Too Young for Op? - Severe Patellofemoral Arthritis

Posted , 10 users are following.

Hello everyone,

My MRI and X-ray results said I have severe patellofemoral arthritis and mild medial joint line arthritis in my right knee, as well as a lose kneecap. 

The specialist told me I'd need a full knee replacement but as I was 47 years old it would be best delay it.  So I had a cortisone injection that didn't work.  I've just been back to the specialist and he is now saying I'm too young to have a partial knee op (yes it changed to a partial), so he's not prepared to do it yet.  He's decided to do an arthroscopy to look inside and see if he can delay things. 

I've got pain walking, bending, kneeling etc etc.  I'm really upset that my age has gone against me when I'm approaching 50 years old.  Has anyone had to wait for a knee replacement Because they were 'too young'?  I've looked into severe patellofemoral arthritis and it sounds like it needs sorting out asap, does anyone agree?

I feel really let down because of my age sad

Thank you for reading

0 likes, 32 replies

Report / Delete

32 Replies

Next
  • Posted

    I had my left tkr when I was 55½ and the right 2 years later . I have hah no problems at all , and on my last check up and x-ray 2 years ago was told both were fine and should last for many more years . I am now 75½ so I really don't think you are too young for the op . I think the younger you are the better the recovery is , and if you look after it your knee will last possibly 25+ years . I had 2 arthroscopys which didn't help .

    Report / Delete Reply
    • Posted

      Hi, thank you for your reply.

      That's such good news, I'm so pleased that your knees are fine and doing great.  

      The specialist did say it would be a partial knee replacement (not sure why he changed his mind), and like you I think the younger you are the better the recovery.  smile

      Report / Delete Reply
  • Posted

    Hi.  I had my surgery last year at 54. I was told by three surgeons that I was too young!! Oh!! And that I didn’t have a knee problem...I had a weight problem. Yes I was a little overweight....but not to the degree they were talking. I couldn’t even walk around the block. But thanks to a friend of mine....who had her TKR at the same age that YOU are....47.....she sent me to her surgeon. He looked at my X-rays and mri & thought the other surgeons were nuts.  Long and short of it....he says it isn’t about your age....it’s about your QUALITY of life.  It’s easy for them to say you’re too young....they aren’t the ones living in pain, and unable to do the simple things....going for a walk, dancing, just standing for longer than five minutes pain-free! It’s a difficult, painful (initially) surgery to recover from....but it’s LIFE CHANGING!! Talk to your doc again. And good luck. Oh! I get a shot of Synvisc One shot into my other knee every six months. So far so good. Other knee which has arthritis is holding up good!! Ask about that!!

    Report / Delete Reply
    • Posted

      Hi, thank you for your reply.

      Hope your knee surgery went well and you're doing great.

      When I was in my early teens I went to the doc about my knee dislocating and pain, that's when he said I was overweight and losing weight would solve the knee problem.  I didn't dare go back to see him again (as I wasn't that over weight), i wish I had. 

      The surgeon I'm seeing seems to change his mind every time I go.  When I received the results he did mention the 'quality of life', but when I saw him last week it was about my age and being too young. 

      My other knee is not good either, I have a continuous burning pain, but I haven't been to see about that one yet. 

      Thank you for the encouragement.  

      I've not heard of Synvisc One shot but I will mention that next time I go smile 

      Report / Delete Reply
  • Posted

    50 is not too young as we've heard of people younger with severe conditions getting TKRs...but in those situations, it's always last resort.  If the doc can relieve your pain with a scoping, then do it.  There's also SynVisc which can delay the need for a TKR.  Worked great for me for years as cortisone had no effect.  I had four scopes (two each side) plus the SynVisc and then a move to a very warm Texas from freezing New Jersey.  The combination of all three put off my first TKR for 15 years...still have one to go...

    Report / Delete Reply
    • Posted

      Hi, thank you for your reply.

      That's great and so nice that all the combinations put off your knee op for 15 years, that gives me hope.  I shall be asking about the Synvisc when I next see the specialist.  I'm just waiting for my date for the arthroscopy.  He did say he would just be 'looking' inside my knee but I suppose I'll know more later. 

      I was in Spain in August and with the hot weather, I had no pain at all, it was amazing, if only I could live in a warmer climate smile 

      Report / Delete Reply
  • Posted

    Hi I am 55 ...5 years ago I had keyhole surgery on both knees to clean up ...this helped a great deal for 4.5 years ..for the last few months my left knee has been awful. And I had back problems due to limping .MRI and x-ray showed I definitely needed something done ASAP...I had a total knee resurfacing on my left knee 3 weeks ago ..I wasn't prepared to suffer for another 5+ years just because of my age..I was struggling to work ( full time) and had to stop all the things I love to do .....are you in USA ?

    Report / Delete Reply
    • Posted

      Hi, thank you for your reply

      I'm in the UK so the weather is not too good.  I was in Spain in August and that was amazing .. no pain.

      That's good to know that keyhole surgery helped for 4.5 years, there is hope.

      Hope everything has gone well for you and you're doing okay after your op. 

      Report / Delete Reply
  • Posted

    If he had offered you arthroscopy then that is a good thing.

    What is your BMI?

    This does affect funding for the op on NHS... I think it may be a factor.

    If possible good to go to GP stating that weight has been mentioned as a concern, get weighed then and there and make sure GP records it. And seek a get active or weight management programme to help you. Then lose a couple of stone...easy said, harder to do, but will make a difference if you do need a knee replacement later on, as you can show you have taken steps to lose weight.

    I am 52 had knee replacement in march this year. Scared the life out of me...not the surgery I hasten to add but the decreased mobility, increased disability and increased pain in the preceding two years. I saw a mobility scooter ahead...like a vision.

    Lost three stone.... along with the TKR I now have my life back.

    Now I still need to lose some weight...BMI is 31, but now more mobile it feels a lot easier!

    Quality of life is very important, as is doing all you can to increase improvements...physiotherapy, weight reduction, ....both these are challenging but both would be helpful long term even if you did have a knee replacement.

    Report / Delete Reply
    • Posted

      Ps....I realise you may not be overweight at all at present, but mention it because along with age, this is something which influences opinion on recommendation for TKR as far as I understand!
      Report / Delete Reply
    • Posted

      Yes weight does make a difference with some of the docs. My surgeon also recognized that it is difficult to lose weight if you cannot be active due to increased pain levels and loss of mobility. I’m on a weight loss journey now....20lbs down...20 to go!! Haven’t really noticed a difference in pain levels....only in the way my clothes fit. Lol. The TKR knee still has some pain in the back and on the sides...just over 10 months post....hope that goes away soon. 
      Report / Delete Reply
    • Posted

      I was fortunate with my surgeon, but I had lost three stone and spent over a year doing physio before I got to see him! Fell on the table with gritted teeth!

      Congratulations with your weight loss...I find the desire to look after my body is vastly enhanced due to TKR 😁😀😃😄

      Good to have a reason to buy some new clothes also,

      Report / Delete Reply
    • Posted

      Lol...yes. A good reason for new clothes! I’m feeling better about myself, and I know I’m doing a good thing. It SHOULD help my other knee, and hopefully can avoid surgery on it. There may come a time when I HAVE to....😬

      Report / Delete Reply
    • Posted

      I feel the same. At least if we keep up the exercises and keep eating healthily we know we have done/are doing our part. And the apparition of a mobility scooter has disappeared before my eyes. That in itself makes life considerably easier.

      I am coming up to seven months post op now!

      Walked for 6 hours one day this week!

      It was a bit achey after that...!

      But I remember aspiring to walk for just one hour!

      😊

      Report / Delete Reply
    • Posted

      That’s awesome! I’m finding I can walk for longer periods too. I’m going back to work soon....I took early retirement in February when my “sick time” ran out....but only going back part time. Thirty years full time was long enough. Lol. THAT will be a true test as I will be working 12hr shifts once again 😬

      Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up