several "knee replacement" Facebook groups to get a firehose worth of opinions and what can go wrong and right even with great surgeons. Something as simple as dental cleaning can result in infection in the new joint and result in a knee revision - doing the surgery over again which you don't want after going through one rehab.

Best of luck on your ultimate decisions as all folks are different regarding knee replacements. Some heal quickly and forget the trauma fairly quickly and others suffer longer.