Knee pain can often be managed with non-surgical treatments, but in some cases, surgery may be the best option to alleviate pain and restore function. Understanding when knee surgery is necessary can help you make informed decisions about your health and recovery.
Common Conditions Requiring Knee Surgery
- Severe Osteoarthritis
- When the cartilage in the knee wears away, causing significant pain and stiffness, surgery may be required to restore function and alleviate discomfort.
- Rheumatoid Arthritis
- In advanced cases where the joint is severely damaged, surgical intervention may be necessary to relieve pain and improve mobility.
- Ligament Injuries
- Tears in the anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), or other knee ligaments that do not heal with conservative treatment may require surgical repair or reconstruction.
- Meniscus Tears
- Significant tears in the meniscus, especially those that do not respond to physical therapy and other treatments, may need surgical intervention.
- Fractures
- Severe fractures of the knee bones that cannot be properly aligned or healed with conservative treatment may require surgery.
- Patellar Tendinitis
- Chronic and severe cases of patellar tendinitis that do not respond to non-surgical treatments may need surgical correction.
- Chronic Knee Pain
- Persistent knee pain that interferes with daily activities and does not improve with other treatments may necessitate surgery.
Types of Knee Surgery
- Arthroscopy
- A minimally invasive procedure that uses a small camera (arthroscope) to diagnose and treat knee problems. Commonly used for meniscus tears, ligament repairs, and cartilage issues.
- Partial Knee Replacement
- Involves replacing only the damaged part of the knee with a prosthesis. Suitable for patients with limited arthritis affecting only one part of the knee.
- Total Knee Replacement
- Replaces the entire knee joint with an artificial joint. This is usually recommended for patients with severe arthritis or extensive damage to the knee.
- Ligament Reconstruction
- Surgical repair or reconstruction of torn ligaments, such as the ACL or PCL, using grafts from other parts of the body or synthetic materials.
- Meniscectomy
- Removal of the damaged part of the meniscus. This procedure is typically performed arthroscopically.
- Osteotomy
- Involves cutting and reshaping the bones to relieve pressure on the knee joint. Often used in younger patients with early-stage arthritis.
Signs That Knee Surgery May Be Necessary
- Severe Pain: Persistent pain that does not respond to conservative treatments such as physical therapy, medications, or injections.
- Functional Limitation: Difficulty performing everyday activities, such as walking, climbing stairs, or getting in and out of chairs.
- Instability: Knee instability or giving way, which may indicate significant ligament damage.
- Deformity: Visible deformity or misalignment of the knee joint.
- Swelling and Inflammation: Chronic swelling and inflammation that do not improve with other treatments.
Preparing for Knee Surgery
- Consultation: Meet with an orthopedic surgeon to discuss your symptoms, medical history, and treatment options.
- Imaging Tests: Undergo X-rays, MRI, or CT scans to precisely diagnose the condition and plan the surgery.
- Pre-Surgical Evaluation: Complete a thorough medical evaluation to ensure you are healthy enough for surgery.
- Understanding Risks: Discuss potential risks and complications with your surgeon to make an informed decision.
- Post-Surgery Planning: Plan for post-surgery care, including physical therapy, pain management, and a recovery timeline.
Recovery and Rehabilitation
- Post-Surgical Care: Follow your surgeon’s instructions for wound care, medication, and activity restrictions.
- Physical Therapy: Engage in a structured physical therapy program to regain strength, flexibility, and function.
- Pain Management: Use prescribed pain medications and non-pharmacological methods like ice, heat, and relaxation techniques to manage pain.
- Gradual Return to Activities: Gradually increase your activity level based on your surgeon’s recommendations and your progress in physical therapy.
Conclusion
Knee surgery is often considered a last resort after conservative treatments have failed. Understanding the conditions that may require surgery and the different surgical options can help you make informed decisions about your knee health. At Knees and Back, we offer a range of supports and braces to aid in your recovery and enhance your overall knee health. Explore our collection and take the first step towards a pain-free future.
Knees and Back – Supporting Your Path to Wellness