?
MAKING THE
RIGHT
DECISION
ABOUT KNEE
REPLACEMENT
SURGERY
Who
needs
it ?
A publication of
Makewell Meditour Ltd.
MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
Contents
  Introduction…….
  Understanding the pain….
Introduction
‘No biggie!’ is the general response most of us have when
that first bout of knee pain hits us. A little exercise, pain
balm, a hot water bag and we are back to our normal lives.
  Who is eligible for a knee replacement
surgery?.....
  Risks of delaying Surgery…
  Checklist to analyze if you need a knee
replacement procedure……
Well to be honest, no one likes his or her daily lifestyle to
be hampered by a little knee pain. It is only when our daily
routine is disrupted, and the knee pain starts governing our
lifestyle, do we finally turn our attention to it.
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
1
Akeem Hamid, a 76 year old patient underwent surgery only when he could
not bend his knees to pray. The pain came in the way of his devotion and he
decided to put an end to it
Then there is Lloyd Emmanuel, 62 years old, tennis pro from NYC. Llyod has been playing competitively
for more than 50 years. When the pain started in his knee, he was asked by his doctors to slow down. But
2
turning a blind eye, he continued playing all out, until the pain boomed into an ugly monster, which he
had to finally consider seriously. The result was a total knee replacement surgery.
Racheal Nwaigwe’s story is a classic example of why you should undergo a knee replacement surgery:
3
to end the suffering. Her pain began at the tender age of four and after battling pain, fatigue and
stiffness for a long period of 40 years; Racheal underwent a bilateral knee replacement to deal with
her rheumatoid arthritis.
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
So in which category do you lie? Are you one of those who have been
suffering for some time now like Racheal? Or like Llyod you are ignoring the
situation till you are forced to face it? Or maybe like Akeem, you will address
?
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this pain only when everyday activities like your prayers are disrupted? The
question we are trying to help you answer is:
Do You Need a
Knee Replacement Surgery
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
Before you consider surgery, it is important that you understand what is
happening in your knee and why you feel the pain:
CHAPTER 1
UNDERSTANDING
THE PAIN
The knee joint is made up of three bones primarily, the tibia
1
(shin bone), the femur (thigh bone) and the patella (knee
cap). These bones are held together with a connective tissue
called cartilage
With elastic, rubber like properties, the cartilage allows
2
these bones to smoothly move over one another when there
is knee movement and serves as a cushion.
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6
In some cases the person suffers from an
3
autoimmune disease called rheumatoid arthritis,
The body is unable to heal
which leads to the damage to the cartilage.
the damaged cartilage and
in due time the health of
Damage to the cartilage, decreases the gap between
these bones causing them to rub against each other.
The damage to the cartilage may be due to the normal
4
wear and tear (osteoarthritis) that occurs as a person
Progresses in age. It may also be due to a knee
injury or accident.
the cartilage deteriorates
further. The outcome is that
all treatments to contain
the pain fail after a point
and the person
experiences more pain,
with the movement of the
There may also be an increase in the friction with the growth
of bone tissue called spurs. This friction causes inflammation,
5
pain and results in stiffness and decreased movement of the
knee joint.
limbs being increasingly
hindered.
MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
Once you begin to get knee pain, treatment is aimed at
KNEE REPLACEMENT SURGERY
containing the pain and slowing down the progressive
damage to the cartilage. But if you have already advanced
to a stage where the pain is constant and your mobility
highly restricted then it may be time for you to consider a
knee replacement surgery. Share this Ebook!
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
CHAPTER 2
WHO IS ELIGIBLE
FOR A KNEE
REPLACEMENT
SURGERY ?
If you are suffering from osteoarthritis or rheumatoid arthritis,
you are a likely candidate for a knee replacement procedure .
However, there are many factors which surgeons consider
before suggesting surgery for a patient:
Patient Symptoms
Patient symptoms form a vital part of the doctor’s
decision while considering surgery. Knee pain while
walking, climbing stairs, standing, and even when
the knee is rested are important indicators that the
patient should be considered for surgery.
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
Earlier Treatment Failure
A doctor will most likely give you anti inflammatory drugs, suggest physical
I need a Revision
Surgery. My previous
treatment failed
therapy, and ask you to apply ice packs and use compressive bandages. In
advanced cases, doctors may also administer hyaluronic acid and other
injections which will decrease the pain and improve the movement of the
knee joint. After all this, if you still experience pain, and your symptoms
persist, you may be advised to consider surgery.
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
Typically, arthritic patients in their sixties were considered eligible candidates for
The Old
knee replacement surgery. However, given the fact that knee replacement
prostheses have a life of approximately 15 years, patients in their forties are also
increasingly opting for knee replacement surgery. The need to maintain flexibility
OLD
and agility in their productive phase of life is a factor that prompts this decision.
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And the young
YOUNG
Many youngsters, who have suffered injuries to the knees, like sportspersons
and those who have been in an unfortunate accident, are also among those
who have successfully undergone a knee replacement and returned back to
an active lifestyle.
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A knee replacement surgery is also
with congenital defects like knockknees and bowed legs.
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BOWED KNEES
cancer related to the knees, and those
CHAPTER 3
KNOCKED KNEES
advised for those with metastatic
METASTATIC CANCER
And the Rare Cases
RISKS OF DELAYING
SURGERY
MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
Everybody fears a surgery, no matter what the surgical procedure. An
important fact that you should realize is that, doctors themselves resort to
Do I really need a Knee
Replacement? I can do
without it…!!
surgery only if absolutely needed. Their aim remains to provide a patient
with less invasive and non surgical treatment for as long as they can. So
when a medical practitioner advises you to undergo a knee replacement
surgery, you must not delay.
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
Delaying a knee replacement surgery can lead to complications for a patient;
When you delay a knee replacement surgery, you expose yourself to the risk of bone spurs, which
1
are abnormal bone extensions inside and outside the joint. These enhance the pain and the
damage to the knee.
With a weak knee, your movement is restricted, leading to decreased
activity which in turn causes muscles and ligaments in your knee
2
becoming weak and losing function.
3
Decreased mobility and increased pain are
two primary risks which you expose yourself to
when you delay a knee replacement surgery.
With increased difficulty in doing your daily activities, you may feel
frustrated and helpless, which will affect the happiness quotient of
4
your daily life.
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
  I feel pain while walking, standing and even when my
knee is in a rested position
CHECKLIST TO
ANALYZE IF YOU
NEED A KNEE
REPLACEMENT
PROCEDURE
  My current treatment gives me temporary relief and the
pain returns after a while
  My mobility is highly restricted and I have cut down a lot
of my physical activities to avoid aggravating the pain
  I have constant pain which becomes unbearable and my
restricted lifestyle is frustrating me
  My doctor has hinted that I may need surgery in the near
future
If any of the above points apply to you, it is indication that you may be in
need of a knee replacement surgery. Consult a doctor to explore this
option and in the mean while read up more on knee replacement
surgeries. Share this Ebook!
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MAKING THE RIGHT DECISION ABOUT KNEE REPLACEMENT SURGERY - WHO NEEDS IT?
Plan your Medical Travel with
Makewell!
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Replacement in India…
Ready to start your treatment planning abroad? get
a head start. Request a call back from us and learn
how we can help you plan a hassle free medical
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