Partial knee replacement verses total knee replacement

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I have found information on unicompartmental knee replacements on the internet. Is this a good choice for a person in their early 60's with osteoarthritis? I have had a total knee replacement on my left knee several years ago. The recovery and rehab was long and hard. The unicompartmentsl knee replacement offers a less intrusive surgery which would reduce the recovery time allowing me to get back to work sooner. Is this procedure accepted among orthopedic surgeons? Is an unicompartmental knee replacement a procedure I should avoid?

-- Paul Smith (paul0468@yahoo.com), January 15, 2000

Answers

I too am looking for an alternative to a total knee It seems that most surgeons prefer the Total knee because they are a lot easier to put in but a lot harder on the patient's rehab! I found that the uni knee is only suitable for small percent of people and so it is worth finding out if you are one of those. I am exploring the possiblity of an Oxford uni knee. Have you heard of it? Cynthia

-- (cynthia.smith2@sympatico.ca), May 29, 2001.

My name is Rajalakshmi Sankaran and I am in Chennai India

I had a partial knee replacement done in U.S.A in July 1984.It has given me full satisfaction till March Of this year.Recently there appears to have been some dislocation perhaps due to wrong tilting of the joint while lying down.However with quadriceps exercise i am able to walk although with mild pain.I am told that since 1984 tremendous advance in the field of total knee surgery has taken place and this has become fairly common these days even in our country. In the circumstances I have been advised to go for this.I have not yet decided finally.Hope this information will be useful to you.

I wish you all the best in your quest for the cure and treatment.

yours sincerely

Rajalakshmi

-- Rajalakshmi Sankaran (ls1930@hotmail.com), September 04, 2001.


iF ANYONE HAS HAD A FAILED PARTIAL KNEE PLEASE LET ME KNOW THE DETAILS

-- JIM GRIFFIN (jgriffin@STRYKER.CA), February 13, 2003.

i am about to have a partial knee replacement done and would like to know any positive feedback...thanks

-- david penrod (d1pen@aol.com), July 12, 2003.

i had a half knee surgery done i had my knee cap removed if this is what you are thinking dont do it you will not be able to walk and in the futuer u wont have a knee cap if u have a full one done later mike blackburn

-- mike blackburn (6147blackburn@aol.com), November 27, 2003.


I had a knee replacement in 1990 at the age of 19. I have been with out a knee cap for five years previous. It was the best thing I ever did to be pain free. The secret is to do the P/T work beyond the pain...it is so worth it!

-- Amy Mooney (My5Moons@aol.com), December 05, 2003.

I am scheduled for a knee replacement on New Years eve. Maybe a uni if everthing looks OK. Any feed back on a Uni vs a Total knee replacement. I believe the brand is Smith & Nephew.

-- John Hening (jghfun@comcast.net), December 07, 2003.

i had a half knee replacement done on dec 15th 2003 also my ligaments and i have been walking around since the third day of the operation at first with two sticks and now with one only for a bit of support as i had an arthroscopy on the other at the same time i am very happy with mine sandra

-- sandra oliver (sandy2@chariot.net.au), January 01, 2004.

if your a candidate for a uni I would (and did) take it.

Oxford uni knee performed Mar 9 2004...walked out of hosital (1 crutch) Mar. 12. 6 weeks later(today) 115% ROM 95% to straight. Walking with NO aids. Only mild stiffness in morning..for pain I take Tylonol extra strenth.

-- Joel Landis (jlandis@mail.com), April 18, 2004.


I had the "Oxford" unicompartmental knee (inside, right) on April 7th, 2004. I was given a spinal for the surgery and was able to walk with a walker within an hour or so afterwards. I was discharged the following day and managing with a cane after three days. However, I developed major "blistering" probably because of an allergic reaction to the adhesive on the dressing and was given anti biotics which seem to have done the trick.

Almost 3 weeks later I can walk and climb stairs unaided but have to use ice and pain killers afterwards as the leg swells quite badly. I am assured this will not be permanent. Meantime I continue to do my knee strengthening exercises at home including riding a stationary bicycle. All "arthritic" pain is gone. However, the "surgical" pain and swelling still necessitate Tylenol 3's and I have yet to re- establish my normal sleep pattern.

In short, I am well pleased with the surgery but somewhat concerned as to when the swelling after walking/standing for over an hour, will be over. As a college professor (lecturing) you can see where this presents a bit of a problem.

-- Peter Hedge (phedge@shaw.ca), April 26, 2004.



I had a partial knee done in early May of 2004. I am 54, had arthroscopy done 2 years ago to relieve an emergency tearing and swelling of the cartilage on the inside of my knee. I wore a cumbersome off loading expensive brace on my leg when doing stressful activities. My impression of the brace was that it was effective, but slipped at times, got stinky from sweat, and was difficult to wear under pants as the straps needed minor adjustments. I basically was bone on bone after my first surgery and would test the pain level by not wearing the brace when walking for exercise or biking. The brace was not of much advantage for biking but worked well for doing yard work or power walking. I studied the internet, talked to people who had total knee surgery, and consulted with 2 different surgeons other than my first surgeon. I felt I had used my head, studied, and considered my options carefully. I scheduled my surgery and summoned the courage to show up and let the process begin, even though I wanted to walk out of the hospital right up until the last minute prior to getting the general anesthetic. I opted not to get the spinal block. I let the lady shave my knee, kissed my wife and away they wheeled me into the surgical room. I remember talking to the anesthesiologist briefly, and the next thing I remember was waking up with a tremendous pain in my knee in the hospital room. Complications were numerous. These may be normal but it is a new definition of what passes for normal. My IV hurt in my left had,it came out, I had a great amount of swelling in my ankle and knee, due to taking morphine on the drip my bowel shut down, I could not eat for 5 days, I got the hickups for 36 hours,could not empty my bladder and needed catheter=ouch that hurts,first meal I could not keep down and threw up, I got little or no real sleep due to inability to get into any comfortable position, sleep was exhaustion induced,OT and PT girls were unsympathetic,rude,lacked empathy,everything was on their agenda not mine. RN's were very good,my wife got a roll a way bed next to me which was great. Was released in not the best condition,was in pain constantly,pain meds by pill Hydrocodone was only so good-it also made me constipated so finally getting off them was great. Needed to give myself injections by needle for anti blood clotting-that was difficult every night before bed. GP doctor took me off my daily BP meds as he said morphine would keep my BP down. That confused me as BP meds are a routine that is hard to give up. The staples in my knee hurt, I had a 6 inch long slice down the front of my knee cap which I thought was only going to be 3 inches. My knee was stiff, and did not want to cooperate in bending. Sleep was difficult at home in my own bed. I had great difficulty getting a position at night which was pain free. I would rate my pain at 4-5. I was taking one aspirin daily but stopped 5 days prior to surgery. I did not resume aspirin therapy until I had finished 10 days of self injection with the anti blood clotting shots. I was put on extra strength Tylenol after the Hydrocodone, and then went back on aspirin once a day. I felt IBP was more effective for swelling and pain up to 800 MG three times a day, however taking IBP interferes with the utility of aspirin therapy, so check with your doctor before mixing aspirin and IBP. Tylenol is supposed to be a better mix with aspirin. I am now about three weeks out of surgery and feel significantly improved in the pain department. I can sleep comfortably on my stomach, and either side with little pain. I am not so tied to my pain meds now, however exercising will iritate the joint so it is best to anticipate that. If I had to do this over knowing what I know now, I would not have had my surgery. I made the decision trying to be optimistic, figuring no pain no gain. I think I could have been better informed about the down sides to the partial knee replacement. It is a tremendous shock to the body, and you need to be in pretty dire straits to want to go through this for improvement. If everyone, including the surgeon had to go through this surgery I think the experience would have gone smoother. Health care workers probably work extra hard for their pay, and deserve more. All things considered, I would give the whole experience so far a D-. Think carefully, contact as many people as possible, choose the facility carefully, go to a surgeon who has a good track record. Perhaps consider Belgium.

-- Partial Knee Replacement (cfr08@yahoo.com), June 01, 2004.

I had a partial knee done in early May of 2004. I am 54, had arthroscopy done 2 years ago to relieve an emergency tearing and swelling of the cartilage on the inside of my knee. I wore a cumbersome off loading expensive brace on my leg when doing stressful activities. My impression of the brace was that it was effective, but slipped at times, got stinky from sweat, and was difficult to wear under pants as the straps needed minor adjustments. I basically was bone on bone after my first surgery and would test the pain level by not wearing the brace when walking for exercise or biking. The brace was not of much advantage for biking but worked well for doing yard work or power walking. I studied the internet, talked to people who had total knee surgery, and consulted with 2 different surgeons other than my first surgeon. I felt I had used my head, studied, and considered my options carefully. I scheduled my surgery and summoned the courage to show up and let the process begin, even though I wanted to walk out of the hospital right up until the last minute prior to getting the general anesthetic. I opted not to get the spinal block. I let the lady shave my knee, kissed my wife and away they wheeled me into the surgical room. I remember talking to the anesthesiologist briefly, and the next thing I remember was waking up with a tremendous pain in my knee in the hospital room. Complications were numerous. These may be normal but it is a new definition of what passes for normal. My IV hurt in my left had,it came out, I had a great amount of swelling in my ankle and knee, due to taking morphine on the drip my bowel shut down, I could not eat for 5 days, I got the hickups for 36 hours,could not empty my bladder and needed catheter=ouch that hurts,first meal I could not keep down and threw up, I got little or no real sleep due to inability to get into any comfortable position, sleep was exhaustion induced,OT and PT girls were unsympathetic,rude,lacked empathy,everything was on their agenda not mine. RN's were very good,my wife got a roll a way bed next to me which was great. Was released in not the best condition,was in pain constantly,pain meds by pill Hydrocodone was only so good-it also made me constipated so finally getting off them was great. Needed to give myself injections by needle for anti blood clotting-that was difficult every night before bed. GP doctor took me off my daily BP meds as he said morphine would keep my BP down. That confused me as BP meds are a routine that is hard to give up. The staples in my knee hurt, I had a 6 inch long slice down the front of my knee cap which I thought was only going to be 3 inches. My knee was stiff, and did not want to cooperate in bending. Sleep was difficult at home in my own bed. I had great difficulty getting a position at night which was pain free. I would rate my pain at 4-5. I was taking one aspirin daily but stopped 5 days prior to surgery. I did not resume aspirin therapy until I had finished 10 days of self injection with the anti blood clotting shots. I was put on extra strength Tylenol after the Hydrocodone, and then went back on aspirin once a day. I felt IBP was more effective for swelling and pain up to 800 MG three times a day, however taking IBP interferes with the utility of aspirin therapy, so check with your doctor before mixing aspirin and IBP. Tylenol is supposed to be a better mix with aspirin. I am now about three weeks out of surgery and feel significantly improved in the pain department. I can sleep comfortably on my stomach, and either side with little pain. I am not so tied to my pain meds now, however exercising will iritate the joint so it is best to anticipate that. If I had to do this over knowing what I know now, I would not have had my surgery. I made the decision trying to be optimistic, figuring no pain no gain. I think I could have been better informed about the down sides to the partial knee replacement. It is a tremendous shock to the body, and you need to be in pretty dire straits to want to go through this for improvement. If everyone, including the surgeon had to go through this surgery I think the experience would have gone smoother. Health care workers probably work extra hard for their pay, and deserve more. All things considered, I would give the whole experience so far a D-. Think carefully, contact as many people as possible, choose the facility carefully, go to a surgeon who has a good track record. Perhaps consider Belgium.

-- Partial Knee Replacement (cfr08@yahoo.com), June 01, 2004.

I had a partial knee done in early May of 2004. I am 54, had arthroscopy done 2 years ago to relieve an emergency tearing and swelling of the cartilage on the inside of my knee. I wore a cumbersome off loading expensive brace on my leg when doing stressful activities. My impression of the brace was that it was effective, but slipped at times, got stinky from sweat, and was difficult to wear under pants as the straps needed minor adjustments. I basically was bone on bone after my first surgery and would test the pain level by not wearing the brace when walking for exercise or biking. The brace was not of much advantage for biking but worked well for doing yard work or power walking. I studied the internet, talked to people who had total knee surgery, and consulted with 2 different surgeons other than my first surgeon. I felt I had used my head, studied, and considered my options carefully. I scheduled my surgery and summoned the courage to show up and let the process begin, even though I wanted to walk out of the hospital right up until the last minute prior to getting the general anesthetic. I opted not to get the spinal block. I let the lady shave my knee, kissed my wife and away they wheeled me into the surgical room. I remember talking to the anesthesiologist briefly, and the next thing I remember was waking up with a tremendous pain in my knee in the hospital room. Complications were numerous. These may be normal but it is a new definition of what passes for normal. My IV hurt in my left had,it came out, I had a great amount of swelling in my ankle and knee, due to taking morphine on the drip my bowel shut down, I could not eat for 5 days, I got the hickups for 36 hours,could not empty my bladder and needed catheter=ouch that hurts,first meal I could not keep down and threw up, I got little or no real sleep due to inability to get into any comfortable position, sleep was exhaustion induced,OT and PT girls were unsympathetic,rude,lacked empathy,everything was on their agenda not mine. RN's were very good,my wife got a roll a way bed next to me which was great. Was released in not the best condition,was in pain constantly,pain meds by pill Hydrocodone was only so good-it also made me constipated so finally getting off them was great. Needed to give myself injections by needle for anti blood clotting-that was difficult every night before bed. GP doctor took me off my daily BP meds as he said morphine would keep my BP down. That confused me as BP meds are a routine that is hard to give up. The staples in my knee hurt, I had a 6 inch long slice down the front of my knee cap which I thought was only going to be 3 inches. My knee was stiff, and did not want to cooperate in bending. Sleep was difficult at home in my own bed. I had great difficulty getting a position at night which was pain free. I would rate my pain at 4-5. I was taking one aspirin daily but stopped 5 days prior to surgery. I did not resume aspirin therapy until I had finished 10 days of self injection with the anti blood clotting shots. I was put on extra strength Tylenol after the Hydrocodone, and then went back on aspirin once a day. I felt IBP was more effective for swelling and pain up to 800 MG three times a day, however taking IBP interferes with the utility of aspirin therapy, so check with your doctor before mixing aspirin and IBP. Tylenol is supposed to be a better mix with aspirin. I am now about three weeks out of surgery and feel significantly improved in the pain department. I can sleep comfortably on my stomach, and either side with little pain. I am not so tied to my pain meds now, however exercising will iritate the joint so it is best to anticipate that. If I had to do this over knowing what I know now, I would not have had my surgery. I made the decision trying to be optimistic, figuring no pain no gain. I think I could have been better informed about the down sides to the partial knee replacement. It is a tremendous shock to the body, and you need to be in pretty dire straits to want to go through this for improvement. If everyone, including the surgeon had to go through this surgery I think the experience would have gone smoother. Health care workers probably work extra hard for their pay, and deserve more. All things considered, I would give the whole experience so far a D-. Think carefully, contact as many people as possible, choose the facility carefully, go to a surgeon who has a good track record. Perhaps consider Belgium.

-- Partial Knee Replacement (cfr08@yahoo.com), June 01, 2004.

Dear Mr. Smith I must introduce myself before replying to your queries. I am an orthopaedic surgeon with 20 years of experience in clinical practice. Presently I am dedicated to joint replacement surgeries only. Unicondylar knee replacement is basically a surgery designed for the persons of age group 50-60 years, where the knee damage is restricted to only half of the joint. It's results are definitely better than total knee replacement, as the recovery time is less and bending of knee can be regained upto normal limits. If your age is more than 60 years , before surgery try to get a proper assessment to ascertain whether half or full joint is involved. Unicompartmental replacement is a well accepted procedure among orthopaedic surgeons & it is getting popular day by day. I hope I am clear to you & for further information you can access my website www.bombayarthroplasty.com. Dr RAJPUT

-- Dr. B.S.Rajput (drrajput@bombayarthroplasty.com), June 11, 2004.

I HAD A PARTIAL KNEE REPLACEMENT 11 DAYS AGO,I LEFT HOSPITAL 3 DAYS LATER WITH ONLY ONE STICK.I WAS SURPRISED AT THE AMOUNT OF PAIN I HAD AND RELIED ON PAIN KILLERS ALOT.MY MOBILITY IS GOOD AND DAY TIME THE PAIN NOT TOO BAD,BUT NIGHTS ARE DIFFERENT I CANT GET A POSITION TO BE FREE OF PAIN WHICH AT TIMES IS VERY SEVERE,CUSHIONS BETWEEN THE KNEES HELP BUT HAS ANYONE ELSE EXPERIENCED THIS AND HOW LONG DOSE IT LAST BEFORE SETTLING DOWN.

-- june weatherill (jweath5552@aol.com), August 16, 2004.


I had a partial knee replacement 4/30/04. I was released on the same day as surgery with crutches and not too much pain. It was hard at first to sleep but in about a week I was able to sleep on my side again. I have completed PT and my range of motion is back to normal. I do have stiffness after sitting too long at work. I did go to a golf tournament and did alot of walking and have had some swelling from standing and walking too long on this knee, but the deep arthritis pain is gone. I think it will take a few more months before all pain and stiffness are gone. I walk everyday and golf too! I'm glad I had it done.

-- Ann Conrad-Schoemer (schoemer@sbcglobal.net), August 19, 2004.

I am 56 years old and recently had a partial knee replacement on October 26, 2004. I had an excellent surgeon and my short hospital stay was pleasant. Two surgeons had told me my only option was total knee replacement. The 3rd surgeon looked at my films and felt that I would be a candidate for a partial. He explained that several years down the road I might still have to have a total replacemtnt, but I am fine with that. I decided to go with this. I spent one night in the hospital. I was placed on a CPM machine at home intermittently for 2 weeks. This continually bends your knee. The first week following surgery as a little uncomfortable and finding a comfortable sleeping position was difficult. I took pain medication only for the first week and then switched to ALLEVE. I started agressive PT at week two and am continuing. My degree of bend is now 90 degrees. I was able to put full weight on my leg after the first week. I can now go up and down stairs (carefully!) and have returned to work full- time. My doctor had suggested return to work in 4-6 weeks but I was determined to return in three. I did accomplish this, but I think four weeks would have given my body more time to heal. So far, I am pleased with the results of my surgery. I do have some numbness in my lower leg which I hope will resolve with time. As time passes, I anticipate returning to walking, shopping, and dancing -- all things which I enjoy but which had become extremely painful. I AM HAPPY THAT MY KNEE NO LONGER HURTS! -- THE SURGERY WAS WELL WORTH IT FOR ME!

Some tips which I found helpful: 1. a walker (I used this only for the 1st week) 2. a sturdy cane adjusted to the right height 3. an elevated toilet seat 4. a shower bench 5. a hand-held attachment for your shower

No one told me about these things, but I tried to prepare in advance and have everything ready for my return home. This made things much easier.

BEST WISHES AND GOOD LUCK WITH YOUR SURGERY!

-- Mary Circle

-- Mary Circle (mcircle@iupui.edu), November 19, 2004.


My husband had a partial three days ago and is home as of today. His knee is doing great, he's mobile with crutches and hasn't taken any pain meds since day two. I think a great surgeon matters. He asked around among the physical therapists to locate his. The biggest problem was his intestines and bladder shutting down from the morphine. If he were to do it over, he'd have opted for the spinal.

-- Michele (mweberphd@earthlink.net), January 06, 2005.

I operate unicompatimental knees in my deparment since more than 12 yrs. The results do not only depend on the surgeon, from my personal experience (I have done over 300 unis) it also depends on the implant. There are good and bad prostheses. I have seen a much better outcome with the "Oxford Phase 3"-Implant than with other not mobile bearing. With the right indication, the right implant and the right surgeon you can expect a suvivorship of the implant over 12 - 15 yrs.

-- Dr. Ch. Kothny (orthoendo@aol.com), January 09, 2005.

I am 60 years old and was told by my Orthopedic Surgeon yesterday that I should have a unicompartmental knee replacement. I can not take Celebrex or Bextra for pain and I am only taking Tylenol Arthtritis now. The doctor said my right knee has 80% cartledge loss and at one point it is bone on bone. I have problems going up and down stairs, can not stand for more than 10 minutes at a time and have problems sitting and standing (changing positions). I want to know if I have a partial knee replacement, will I be able to do all of these things that I have problems with now? How much of an improvement will I expect? My biggest concern is that I feel it will only be patching up a worn out tire.

-- Sandra Lowe (schotziedog@yahoo.com), January 13, 2005.

I had unicondylar knee replacement surgery on both my knees some 2 & 1/2 years ago. I was 66 at the time and weighed 280 pounds. That is probably too old and probably too heavy for the procedure. But I was so crippled up I had no choice. Before having the surgery I had become completely unable to stand from a seated position, could not get out of my car, had to pull myself up stairs with the hand rail and suffered enormous pain in my legs and hips. I had retired early because I could no longer drive or stand in my work (I am an economics professor who teaches for 7 hours at a stretch.) I went to two neurologists and a neurosurgeon trying to find an answer to the constant pain in my legs, especially at night. The neurologists said it was due to a neuropathy but the second one disagreed with the first and prescribed experimental pain drugs such as Neurontin. They screwed my thinking up so much that I would lose my train of thought while lecturing and had to stop them immediately! After nearly two years of this futility I asked an orthopedic surgeon in my church if my leg pain could be from my knees. He said "Yes!" The x-rays showed I had become bowlegged from the cartledge wearing away. Also, the bowing of my right leg, which was always longer than my left, had affected my hip movement, thus adding to my overall pain. He recommended the unicondylar implant rather than the total knee replacement because my knees had deteriorated only on the inside. (I had jogged for 29 years as an Army officer, sometimes 10 miles per day.) When he did the surgery on my right knee, he was able to straighten out my leg in the process. My recovery was quite quick indeed, but there was intense pain for nearly two months at night that prevented me from sleeping with one knee on top of the other. But that was from the trauma that such surgery actually is to the bone and joint structure. As soon as the pain finally subsided---and it did so all of a sudden---I had the left knee done. I felt that if I did not go ahead and do it, the memory of the pain would keep me from doing so. This surgery went well also. The surgeon was able to add 1/2 inch to the length of my left leg, thus almost balancing out the length of my two legs. I have since added another 1/4 inch in length to my left leg either by having a shoe shop add 1/4 inch to my left shoe heel height or, for my tennis shoes, by adding arch inserts to my left shoe. This has completely eliminated my hip and lower back pain! What a blessing this has been. The left knee also hurt for nearly two months at night but that finally cleared up. I have had hardly any trouble at all in the two+ years since the surgeries. Early on I completely forgot about my knees and jumped into a ditch to help push a neighbor's car out. Don't do that! I had to be rushed to the emergency room but there was no real damage. Since that encounter I have used my treadmill and my recumbant bicycle regularly with no significant problems. I do find that certain industrial carpets or concrete floors cause my knees to ache a bit and become tired. I am serious about this point. The weave of some carpets can cause your knees to wobble when you walk and some concrete floors, such as at Home Depot, can cause leg pain. And there is a little pain in my right shin bone at times but the x-rays show that is due to new bone growing around the implant. Also, when a real damp cold snap comes through, I feel some pain in my knees but it is only an agrivation not a problem. On such occassions I take Aleve which is sufficient to let me get a good night's sleep. I have not been able to kneel yet, not because of any pain, but because the front of my knees is dead where the scar tissue is. The feeling when you kneel is so wierd that you'll pull yourself back up right away. But, again, it is not actually pain it is the desensitized skin over your implant. Overall I am as satisfied with my new knees as I could possibly be and would recommend that anyone who has become crippled up with arthritic deterioration as I was consider having a unicondylar implant. I have been able to go back to being a college professor again, although I don't stand all day to lecture as I once did before my knees deteriorated. I may stand to lecture for a period and then sit to lecture for the next course. Considering how I was almost totally disabled three years ago and how now I am able to go about a completely normal life again, I can heartily recommend that you consider going through the couple of months of short-term pain that follows surgery for the long-term gain in your life style. When our bodies deteriorate with time there is no perfect solution for joint problems but this procedure is certainly worthwhile. Lester H. Hollans (lhollans0511@charter,net)

-- Lester H. Hollans (lhollans0511@charter.net), March 12, 2005.

I have osteoarthritis in both knees mainly on the inside. On 22nd January I had surgery - an Oxford Phase 3 unicompartmantal partial knee replacement in my left knee with what I believe is success. I walked with a frame for support the day after surgery and 2 sticks thereafter for about a week, moved on to 1 stick indoors and 2 outdoors. Now after 7 weeks I walk indoors withouot a stick and outdoors and on stairs with 1 stick. I have felt positive throughout my rehab and for the first few weeks worked hard at the exercises given by physios. I now concentrate mostly on the quads and while I am slow and become very tired after a period of walking, feel that I continue to improve.

There is still some pain - but quite different to the pain in the other knee. I took pain killers fot the first 4 weeks but now only take them occasionally after exercise.

Surgery on my other knee is due at the end of this month and while i am aware that the continuing rehab will be difficult and tiring, I am looking forward to regaining my ability to walk for enjoyment.

-- Sheila Clyde (clyde@keravel.plus.com), March 15, 2005.


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