By 2030, nearly 3.5 million Americans will undergo total knee replacement surgery every year, and more than half a million will get total hip replacements. The vast majority of these surgeries are performed on people with osteoarthritis (OA) that has not responded to standard OA treatment.
Joint replacement or other surgical procedures are sometimes considered the “treatment of last resort” for people with osteoarthritis. Doctors frequently tell patients to wait as long as possible before joint replacement, but to get the best results, it should also not be delayed too long. How do you know when it’s time to seek joint replacement surgery?
If you have arthritis, there are plenty of reasons why you might not feel like having sex. Painful or stiff joints and limited mobility may make sex seem more like a chore than a pleasure. You may feel self conscious about changes in your body. Or you may simply feel too fatigued at the end of the day to think about anything more than getting a good night’s sleep.
But having arthritis doesn’t have to mean an end to your sex life. Sex is an important part of our identity. It lets us connect more...
Can I sleep at night without waking up multiple times due to pain?
Can I still do daily activities, like getting out of a chair, going up and down stairs, using the toilet, and getting into and out of the car without much difficulty?
If the answers to all of these questions are yes, then you probably don’t need to consider joint replacement surgery yet. On the other hand, if you answered “no” to most of them, then you should discuss joint replacement surgery as a possible option with your doctor.
Just because your arthritis is severe enough to warrant joint replacement surgery, however, does not mean you are automatically a safe candidate for an operation. There are several conditions that may make joint replacement surgery riskier, including:
Obesity. Your doctor may ask you to lose some weight before undergoing surgery, which will both lessen the risks of surgery (such as infections, bleeding, and problems with anesthesia) and give your new hip or knee a better chance of success.
Age. If you’re in your 90s, your doctor may discuss with you whether or not the risks of surgery are greater than the long-term benefits you may get from a new joint.
Bone density. Severe osteoporosis needs to be considered and treated before undergoing joint surgery.