Update after Dr. Visit

Posted , 7 users are following.

You guys problably remember me asking if I should have a TKR or not at 48 years old.  I found a different Dr. and saw him last Wednesday.  Unfortunatley, he is in agreement with the first Dr. that I am too young to have to go through TKR at this age.  However, he did tell me that I do have a menscuis tear that needed to be repaired.  He said he doesn't know how much of my pain is from the bone on bone or the torn menscuis.  He said while he is in there repairing the menscuis he will drill tiny holes in my bone then do a bone marrow transplant from my own bone marrow into my knee in hopes it will grown more cartlige.    He said it wouldn't be the same kind of cartlige that I have worn out but it anything grows it is better than what I have right now.  This is only to buy me time before I have to have the TKR.  He said I would be on crutches for a week and then will wear a custom brace for 6 months to keep me off of the repaired area of my knee to give it time to grow new cartlige.  I am happy and feel a comfort with this Dr, and his recommendations that I did not feel with the other one.  I knew from the MRI from before that it had said I had a torn menscuis but the other dr. said I did not.  

So my question is has anyone had these procedures done regarding the bone marrow transplantation?  If so did it work?  He said it is a brand new procedure that insurance does not pay for but If it gives me a chance I am willing to pay for it.

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12 Replies

  • Posted

    Wow, you are brave.  What a decision, so radical.  I think if your consultant pushed hard enough your insurance company would pay. It's a lot cheaper than a TKR and recovery is quicker. Age-wise it does depend on the consultant, but the expectancy of the joint is still only 10 years, if you are an active person, that is something you seriously have to think about.  I'd say go for it.

    Wishing you all the very best and hope it works out for you

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    • Posted

      I know without a doubt this is just buying me time...... I hope a few years or more. Right now we r about to build a house and i really dont want to be flat on my back for 3 or so months. That is another reason for this deciaion.
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    • Posted

      That is ridiculous, they would have paid if you needed a marrow transplant for something else.  It is still costly, unless you have a good surgeon who is using you as a guinea pig!!!!  I wish you good luck and best wishes and please keep us posted
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    • Posted

      Lets be a little flippant here, let the surgeon drill the holes and the builders fill it with cement.    Sorry had to say it. Please take it easy, whatever you have is going to be painful. Even though the surgeon and his team will flush you knee before sewing you up, you'll still have bits of debris floating about, this will be uncompfortable for a while + the addedd stress of the housebuild. Do not push your recovery too much as it will be 2 steps forward and 6 back. 
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  • Posted

    Hi Cathy I was 44 when I got my first knee replacement, it was the best thing I ever did, I'm now 54 and I'm on my 12th joint replacement. I still have the first knee I got when I was 44 and the knee is going strong. Good luck, there are surgeons that don't worry about the age thing why put up with the pain when you don't have to! Take Care. Mark
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  • Posted

    After being told by my locum gp that at 56 I was too young to even be referred to an orthopaedic surgeon I paid to see one privately. He said age was not a factor, pain, loss of sleep and mobility is. On xray my left knee is "shot" but it is my right knee which is agony. What sort of pain does the meniscus tear cause? I ask because I have suffered with pain (although nowhere near as bad as now) for probably around 15 years, when I was told that I had torn a ligament despite not having any investigation done.

    I have heard of the procedure where they drill holes, good luckmif you decide to go ahead. Deb

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    • Posted

      I would alsolike to know what the tien menacuis feels like? I know i do have several different types of pain. Ine od them only happens once in a while . It is a sharp shearing pain like a tearing pain. I feel sure that is part of the menscuis. When i query it it seems the same aymptoms as bone on bone so i do not know the difference.
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    • Posted

      It is in the same area, so the same nerves are being affected.  If it only happens now and then, then it could be the meniscus; where it's torn, the ragged edges can get caught, hence the pain. But it is up to your medical team to decide what it is.  On here you can go round and round in circles with each of us having a different opinion and you will be none the wiser
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  • Posted

    I was sent to see two consultants and both said I was too young for TKR. Then I struck lucky when I started seeing the practice nurse for pain relief and she had the power to refer me again, and again the doctor said "I was nearly there but not quite". I should do the exercises and keep taking naproxen for the pain.... Off you go kind of thing. But the nurse was not prepared to give up and sent me to yet another consultant. He had my knees X-rayed before I went into to see him and when I did he said "OK you're bone on bone, this is affecting your quality of life let's get on and do this shall we?". I was quite surprised but so relieved that i may have a chance at not living like a cripple anymore which I had been for years.

    Had my first one done last July, it has taken a good 6 months for me to realise that it wasn't a mistake! Waiting for the appointment for the other TKR to come through. Although the recovery can be very slow and the last consultant said expect something more like 18 months for full recovery I am keen to just get in there and get it over with so I can start working towards being normal again. Oh and post-surgically he told me it was "quite a mess in there". So these doctors relying purely on what they see on X-ray should maybe try listening to their patients as to the degree of pain they are experiencing!

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  • Posted

    I'm currently waiting for an mri scan to check if the steroids I've been taking has caused any problems within the joint before a possible tkr. Would a meniscus tear show up on the mri?
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    • Posted

      It did show up on my MRI.   I just want to be free of pain when walking.  I can walk for a distance then it seems to hinge or catch then I am hurting to walk.  So hoping this repair does indeed help.  Surgeon did say once he gets in there and sees how bad it is he may have to change his game plan.  He is a specialist that does thousands of knees per year and top rated in arkansas.  I hope I am not making a mistake.  But none of us really know until we go down this road.  I do feel sure if I had really pushed for the tkr he would have done it right now.  But since we are about to build a house I am really hesitant about being totally off my feetst for a long peroid of time so this just seems right to me.
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