Knee Replacement

[Richard Borneman]

Anyone here had a knee replaced? How long till you could ride again?

My right knee is killing me. I've put it off as long as I could. It's almost time.

Richard

[S. Greco]

My father in his 70s had his knee replaced last year and was back on a bike in three months. A stationary bike is a big part of the physical therapy process.

[Eric Marth]

No experience with knees but I'm wishing all the best to you, Richard. Let us know how it goes. 

[a spen]

Rode 12 easy, bike path miles 3 weeks post surgery.  Maybe should've given it another week.

On Saturday, November 19, 2022 at 10:41:36 AM UTC-5 S. Greco wrote:

[Eric Norris]

A good friend has had both her knees repaired. She reports fairly brief recovery periods, and she went to a successful randonneuring career afterwards.

--Eric Norris
campyo...@me.com
Insta: @CampyOnlyGuy
YouTube: YouTube.com/CampyOnlyGuy 

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[Bicycle Belle Ding Ding!]

I started working as an RN in the perioperative world this summer. I pre-op patients for surgery and joints and spines are the bread and butter of my department. We see a LOT. Often they come in to have their other side (knee, hip) done and I always ask how the first joint replacement went. Almost always they report it was easier than expected, they have full function, and they seem less apprehensive when getting the second side done. Last week I had a woman with a hip who loved to ride horses. The surgeon told her she could get back on the horse in a surprisingly short time. Told her the position it would put her hips in is the safest position to be in and no more dangerous (falling off) than many other activities we do in daily life. So, talk to your surgeon. It might be much easier than you think. Plus, fix it now and you can enjoy being active and pain-free for much longer!

All the best!

Leah

[Ken Mattina]

As someone with osteoarthritis in both knees, I feel your pain.

No knee replacements yet. So far, a change in diet and rehab has delayed it.

Good luck. I hope you feel better soon.

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Where did the spring go?
Where did my hormones go?
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Where did the pleasure go?
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[David Person]

Can't think of a better way to drift off prior to surgery than sharing Riv stories with my nurse.

[Leah Peterson]

Come on over! I’ll get you squared away!

Sent from my iPhone

On Nov 19, 2022, at 2:06 PM, David Person <cycli...@gmail.com> wrote:

Can't think of a better way to drift off prior to surgery than sharing Riv stories with my nurse.

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[Rusty Click]

I am bone on bone in both knees after five arthroscopic procedures.   I think I will try another round of "knee lube" injections to get me thru guiding a few trips this spring, then riding RAGBRAI in July.  After that, I'm consulting with the doc about doing both knees at the same time.  Leah, do any patients get both done at once?

I'll be waiting to hear/read how recovery goes Richard.  Good Luck,

Rusty

Pgh, PA

[Steven Sweedler]

Rusty, my partner, a retired nurse says yes that people have both knees done at once. Good luck, Steve

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Steven Sweedler
Plymouth, New Hampshire

[Richard Rose]

My Father got both done within a few days of one another. It was pretty rough but that was about 20 years ago.

Sent from my iPhone

On Nov 19, 2022, at 6:01 PM, Rusty Click <clic...@gmail.com> wrote:

I am bone on bone in both knees after five arthroscopic procedures.   I think I will try another round of "knee lube" injections to get me thru guiding a few trips this spring, then riding RAGBRAI in July.  After that, I'm consulting with the doc about doing both knees at the same time.  Leah, do any patients get both done at once?

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[Bicycle Belle Ding Ding!]

Rusty, no, I’ve never seen both at once. According to the internet it *can* be done, but you need to have some specific things going your way to get your surgeon to say yes. 

[Jay Lonner]

Bilateral knee replacements are not uncommon, if patients are good candidates. “Good candidate” is a catchall term for lots of intangibles, such as patient motivation and expectations, medical comorbidities, at-home support systems, etc. I would imagine that most Rivendell enthusiasts have the health, motivation, and means to tolerate a bilateral procedure.

For postop pain relief the Cadillac option is something called an adductor canal catheter, which is basically an infusion of local anesthetic (chemically similar to Novacaine, such as you’d receive for a dental procedure) that lasts for up to three days. This targets sensory branches of the femoral nerve, which is responsible for sensation of the anterior thigh and knee. That’s where the incision is, so that’s where the bulk of the pain is. There is also some pain in the back of the knee mediated by the sciatic nerve, which is not affected by an adductor canal catheter, so breakthrough pain can still be an issue. 

If I personally needed both knees replaced I would have them done at the same time. 

Jay Lonner

Bellingham, WA

Sent from my Atari 400

On Nov 19, 2022, at 3:23 PM, Bicycle Belle Ding Ding! <jonasa...@gmail.com> wrote:

Rusty, no, I’ve never seen both at once. According to the internet it *can* be done, but you need to have some specific things going your way to get your surgeon to say yes. 

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[Leah Peterson]

Jay Lonner, you must be Dr. Jay Lonner! Anesthesiology, I presume? Very cool! It’s fun to discover who people are in their real lives. Ok, if I ever need bilateral knee replacements, sign me up for the One and Done with the Cadillac Option.

Leah

On Nov 19, 2022, at 8:11 PM, Jay Lonner <jay.l...@gmail.com> wrote:



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[Joe Bernard]

The thread has taken such a turn. If I ever need a knee or two replaced I have a whole Riv operating room now! 👨‍⚕️👩‍⚕️

[Richard Borneman]

A little backstory about my knee. I'm 70, played football, basketball and baseball when I was young. Shredded my MCL and tore my meniscus in 1976. Had some old school surgery with the 10" incision.  Started riding the bike seriously for rehab afterward. All good till around 20 years ago. Started having problems, got it scoped out to fix a tear in meniscus. 

No problem for 10 years or so and then started having serious pain during long bike rides. Used to do 5 or 6 century rides a year but after the 60 mile mark it felt like somebody was sticking an ice pick in my knee every revolution of the cranks. Lived with it for 5 years, stopped doing long rides, a metric century is my limit. 

 Back to doctor, another procedure, another tear cleaned up. Doc told me then there wasn't much left to work with.

I've had the rooster juice injection twice, first time helped for a year, second time, no change. Had cortisone injections a couple times. Feels like a new knee for a week or two then it wears off. 

Now, I can ride my bike short distance, I do a 9 mile commute to work when the weather is good. Knee feels good after a ride. It is sore and stiff when I walk around and swells up if I walk any distance.

My doctor wants me to try the rooster juice again. I guess I will. I am getting a big addition built on my garage and I am going to do the siding, windows and trim. Hopefully before the weather gets too cold. I will have to climb up a ladder and scaffold to do it. If I can. 

If I get the knee done I'm thinking about doing it in February. That month sucks. Weather is usually nasty,, hunting season is over fish are hunkered down. Just not much going on.

Getting old sucks. Beats the alternative though.

Richard

[LyleBogart{AT}gmail.com]

I'm a PT with about 16 years experience. I treat many folks post-op single or double knee replacement. You should get back to cycling without concern or restriction in 3-4 months (you can push it earlier, but most folks find that the resulting inflammation is not worth it). 

A couple of points, in response to some of the other responses you've received: Yes, folks do sometimes get both knees done at once. The early days of rehab can be pretty unpleasant as you haven't a non-surgical leg to stand on. That phase passes pretty quickly. I have seen the interesting outcomes in some folks who've had both replaced at the same time in which one knee turns out better than the other knee. No idea why this happens, but it does.

As for the other folks in this thread with grumpy knees, one of the most important things you can do is keep your lateral hips and glutes strong. Exercises like resisted clamshells and prone hip extensions/abductions are key. Your knees will be happier. And for those of you who are bone-on-bone, you can forestall replacements if you keep the glutes and lateral hips good and strong.

Good luck! Have fun!

lyle

On Saturday, November 19, 2022 at 9:04:28 AM UTC-5 rsb...@msn.com wrote:

[peec...@yahoo.com]

I had TKA a couple of years back and was back on a bike in about a month.  Started very slow, low miles on flat ground.  I was up to 15 miles fairly quickly.  I know that the miles on the bike before surgery really was of help post surgery.  Everyone is different so consult with your surgeon and physical therapist.  I'm very happy I had the knee replaced.  Tim