Knee Bone Spurs: Treatment Options and Care

Bone spurs on the knee?

Hello! I would like to ask for your help.
My mother has had bone spurs on both knees for over five years, and I can see that her mobility is becoming increasingly difficult.
It’s hard to watch.
Today, she went to see a doctor and had an X-ray taken.
The doctor said her knees are deteriorating and that she needs a knee replacement.
I don’t know what to do.
Please tell me:
1.
Is knee replacement a good option?
2.
If surgery is necessary, which hospital and which doctor would be the best?
3.
How should she take care of herself afterward?
4.
Are there any other options besides surgery?
Thank you, and I look forward to your response.

helen, 30~39 year old female. Ask Date: 2005/07/04

Dr. Yang Zhengfan reply Orthopedics

Dear Helen, the success rate of knee joint replacement surgery is greater than 95%, which is a milestone in modern medical science.
What do you think? As for which hospital is better, I suggest you take some time to inquire further.
There are indeed many important considerations after the surgery, but the physician who performs the replacement for your mother will certainly fulfill their duty to inform you, so there is no need to worry.

Reply Date: 2005/07/04

More Info

Knee bone spurs, also known as osteophytes, are bony projections that develop along the edges of bones, often where bones meet each other in the joints. They are commonly associated with osteoarthritis, a degenerative joint disease that can lead to pain, stiffness, and decreased mobility. In your mother's case, it seems that her condition has progressed to a point where the doctor is recommending a total knee replacement (TKR), which is a common and effective treatment for severe knee osteoarthritis and bone spurs.

1. Is knee replacement a good option?
Total knee replacement can significantly improve quality of life for individuals suffering from severe knee pain and mobility issues due to bone spurs and arthritis. The procedure involves removing damaged cartilage and bone from the knee joint and replacing it with an artificial joint made of metal and plastic. Many patients experience substantial pain relief, improved function, and the ability to return to daily activities after recovery. However, it is essential to discuss the risks and benefits with an orthopedic surgeon, as individual circumstances can vary.

2. Which hospital and doctor to choose?
When considering knee replacement surgery, it is crucial to select a reputable orthopedic surgeon who specializes in joint replacement. Look for hospitals with a strong orthopedic department and positive patient outcomes. You can research hospitals in your area, read reviews, and ask for recommendations from friends or family. It may also be beneficial to consult multiple surgeons to get different opinions and find one you feel comfortable with.

3. Post-operative care and maintenance:
After knee replacement surgery, rehabilitation is vital for recovery. Physical therapy will typically begin shortly after surgery to help regain strength and mobility. Patients are encouraged to perform specific exercises to improve range of motion and strengthen the muscles around the knee. Additionally, maintaining a healthy weight, engaging in low-impact activities (like swimming or cycling), and following the surgeon's guidelines for activity restrictions will help ensure the longevity of the artificial joint. Regular follow-up appointments with the orthopedic surgeon are also essential to monitor the knee's condition.

4. Are there alternatives to surgery?
If your mother's condition is not yet severe enough to warrant surgery, there are several non-surgical treatment options available. These may include:
- Physical therapy: A physical therapist can design a personalized exercise program to strengthen the muscles around the knee and improve flexibility.

- Medications: Over-the-counter pain relievers (like acetaminophen or certain NSAIDs, if tolerated) can help manage pain and inflammation.

- Injections: Corticosteroid injections can provide temporary relief from pain and swelling. Hyaluronic acid injections may also be considered to lubricate the joint.

- Lifestyle modifications: Weight management, low-impact exercises, and the use of assistive devices (like braces or canes) can help alleviate stress on the knee joint.

In conclusion, while knee replacement surgery is a significant decision, it can offer substantial benefits for those suffering from severe knee pain and mobility issues due to bone spurs. It is essential to have open discussions with healthcare providers to explore all available options and make an informed decision that best suits your mother's needs.

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