Treating Knee Arthritis Without Surgery
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- Опубликовано: 9 июн 2016
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The non operative management of knee arthritis is discussed including physiotherapy, anti-inflammatories, narcotics, activity modification and more.
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Medical emergency: Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the Video.
General information is not medical advice: The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practise medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.
My wife had several knuckles replaced in her 40s and 50s and was prepared to do more. She was also looking for a doctor that would do a knee replacement for her at age 56. First doctor told her she was too young so she was looking for another that would do it. We then both went keto/low carb and in less than 6 months all joint pain went away. 2 1/2 years later and there is still no pain. Best thing we ever did.
That is awesome TNTpaintballCANADA. Thank you for telling your story. Thanks for watching, subscribing and sharing with someone if you did.
Wow that's awesome. Does she have knee osteoarthritis?
When I was on fairly hard core keto, my joint pain went away. Lately I have been eating enough carbs that I’m no longer in ketosis, and the pain is back. So I guess it’s super low carb for me, or put up with joint inflammation.
@@RedglovesreadingASMR Yes, low enough to remain in ketosis. I didn’t measure my exact consumption of carbs, but I used a Ketomojo to make sure I was in ketosis at least most of the time.
@@RedglovesreadingASMR My pleasure! I know a lot of people have problems with keto, but it really did agree with me. I really had a ton of energy too. I still stay pretty low carb and I feel fine except for the arthritis. I think I will have to give VERY low carb another try and see what happens.
I was candidate for total knee replacement. Before the surgery my surgeon put me through 6 months of a multimodal program that included all of your recommendations. For the PT, because I live a distance from any PT services, I asked that a PT regimen be created for me to do at home. For 6 months I religiously did PT 5 days per week, 45 minutes per session. At my 6 mo visit, surgeon said I no longer needed surgery. So I had PT augment my PT routine to help me continue to avoid surgery- session is now 1 hour every other day plus about 15 minutes on a stationary recumbent bike which I installed at home. PT is THE mode that saved me from surgery (so far)- the other modes were practically ineffective. Your videos are wonderful!
That is an amazing story Patricia. Thanks for watching and subscribing
can you please explein me what p t is thankyou.
@@isabelm3791 Physical Therapy.
Glad for you.😊🙂👍 Thing about me is I've got OA and really have a bad case in my right knee (bone on bone and very knocked kneed in the right knee) Probably will get partial knee replacement. I actually look forward to it
Hello can you send me your Gmail let’s chat about this
37 years with bad knee, several docs, nobody has educated me like that. This is what quality healthcare sounds like. Good job guys, keep it up. Communication and education, that’s the future for healthcare.
Thanks for the kind words Willow. Sorry for the late response. For whatever reason did not see your comment. Good luck!
I am not clear about it. Too confused.
I would like to know can osteoarthritis patient walk if yes how many minutes.
Which footwear is best.
Could you please explain ...how did it help you what did do?
Thank you.
Hi Leena. Sorry for the delayed response as we didn't see your comment. So patients with arthritis can walk as much as they can tolerate - it may hurt but it is not dangerous. Sensible footwear is the best. Good walking shoes. Often patients will benefit from wearing orthotics as well. These are all good topics to discuss with your surgeon.
I tried 3x to say my exact sentiments. Thank you so very much
These guys were down to earth, they offered many good options, very informative. I am an RN and have had knee pain for years but dont want surgery. I love their easy, nonjudgmental manner. I would feel very comfortable asking them any questions I have. So glad I found this video!
Hi Charlene. Thanks for the positive feedback. We are so glad you found the video helpful. Good luck.
I hope you're doing okay, Charlene! Nurses have been worked to the bone during these pandemic times. I agree with not wanting a knee replacement. And that these Docs really know their stuff. I appreciate this channel, too. Just thought I'd say hi.
Take Care!
I like these guys, very informative!
oh
@@Nan-59 k
70 yrs bone on bone arthritis with bone spurs close to knee replacement several times. I lost 50 lbs. I take water aerobics great exercise. Drink Turmeric golden milk for inflammation. Now walk 3 to 5 miles a day. Have my husband use pastry roller on hamstrings helps so much with flexibility. Very little pain and can do so much now. No need for surgery in my future.
Hi Cindy. Congratulations on the success of all of your hard work. Keep it up. Thanks for watching.
losing weight and doing water Zumba 2 times a week for 2 hours each. knee pain has really diminished. these videos are very helpful.. thank you..
You are my hero!!
The Holiness Church
Thanks for sharing your pain manament with tumeric .I take it too. Take care.👍❤
Thanks for your honesty, I am a retired orthopedic RN and I have seen all of the things that you have said. I say keep your original parts as long as you can without to much pain and suffering!
Hi Kathy. You are welcome for the honesty and thanks for watching. You are very wise - delaying as long as you can is always a good idea.
@@TalkingWithDocs I use to be a runner for 26 years. I feel it ruined my knees. I hate seeing women run now. I love you guys brought up weight. Never had a weight problem until my knees went bad. I struggle with weight.
@@wyomingadventures .I was in the same situation.I had to try cross trainer instead of treadmill. Loved the bike but experienced back pain after hour rides despite stretching.
Kathy MahoneStreet 5
Kathy that is good advice
Thank you Docs, for those very useful,and helpful informmation, appreciate everything I heard,as I am an Osteoarthritis patient for a number of years,many thanks again.
Hi Patrice. So glad we could help in any way. Thanks for watching.
I’m a retired nurse, on my feet for 12+ hours a day. I went thru most everything you talked about until I finally got my knees replaced, what relief!
Glad you are doing well eamoroso56! Thanks for watching, subscribing and sharing with someone if you did.
I had to have bilateral knee replacement at 60. I go to to the pool at least 3 times A week. Keeps swelling down n pain. Good luck.
How does it feel?
I'm so scared
Good to hear that. I have one coming up
I’m 4 years late to this but my dad (62 years old, has worked as a truck driver for 17 years and currently still a truck driver) got diagnosed last year so I’m watching as many informational videos! By far, this is the most reliable, informed, and helpful information! Thank you so much
Hi Chantal. Thank you so much for your kind words. We are doing our best to keep it simple and get information to patients and their families in a useful way. Thanks so much for watching and good luck to your dad. Happy Father's Day to him!
I found this video very informative and thanks for both your simplicity and great info I needed to hear today. This year my knees reacted to weight gain (25 lbs) and years of tennis etc but determined to apply all your expertise to eliminating as much discomfort as possible. Thank you both again.
You are very welcome Maureen. COVID 25. You can lose it. Best of luck. Thanks for watching and subscribing if you did.
Sweet souls, rare personalities,humble, so nice to see and hear them.
Why thank you so much Belle. Thanks for watching and subscribing
Thanks guys. Very comprehensive information. I’ve had bone on bone osteoarthritis in both knees for a couple of years. Three things have helped me enormously - (1) Losing weight and thereby taking some pressure off my knees (2) doing regular targeted exercises (3 times a week) to strengthen my thigh muscles (quads) and the muscles below and around my knees - I had a physiotherapist prescribe the five exercises I do to ensure they are effective (3) reducing inflammation which is the cause of so much pain and stiffness - for me this means not eating sugar (or limiting it to ‘special occasions’). Reducing sugar in my diet has made a huge difference to my knee pain levels. Good luck everyone from Jan in Melbourne, Australia.
Hi Jan. Thanks for watching and thanks so much for sharing what has worked for you. Diet and exercise are a big part of any health plan and knee pain is no different. With respect to inflammatory foods, this is a topic that is gaining a lot of momentum and scientific backing. Processed foods and sugar in general are probably not the best. Shifting to a more whole food and possibly plant based diet may be beneficial.
Agree reducing sugar was a huge help for me!!
Does that includes reducing carbs? My dad doesn't eat much food with extra sugar but he does take food made of wheat like bread, noodles, rice.
Thanx for sharing
Is fruit ok??
You two are my kind of doctors! Thank you ❤️
We do our best Kay! Very welcome. Thanks for watching, subscribing and sharing with someone if you did.
Awesome information! I had 33cc’s aspirated from my very arthritic knee and a cortisone shot just yesterday. It was the first time I’ve experienced such swelling and pain in my knee. Today, it feels so much better. I’m 63 and spent many years running up stairs, jumping rope and on the stair master as my cardio exercise program. It was great for keeping my weight down, probably good for everything but my knees. Now I’m paying the price. I’ve got to find those modifications for helping get the weight back under control. Also had rotator cuff surgery just 5 months ago, full tear and frozen shoulder which caused me to gain more weight due to lack of activity. Still doing PT for the shoulder and now adding it for the knee. I am so happy to have stumbled across your videos! Thank you so much!
Hi Mary. Sounds like you are well on the way to recovery. Thanks for your kind words and keep up the hard work. Thanks for watching.
Mary Perreault I am 77 Keto step race usually no problems just a catch trick knee has slowed me down to doing a mile at a time. It is better today so I think I am following a good path here. No catches at all today . Hard to be patient when things always have gone my way. I am hopeful bc I have had improvement.
How are you doing?
Great video!! I wish all doctor's were as nice and as informative as these two. Truly impressed!
Hi Ann S. Thanks so much! We try to keep it light and useful. Thanks for watching and for subscribing if you did. Good luck going forward with your knee
@@TalkingWithDocs I did subscribe and thank you!!
You guys are great at making this information easy to understand... thank you!
Hi Ellen. So glad that you enjoyed the videos. Thanks so much for watching.
I’m so glad I found this channel, I’m hoping to be a medical assistant one day and this gives me a head start on what I need to know, thanks guys!
Hi Leon. So glad we can help. Best of luck in your pursuit. Thanks for watching, subscribing and sharing if you did.
Thank you so much Doctors!
Hi Marie. You are very welcome. Thanks for watching.
Great discussion and the tips help the doctors. Thank you for sharing the knowledge.
You are very welcome Dr Spine! Thanks for watching and subscribing if you did.
EXCELLENT!!!!!!! These surgeons appear so knowledgeable and kind when suggesting pain relief!!!!
Thanks for watching and subscribing
I’m just entering this world of knee arthritis. What is helping me is icing my knee after golfing. Also keep moving even if you are sore it keeps the joint lubricanted. All your advice was easy to understand and sensible.
Very nice marilyn. Thanks for watching, subscribing and sharing with someone if you did.
Thanks for sharing your experience. Hope you're doing great, you had some good advice above.
I think it’s great that you keep open minded about alternative therapies . There is so much that we still don’t know about how healing and pain can be manifesting in the body . Great talk guys , good to have sound advice . Thank you .
Hi Vikki. We are all about doing the best for our patients and that means considering everything. Thanks for watching and be well.
J)7u34
LLP Thanks good information .
Very down to earth and very helpful.
Hi Kirsty. Thanks so much. We are trying to keep it real. Sorry for the slow response.
What a good service your are providing with these videos. I have tried many of the things you mention with some small relief. I ice my knee often. Thanks!
You are very welcome Pamela! Thanks for watching and subscribing if you did.
Thank you so much for doing this video, I’ve never met drs who are so honest about treatment verses surgery
Hi Nancy. Glad we could pass on a little information for you. Thanks for watching and good luck.
God bless you two, this world would be a lot better off with care providers like you. It takes a lot of heart to explain with patience and integrity, very factual things that can help so many people, to learn how to better their lives without expensive surgery. Your parents should be very proud to see what a blessing that you chose to become to society. Thank you, and keep up the good work.😊🙏❤️👍
That is very sweet Rachel. We are very fortunate to practice in Canada where medicine is covered for everyone. Thanks for watching and subscribing
You're welcome, 😀👍
My 2 favorite doctors! Hello! Thanks for this reminder. I need to lose 25 lbs.!!! I got out of my knee exercise habit, started quilting classes and believe it or not, that did me in! Using muscles that were stagnant! My knees and lower back were so bad in 2 days of classes, I had to take Aleve and Tylenol. So, I’m back to my stretches, gradual, and my compression sleeves. Thanks again for your knowledge and help. ❤
That is sweet to say Vicky! We are here to keep you on the straight and narrow. Thanks for watching and subscribing
I would love to have either of these doctors treating my knee problem.
Really enjoy listening to them.
Thanks so much 275cat. Wishing you all the best. Thanks for watching and subscribing if you did
You guys are great! Easy to understand and a little entertaining as well.
Hi o Field. Thanks for the positive feedback and for watching.
Very informative i have osteoarthritis and bone to bone pain in the butt
Love the stylish hats. Appreciate the good advice.
Thanks Peggy and thanks for watching.
Thank you DRs....I’m 68 and have both knees affected, lucky me. I’m just not ready for surgery. I have a severely low tolerance for pain. I’m on a pill now to reduce swelling and it has worked. I swim and ride a stationary bike, weekly. My difficulty among many is stiffness and constant discomfort. My kids tell me get the knee replaced! They want me to ski and be young again. Thanks again. Debra
Hi Debra. You are describing many common symptoms of advanced arthritis. Full marks for having the insight into not having a high pain tolerance. Many people think they do and don't. Try to stay as active as you can. Good luck to you in your decision. Thanks so much for watching
Hi Debra, hope you are doing well.
Thank you so much. I found ou5 about arthritis in m6 knee recently and have already followed your steps. But great to hear doctors reinforce this knowledge and not push surgery.
Hi Karen. There are lots of options before surgery. Best of luck. Thanks for watching and subscribing
Wow! I had planned to ask my primary care for an orthopedic consult referral, but you've both thoroughly answered many of the questions I'd pose. I'll still see an orthopedist, of course, feeling a little more educated on the subject of arthritic knee treatment options than i would have otherwise. Thanks a bunch! (By the way, i'd give anything to get back to jumping rope and biking at 67 years old. Returning to roller skating, however, is now a distant dream. In the meantime, i try to make myself walk a couple miles every other day.)
Good call M. You may be able to get back to some of that stuff after surgery. Good luck with your consult. Thanks for watching and subscribing
You Go!!
First, I want to say that I think you guys are great.....love that you are doing these informative presentations that bring alot of basic but helpful and important information to people who are completely non-medically oriented; and you both present this information in a totally non-threatening way....and finally, you are both amusing, cute, and actually funny ❤️. I have been a nurse my entire working life... from medicine, the O.R, to rehabilitation, and hospice. The manner in which you do your talks is not only educational but in a
non-threatening way which helps the average person alot ! I have had a knee replacement and do attribute it to somewhat having been on my feet consistently for years and the hospital floors are basically just tile on top of cement!! Doesn't sound too comfy!
What I would like to suggest is that you do an update on nonsurgical treatments that
have advanced over the last 6 to 7 years....especially regarding the role of
inflammation in contributing to the need for
TKR 's, and the use of stem cells. (though I just noticed that you did a talk on stem cells....I have not watched all of your videos, my loss !) I do like your multi-modality approach. And I 'll just add that I have been getting hylauronic acid injections into my right knee for almost 6 YEARS !!! I have been getting 4 injections instead of 3 twice yearly and it's just the last 6mos. that they have not provided really any of the pain relief that I had enjoyed from those injections. I'm due for my next set of injections in a few weeks and I am thinking of trying a cortisone shot 1 to 2 weeks before this series of weekly injections. I was told it will decrease the inflammation and help the hyaluronic to have a better effect. I have been told for the last 6yrs that I 'm "bone on bone" and need a R knee replacement. You can tell how my L knee replacement went by how much I am trying to postpone (forever ?) another replacement. Though I have a different orthopedist now and will be at a different hospital as well. I wish you guys were here in the states rather than up in Canada 🇨🇦. Keep up the great work ;)
Thanks so much for the feedback Susan and for being a nurse. Yes we have videos about injections. We are big believers in HA as well as cortisone and often together. Stem cells still have limited scientific support. All the best with that stubborn right knee!
Ha! Thought I detected a Canadian accent. Good on you and thanks so much for you vlogs. I hope you both work in teaching hospitals.
Thank you doctors! You’re both honest..!
Hi Karmi. We try and be honest in all that we present. Thanks so much. Thanks for watching, subscribing and sharing if you did.
No way to thank these two doctors enough. Have been to so many doctors here who explain nothing! I leave with more questions:( Tremendously helpful you two cute guys!
Very kind Leah. All the best. Thanks for watching and subscribing if you did
Great, informative video. I guess I have to wait a little longer. Watching this video helped me to be more patient, worry less, and remember to use alternate exercises to stay active. Thank you.
You are very welcome Shirley. Good luck. Thanks for watching and subscribing if you did.
Great video. Thanks for the info & sharing ideas to help & calm it down.
You are very welcome Alleta. Good luck.
Alleta Baltes n
Glad I found you two, Looking forward for a re-assessment and treatment of my left knee. This is awesome.
Hi Sparkle P. So glad we could help. There are lots of videos that can help with both before and after surgery. Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.
I just got my 1st cortisone shot in my life last week and it is helping some...and doing PT on my own because I did not want to go back and forth for PT and he spoke about the viscose supplementation (jell-type injection). Thank you doctors for you conversations.
Very welcome Mary. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
I have knee pain, had hyaluronic shots and did very well with them and physical therapy and graduated to a gym membership. I had two years pain free until covid-19 lockdown, and no gym, less physical activity. I had an accident and am back to square one with knee pain. It's very frustrating. Thanks for a great video. Will try a brace and am looking into p/t videos to work my way back up to TRX and squats.
Hi merlins twin. You have a great attitude. Get right back at it and hopefully you can recover. Very welcome for the videos. Sorry for the delayed response. Thanks for watching and subscribing if you did.
Thank you so much for this info. I really appreciate it!
You are so welcome Michael! Thanks for watching and subscribing if you did.
Great video as always! Helpful information we don’t always get during office appointments. I always learn something new to apply to myself or someone in my family. So glad you are here!
Thanks Debbie. Thanks for watching and subscribing
Thank you for presenting this Talking With Docs, you are doing a great public service.
Thanks so much paul. We are doing our best. Thanks for watching and subscribing if you did.
Thanks doctors! Very informative and will try as many modalities as possible. I’m absolutely crippled with this and it came on so suddenly.
You are very welcome Susan. Good luck to you and thanks for watching.
Thank you doctors for the discussion and advice on knee osteo arthritis. I'm currently getting physiotherapy twice a week, an hour each session. My Pt exposes to a wide range of excercise which are very helpful. I originally sought pt to relieve pain and reduced range of motion in both of my knees as well as lower back spasms. Since I started physiotherapy pain in my left knee and lower have lessened to the point of disappearing completiy. However, the pain in my right knee persists albeit is lessened with weekly therapy sessions.
At some point I'll have to see an orthopedist for perscribed antiinflamatory and or injections. There are days that my pain is less and other days where my range of motion is severely limited with intense pain. I apply ice and it helps. I changed my aerobic activity at the gym from high impact to low impact workouts. As for over the counter antiinflamatory meds, I read Ibuprofin take during prolonged perios of time could affecr kidney function.Thank you again for your helpful discussion on this topic and look forward to more videos from you both.
Hi Daniel. Sensible approach. Keep it up. Best of luck. Thanks for watching and subscribing if you did
I posted elsewhere that with nopal cactus CAPSULES I have controlled the pain for over 15 years. It’s a natural anti inflammatory. Just google to make sure it’s ok with any meds you might be taking. I take ibuprofen once every few months now.
Daily soak in spa/hot tub also helps.
You both are my favorite youtube doctors, been a subscriber of a while now, I've learned so much! Here's to a healthy New 2022 year to you both and I just know you'll be hitting 1 million subs soon!!! 😀
Hi oriana. Thanks you so much for your kind words and support. We continue to work hard to provide useful information in a fun way. Fingers crossed for that subs milestone. That would be amazing.
Thank y'all 🤗 very helpful !!
Hi Angie. Sorry for the late reply but you are welcome!! So glad we could help. Thanks for watching.
Thank you Doctors, I learned a lot about what I can do for my knee arthritis. ⭐️⭐️⭐️
You are very welcome Madison. Glad to hear it. Thanks for watching and subscribing if you did.
well arthritis is forever. So why are we taking NSAIDS because if you read the bottle or insert from pharmacy they all say not to be taken longer than 2 weeks?, I have had since mid 30s. took NSAIDS before ever read the labels. Now at 65 plus cant take any more, worries of liver or kidney problems, stomach problems. I exercise everyday in pain now like always. Not overweight never was. Used ultrasound and braces everything on market. Not going for surgery. putting creams on gotta do every few hours. magnets do help, the medical kind, for me. Also hyaluronic acid. 200mg. glucosamine amd chondroitin never helped. MSM helps a little. Good luck to all. really negatively impacts your life,
This information is invaluable, many thanks and am glad that someone actually 'talks' about this and helps knee sufferers get better educated about this.
Hi Tina. So glad we could help in any way! Good luck to you. Thanks for watching and for subscribing if you did.
Great, helpful video. Thank you! Old age catch'n up with me in one knee joint and will have eval soon, but now, after your presentation, I can have more knowledge/understanding going in, and all around! Subscribed.
Thanks you so much L Antoinette. Good luck with your upcoming assessment. So glad we could help in any way. Thanks for watching and subscribing if you did.
From Republic of Ireland fililipino. Good topic. Very helpful. This doctor's are working for there patients not for money. I'm glad they mentioned the placebo effect. To God be the Glory both of you
Thank you so much Doris. Glad we could help in any small way. Thanks for watching and subscribing if you did.
@@TalkingWithDocs. I did already. I click notifications as well just to make sure I'm updated of your topics. Thanks a million both of you. God bless you always
@@TalkingWithDocs I like and shares to my Filipinos friends and family too 😀
Thank you Doc's for the useful information. Very interesting talk to educate everyone how about to exercise to loose excess weight from our body which is best to help our knees. Godbless you both.🙏❤😊
Hi Kales. You are very welcome. Thank you for your kind words. Thanks for watching.
What if your carlidge is pretty worn down?
When you are injured and in pain you can't exercise. Some people have medical issues that cause you to be overweight. Then you are given meds that have a side affect of weight gain.
very informative...w/plenty of options besides surgery. Thank you! I'm trying to deal with weight loss first!
Hi Amery. You are very welcome. Best of luck and thanks for watching.
This was really informative, thank You!
You are very welcome Terri. Thanks for watching and subscribing if you did
I truly appreciate the fact that in spite of your busy schedules you both take the time to help so many people. To my disappointment I had an orthopedic dr tell me I need a hip replacement. I went for another opinion and was told I have "some" arthritis. I am 82 (f) and don't think a Dr should be so frivolous with surgery @ my age.
Agreed M. The decision for surgery is more about your pain than your age or your X-ray. You get to decide. All the best. Thanks for watching and subscribing
it's a money maker
I’ve had OA diagnosis since I was 48 (now 76). Ab 15 years ago I was having hip pain and went to an orthopedic surgeon who took an X-ray and basically just said something like “yes. Ok. Let me know when you are ready for surgery.” I was dumbfounded and thought “ME? I thought YOU were going to tell me when” and off I went.
I couldn’t bear the thought of someone sawing through my bones so I put up with agonizing pain for a year. I would yelp out loud from “spasms” of pain even when sitting still. That was when I finally understood what bone-on-bone pain was.
I had hip replacement surgery 14 years ago and accepted that I’d gone through a lot of unnecessary pain and should have had it done sooner.
Then had knee pain where I could hardly walk 1.5 years ago. The cortisone shot is still working. I really don’t want this surgery as they say recovery is worse than hip.
For the past 15 years I have been controlling general arthritis pain with nopal CAPSULES (Amazon). It’s a natural anti inflammatory (google to see if not recommended with any meds you might be taking). I take NSAIDs (usually ibuprofen) once every few months. And I had started out with Celebrex, which irritated my stomach.
Forgot to mention that I use a spa/hot tub almost every morning and this helps a lot to ease morning stiffness.
@@sandrakramer1520 I
I live in FL & h ave a community pool. It seemed to exasperated my pain so I count on hot showers. I decided on the hip surgery. I am on a 2 month wait list. I can't do anything but wait. It has been 28 months since I was injured. Hopefully this is soon to end. Thank you for your correspondence.
Interesting talk, hope this works for some people. Others like my mom have tried every single alternative possible, nerve ablation, synvisc injection, PT, weight loss, you name it. At some point it became counter productive to avoid surgery. There is such a thing as “exhausted every last resource”, hope people can realize when they’ve reached that point and elect the surgery
Hi Jayze31519. We could not agree more. People regularly exhaust all non operative treatments and then elect to have surgery. That is how it is supposed to progress. Hope your mom gets the care she needs. Thanks for watching and for sharing her story.
So much good information and so down to earth. Really appreciate it. Thank you. I went back and took some notes after realizing I didn't remember all the details. I wanted it to stick cause I want to use some of this info to help out an elderly friend who is suffering.
Glad we can help Armandine. Thanks for watching, subscribing and sharing with someone if you did.
I appreciate your responses to many who leave questions. Thank you for that follow through. We all learn form each other and benefit from more insights. Thank you so much! May you have happy, long and healthy lives!
Very welcome. We try to answer every comment. Thanks for watching and subscribing
Thank you so much,have to say the keto diet has helped alot,ive cut down on advil,but does flare up sometimes.Thank you for all the great information.
Hi Anita. Thanks for the positive feedback. Glad you have enjoyed the videos and good luck going forward.
Started KETO 12 months ago, lost 30 kg my inflamation is so much better give it a try. so much better
Love both of your humor. So easy to listen to. Thanks!
Hi Doe in Idaho! That rhymes. Glad we could be of any assistance and yes we do try and keep it light but informative. All the best to you in your arthritis journey. Thanks for watching from the midwest.
By listening to your video I have decided to put off my tkr against my orthopedic surgeon.
I discussed it with my primary and do walking 30 mins a day and change of food intake
I'm down 15#s not bone on bone and feeling much better! The weight loss has been a tremendous help ! I do take methelpredizone as needed a which has decreased to about every 6 months. Ty so much for the time you take to explain all this!!!
Very welcome Dana. Sounds sensible. Thanks for watching and subscribing
GOD Bless you Drs. that aim to help people with medical ailments. You people are the unsung hero's on this planet and without you doing what your doing this world would be a much worse place. I thank You with all my heart and keep up the good work.
Thanks so much Katina. Thanks for watching and subscribing
I love your knowledge, your honesty and the fact that you are Canadian! Look forward to continued watching of your informative videos. Maybe you could do one on arthritis in the thumb!
Hi chris. Thanks so much for your kind words. We can definitely add that to our list of future topics. It is unfortunately a very common problem. All the best and thanks for watching.
They are good doctors because they are telling the truth. His bless them
Thank you for your comments about the benefits of PT and the importance of a home exercise program. The comment about "driving by" PT made me laugh out loud.
E M YES you have to actually DO physiotherapy yourself for it to work!
@@iamwright99 The results of thigh strengthening are wonderful.
Glad you liked it E. thanks for watching and subscribing if you did
Excellent thankyou from perth australia
Hi mindofown. Thank you so much from the Land Down Under! Glad we could help. And thanks for watching.
Wonderful Information. Thank you
Hi Myrna. Thanks so much for watching and best of luck to you.
Hi Docs
I will be having a TKR in the next few months. Some of the things you haven’ t mentioned but have helped me greatly are 1) hiking poles for walking as suggested by my physiotherapist as lifts approximately 30% of your body weight, next the GLAD program ( physic exercises which tailored to the person& I did last year and continue to do, I also bought myself a Cubii which is an small elliptical machine with minimal pain but helps with you keep your knee rotating.
Doing physio exercises every day is necessary.Maybe these may be helpful to those reading this information. Thanks Enjoy your videos.
Hi Rosemary. Thank you for sharing your personal experience. Good suggestions. Best of luck with your surgery. Thanks for watching, subscribing and sharing with someone if you did.
What is cubic…I have heard about leg pressure messaging but it is expensive for me..,like “Normatec leg pressure messaging”.. I would love to know about cubic too
@@ssaniassania8744 hi I posted the original reply about a cubii . Hard to explain but if you look on line you will find it. Very good for rehab from knee surgery and also helping to increase the knee bend if you are not looking a surgery. Hope this helps
@@ssaniassania8744 cubii is a set of foot pedals. It simulates bicycle riding.
Hi Rosemary, I am currently trying to lose weight because i need a double knee replacement, I am trying to strengthen my quads and my legs in general before surgery. Do you think the Cubil can help with this?
Glad to hear you mention activity mod. Activity modification fits into occupational therapy, including joint protection. We look at work condition or altering work where necessary and activities of daily living too. Do you refer to OT.
Many don't know about OT or the holistic approach. We also deal with stress management, relaxation, guided visualization, developing adequate sleep in both quantity and quality which is so important for someone in pain.
I requested a referral to OT but the doctor insisted knees are for PT only and that OTs only work with hands. Only after saying I wrote a book to educate what OT is did I get a referral, however the secretary refuses to book an appointment as she too, believes that OT is for hands only. I am doing my own rehabilitation, thanks to being an OT for over 25 years. But many with arthritis in the knee don't have the luxury of being an OT. Please refer so that others can receive the help they need to add to their PT
Hi Shoshanah. Yes we include OT, PT and social work as part of our discharge team. Thanks for sharing.
Thanks for all your professional information......
Very welcome christopho7. Thanks for watching and subscribing
You posted 6 years ago but just found
thanks reinforced my thoughts.
I’m 82 take no prescription drugs. My Orthopedic surgeon said it’s arthritis take two Aleve only when really hurts and “don’t call me in the morning “he is still saying same thing 10 years later but now I’m talking BC Maxstrength with acetaminophen or there regular depending on pain. Also Aleve rub on. Or I just live with it as long as can get up and move without screaming! It was so good hearing you say almost the same things .
Laura you sound like you are on the right track! Keep it up and all the best. Thanks for watching and subscribing
I am a 58 yr old female, about 5’8 averaging about 130 lbs, eat lots of fruits and veggies. I had to completely stop running about 6 months ago because I’m so concerned about the pain in my knees and I’m sure running is just making my knees worse. I lift weights most days but only between 24 and 30 lbs. I’ve also cut back on wearing heels which is probably the absolute worst part of it for me. I’ve modified the weights to be more floor exercises than standing exercises. I’m not the type to go to the doctor so videos like this are a treasure for me. Thank you.
Hi Sharon H. Glad we could help in any way. It sounds like you have a practical approach. Pain and common sense are good guidelines. Avoiding high impact activities can often reduce knee pain. Thanks for watching and good luck going forward.
Thanks for sharing Sharon, hope you are doing well.
Thank you for your presentation and important points to try
Hi Gina. You are very welcome! Thanks for watching and for subscribing if you did.
Very informative and helpful to me in dealing with my knee pain. Good work.
Thanks Stephen! Best of luck with the knees. Thanks for watching and subscribing if you did.
You guys are absolutely loveable. Thanks for the great content, tips and overall invaluable video.
You are so welcome Rosa. Thanks for watching and subscribing
Excellent overview, very compendious. Thank you. I've gone down most of the paths the doctors discuss, and their comments ring objective and consistent with my experiences. I'm 67 and am attempting to lose a substantial amount of weight this year in a final attempt to avoid total replacement surgery. If it does not provide sufficient relief for me to forego surgery, at least it should make recovery quicker and more complete.
Hi Michael. We totally agree. Any weight loss makes the surgery easier and your recovery easier as well. One pound at a time is what we tell our patients. Good luck and congrats on committing to losing the weight.
@prairie mark Thank you so much for your encouraging and practical reply, and congratulations on discovering and implementing your healthy regimen. FYI, my path since first posting has taken an opposite tack, and the results have been incredibly positive: two total joint replacements, one knee and the opposite hip, in consecutive years. Common threads with your experience, post surgeries, have been significant weight loss and gradual resumption of regular exercise, made possible after persistent efforts to rehab both joints. I have lost nearly 50 pounds and consistently ride a bicycle 10-15 miles each day in addition to other moderate exercise. If I could have managed without surgery as you have done, I would have. But the constant pain was just too much to endure. (Pre-op, my surgeon said the condition of my joints was "worse than 95%" of patients who had managed to walk unaided into his office.) So I want to report that modern advances along the lines of "micro-invasive" joint replacement techniques can have positively life-altering affects on one's health, both physical and mental, extending far beyond improvement of joint function itself. At 71, I am able to enjoy physical aspects of life and work that I had resigned myself to forfeiting more than a decade ago. Again, thank you for taking time to share your experience, and best of luck marching forward.
@prairie mark Very encouraging post. I will be following lot of your advice from tomorrow morning. Without such a detailed eleboration, I may not have understood the logic behind your lifestyle.
@prairie mark Find a pool to exercise in and walk back and forth in the pool. Will help tremendously.
@@deepattison9329 Good advice. I do pool walking at a pool that draws from a hotsprings and it it helps the pain immediately. And it may have some long-term benefits too.
I'm got Arthritis in my knees very young, 35, I'm 40 yes walking is very good, I walk every Morning 45-1 hour, I have a bike tht I do ride it helped my pain so much, when it's raining outside I hve an excercise bike tht I ride 2 X a day, When I wake up I'm pain Free.......
Hi t2dg2011. That is awesome that despite the arthritis you remain so active. We encourage our patients to always do as much as they can tolerate. Moving joints simply do better. Thanks for sharing your story and for watching. Keep it up!
Thank you for the Very Candid discussion on Knee Arthritis and the various possible treatments. 👍 Keep up the Strong 💪 Effort.
Thanks so much Ken. Thanks for watching and subscribing
BRAVO DOCS!! Exactly the advice I was looking for before visiting an Osteo doc tomorrow!! Consider me subscribed!! 🙂👍🏼
Good luck Gala!! Thanks for watching and subscribing
Thanks doc. I’m ready to implement all of these immediately.
That is awesome Absolutely Jamacian. Good luck and thanks for watching!
@@TalkingWithDocs b
Just take Boron and fix the root problem!
Our food no longer has the trace minerals it used to have and almost everyone is Boron deficient. Boron helps rebuild bones and cartilage.
Took me about a week to start feeling better. After a couple months the arthritis is mostly gone.
The medical/drug community has been suppressing this for decades. Watch some of the videos on Boron for Arthritis. It works!
Arthritis should not be the huge problem it is today. This information needs to get out.
Hi Richard. Thanks for your comments. There had been some interest in boron for arthritis in the past however there are no recent studies that have proven its effectiveness. It had been shown in the past to improve bone healthy and possibly reduce symptoms related to arthritis. Hopefully one of the companies that sells it can get organized enough to do a proper trial to prove its benefit. We are always looking for more natural ways to counteract the symptoms of arthritis. Thanks for watching!
Thanks for the info ill look up boron, never heard of it
Yes there's a really good informational maybe a booklet called "nothing boring about boron" Studies by a man by the name of dr. Wallach he was a veterinarian for the Wild Kingdom and studied minerals lack of in animals and people
a quarter teaspoon once a day. For my weight 5 days on 2 days off and started it today
Jane Stibbe ...Hi Jane....I learned about Boron from what is required in fertilizer for the field....remember that it is a “trace” element, so you do not need much...don’t overdo it. What I learned about some farmers’ fields that are tested, many are short of Boron because the land is depleted from all the farming, that’s probably why the foods are lacking this mineral. Even the nutrients that ARE there, many cannot be unleashed or used until a trace element, as Boron, is introduced. Maybe it’s also true for our bodies??
I really appreciate what your saying. I've been to a couple doctors that suggested pt but nothing else. I had to research myself. I was made to feel bad because I couldn't perform my job fully and several other things. This is enlightening without judgment. Thank you!
You are very welcome Glenda
Thank You so much for taking time to give us so much Good Information!
Very welcome Bill. Thanks for watching and subscribing
Yes, being overweight IS a big part of the problem. There's less pressure on your knees & feet when you're not overweight. Also, I think the shoes you wear are important. You need shoes with good cushioning & support. Walking also one of the best exercises.
Thanks for sharing Tiziana
I have tried a lot of the methods, topical, and weight loss is the best. I have had many arguments with my body, mostly end in me tell my knees that this is my body shut up legs were are doing squats today. :-) so I believe in just keep moving. A body in motion stays in motion.
Hi Sheila. We love that attitude! Good for you for pushing through some of the pain. Thanks for sharing and best of luck going forward. Thanks for watching.
Thank you for doing these. My twin sister is 70 and her rheumatoid arthritis is very bad. I'll give her your advice.
Very welcome David. Good luck to her. Thanks for watching and subscribing
As a Trager® Practitioner I have seen so much benefit with the Trager Approach and Mentastics for severe knee problems - Bringing people again in their natural posture - so the weight of the body is received on the top of the bridge of the foot and not on the knees - this happens due to bad posture ( some people stand more than shoulder-width apart and others stand less than shouder - width apart). People do not have to exercise but regain their natural posture in standing and walking. And this really works miracles! The joints gets again oiled as there is no unnecessary strain on the bones anymore. We can regain health and support the self-healing capacity of our bodies. I am so happy to see two chirurgeons giving advice not to go so easily to knee replacement. Even young people get the advice to go for a knee replacement!
Thanks for sharing Satsavya and for watching!
Loosing weight: KETO diet + intermittent fasting
Excercise: walking 30mn daily.
Weekly baths Epsom salt (30 mn)
Wet cupping (near knees).
Supplements: silica rich water, glutathione, fenugreek tablets, liposomal vitamin C, honey, Spirulina, ginger tea.
Good health.
Thank you for sharing your approach Ethereum. Thanks for watching, subscribing and sharing with someone if you did.
Very interesting and informative. I had a total knee thirteen years ago. The patient's commitment to the rehab is extremely important to achieve the desired outcome.
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Thank you for sharing your perspective John. Thanks for watching, subscribing and sharing with someone if you did.
Very informative video. I have used the sleeve on my knee, and it did help some with stabilization and pain, but I could only wear it for limited amount of time because it was so tight. I used ace bandages too, that helped. Six-year-old video. Wow, didn't know you'd been doing this so long. Glad I finally found your channel.
Yeah time flies Words. Thanks for watching and subscribing
Very helpful. Thanks
You are very welcome Dottie. Thanks for watching and subscribing if you did.
Very informative. Used most of the suggestions and they work.
Hi Perry B. That is great to hear. They do not reverse the arthritis but can help manage it and keep you in your own knees for as long as possible. Continued good luck to you! Thanks for watching.
Interesting talk
Glad you like it Scooter.
Talking With Docs : advice - useless in a coved year as the exercise I have used to lose weight -swimming and water exercise are not available. Compression stockings do not fit now and I am allergic to latex - when I take them off I start scratching for ten minutes. Same with braces.
Losing fifty pounds! Why didn’t I think of that with my screwed up knees!!! 🤦♀️🤦♀️🤦♀️
Brilliant! Thank you
Very welcome Moira! Thanks for watching, subscribing and sharing if you did.
I had a meniscus repair a few months ago and take Mobic daily. I also have significant arthritis in the knee, which will need a partial replacement in the future. Mobic is also for arthritis in my shoulder, knee, and foot post a bad break. I find the sleeve works well for my knee when I feel it is necessary. I have have knee injections that help tremendously! But the sleeve is very helpful when I am walking a lot or in unfamiliar areas for psychological support as well as physical support. The knee injection hurts at the time but once it is done it is done.
Hi Love Dawgs. Thanks for sharing. Keep up the positive attitude. Good luck and thanks for watching.
Thank you gents, learned more from this, than 10-visits to the orthopedics!
Hi sherp2u1. Thanks for the positive comments. We are doing our best to provide as much information as we can.
I can attest to weight loss - I am just starting a serious program but already 14 pounds off has made a big difference in my knee pain
Congrats wyomingtrout! That's amazing. Keep up the good work and thanks for watching.
My orthopedic dr. Said each lb. You gain is 7 extra pounds of pressure on your knees. If you lose a lb. You lose 7 lbs. Of pressure per pound.
Thanks for this information!
Glad it was helpful Priscilla. Thanks for watching, subscribing and sharing with someone if you did.
These docs are very droll. And their videos most informative. Thank you.
Very welcome Darlene. Thanks for watching and subscribing if you did
This may be asking too much but you guys seem so straightforward in the video and open to questions below. My fathers wife had a total knee replacement several years ago but has had a terrible time with it almost ever since. I happened to be visiting my dad last week when she came home from a trip to see family. She had been on a 4-5 hr flight (I think) and then a couple hour shuttle ride from the airport and her knee was just killing her. I was so surprised when she lifted her pant leg to see just how swollen the knee was, I have no doubt she was in tremendous pain. I was figuring it was from being restricted and bent for all that time and that may very well be but she told me the next morning that the doctor (or surgeon) said her problems were probably due to being allergic to one of the metals in her replacement knee. This is all 3rd hand but apparently her replacement knee is made up of multiple metals one being nickle I think she said and the likely culprit but it will cost her $800 I think it is to have a test to see if she is indeed allergic to one of the metals, a test she has to pay for out of pocket and if it's positive there isn't anything they can do about it anyway. Does she have all of this right? Why wouldn't they have tested her for allergies to any of the metals used in this knee prior to putting it in her body, especially if as she was told it isn't uncommon for people to have allergies to this knee/metal? She swears no one said anything about this possibility prior to surgery and the whole thing seems ludicrous to me and walking the line of malpractice, certainly unethical. How can there not be a treatment or help for this and how can either her medicare, supplement or the surgeon and manufacturer not be responsible for testing her to see if this is indeed the issue so they can proceed from there? I mean if it isn't the issue something is wrong and if it is seems like something could be done... She has a lot of life left and right now a lot of what seems unnecessary suffering to me. Do you have any other suggestion for things she could do/try to alleviate some of her pain and suffering? I'm guessing most of the things you describe here don't apply to a replacement knee but maybe that's wrong do any of the things mentioned here (video and discussion) apply to metal replacement parts too? Sorry for the length, guess I needed to vent too, I'm just so dumbfounded by all of this after seeing her knee with my own eyes after a day of travel (not even a lot of walking).
Hi Gwse vt. So lots of questions. First of all it is important to recognize that 1 in 5 knee replacements are not totally happy and have residual pain, stiffness or unmet expectations. Some will have persistent swelling. This can also be related to many other things - like the veins, the arteries, skin conditions, etc. Metal allergies are a possibility but are very, very rare. Typically if patients have metal allergies they know about them due to significant skin irritation due to costume jewelry, etc. We definitely do not routinely test for metal allergy as it is so rare. Without seeing the patient, it is difficult to provide a definitive answer but if she was our patient it would be important to do a proper history and physical examination, order new xrays and reassess. It is important to rule out an occult infection if her pain is persistent. Rule out loosening of the prosthesis. Metal allergy would be far down the list for us. Hopefully that helps. The hard part is that there is a significant proportion of total knee replacements that are not totally happy. Good luck.
Talking With Docs The are a “significant proportion” of folks who have TKRs that aren’t happy??? OMG. I’m scheduled for a LTKR in November! I had a left medial meniscectomy in 1987. Now it’s bone-on-bone and working in the yard to stay active results in minimal swelling with popping/snapping pain making me scream out and grab for support. I was thinking TKR was going to help.... 😮☹️😣😖
P
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@@mrsmctier How are you doing?