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?
For many people with arthritis, morning is the most difficult part of the day. Waking up with stiff joints or joint pain is a common complaint. Although it may seem like the hardest time of day to get moving, doing a few stretches in the morning can give you a more limber start to your day.
It only takes a few minutes to stretch and warm up your muscles and joints. But for the best results, the key is to do arthritis stretches every day. Taking a warm shower before or after stretching can also help...
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 before undergoing joint surgery.