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both knees need replaced one dr wont do one will with reservations ive had problem falling

A MyParkinsonsTeam Member asked a question 💭
Greensburg, PA
August 1, 2024
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A MyParkinsonsTeam Member

the AI was not particularly helpful was it - why does the doctor have reservations about doing the knee replacement? Is it because of the strenuous nature of the rehab process? I think that one concern is what will happen if they give you the pain medications that they think are necessary for knee replacement because the orthopedic doctor told me that he did not think I could get through this with just acetominophen and I cannot take NSAIDs or prescription pain medications.Prescription pain medications might be problematic if added to the Parkinson medications and it would take getting information from someone who really knew everything about this combination. Are the doctors worried about having to do the anesthesia for the surgery because this can also be an issue. There are special guidelines when it comes to administering any anesthesia in Parkinson's and the option of what kind of anesthesia is appropriate is very limited and there may only be one form of anesthesia that is considered to be somewhat safe for a person who has Parkinson's (my husband is the one with Parkinson's and I am the one who has knee issues).

August 1, 2024
MyParkinsonsTeam

Given your history of falling and the need for knee replacements, it's crucial to consider the following points from the knowledge base:

1. Talk to Your Doctor: Discuss your experiences with falls and knee issues with your healthcare provider. They can assess your medications, dosages, and side effects, and may refer you to Show Full Answer

Given your history of falling and the need for knee replacements, it's crucial to consider the following points from the knowledge base:

1. Talk to Your Doctor: Discuss your experiences with falls and knee issues with your healthcare provider. They can assess your medications, dosages, and side effects, and may refer you to a physical therapist or suggest exercise programs to improve balance.

2. Review Your Medications: Some Parkinson’s medications can affect balance. Higher doses of [[treatment:levodopa/carbidopa:55d534f51fcaa397470006dd]], for instance, have been associated with increased falls.

3. Practice Balance-Improving Techniques: Techniques such as sit-to-stand exercises and balance exercises can be beneficial. Always have sturdy support nearby and someone to assist you if needed.

4. Consider Walking Aids: Using a cane or walker can help maintain balance and reduce falls. Many people with Parkinson’s have found significant improvement in their mobility and reduction in falls by using these aids.

5. Home Adaptations: Make changes to your home to prevent falls, such as removing tripping hazards, adding grab bars in the bathroom, ensuring bright lighting, and clearing clutter from walking paths.

6. Move Slowly and Focus on One Task at a Time: When changing positions, move slowly and count to 15 seconds between movements. Focus on one task at a time to avoid distractions that could lead to falls.

These strategies can help manage your balance issues and reduce the risk of falls, which is particularly important when considering knee replacement surgery. Always consult with your healthcare provider to tailor these recommendations to your specific needs.

August 1, 2024

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