Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Severe Knee Pain After A Bone Reconstruction Surgery
Question: I have had reconstructive surgery on both knees (one doctor described both injuries as the"terrible triad" of acl tear, mcl tear, and meniscus tear) and am mostly bone on bone in both. My first surgery on the right knee was in 1976 with tears in acl and mcl and meniscus. At that time nothing was done with the acl and the mcl was split and I believe that a portion was wrapped around the front of the knee and attached. My left knee injury and surgery was in 1982. By that time, surgical techniques had progressed, and I had a patella tendon augmentation of the acl and repair of mcl and meniscus. I am now 60 yrs. but still very active in skiing and bicycle riding. I am somewhat overweight at 265 lb and 6'-1". I usually ski for 3-4 hours a day, but even after one day my knees hurt too much to be able to ski a second day.
My first question is, several years ago I went to a physical therapist. This therapist gave me several excersises using two different sizes of balls. These exercises really helped, but I have since forgotten how to do them. Is there a web site I can go to to find these exercises? Or is there some other way to find out about these exercises?
My second question. I will most likely want replacement of both joints in the next couple years. I understand that the acl is normally sacrificed as part of the procedure. What complications are presented by my previous ligament repairs, particularly the wrapping of a portion of my right mcl around the front of my knee?
My first question is, several years ago I went to a physical therapist. This therapist gave me several excersises using two different sizes of balls. These exercises really helped, but I have since forgotten how to do them. Is there a web site I can go to to find these exercises? Or is there some other way to find out about these exercises?
My second question. I will most likely want replacement of both joints in the next couple years. I understand that the acl is normally sacrificed as part of the procedure. What complications are presented by my previous ligament repairs, particularly the wrapping of a portion of my right mcl around the front of my knee?
Brief Answer:
It is best to learn exercises from a physiotherapist.
Detailed Answer:
Hello,
Thanks for posting your query.
1. The knee exercises that you were told are best if learnt from the physiotherapist rather than from the websites. A physiotherapist can tell you the right amount of stress you can put on your knees without hurting yourself.
2. The previous ligament repairs do not affect the prognosis of the knee replacement in future. All these are removed and the joint is aligned as per the structure, alignment and strength of the bones.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
It is best to learn exercises from a physiotherapist.
Detailed Answer:
Hello,
Thanks for posting your query.
1. The knee exercises that you were told are best if learnt from the physiotherapist rather than from the websites. A physiotherapist can tell you the right amount of stress you can put on your knees without hurting yourself.
2. The previous ligament repairs do not affect the prognosis of the knee replacement in future. All these are removed and the joint is aligned as per the structure, alignment and strength of the bones.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I am very sorry, I don't fully understand. From prior research of knee replacement surgery, I thought that the acl was sacrificed, but the other intact ligaments were incorporated in the knee replacement. You are saying that all ligaments are removed? Is there some kind of substitute for ligaments in the artificial knee prosthesis? Can you go into a little more detail on the knee replacement considering my ligament repair history?
Brief Answer:
Previous repairs do not affect the surgery.
Detailed Answer:
Hello.
Thanks for writing again.
Sorry for getting you confused. During a knee replacement surgery, menisci are removed and rest of the ligaments can be saved and are repaired there and then according to the need and the alignment. The previous repairs usually do not affect the prognosis of the knee replacement.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Previous repairs do not affect the surgery.
Detailed Answer:
Hello.
Thanks for writing again.
Sorry for getting you confused. During a knee replacement surgery, menisci are removed and rest of the ligaments can be saved and are repaired there and then according to the need and the alignment. The previous repairs usually do not affect the prognosis of the knee replacement.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Ok, thank you for clearing that up for me. I don't anticipate any further questions. I made an appointment with a physical therapist.
Brief Answer:
You are welcome.
Detailed Answer:
Hello.
Thank you.
I am happy I could help.
Please do recommend our services to others too in case you found them helpful. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you the best in whatever you do.
Best regards.
You are welcome.
Detailed Answer:
Hello.
Thank you.
I am happy I could help.
Please do recommend our services to others too in case you found them helpful. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you the best in whatever you do.
Best regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
