Does anyone here have OA in the knees and have any treatments or tips for reducing the pain? It makes it really hard to do the heavy work DH can't do anymore. I have heard about glucoseamine/chondroitin, and shots that go in your knees to cushion them and my Father wound up having surgery which looked like someone had butchered him and I don't want to go thru that. I couldn't find the down time for it , nevermind the scarring. But I need to do something soon and would appreciate any experiences or advice. Gypsy2
I do, and if you search here you'll frequently find me talking about my damknee! Lifting is the absolute worst thing for it. I had injured my knee maybe 10 years ago and had occasional flareups of the arthritis in it but it didn't get terrible until I lifted a couple of those big - 30 lb - boxes of kitty litter. And it's been more or less constant pain for the last year and a half. So above everything, get him to do the heavy lifting, under your supervision.
Glucosamine chondrotin does help - and it's not just placebo bec. I know it is given to, and helps, a lot of our geriatric zoo animals (I volunteer at RWP zoo in Providence).
NSAIDS, like Aleve, Anacin, etc, help BUT I've gotten so I can't take them, they screw up my stomach. Tylenol helps and is not an NSAID. The point of NSAID is that they are "non-steroid anti-inflammatory" and you DO need to try to get the inflammation down. I've found ice packs help a lot with that. I also take Tramadol (Ultram) which is prescription/generic and which really does help. It also comes combined with tylenol - for a price, of course.
Some doctors give corticosteroid shots, My doctor won't hear of them. However, there's also SYNVISC, which is the cushioning stuff (made possibly from coxcombs!) and that does help. 3 shots, painful, weeks apart. You can only do it once a year, though it is paid for by medicare, and it doesn't last a year.
So now you're down to knee replacement, which is where I am now. It takes, apparently, at least a month to have the operation, go for rehab in-house for a couple of weeks, and then at least another week before you can, for instance, drive. The NH that I looked at that could take both of us, him for a month, me for the rehab, would cost $6650 for him. NOT Medicare for him. I am reluctant. OTOH, I'm not getting any younger and I probably will have to have the replacement sooner or later.
A wise doctor friend of mine, when asked if he recommended knee replacements, said, "Only when they come to me screaming in pain for months in a row."
I'd love to hear from someone who's had knee replacement, preferably at "a certain age". Frankly, my knee gives me more trouble than my husband does!
I've had both knees replaced after cortisone shots didn't help and I was reduced to walking with crutches. The first was 16 years ago, the second 14 years ago. They told me that the replacements usually last 10 years. When I saw the orthopedist last week he told me that the plastic pad in one knee (the 14 year ago one) needs to be replaced. That is not as bad as the full replacement, but will lay me up for about 2 weeks. But only 3 days in hospital and then home. I'm still not noticing any problem with the knees and am walking without any problem or pain. My advice is to have the operation done when the pain is interfering with your life.
I had both knees replaced 20 years ago when I was 37 (RA) and I am now due for replacing the replacements. I understand the proceedure is quicker and less painful these days, but make no mistake about it, the recovery takes time and it is painful in the beginning. I agree with Marsh - have the operation when the pain is interfering with your life.
Interfering with my life, probably to the point of it being the first thing I am aware of in the morning and last thing at night (even more than DH). I would like to try anything before surgery so I went and got the glucosamine which I will start today but am interested in the synvisc shots, if medicare pays I will give it a try. Heat helps the pain but only while it stays hot. How well do ths synvisc shots actually help? For how long? What are they like getting them? Just another problem to sort out. DH can't do the heavy lifting due to heart issues so I have to and I don't mind because it keeps me in shape a bit. Walking (for fitness) is my favorite antidepressant and it just helps me see things clearly but it is also what seems to cause the most pain after. Maybe shoe inserts? Gotta check into that, too. It might help some. Tired of taking pills. It's a drag getting old alright!!
Don't quibble. Don't dither around. Work it out and get it done as soon as your Dr. says you can. Be grateful for the option. Mine have been crashed down on so many times it's a miracle I can manage to tolerate the couple minutes I might have to kneel on them to get up from a fall. Can't take Ibuprofen, Naproxen is like drinking water, Tylenol only helps with pain, Tramadol slows my heart rate (40's is normal for me), tried Glucosamin-Chondroitin--no determinable affect, and I am not a candidate for replacement because my CMT means insufficient muscle/tendon/ligament support. If I had the option to get a fix that let me keep on with the life I want the way I want it, I'd grab it and run.
My DH had left knee replaced in 2002. Got a staph infection and ended up having 4 knee surgeries in 10 months and ended up having to take disability retirement. Had tried Synvisc first and that only gave him relief for a very short time. I know his experience is not the norm. We have 2 friends who had it done in last year or so and both did extremely well. His artificial knee is now loose and needs to be re-done, but I don't think he will ever agree to it again. Good luck to you. You will probably do fine with it, most people do.
I have it and glucosamine helps. Many years ago I went to a specialist who said I should wait as long as possible to have knee replacements, because I was still so active that they would only last me 7-8 years. (They may have better procedures and products now.) So I gave up tennis (which did interfere with my life, actually) and I take glucosamine and one Ibu profen every morning and more when travelling or hiking. But I can walk all day or work in the garden all day if I have a couple ibu profen with me. I actually started taking the glucosamine for terrible pains in my jaw. I could hardly open my mouth. The glucosamine cleared it up in a week and has helped the knees as well. On an ordinary (cycling) day I am not aware of the knees at all except when going down stairs. I can't really run very fast or far.
I, too, had both knees replaced several years ago. My doctor said I had to wait until I was 50, as they don't last forever. I had the first 1 done the week after I turned 50! I'm not sure I would do it again, though. Still have some pain, and they seem to be stiff all the time, even when I exercise (cycle) regularly.
I had both knees replaced about three years ago when I was 62 - not at the same time, about three months apart. It was absolutely one of the best decisions I've ever made. Before I could only walk very short distances and going up and down stairs was almost impossible. At the time my doctor told me that the type of replacement he was using had been around about 25 years and very few had had to be replaced. Now I don't have any pain except minor twinges during storms - unless I try to kneel for a long time. I can walk, ride my exercise bike, and climb stairs with no problems. Since I got through the first few months and finished therapy, I could not be happier with the outcome. We've been able to make several trips that I would not have enjoyed before the surgery.
The synvisc shots are three, very painful for about two minutes then nothing. After the third one you start feeling relief and should feel it for several weeks. I unfortunately fell on the damknee about a week after having the third one (tripped on the cord of the hospital bed) and that was that! They also felt strange. I think it was worth doing it, at least this one time.
This may help for only mild cases, but both my husband and me found the knee supports or braces that you can buy at the drug store helpful. Sometimes it would take a couple of weeks with them. We had to put in an electric chair for the stairs as climbing stairs seemed to be the worst trigger. I remember using a 10% Diclofenac ointment, ordered by the doctor, bypassed the irritated GI tract that would have resulted from oral NSAIDS. One of those moldable cold packs at night was effective.
One of my sister's has 'bone on bone' and gets some relief from chiropractic. She has no medical insurance so can't do anything more. There are those that say glucosamine/chondriton works and those that say it doesn't so it is worth a try. When my BIL had his knee replaced at 82 he had a quick recovery because he faithfully did the pre-surgery exercises. Fish Oil is an anti-inflammatory and some claim it helps with pain. Google natural knee pain remedies or something like that.
I have a great deal of pain in my left knee, which was caused by a medial and lateral meniscus tear that I got while reaching down to hug my granddaughter, believe it or not. I didn't know what I had until a few months later because right after it happened we found out my husband needed heart surgery. I suffered with that for about six months, when I had the knee repaired. The dr. said I had a lot of arthritis in the knee and would need a knee replacement. It never really healed well after that surgery. I have had multiple cortisone injections, which did not help, and the three Synvisc injections, which did not help. I am not able to use NSAIDs because my kidneys were affected by long-term use of them. I did have a cortisone injection last June because I was desperate. It was the first one that worked! Tomorrow I'll get another one. I hope this one works. The pain is interfering with my life and I just don't feel I could undergo knee replacement at this time. I'm surprised to hear about the fish oil. I think I'll ask my rheumatologist about it.
Get to a doctor. Turned out all I needed was to have one knee cleaned out (not replaced) and the other knee to get major cortisone shots while I was out because of the surgery. And, of all things, fish oil. It has been three years and I'm off all of the pain killers. And I was on Vioxx for more than 2 years and Naproxin after that.
You won't know what you need until you are assessed. Because I'm looking into what is out there in the way of help right now, I'm getting shocked at all of the options that actually do exist, including a temporary placement for him if I need surgery during the next year or two. I've had two surgery scares in the last year and didn't have a clue as to what to do about it. But there are services out there to tap. Until you go looking, you won't know they exist.
Oh, and about the fish oil. It was the orthopedic surgeon who put ALL of his surgery patients on fish oil. And himself too. It got us off some of the heavy drugs BEFORE the surgery and got me off all of them after it.
Starling, I'm interested in the fish oil regime. I see so many different kinds, have read lots of claims, but would appreciate hearing about the brand and amount your orthopod recommended.
Starling, me too. Now that I think about it I was on fish oil this summer and when I ran out I just let it go...now the knees hurt again. I have even lost weight and they hurt More! Gotta go back on the fish oil. Any special brand or dose?
Am I the only one who has trouble taking fish oil? When I had cataract surgery the nurse commented on my use of fish oil. She said it was a good thing to take but she could not take it because it gave her stomach problems. I was having the same problems but did not connect them to fish oil. I stopped taking them and the problems went away.
I had my left knee replaced 4 or 5 years ago. After shots in the knee, glucosamine/chond (spell?) which did not work for me, etc. Took Bextra, now off the market, for a couple of years. All went well with the surgery! My right knee, which had also hurt some, cured itself because I was no longer stressing it. Left knee was bone-on-bone, and sometimes collapsing. My only regret is that I did not do it sooner.
Three weeks after surgery I tripped and fell on, of course, my left knee. Fell on our slate entrance and knocked myself out. No harm to knee! My scar is thin, only about 6 or 7 inches long. Faded now. I can walk a mile or two with no problem. [I was 74 or 75 when operated on.]
Bama, I also have stomach problems with fish oil. I absolutely can't take it.
Noahcam's post reminded me that my knees also used to collapse sometimes, especially on stairs. I was really afraid of falling down stairs. The scars aren't bad. I don't think I would care even if they were - I'm so happy with the outcome of the surgery. It freed me to do a lot of things I couldn't before.
I do low impact water aerobics 3xweek. I find them very helpful for OA in my hips, back, knees, shoulders and ankles. I also have osteoporosis and they help with that as well. I take Aleve, Apply capsaitin (sp) and ice/heat. Seems to work. Cold, camp weather triggers it and causes misery.
I take a specific brand. The actual trick is to make sure you get pharmaceutical quality. I started out with a liquid that had to be refrigerated. I currently take something that comes in a packet that does not require refrigeration. But my SIL can't take it because it doesn't taste good to him. Tastes better than the tasteless oil I was taken to me.
The brand I take is Coromega. I like the orange-chocolate formula and I buy it is 90 packets to a box, but it also comes in 30 packets to a box. Basically you have to mail order the stuff.
Fish oil works because it is an anti-inflammatory. It is good for joints and your arteries/blood vessels. They have some good tasting liquid fish oil out there - lemon and orange flavor - but it has to be fresh. If it taste fishy at all, it is not fresh and should not be taken. It also will help lower your cholesterol. Try taking it with food if it bothers you. I take capsules (use to do liquid but the cost got too much for me). I bought from my naturopath as does my sister. Now I get the capsules from Walmart figuring it is better than nothing. Krill is suppose to be better than fish oil but i have not tried it.
Starling I will research the brand you are taking - have not heard of it.
I have seen enteric coated fish oil capsules, which should eliminate any stomach problems, but I don't know if they are pharmaceutical quality. Glucosamine and chondroitin do help a lot of people, and the liquid should, in theory, be more easily absorbed than tabs or capsules. Losing weight is always helpful to hips and knees, unless you're already a twig. (-:
i think folly is right on here, if you have knee issues losing lbs to take the stress off it is crucial. i have a friend who is as we speak is dieting to lose lbs for a new knee. dr wouldnt even consider a replacment without losing weight first. even 10lbs will make a huge difference. norwegian fish oil is what i hear the best OTC, i get it at local GNC health stores. will ask my brother who is a pharmacist about pharmaceutical grade. as for glucosamine/chondroitin it works not only for humans but animals as well -my chihuahuas suffer knee issues too and i have been giving them chicken jerky treats for over a yr that contain these two ingredients for healthy bone. my vet was amazed that the male is running and so active on his knees again and hes 13yrs old. it works but losing lbs is the real key.. not what we want to hear but.... divvi
I had rather suddenly gained 15 lb last spring into the summer. I had held at an overweight but not terribly obese level for years, so I was surprised. Yes, there was that Ben and Jerry's.. but not very much... I always feel that if I outwear clothes before I outgrow them, I'm okay..
Happened that I had my yearly visit with the PCP and blood work, and he said my thyroid level was down and doubled my prescription of levoxyl, which I've taken for years. I never saw any effect.. But this fall, as suddenly as it had come on, the 15 lb were GONE! and I really hadn't done anything except cut out the B&J. Great relief on my part - I think it was from the increased thyroid med. My son has just started on levoxyl and lost 10 lb very quickly.
Just read thisthread very carefully. i get cortisone shots every 3 months, they don't last 3 months. My doctor is suggesting synvisc as our next step. I'm kind of waiting til I need both kneesdone before I go for surgery, People have told me, if you only have one knee done, you'll never go back for the other. (LOL) I'm about to run out to the drugstore today and buy fish oil and glu chon and try it. Back is also very bad. i used to take Celebrex but the doctor wanted me off it, can do heart damage. so I'm taking Advil & Mobic (a prescription Nsaid) The knees actually keep me up at night, and now it seems the OA has also attacked my left hip. sooooo, the right knee, left hip, and left leg from the spine.... yes, and btw, also my neck... And I have OA in my right hand. Shall i just throw in the towel now?
Chris, I've heard that about having the knees done at the same time. My doctor would have done mine that way, but he wouldn't have been happy about it. He said that generally people who have both done together can't or don't do enough therapy for both and don't get as good results. The therapy and the exercises you are supposed to do between therapy sessions are pretty intense. My knees were quite painful at first, but the results on the first one were so good I was determined to have the other done.
Thanks, Starling, and others, for the good tips. I have had stomach problems from the fish oils I've tried, but with all this information, I'm going to give it another whirl. It's supposed to be super good for the brain, too - I could do with that!
just got an email from my brother answering about the fish oils. hes retired pharmacist and a health nut and wont take real meds but only natural stuff. he/wife have beenon enteric-coated fish omega3 capsules for many many yrs. says it must be working as they were at their 50th HS renunion and they two were the only ones with real knees! ha. pharmaceutical grade ie meaning 'pure' is a relative idea as supposedly there isnt an agency that patrols to see if there is a USP guideline that woudl be used for fishoil production. he told me that whatever brand you buy should have omega 3 and EPA/DHA listed and their quantities. and should also list a source of the fish its from. cold water fish, ie-salmon, tuna, sardine, anchovy are all good source fish. none of the companies making 'pure' fishoils can really guaranteed its perfectly pure. so a good choice is one which includes all of the above. the enteric coated capsules work well to avoid gastro associated issues and should also be taken with a meal. taking fish oils are not without side effects and be sure to check with your dr if you take BP meds or blood thinners as fishoils can sometimes interfer. walmart has some good quality brands enteric coated. as does pilgrim pride- and nordic natural omega3 is what i use personally- i take with meals and have had no issue. divvi
This is a very popular topic, seems that lots of us have knee problems. One of the weaknesses in the human construction? Maybe knees are not built to last as long as people live nowadays.
Since my stomach problems made it necessary to stay very close to a bathroom for a day and a half, I'm not planning to try again! I did it twice and that was enough!
I haven't seen anyone mention exercises to strengthen the muscles around the knee to take the strain off the joint. My physiotherapist prescribed some and there are many good websites for knee exercises. The problem is to have the discipline to do them regularly and I don't have that. When my knee really acts up due to overuse, too much bending etc. the physiotherapist suggests using Advil for a few days to bring the inflammation down as well as ice packs. Maybe this will help some of you.
inge, I've done the exercises too. I'm a fan of physical therapy exercises. It helps to have a real physical therapist teach them to you.
One particular stretch is great for your back (the original reason I was taught them), what they give you for your knees (second physical therapist), and it turns out it is what puts your plantar fasciitis back in place (podiatrist). You can find it on the Internet, but you really should actually talk to a therapist.
The exercises for the knees not only can help with strengthening and cutting down on pain, they can help make the surgery and rehab easier if you do have to have knee replacements.
Pilates exercises for strengthening the midriff also help. Stronger abs help to take the strain off knees while walking, going up and down stairs, etc. I did Pilates for a year and am still reaping the benefits. Had to stop because DH was always very disturbed to see me exercising. I don't really know why. Now that he's been going to day care I keep thinking that I should get started again.
I have taken pharmaceutical quality fish oil for about 4 years, and I KNOW it has been a huge help for my arthritis.I get it online from Sealogix and take four a day. I have also taken private Pilates insruction for three years...between the two I can walk with no pain which I couldn't do at all before. I couldn't walk 1/4 mile without sitting down. It has absolutely saved me.
Sealogix is available from Trilogyonline.com. Auto ship $36.95/month (actually about 45 days for me). 1000mg and 4 x day
i've had one knee replaced 9 years ago.i love it.my other knee needs replaced but because of my husbands condition i am putting it off.I can not take the gluco. or nsaids ,my dr gave me Flector Patches to apply to my knee.they work great for me.I use one once a week or so and it keeps the pain so i can sleep.I also go to gym and do knee crunches.Incidently I'm 76.good luck, no fun getting old
I received a prescription from---my cardiac dr. He rx it for my high triglciride and it does seem to be helping there. I take Lovasa and it is kinda pricey but if it helps my heart I'm good. I hope it will do something for my knee and my lumbars. bill
Just last night a friend told me his opthalmologist had put him on fish oil for his vision. He's to take it four times/day. Someone else in the group commented that her mother didn't like the aftertaste, so kept the capsules in the freezer and that solved the problem. Interesting.
Dado has arthritis in his knees, and I am noticing that his legs are becoming quite bowed. Now, I think that is a part of the reason he is falling, falling a bit less lately but still falling.
What can be done for a stage 6 person with terrible knees? I am going to mention it to the nurse when she calls tomorrow. I mean, he is obviously far along in his dementia, and won't likely be getting surgery, so I am now giving him aspirin every night.
Just some feedback please. He is really having a hard time walking, now I always walk him to the bathroom especially at night. I walk with him behind me holding my waist. I am so torn about having to place him , it is hard enough with everything else, if he cannot walk I just don't think I am up to it all. Incontinence, mental issues, leaving my job, yes, but if he cannot walk I just. don't. know.
Coco, ask the Dr. for the Flector patches,most dr.s get a lot samples to give out.12 HRS. ON AND 12HRS.OFF.They do not have the same side effects as the same drug taken orally.Also comes in a gel.but I didn't think it worked as well. The gel is over the counter in Canada and a fraction of the US cost. Got our from Feelbest on the web.