What are the treatment options for bilateral knee joint failure?

Hello,

When both knee joints are badly damaged, especially because of advanced arthritis, the doctor may recommend knee replacement when pain, stiffness and difficulty in walking are seriously affecting daily life and medicines, physiotherapy or other non-surgical treatments are no longer giving enough relief.

What should be done first?

Before deciding on knee replacement, an orthopaedic/joint replacement specialist should review :

• Knee X-rays and, if needed, other scans

• Pain and walking difficulty

• Knee movement and deformity

• Age and overall health

• Blood pressure, diabetes, heart and kidney health

• Current medicines, especially blood thinners

• Previous treatments and physiotherapy

A second opinion is also a good option, especially when replacement of both knees has been advised. The doctor can explain whether both knees need treatment now and whether they should be treated together or separately.

Treatment options

Depending on how badly the joints are damaged, treatment include :

• Physiotherapy and strengthening exercises

• Weight management, if required

• Pain-relieving medicines prescribed by a doctor

• Walking support such as a cane or walker

• Injections in selected cases

• Partial or total knee replacement for severe joint damage

Knee replacement is generally considered when pain and disability continue despite appropriate non-surgical treatment.

Precautions and home care

Until the orthopaedic consultation :

• Avoid running, jumping and heavy-impact activities.

• Do not put unnecessary stress on painful knees.

• Use a walking stick or walker if walking is difficult.

• Do prescribed exercises rather than completely stopping movement.

• Maintain a healthy weight.

• Do not take painkillers or supplements regularly without medical advice.

• Avoid massage or forceful knee manipulation if the joint is severely painful or swollen.

If knee replacement is advised

Prepare for recovery beforehand. Arrange someone to help at home, remove loose rugs and obstacles, and make the bathroom safer. Strengthening exercises before treatment may also help with recovery.

If you share the city and state, We can guide you on how to find a suitable orthopaedic/joint replacement specialist and partner hospital for a consultation and second opinion.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth