In the weeks and months before your operation, if at all possible, do take gentle exercise, such as walking or swimming. Strengthening the muscles around your knee will speed up your post-operative recovery. Our physiotherapist can help you with the exercise programme that's best suited for you.
A friend or relative is welcome to attend the consultation with you. When Mr Lawrence assesses your fitness for surgery, please mention previous illnesses such as heart attacks, high blood pressure, previous operations, complications with previous surgery, or problems related to your waterworks.
After the examination, x rays will be obtained and you will be seen again 15 minutes later.
When you return, Mr Lawrence will explain the x-ray findings to you and tell you what the diagnosis is. Additional investigation may be required including blood tests, MRI scans, CT scans, bone scans.
Once the diagnosis has been made, he will discuss treatment options such painkillers, physiotherapy, knee injections, keyhole surgery and knee replacement surgery. Together, you will decide on a plan. Please don't hesitate to come back for a second or even third consultation if needed
MAKING THE DECISION
Should I have a knee replacement?
'Should I have a knee replacement?' The final decision is left up to the patient who must balance the benefits of pain relief and improved mobility against the possible risks of surgery.
A period of 2 weeks is normally required between the time that you inform Mr Lawrence of your intentions and the date of the operation.
At your pre-op assessment, you will undergo routine heart tracing and blood tests. Your blood type will also be cross-matched. In addition, skin and nose swabs will be taken to ensure that you are not a carrier of the MRSA bug.
Our physiotherapists, occupational therapists and nursing staff will inform you about the upcoming surgery. Please remember to mention any special requirements that you may have. The staff will also advise you about minor changes to your setup at home in order to facilitate your speedy recovery. Arrangements will be made for you to have a chair at the right height at home. You will be given a raised toilet seat, and your bed may also have to be raised slightly.
Prior to your surgery avoid activities that could result in cuts or abrasions of the skin. Open wounds can become infected and could result in the surgery being cancelled. if your skin is dry or flaky please make sure to use the skin moisturiser.
If you happen to be a smoker it is strongly advised you quit. Tobacco smoke contains toxins that are damaging to the lungs and increase the risk of chest infections. Nicotine inhibits the immune system making infections more likely. Nicotine also inhibits the post-operation healing process.
Good diet and gentle exercise before and after surgery will boost your chances of a smooth post-operation recovery. Mr Lawrence also strongly recommends, whenever possible, low-impact exercise such as cycling, swimming, X-trainer, rowing or walking.
Vitamin C rich diet is essential for the healing of tissues after surgery.
Food rich in Vitamin C:
Plenty of outdoors exercise before surgery is highly recommended as it promotes the natural production of Vitamin D. Vitamin D is pivotal for strong healthy bones but it also plays a crucial role in stimulating the immune system. It also reduces the risks of infection following the operation.
Food rich in Vitamin D:
Cod liver oil
Oily fish, such as mackerel.
A diet high in protein is also recommended to help rebuild the body after surgery. If you are overweight it is highly advisable to cut back on fats and carbohydrates, but not at the expense of essential proteins and vitamins. A healthy balanced diet is critical under any circumstance.