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Mark Donnelly

Top 7 Signs You May Need Knee Replacement Surgery

Updated: May 8

Knee replacement surgery, known as knee arthroplasty, is a procedure for individuals suffering from chronic knee pain and impaired mobility. It involves replacing damaged or worn-out parts of the knee joint with artificial components.

While this replacement surgery can greatly improve a patient's life quality, it's essential to know when it may be necessary. So, we will discuss the top 7 signs that you may need this replacement surgery.


1. Chronic Knee Pain


Chronic knee pain is one of the most significant signs that you may need this replacement surgery. 


Chronic knee pain is persistent discomfort in the knee that lasts for an extended period, often beyond several months. This type of pain can arise from various causes such as-


  •  Osteoarthritis

  • rheumatoid arthritis 

  •  other degenerative joint diseases


Typically, chronic knee pain can be managed initially with conservative treatments. 

However, do these treatments fail to provide you relief? 


Does your knee pain continue to persist, even while resting or sleeping?


Then, it may be a sign of significant joint deterioration. Pain that intensifies at night can disrupt sleep and impact your overall quality of life.


If you find that, your chronic knee pain is not responding to conventional treatments, it may be time to consult an orthopedic specialist. In that case, they can assess the severity of your knee condition. Further, they can determine whether knee replacement surgery is the best option to alleviate your pain and improve your quality of life.


2. Limited Mobility


Often patients experience impaired mobility of the knee joint, such as difficulty with flexion (bending) or extension (straightening) of the knee. In those cases, this replacement surgery may be recommended. This can manifest as challenges in performing everyday tasks such as rising from a seated position, standing up without support, or ascending and descending stairs. Impaired knee mobility may result from various conditions, such as-


  • Osteoarthritis

  • Rheumatoid arthritis

  • Injury-related damage to the joint


Such limitations can significantly impact activities of daily living (ADLs), work, and recreational activities, diminishing overall quality of life. In such conditions, non-surgical management strategies, such as physical therapy, bracing, and pharmacological interventions, can be effective. 


However, when these are ineffective, surgical intervention may be necessary. In such conditions, knee replacement surgery, such as total knee arthroplasty (TKA), can provide pain relief and improve mobility. Further, this surgery can enhance function by replacing damaged joint surfaces with prosthetic components.



knee replacement surgery


3. Stiffness and Swelling


If you are experiencing frequent joint stiffness and effusion (swelling) in the knee, particularly upon waking in the morning or after extended periods of inactivity, may exhibit signs of joint degeneration or underlying pathology. Persistent synovitis (inflammation of the joint lining) and effusion can result from conditions such as osteoarthritis, rheumatoid arthritis, or other degenerative joint diseases. 


Chronic joint inflammation can lead to cartilage loss and structural joint damage, ultimately affecting the integrity and function of the knee. In such cases, certain conservative measures can be effective-


  • rest 

  • anti-inflammatory medications

  • physical therapy


If these options prove ineffective, and the patient continues to experience significant pain, doctors recommend surgical intervention, such as knee replacement surgery. Surgical repair can alleviate symptoms, restore joint function, and improve the overall life quality of patients.


4. Deformity of the Knee


A noticeable deformity in the knee, such as genu varum (bowing) or genu valgum (knock knees), may indicate advanced joint degeneration or structural damage. These malalignments can arise from conditions such as osteoarthritis or trauma and may lead to altered biomechanics. These conditions can affect the knee joint's stability and functionality. Knee deformities can disrupt gait patterns, resulting in compensatory movements and potential additional stress on adjacent joints, such as the hip and ankle. 

Moreover, these abnormalities can contribute to pain, discomfort, and reduced mobility, impacting overall posture and quality of life. In such conditions, early clinical evaluation by a healthcare provider is crucial to assess the underlying cause of the deformity and determine an appropriate treatment plan. Here, non-surgical options may include orthotic devices, bracing, or targeted physical therapy to improve alignment and function. 

However, in significant joint damage or failure of conservative management, this replacement surgery can be effective. This surgery helps to restore alignment, alleviate pain, and improve the patient's overall function and quality of life.


5. Failure of Other Treatments


Do conservative treatments such as physical therapy, anti-inflammatory medications, or corticosteroid injections fail to alleviate your knee pain?

Then, surgery may be the next step. If you've tried these options without significant improvement, knee replacement surgery could provide lasting relief.





6. Loss of Enjoyment in Daily Activities


If your knee pain and limited mobility prevent you from enjoying your favorite activities, such as walking, gardening, or playing sports, it's a clear sign that your quality of life is being impacted. So, when knee pain affects your ability to participate in hobbies or spend time with loved ones, it may be time to consider surgery.


7. X-Ray Evidence of Joint Damage


Medical imaging such as X-rays can reveal the extent of joint damage in your knee. If your doctor identifies severe arthritis, bone-on-bone contact, or other significant joint deterioration, it indicates that this replacement surgery is necessary. Here, X-ray evidence provides a clear, objective assessment of the condition of your knee joint.


How Long Does a Knee Replacement Last?


  • Knee replacement implants are designed to function for a substantial period, typically lasting 15 to 20 years in 85% to 90% of patients. In those cases, despite their durability, the implants are not meant to last forever.


  • After the 15- to 20-year mark, general wear and tear may begin to affect the implant. This can result in a range of outcomes for patients, such as-

       experiencing no noticeable symptoms 

       dealing with issues (pain, loosened implant particles, knee instability, or infection)


Final thoughts 


Knee replacement surgery can offer relief to individuals experiencing chronic knee pain and impaired mobility. If you recognize one or more of these signs, it's essential to consult with an orthopedic specialist who can evaluate your condition and recommend the best course of action.


While surgery is a major decision, advancements in medical technology have made knee replacement safer and more effective than ever before. Recovery times have also improved, with many patients regaining full mobility and returning to their favorite activities within weeks or months.


If you're struggling with persistent knee pain and other treatments haven't worked, don't hesitate to seek professional advice. This replacement surgery could be the key to reclaiming your quality of life and enjoying a pain-free future. 


Discover Healing Travel's Orthopaedic Excellence for exceptional guidance in knee replacement surgery. Embark on your transformative journey today and reclaim your active lifestyle! Contact us now to learn more and schedule your consultation.


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