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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,344
6/5/13 5:34 P

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That's a tough one. I know right now it looks like surgery is the only option but I would do everything possible to talk to someone who is NOT a surgeon. I am familiar with a lot of cases (some of them in animals), where surgery was recommended by orthopedic surgeons and when other medical professionals (non-surgical orthopedists, physical therapists, alternative health care specialists) were consulted there were non-surgical options. It's not that I think that most surgeons are dishonest but more a case of seeing the options one is most familiar with. For a surgeon that will almost always be surgery.
For instance many cruciate ligament cases can be treated conservatively and almost full function can return. Surgery is not only risky but sometimes turns out not to fix the problem. Get at least a second, if not a third opinion. Any respectable surgeon will support this idea.
Best wishes, hang in there,
Birgit

You can talk to God all you want and that's great, but the changes happen when you start listening to him.

BE THE CHANGE YOU WANT TO SEE IN OTHERS.




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ISMEME's Photo ISMEME SparkPoints: (31,076)
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6/5/13 7:20 A

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I went in for the bilateral standing hip to ankle x-ray and the knee MRI saturday morning and just saw my orthopedic surgeon about the results yesterday morning.... it is worse than we thought unfortunately. The degree of bone wedge that would need to be added is about double compared to most cases (21 degrees or so vs 11 on ave) and may mean i have to use a less desirable surgical technique due to risk of failure of a bone graft to take and close. The MRI showed I have a complete grade III ACL tear and a partial grade II PCL tear. Somehow I managed to only have some micro tears on my LCL thank goodness!! There are some minor micro tears in cartilage. The cartilage loss on the inside part of my knee was reconfirmed also (aka: have a nasty case of osteoarthritis developed and I'm only 29 :( ) I will need the bone surgery to correct the angle of my leg, putting the pressure/weight load on the healthy half of the cartilage in my knee, along w/ a double ligament reconstruction at the same time. Yikes!!!!!!! He (the orthopedic surgeon) gave me more confidence in him when he said he would like to consult the other orthopedists at the med center about my case and also possibly the orthopedic surgeon he trained under in Boston as well. He also referred me to another orthopedist in town to get a separate opinion from someone outside the med center I go to. Surgery will be the beginning to middle of July. So much for a 30th bday vacation to the ocean/to see a friend the very beginning of Aug. Will have to have a delayed 30th bday trip/party w/ her :)

"A man who wants something will find a way; a man who doesn't will find an excuse."


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MJREIMERS's Photo MJREIMERS Posts: 4,631
5/31/13 9:56 P

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emoticon that you are facing surgery! That stinks! I wish I had some advice for you. Some friends that had knee surgeries swore by swimming and doing water aerobics. (I see others have recommended that, too.) Tough decision. I wish you all the best.

~Mako~


IAMAGEMLOVER's Photo IAMAGEMLOVER Posts: 24,162
5/31/13 2:00 P

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Now I am going to think twice about having knee replacement at the end of the year. I have lost 120+ pounds and don't want to be putting any weight back on. I don't run because of my knees but I do workout in the water and do a lot of walking.

I am so sorry you are faced with the very tough decision. It is very difficult to decide what to do.

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MONGO2TEN's Photo MONGO2TEN Posts: 10,883
5/31/13 6:46 A

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So sorry to hear:(

My hubby had to have hip replacement. He opted for a resurfacing instead of a total hip. It will allow him to run again. I understand that they are now doing a resurfacing on knees. I'd look into that. If you need more info, let me know. He had his surgery in January and is now running over 2 miles with me.

In the meantime, can you swim? Walk or ride a bike?

~Nancy



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MAREE1953's Photo MAREE1953 SparkPoints: (84,736)
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5/30/13 8:57 P

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So sorry to hear of these problems. I agree with the low carb, high protein nutrition plan, as that has proven successful for me when all else failed. I wish you the best of luck!

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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,344
5/30/13 1:57 P

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That is a complicated situation for sure. I hope everything will work as planned and you get many more years out of that knee. I know quite a number of people who are doing water aerobics instead of running because of knee issues.
As far as maintaining weight without much exercise I believe that very low-carb (no grains, beans, sugars, processed foods, limited fruit) will work the best. Check out the low-carb team and the paleo-team on spark and you will meet quite a few people who do great with very little exercise.
emoticon
Birgit

You can talk to God all you want and that's great, but the changes happen when you start listening to him.

BE THE CHANGE YOU WANT TO SEE IN OTHERS.




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ISMEME's Photo ISMEME SparkPoints: (31,076)
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5/30/13 12:21 P

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Unfortunately it is not a completely new problem. It developed last august.... (but may be related to an old injury that happened 6-7 yrs ago), ended up having to take half of sept all the way through dec off of running, along with several sessions of physical therapy ect. Started running again in january but the runner's knee flaired off and on again this spring, making it harder to train for my HM, but did it anyways (just made sure to run with the knee taped and braced as I was told to do by the physical therapists if i started running again). I was having problems in the HM, but blocked it out and was determined to finish anyways. The knee problem is part runner's knee, part LCL and ACL being lax now... the lax ligaments are being caused by the bend in my tibia....which is what is causing the problems, leading to the pain. The x-rays showed rapid cartilage loss and bone spurs already developed in the inside half of my knee. The surgery would be to correct the bend in my tibia and put the weight on the half of my knee that still has healthy cartilage, thus extending the life-span of my knee joint.

"A man who wants something will find a way; a man who doesn't will find an excuse."


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HOUNDLOVER1's Photo HOUNDLOVER1 Posts: 8,344
5/30/13 11:26 A

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It's hard to understand for me that if you were able to run a HM recently that you have so much damage to your knee that only surgery could help. Do you think that it may be worth getting a second opinion? Is there anything that physical therapy may be able to do?
My experience has told me that there are almost always several options before undertaking massive surgeries, in particular with something that may only cause major trouble down the road.
Have you heard of the book "Pain Free" by Pete Egoscue? This very thorough student of anatomy and physiology has developed an approach to address muscle imbalances that helps many people with joint problems and spine problems without surgery. There are clinics in many parts of the country and this method has the potential to put chiropractors out of business.
Best wishes,
Birgit

You can talk to God all you want and that's great, but the changes happen when you start listening to him.

BE THE CHANGE YOU WANT TO SEE IN OTHERS.




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5/30/13 10:50 A

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They cut/break the tibia near the top of it to either add or remove a wedge of bone to straighten the lower leg to reduce wear and load on the injured part of the knee, shifting the weight/load to the side w/ healthy cartilage. May also need ligaments repaired but won't know until they look at the soft tissue with the MRI sat.

I'm thinking the next time I move, it will have to be near an indoor swimming pool at minimum ;) and potentially some good biking trails :D

"A man who wants something will find a way; a man who doesn't will find an excuse."


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MOONCHILD8's Photo MOONCHILD8 Posts: 6,748
5/30/13 10:17 A

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Great Advice here! I never had that problem but it sounds good to rest it and then to try swimming. If it hurts you then do not swim either maybe get some therapy. Best wishes with coping with this condition. Linda from bean town emoticon emoticon emoticon emoticon emoticon

Edited by: MOONCHILD8 at: 5/30/2013 (10:18)
Linda from bean town EST


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PHEBESS's Photo PHEBESS Posts: 33,131
5/30/13 9:31 A

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Been in a similar situation (torn ACL and meniscus - twice) - definitely swimming and biking. Eventually distance walking and hiking. Sorry, but running really isn't good for your knees. And, ten years after my 2 knee surgeries, I can feel that even walking 6 to 8 miles a day isn't going to work for too much longer.

"Dance as if no one is watching."


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LOGOULD's Photo LOGOULD SparkPoints: (96,507)
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5/30/13 8:37 A

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Tough news.....but you are tougher! Get thee to a pool - GREAT cardio to be had swimming sprints! You can do this! Biking too!

"Success is the result of what you do when the Woo Hoo is all through....."-ON2VICTORY (Robert)

"The miracle isn't that I finished...the miracle is I had the courage to start." - John 'The Penguin



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BESSHAILE's Photo BESSHAILE Posts: 3,042
5/30/13 8:16 A

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AAAAAARRRGGGHHH!

That is awful news. I'm so sorry.

And I was going to suggest exactly what Poohscout1 did - swim. swim and swim and swim. Swim the English channel. Swim You will get your cardio workout.

And never ever give up. emoticon

Believe it
Do it
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POOHSCOUT1's Photo POOHSCOUT1 Posts: 427
5/30/13 7:51 A

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Been in your postion many times. Best advice I can give you is as soon as the doctor allows get yourself into your local area swimming pool with a float belt on and water walk or jog in the deep end of the pool. great cardio workout and no pressure on your joints, then when able start water walking and light water jogging in chest high water. Best of luck

MOVING AND MAINTAINING. Yesterday is gone, let it go, tomorrow hasn't happened, don't long for it. Today is the present .........enjoy it


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ISMEME's Photo ISMEME SparkPoints: (31,076)
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5/30/13 7:42 A

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I just finished my first half marathon about a week and a half ago, and two days after that was informed i needed surgery to fix my knee. After seeing an orthopedist two days ago I was again told i had to have surgery and not just ligament repair (what i was hoping). I have to have a high tibial osteotomy, and possible ligament repair on top of that (a lax LCL and now ACL). I will be unable to run for a year from surgery, and i'm a distance runner... was also told I will be unable to return to distance running if i want a knee intact in 10 years... as they are trying to have me avoid a total knee replacement for 15-20 years. I will likely be in a cast and then brace for awhile and unable to do any real form of cardio, and i'm definitely a cardio junkie... so am now totally freaking out about surgery and also how I will maintain the 95-100 pounds I have lost to reach my goal weight. I have been maintaining since january w/o issues but now am overwhelmed and scared on how to maintain w/o being able to do cardio and only being able to do upper body and ab work for strength training. Anyone ever been in a similar situation? eeeeeeeek........

"A man who wants something will find a way; a man who doesn't will find an excuse."


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