Having arthroscopic surgery on my knee Monday

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Nanners
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Date Joined Apr 2005
Total Posts : 14995
   Posted 3/21/2008 10:01 AM (GMT -7)   
I am having arthroscopic surgery on my left knee on Monday due to a significantly ton meniscus.  I didn't have any injury to cause this and the ortho doc seems to think its related to Crohns.  Was wondering if anyone else has had to have this surgery?  Ortho doc also said I have alot more wear on my knee bones than someone my age should have. He said the wear is like someone 10-15 years older than me and that I am on my way to a total knee replacement in the future. 
 
I always thought that the Crohns arthritis didn't damage your joints, that it was more of an inflammatory thing.  But evidently I was wrong.  Anyone else get a similar diagnosis?  Also, I always thought this way an easy surgery.  The OS has me out of work for 3 weeks.  I can't put much weight on it for the first 3 days and will have physical therapy afterwards (expected the therapy).  Not complaining about the time off, but just surprised with how long I will be off.
 
God Bless,
Gail *Nanners*
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


petittarte
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Date Joined Apr 2006
Total Posts : 686
   Posted 3/21/2008 11:19 AM (GMT -7)   
Hi Gail,

I had meniscus repair surgery on my knee about 2 years ago. I like you did not have an injury that caused the tear. A few years before that I had surgery on my other knee to remove a build up of scar tissue also not injury related. Will you be having a repair or a removal of the meniscus? The repair is much easier...a cane for the day of surgery, the bandage either came off that night or the next morning. My rehab had me in the gym the day after surgery on the exercise bike.

Good luck.
Jodi

Remicade and 6MP


Nanners
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Date Joined Apr 2005
Total Posts : 14995
   Posted 3/21/2008 12:22 PM (GMT -7)   
Jodi I am not sure what they will be doing. I think the thought is when the go in the are going to clean it up and look around for other probs. I unlike you am to stay off of it except to bathroom for 3 days, no showers for those days either. In fact I have to use crutches to go to the bathroom. So as you can see I am not too sure exactly whats being done repair or removal.
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


chroniemomx2
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Date Joined Apr 2005
Total Posts : 2346
   Posted 3/21/2008 2:29 PM (GMT -7)   
My Dad had this done a week ago today. He had a torn meniscus also. They went in and cleaned that up and then they drilled a bunch of tiny holes in the bone to let the protein and other stuff out to promote cartilage growth. We were told that this is cutting edge.....I haven't researched it at all, so I can't verify that. But I do know that he was in alot of pain the rest of that day and night, but the next day was a better for him. He had to be on crutches for 2 days, and also keep the bandage on and couldn't shower for 72 hours. Good luck! Let us know how it goes.

broomhilda
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Date Joined May 2007
Total Posts : 1488
   Posted 3/21/2008 7:09 PM (GMT -7)   
Good Luck Nanners...God's speed on your recovery!
Dx'd Jan'06, 1st Resection 7/06, Predinsone, Humira, Imuran, B12 injections, Nexium. Secondary conditions: Psorasis, Acne, Fatigue, Joint Pain, Lactose Intolerant, gallstones, fibroid cysts, peri-menopausal.


teddybearweiser
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Date Joined Oct 2004
Total Posts : 3042
   Posted 3/22/2008 2:29 AM (GMT -7)   
Good luck, my prayers are with you Nanners
Hi, I am teddybearweiser, I am a male.
I was diagnosed with crohns disease when i was admitted to the hospital
in 1992, in Jan of 1993 I was back in the hospital for surgery for my crohns. I had part of my right colon resectioned with ilecolonstomy.
 My GI doctor has me on Asacol, Dicyclomine,Imuran,Celebrex and Remicade. B-12 injection once a month.
My Internest doctor has me on Lisnopril-HTCZ and Folic Acid. Diagnosed
with Osteoarthritis July 2007
 


Keah
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Date Joined Nov 2003
Total Posts : 7314
   Posted 3/22/2008 2:51 AM (GMT -7)   
Spondylitis or SpA (Crohn's Arthritis) can indeed do some significant damage to our joints over time. Initially, the inflammation is in the soft tissues inside & surrounding the joint. These would be the tendons, ligaments, cartilage and synovium. The tendonitis can also transfer pain away from the joints and into the surrounding muscles. Later, as the disease progresses, inflammation of the actual bone begins.
 
Eventually the soft tissues begin to calcify and the joints can fuse. This happens more quickly with smaller joints, but can also occur in the large joints.
 
From some of the articles I've read, it seems likely that those of us with inflammaotry arthritis (not RA) may be more susceptible to early osteoarthritis as a result of the weaken bone in our joints.
 
If I were going to have knee surgery again, I'd ask the surgeon to take synovial fluid samples to check for crystals. It's not likely that you have gout or pseudogout, but if they're in there, why not do the test? I'd also ask for a biopsy or two of the synovium (soft tissue lining of the joint) to see if there is chronic inflammation there.
 
I was 15 when my knee problems began. My surgery was when I was 19 and I had chronic synovitis way back then. I try not to think about the damage that might be in there now, but I'll be going for an MRI soon and that will tell me all the gory details. Even though we've been treating my SpA, I've already that I'll probably get new hips and knees someday. Shoulder replacements aren't out of the realm of possibilty either. For now, I'm just hoping that I don't have AVN in these aching ankles. I'm too young to have to get those fused!
 
Knee surgery isn't fun under any circumstances. Hopefully, they'll be able to shoot you up with enough marcaine or whatever they use these days to keep you comfortable for the first few days. I was so glad for the steroid injection after my surgery. Make sure that you get some decent pain meds and follow your Doc's orders about resting to avoid any post-op injuries.
 
I hope you have a quick and easy recovery. (((hugs)))
 
PS If you think of anything that you want to talk tot he surgeon about before the surgery - WRITE IT DOWN and bring the list. I'm a veteran in the OR and know that even simple things slip your mind on the day of the surgery. I now appear with my list and make sure I have the answers I need before they get the meds into my IV.
Keah a.k.a. Wormy
 God helps those who help themselves.
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Howlyncat
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Date Joined Jan 2005
Total Posts : 24909
   Posted 3/22/2008 6:14 AM (GMT -7)   
Nanners
I am just wanting to let you know I will be thinking of you
Praying for a speedy recovery w/o any probs

God Bless LYN
  DX With Crohns,Pyoderma Gangrenosum, Anxiety/ Panic and Other Disorders
 
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
 
   
 
                   
 


MMMNAVY
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Date Joined Jul 2006
Total Posts : 6927
   Posted 3/22/2008 9:19 AM (GMT -7)   
Nanners,
Good luck. Scope is not bad. It is about three weeks until you can walk without a limp, but I had other damage going on so yours might be less. Get the cooler with the machine on top that has constant changing cool water around the knee sleeve, those are awesome and they help with the pain. Absolutely worth the three hundred bucks for me. But if you have someone to fetch ice packs they work too, but they are more labor intensive and you will need at least 6 of them. The best advice I had was to lay down, keep it elevated and ice it. I have to admit I loved the machine cooler with the knee sleeve because it lasted alot longer then ice packs. (i.e. you can sleep thru the night without having to change it. Unlike ice packs...) Since you have had this disease for a long period of time, you are more likely to have to take it easy with the Physical therapy in order to avoid spontaneous fractures for the immediate period after your surgery. Plus you will be more inflamed then the normal person. You probably will not want to walk after the surgery, but just give it time and physical therapy to work. Do you know what brace they are going to put you in? If they are? I always have been in a full to half leg brace afterwards, but I am accident prone.
Hugs,
Navy
Crohn's Co-moderator

We will find a way, or make one.-Hannibal (crossing the Alps in the 15th Century on war elephants)
Praise in public, chew in private.
Make sure your suffering has meaning....
____________________________________
All suggestions/options/opinions are caveated with please consult with your local health care provider...

Post Edited (MMMNAVY) : 3/22/2008 10:31:51 AM (GMT-6)


dunny2
Veteran Member


Date Joined Jan 2007
Total Posts : 3200
   Posted 3/22/2008 9:41 AM (GMT -7)   
Gail, just wanted to add my best wishes.

My husband had both his knees done, both for meniscus tears. He's not that good with surgery and hospitals,
so all I can say, is that, if he went back to have the second knee repaired, the first couldn't have been too bad....
Vicky

Too many years with CD
Two bowel resections, several obstructions.


Laughter is the brush that sweeps the cobwebs from our hearts


FallColors
Veteran Member


Date Joined May 2007
Total Posts : 1220
   Posted 3/22/2008 10:02 AM (GMT -7)   
Prayers are going out for a speedy recovery, and that your Drs are granted wisdom and the skill to solve this problem for you!

gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 3/22/2008 11:03 AM (GMT -7)   
Hi Gail Best Wishes on your surgery and will be thinking of you .Hope things are improved after you recuperation . Please keep in touch when you can . lol gail

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 3/23/2008 9:08 AM (GMT -7)   
Thanks guys for all the information and good wishes. Sorry I didn't respond yesterday, it was one of those bad tummy days. Must of ate something that didn't like me, but better today. Keah, I wondered if this might be related to inflammatory stuff, seems more than likely. I dread the few days I have to stay in bed. I stayed laying down most of the day yesterday becuz of my tummy and my spine, hips and butt are killing me today. MMMNavy I asked what to expect afterwards and he said it would be wrapped in bandages and a ace bandage. I had read about the Cryo cuff thing and was hoping for that, but no luck. I have one of those gel ice packs, do you think I should grab a few more? Kinda sounds like I should. To my knowledge other than the tear there might be some other problem with the articular cartilage, but he said he won't know if he has to do anything with that or not until he gets in there. So I might wake up with some surprises. Good idea about the biopsies, I will definetly write that one down. Oh and he gave me Percoset for the pain. Said I would be numb for 4 to 24 hours then hurting pretty good. Eeek! Oh well I have had 3 open abdominal surgeries, so I am sure I will handle this one too.

Thanks again for all the prayers and good wishes. Since I will be bedridden a couple of days, I will just bring my laptop upstairs and keep you all posted.

((BIG HUGS & LOVE)) to all my Crohnie Family.

Gail *Nanners*
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


Crohn'snme
Veteran Member


Date Joined Feb 2007
Total Posts : 734
   Posted 3/23/2008 5:57 PM (GMT -7)   
Hi Nanners, I have had two on each knee, although I never thought about relating it to Crohn's, should have since there was no injury relation to the surgeries. Good luck, take it easy and take care of yourself. I have been putting off my right knee for a few months, so I will be looking to see how things go for you. Take care.

petittarte
Veteran Member


Date Joined Apr 2006
Total Posts : 686
   Posted 3/23/2008 6:10 PM (GMT -7)   
Just wanted to wish you good luck tomorrow. We'll be thinking of you.
Jodi

Remicade and 6MP


MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 3/23/2008 6:36 PM (GMT -7)   
Shucks, they won't let you have the cuff. I would use the gel packs and the biggest ones you can find. Sounds like you will heal up a lot faster then I did. Plus you might have them give you a spare 4 or six inch ace wrap to put over the top of the other ace bandage so you can put the ice bag between them.
Hugs,
Navy (aka Queen of Orthro injuries...LOL)
Crohn's Co-moderator

We will find a way, or make one.-Hannibal (crossing the Alps in the 15th Century on war elephants)
Praise in public, chew in private.
Make sure your suffering has meaning....
____________________________________
All suggestions/options/opinions are caveated with please consult with your local health care provider...


MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 3/23/2008 6:37 PM (GMT -7)   
Oh yeah it is nice to have those gel packs molded around a 2 liter bottle in the freezer
Crohn's Co-moderator

We will find a way, or make one.-Hannibal (crossing the Alps in the 15th Century on war elephants)
Praise in public, chew in private.
Make sure your suffering has meaning....
____________________________________
All suggestions/options/opinions are caveated with please consult with your local health care provider...


Keah
Veteran Member


Date Joined Nov 2003
Total Posts : 7314
   Posted 3/23/2008 11:19 PM (GMT -7)   
Gail - The pain and stiffness that you described after resting sound a whole lot like that which accompanies SpA. If that's the case, it will likely continue over the next few weeks. Although you will be much better off resting and keeping that knee elevated, there's no rule that says you can't sit up or even stand with crutches and do some stretching to keep your back as loose as possible. You should also make sure to bend and flex all of you other joints too. I know how hard it can be to find the middle ground between rest and activity that keeps my body happy. Try to look at it as a challenge.
 
The one thing that sticks out the most about my recovery was the trouble I had sleeping on my back. I have always been a stomach sleeper and literally can't fall asleep unless I'm on my stomach. After my knee surgery, that wasn't possible. I was also very lucky in that the marcaine & whatever steroid they put in my knee helped keep me pain free from the surgery on Thurs until Sunday afternoon. I had some meds, but didn't need them. I even went camping and slept on the ground in a tent because I had promised my younger sister that I would take her that weekend. I must have been a sight doing the hokey pokey on crutches! Of course I was young, resilient and stupid back then. LOL
 
If you hadn't had the chance to get some more ice packs, ask someone to get you more tomorrow. One is just not enough. Also, for the first few days, with the big bandage that they'll put on, you might find that the ice is melting before it really penetrates to your knee. This may vary according to how much of the cotton padding they use, but mine was quite thick. I found it easier to use real ice in a ziplock bag and then switched to the gel packs after the bulk was taken off.
 
I hope all goes well. We'll be sending good thoughts for you.

gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4097
   Posted 3/24/2008 2:21 PM (GMT -7)   
Hi Nanners,
I just wanted to wish you good luck. My sister has chronic joint problems, and I have always suspected that she has an auto-immune disease, although she doesn't have a formal diagnosis. She just had knee surgery...she's about three weeks out from surgery...she had major damage to her knee in addition to the meniscus. She was definitely in need of the pain meds the first 2 weeks, but doing better now. She needs a full leg brace, which she hates. I hope your Crohn's behaves for you...you don't need to be running the the bathroom constantly on top of everything else! Let us know how you are.
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007. Also have IBS, and had Salmonella Dec. '07
currently taking Pentasa- 8 250mg pills per day, Cipro 1 week/month, Metamucil, probiotics


bentwistle
Regular Member


Date Joined Jul 2006
Total Posts : 330
   Posted 3/25/2008 2:20 PM (GMT -7)   
I'm hoping all went well with your surgery, and wishing you a speedy recovery. Looking forward to your update,

Bev
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