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  • new knees/new hips

    Has anyone had a knee or a hip replacement done after a long fusion? I feel my knees not lasting forever with the extra kneeling that I do now.

    Melissa
    Melissa

    Fused from C2 - sacrum 7/2011

    April 21, 2020- another broken rod surgery

  • #2
    Melissa,
    You will have to gradually build up your quadriceps muscles and that will protect your knees. Try to go down on one knee rather than squatting as squatting is very hard on the knees. I have had knee problems since age 40, but by keeping my quads strong, I am hoping to never have a knee replacement. When you are sitting in a chair, do some leg lifts. That will help strengthen the quads.

    How are you feeling now that you are home? I hope recovery is going well for you.

    Sally
    Diagnosed with severe lumbar scoliosis at age 65.
    Posterior Fusion L2-S1 on 12/4/2007. age 67
    Anterior Fusion L3-L4,L4-L5,L5-S1 on 12/19/2007
    Additional bone removed to decompress right side of L3-L4 & L4-L5 on 4/19/2010
    New England Baptist Hospital, Boston, MA
    Dr. Frank F. Rands735.photobucket.com/albums/ww360/butterflyfive/

    "In God We Trust" Happy moments, praise God. Difficult moments, seek God. Quiet moments, worship God. Painful moments, trust God. Every moment, thank God.

    Comment


    • #3
      Originally posted by loves to skate View Post
      Melissa,
      You will have to gradually build up your quadriceps muscles and that will protect your knees. Try to go down on one knee rather than squatting as squatting is very hard on the knees. I have had knee problems since age 40, but by keeping my quads strong, I am hoping to never have a knee replacement. When you are sitting in a chair, do some leg lifts. That will help strengthen the quads.

      How are you feeling now that you are home? I hope recovery is going well for you.

      Sally
      I am home but recovery is not going well at all. I am in much pain . My surgeon does not want me to do anything until October 5th when he will see me

      Thanks for asking

      Melissa
      Melissa

      Fused from C2 - sacrum 7/2011

      April 21, 2020- another broken rod surgery

      Comment


      • #4
        I'm so sorry to read about your pain. Please just lie down and ride it out and I hope it improves quickly. Regarding knees. My knees vaguely hurt for a few weeks after coming home and I really thought I was in line for replacement, but it was just that they were getting used to the extra load of work that spinal fusion puts on them. Pretty soon the pain went away and now I'm thinking they'll last me out.

        What pain meds are you at at the moment?

        It's still so early for you. It can be a horrible time. I hope tomorrow is much better.
        Surgery March 3, 2009 at almost 58, now 63.
        Dr. Askin, Brisbane, Australia
        T4-Pelvis, Posterior only
        Osteotomies and Laminectomies
        Was 68 degrees, now 22 and pain free

        Comment


        • #5
          My son was complaining about sore knees soon after his second surgery and it lasted for a while when we got home as well. I also noticed he had quite a bit of swelling in his ankles and I was told that it was b/c he was so sedentary during his five week hospital stay. He was supposed to use his walker with the weights attached to it but he became too tall for it after a week or two (can't quite remember) and it couldn't be made taller otherwise it wouldn't fit through doorways so he did a lot of sitting instead and did some leg exercises. Once we were home and free from the halo/weights and he could walk around as much as he wanted to his knees stopped hurting, the swelling in his ankles went away and slowly but surely he's gaining back muscle tone and is getting stronger.

          On that note, my daughter joked this morning about how I still make his bed and clean his room for him even though he's fifteen and in high school now but I explained to her that it's quite tricky for me who has not had spine surgery to make his bed b/c it is quite high off the ground, the mattress is super thick and the sheets barely fit on them and I have to flop myself on his bed and roll over to stretch the sheets and pull them tight otherwise they slip off; I feel like a contortionist. She had never even thought about how hard seemingly simple tasks can be especially when you've just had 'major' surgery(s).
          Son 14 y/o diagnosed January 20th. 2011 with 110* Curve
          Halo Traction & 1st. surgery on March 22nd. 2011
          Spinal Fusion on April 19th. 2011

          Dr. Krajbich @ Shriners Childrens Hospital, Portland Oregon



          http://tinyurl.com/Elias-Before
          http://tinyurl.com/Elias-After

          Comment


          • #6
            Originally posted by loves to skate View Post
            Melissa,
            You will have to gradually build up your quadriceps muscles and that will protect your knees. Try to go down on one knee rather than squatting as squatting is very hard on the knees. I have had knee problems since age 40, but by keeping my quads strong, I am hoping to never have a knee replacement. When you are sitting in a chair, do some leg lifts. That will help strengthen the quads.

            How are you feeling now that you are home? I hope recovery is going well for you.

            Sally
            I will try to go down on one knee instead of squatting. My recovery is not going well at all. I am in much pain. I was put on steroids yesterday
            Melissa

            Fused from C2 - sacrum 7/2011

            April 21, 2020- another broken rod surgery

            Comment


            • #7
              Originally posted by JenniferG View Post
              I'm so sorry to read about your pain. Please just lie down and ride it out and I hope it improves quickly. Regarding knees. My knees vaguely hurt for a few weeks after coming home and I really thought I was in line for replacement, but it was just that they were getting used to the extra load of work that spinal fusion puts on them. Pretty soon the pain went away and now I'm thinking they'll last me out.

              What pain meds are you at at the moment?

              It's still so early for you. It can be a horrible time. I hope tomorrow is much better.
              Thanks Jennifer
              Melissa

              Fused from C2 - sacrum 7/2011

              April 21, 2020- another broken rod surgery

              Comment


              • #8
                Originally posted by mabeckoff View Post
                I will try to go down on one knee instead of squatting. My recovery is not going well at all. I am in much pain. I was put on steroids yesterday
                Melissa, Hold onto a table or kitchen counter when you go down on one knee. It will be much easier for you.
                Sally
                Diagnosed with severe lumbar scoliosis at age 65.
                Posterior Fusion L2-S1 on 12/4/2007. age 67
                Anterior Fusion L3-L4,L4-L5,L5-S1 on 12/19/2007
                Additional bone removed to decompress right side of L3-L4 & L4-L5 on 4/19/2010
                New England Baptist Hospital, Boston, MA
                Dr. Frank F. Rands735.photobucket.com/albums/ww360/butterflyfive/

                "In God We Trust" Happy moments, praise God. Difficult moments, seek God. Quiet moments, worship God. Painful moments, trust God. Every moment, thank God.

                Comment


                • #9
                  Originally posted by loves to skate View Post
                  Melissa, Hold onto a table or kitchen counter when you go down on one knee. It will be much easier for you.
                  Sally
                  I will try that
                  Thanks
                  Melissa

                  Fused from C2 - sacrum 7/2011

                  April 21, 2020- another broken rod surgery

                  Comment


                  • #10
                    Originally posted by Elisa View Post
                    My son was complaining about sore knees soon after his second surgery and it lasted for a while when we got home as well. I also noticed he had quite a bit of swelling in his ankles and I was told that it was b/c he was so sedentary during his five week hospital stay. He was supposed to use his walker with the weights attached to it but he became too tall for it after a week or two (can't quite remember) and it couldn't be made taller otherwise it wouldn't fit through doorways so he did a lot of sitting instead and did some leg exercises. Once we were home and free from the halo/weights and he could walk around as much as he wanted to his knees stopped hurting, the swelling in his ankles went away and slowly but surely he's gaining back muscle tone and is getting stronger.

                    On that note, my daughter joked this morning about how I still make his bed and clean his room for him even though he's fifteen and in high school now but I explained to her that it's quite tricky for me who has not had spine surgery to make his bed b/c it is quite high off the ground, the mattress is super thick and the sheets barely fit on them and I have to flop myself on his bed and roll over to stretch the sheets and pull them tight otherwise they slip off; I feel like a contortionist. She had never even thought about how hard seemingly simple tasks can be especially when you've just had 'major' surgery(s).
                    that does sound like a tricky bed to make. I thought I'd never be able to put sheets on a bed again. However, much to my surprise and my husband's delight, I can do so now without a problem. LOL I shouldn't have tried and then hubby would still have to do it on a regular basis. (not that he won't if I ask him--it's just the point).

                    Just goes to show you how much you can do after this surgery that at one point you thought would always be an impossibility.
                    __________________________________________
                    Debbe - 50 yrs old

                    Milwalkee Brace 1976 - 79
                    Told by Dr. my curve would never progress

                    Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
                    Pre-Surgury Thorasic: 66 degrees
                    Pre-Surgery Lumbar: 66 degrees

                    Post-Surgery Thorasic: 34 degrees
                    Post-Surgery Lumbar: 22 degrees

                    Comment


                    • #11
                      Steroids??? From the Mayo Clinic:

                      Does your surgeon know about this?

                      Because oral corticosteroids affect your entire body instead of just a particular area, this form is the most likely to cause significant side effects. Side effects depend on the dose of medication you receive. Within days or weeks of starting oral therapy, you may have an increased risk of:

                      Elevated pressure in the eyes (glaucoma) Fluid retention, causing swelling in your lower legs Increased blood pressure Mood swings Weight gain, with fat deposits in your abdomen, face and the back of your neck When taking oral corticosteroids longer term, you may experience:

                      Cataracts High blood sugar, which can trigger or worsen diabetes Increased risk of infections Loss of calcium from bones, which can lead to osteoporosis and fractures Menstrual irregularities Suppressed adrenal gland hormone production Thin skin, easy bruising and slower wound healing .

                      Reduce your risk of corticosteroid side effects
                      Despite their side effects, corticosteroid drugs remain an important medical treatment. To get the most benefit with the least amount of risk:

                      Try lower doses or intermittent dosing. Newer forms of corticosteroids come in varying strengths and lengths of action. Ask your doctor about using low-dose, short-term medications or taking oral corticosteroids every other day instead of daily. Switch to nonoral forms of corticosteroids. Inhaled corticosteroids for asthma, for example, reach lung surfaces directly, reducing the rest of your body's exposure to them and leading to fewer side effects. Make healthy choices during therapy. When you're on corticosteroid medications for a prolonged period, talk to your doctor about ways to minimize side effects. You may need to reduce the number of calories you eat or increase your physical activity to prevent weight gain. Exercise can help reduce muscle weakness and osteoporosis risks. And taking calcium and vitamin D supplements and prescription bisphosphonates, such as alendronate (Fosamax) or risedronate (Actonel), can minimize bone thinning due to corticosteroids. Take care when discontinuing therapy. If you take oral corticosteroids for prolonged periods, your adrenal glands produce less of their natural steroid hormones. To give your adrenals time to recover this function, your doctor may reduce your dosage gradually over a period of weeks or even months. If the dosage is reduced too quickly, you may experience fatigue, body aches, lightheadedness and difficulty recovering from minor illnesses. Weigh the risks and benefits of corticosteroids
                      Although they may cause a range of side effects, corticosteroids may also relieve the inflammation, pain and discomfort of many different diseases and conditions. If you work with your doctor to make choices that minimize side effects, you may achieve significant benefits with a reduced risk of such problems
                      Original scoliosis surgery 1956 T-4 to L-2 ~100 degree thoracic (triple)curves at age 14. NO hardware-lost correction.
                      Anterior/posterior revision T-4 to Sacrum in 2002, age 60, by Dr. Boachie-Adjei @Hospital for Special Surgery, NY = 50% correction

                      Comment


                      • #12
                        Originally posted by Karen Ocker View Post
                        Does your surgeon know about this?

                        Because oral corticosteroids affect your entire body instead of just a particular area, this form is the most likely to cause significant side effects. Side effects depend on the dose of medication you receive. Within days or weeks of starting oral therapy, you may have an increased risk of:

                        Elevated pressure in the eyes (glaucoma) Fluid retention, causing swelling in your lower legs Increased blood pressure Mood swings Weight gain, with fat deposits in your abdomen, face and the back of your neck When taking oral corticosteroids longer term, you may experience:

                        Cataracts High blood sugar, which can trigger or worsen diabetes Increased risk of infections Loss of calcium from bones, which can lead to osteoporosis and fractures Menstrual irregularities Suppressed adrenal gland hormone production Thin skin, easy bruising and slower wound healing .

                        Reduce your risk of corticosteroid side effects
                        Despite their side effects, corticosteroid drugs remain an important medical treatment. To get the most benefit with the least amount of risk:

                        Try lower doses or intermittent dosing. Newer forms of corticosteroids come in varying strengths and lengths of action. Ask your doctor about using low-dose, short-term medications or taking oral corticosteroids every other day instead of daily. Switch to nonoral forms of corticosteroids. Inhaled corticosteroids for asthma, for example, reach lung surfaces directly, reducing the rest of your body's exposure to them and leading to fewer side effects. Make healthy choices during therapy. When you're on corticosteroid medications for a prolonged period, talk to your doctor about ways to minimize side effects. You may need to reduce the number of calories you eat or increase your physical activity to prevent weight gain. Exercise can help reduce muscle weakness and osteoporosis risks. And taking calcium and vitamin D supplements and prescription bisphosphonates, such as alendronate (Fosamax) or risedronate (Actonel), can minimize bone thinning due to corticosteroids. Take care when discontinuing therapy. If you take oral corticosteroids for prolonged periods, your adrenal glands produce less of their natural steroid hormones. To give your adrenals time to recover this function, your doctor may reduce your dosage gradually over a period of weeks or even months. If the dosage is reduced too quickly, you may experience fatigue, body aches, lightheadedness and difficulty recovering from minor illnesses. Weigh the risks and benefits of corticosteroids
                        Although they may cause a range of side effects, corticosteroids may also relieve the inflammation, pain and discomfort of many different diseases and conditions. If you work with your doctor to make choices that minimize side effects, you may achieve significant benefits with a reduced risk of such problems
                        Whom is this directed towards?
                        Melissa

                        Fused from C2 - sacrum 7/2011

                        April 21, 2020- another broken rod surgery

                        Comment


                        • #13
                          Steroids

                          Originally posted by mabeckoff View Post
                          I will try to go down on one knee instead of squatting. My recovery is not going well at all. I am in much pain. I was put on steroids yesterday
                          Melissa, Does your spine surgeon know about the steroids?
                          Original scoliosis surgery 1956 T-4 to L-2 ~100 degree thoracic (triple)curves at age 14. NO hardware-lost correction.
                          Anterior/posterior revision T-4 to Sacrum in 2002, age 60, by Dr. Boachie-Adjei @Hospital for Special Surgery, NY = 50% correction

                          Comment


                          • #14
                            Karen, this is Melissa's quote from another thread...
                            "He is putting me on medrol (like cortisone) for 6 days . If it does not help, he wants me to come in on Wednesday for Xrays"

                            BTW, that was very informative post about steroids. When my older boy had HSP when he was twelve and spent an entire month in the hospital, he was on a high dosage of prednisone to keep his kidneys from spewing protein (very inflamed) and he gained so much weight and got the typical 'moon face' and he was so hungry all the time. I noticed too that his behaviour was weird and he became a bit reckless and did things he normally wouldn't do, like jump off a two story balcony. I was advised about the weight gain and behaviour issues but never knew anything about how it affects your bones and healing. Interesting.
                            Son 14 y/o diagnosed January 20th. 2011 with 110* Curve
                            Halo Traction & 1st. surgery on March 22nd. 2011
                            Spinal Fusion on April 19th. 2011

                            Dr. Krajbich @ Shriners Childrens Hospital, Portland Oregon



                            http://tinyurl.com/Elias-Before
                            http://tinyurl.com/Elias-After

                            Comment


                            • #15
                              Originally posted by Karen Ocker View Post
                              Melissa, Does your spine surgeon know about the steroids?
                              As Eliza showed you, my surgeon is the one who put me on steroids and I am going to see him tomorrow

                              Thanks for caring
                              Melissa

                              Fused from C2 - sacrum 7/2011

                              April 21, 2020- another broken rod surgery

                              Comment

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