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  1. #51
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    Quote Originally Posted by detrusor View Post
    We really don’t do epidurals for knees anymore. Femoral nerve block or obturator canal block.


    Sent from my iPhone using TGR Forums
    Yeah--I might be remembering wrong. She had a catheter of some sort or other but now that I think of it I don't remember where it was. Femoral nerve block--wouldn't folks have a hard time standing up?

  2. #52
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    Doing ok, Steve?
    PE, Mechanical Engineering
    University of Bridger Bowl Alumnus
    Alpental Creeper

  3. #53
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    Dec 2003
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    Quote Originally Posted by Norseman View Post
    Doing ok, Steve?
    He's probably out in the workshop welding ice axe heads to his crutches.
    Quote Originally Posted by Downbound Train View Post
    And there will come a day when our ancestors look back...........

  4. #54
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    Quote Originally Posted by old goat View Post
    Yeah--I might be remembering wrong. She had a catheter of some sort or other but now that I think of it I don't remember where it was. Femoral nerve block--wouldn't folks have a hard time standing up?
    Sure do. The trend has been to block quite distal at the canal between femoral heads and vastus medialus. Good pain control but no motor compromise of the quads.


    Sent from my iPhone using TGR Forums
    I rip the groomed on tele gear

  5. #55
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    Dec 2008
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    Whatís your status Steve? My patella is an arthritic mess and ski days are being impacted on the regular.

  6. #56
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    Apr 2013
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    Minnesota
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    23
    @GeezerSteve, I'm also interested in how things went. I'm overdue for TKR.
    My daughter works for an orthopedic doc and said I would not be able to ski as well after TKR due to removal of the ACL. Did you have your ACL removed? Do you wear an ACL brace? Were you able to ski this past season?
    Any update is appreciated.

    Ron C.

  7. #57
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    Nov 2003
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    Iím also going under the knife soon.

  8. #58
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    Feb 2010
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    28,862
    Quote Originally Posted by ticketchecker View Post
    What’s your status Steve? My patella is an arthritic mess and ski days are being impacted on the regular.
    yo OP? you get sucked into an ewa vortex?
    .

  9. #59
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    I sent him a note a few weeks ago asking the same.

    He was doing well, knee felt strong and stable, lacking a little ROM but on track for his first 100-day season.
    PE, Mechanical Engineering
    University of Bridger Bowl Alumnus
    Alpental Creeper

  10. #60
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    Jan 2006
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    Quote Originally Posted by flowing alpy View Post
    yo OP? you get sucked into an ewa vortex?
    pretty sure I saw him at Alp on Sunday.
    Move upside and let the man go through...

  11. #61
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    Feb 2008
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    In a parallel universe
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    Quote Originally Posted by Norseman View Post
    I sent him a note a few weeks ago asking the same.

    He was doing well, knee felt strong and stable, lacking a little ROM but on track for his first 100-day season.
    Good to hear....
    100-day season, touring days?

  12. #62
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    Quote Originally Posted by ACH View Post
    Good to hear....
    100-day season, touring days?
    He counts any type of ski outing.
    PE, Mechanical Engineering
    University of Bridger Bowl Alumnus
    Alpental Creeper

  13. #63
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    Aug 2011
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    Der Town
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    I miss his contributions on here.

  14. #64
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    Aug 2013
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    1,509
    ^^^Ditto

  15. #65
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    Quote Originally Posted by Leavenworth Skier View Post
    I miss his contributions on here.
    i know! seen it, appears it’s a case of tgr cooked.
    shirleycouldn’t blame a sane human from slowly backing
    away from the luny toones that play in this nuthouse.
    .

  16. #66
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    Apr 2007
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    Quote Originally Posted by ACH View Post
    Good to hear....
    100-day season, touring days?
    I would assume touring days are easier on the knees. i know my 5 year old tibia plateau hates the inbounds. Speaking of which, the doc has always said I will need a replacement and as soon as it negatively impacts my life it's time. I've always wondered what that meant cause I didn't know what post surgery life would be like. Either way i was still eyeing this year. Then I got a hernia requiring surgery (Tuesday) so the knee replacement was pretty much a sure thing since I can just use up my yearly max out of pocket.

    then the general surgery dept told me I had to stop taking ibuprofens, nsaids, analgesics, etc. 5 days prior (apparently i can take acetaminophen, but i try not to). i had taken 600-1800mg ibuprofen daily (every single day) since the surgery 5 years ago. stopped friday around 4. toured and skied in the morning saturday. felt ok (snow was perfect). Went to work that night, as a server so it's all walking standing. About 7pm (27 hours after last dose) the knee started to hurt and then throb. At the end of the night I was up around 6 on the pain scale walking to the car with occasional lapses of ability to bear weight. I took 400mg at the car and it took away about 66% of the pain.
    Today was better but instead of skiing i napped and that's no way to go through life. Started to hurt again towards the end of the shift but it was a short shift and now I've got 30mg of thc coarsing through the veins so it's all good. Point is, looks like an early October replacement for me. Can't weight. ;-)
    powdork.com - new and improved, with 20% more dork.

  17. #67
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    Mar 2011
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    Quote Originally Posted by powdork View Post
    I would assume touring days are easier on the knees. i know my 5 year old tibia plateau hates the inbounds. Speaking of which, the doc has always said I will need a replacement and as soon as it negatively impacts my life it's time. I've always wondered what that meant cause I didn't know what post surgery life would be like. Either way i was still eyeing this year. Then I got a hernia requiring surgery (Tuesday) so the knee replacement was pretty much a sure thing since I can just use up my yearly max out of pocket.

    then the general surgery dept told me I had to stop taking ibuprofens, nsaids, analgesics, etc. 5 days prior (apparently i can take acetaminophen, but i try not to). i had taken 600-1800mg ibuprofen daily (every single day) since the surgery 5 years ago. stopped friday around 4. toured and skied in the morning saturday. felt ok (snow was perfect). Went to work that night, as a server so it's all walking standing. About 7pm (27 hours after last dose) the knee started to hurt and then throb. At the end of the night I was up around 6 on the pain scale walking to the car with occasional lapses of ability to bear weight. I took 400mg at the car and it took away about 66% of the pain.
    Today was better but instead of skiing i napped and that's no way to go through life. Started to hurt again towards the end of the shift but it was a short shift and now I've got 30mg of thc coarsing through the veins so it's all good. Point is, looks like an early October replacement for me. Can't weight. ;-)
    7 weeks now On my Tibial Plateau recovery. Always looking for others experience on this. Canít wait to walk and drive again. Or stand up in the shower.

    Iíve read some great stories of peoples recoveries, Iíve also read horror stories where I donít know whether I want to puke or cry, if I had to go through it the way they did.

    Inbounds has always sucked for you after healing? I always wonder why they donít just do the knee replacement to begin with instead of the painful, long drawn out tibial plateau recovery.

    Hopefully youíre not a drinker with that acetaminophen intake...

  18. #68
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    Quote Originally Posted by t-the-east View Post
    7 weeks now On my Tibial Plateau recovery. Always looking for others experience on this. Can’t wait to walk and drive again. Or stand up in the shower.

    I’ve read some great stories of peoples recoveries, I’ve also read horror stories where I don’t know whether I want to puke or cry, if I had to go through it the way they did.

    Inbounds has always sucked for you after healing? I always wonder why they don’t just do the knee replacement to begin with instead of the painful, long drawn out tibial plateau recovery.

    Hopefully you’re not a drinker with that acetaminophen intake...
    I do drink, but if you re-read you'll see my acetaminophen intake is zero, it's always been ibuprofen, which can affect the stomach and kidneys.
    powdork.com - new and improved, with 20% more dork.

  19. #69
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    i think in some cases the replacement isn't needed for longer than in my case. i think the alignment didn't end up perfect for me. the doc that performed the surgery said the alignment was spot on but looking down at my leg (and subsequent visits with other docs) say otherwise. Also knee replacements don't last forever so they want to put it off as long as possible (i think)
    powdork.com - new and improved, with 20% more dork.

  20. #70
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    Quote Originally Posted by powdork View Post
    I do drink, but if you re-read you'll see my acetaminophen intake is zero, it's always been ibuprofen, which can affect the stomach and kidneys.
    Díoh! Maybe my reading comprehension was compromised in my crash too..

  21. #71
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    Jan 2008
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    truckee
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    Re acetominiphen and alcohol these are some common sense recommendations I found on line (a medical source, not peer reviewed but reputable)
    "taking no more than the maximum daily dose of 3,000 mg of acetaminophen for adults
    checking other medications to see if they contain acetaminophen
    taking only one acetaminophen-containing product at a time
    taking acetaminophen for no more than 10 consecutive days for pain, or 3 days in succession for fever
    drinking no more than 3 alcoholic drinks per day while taking acetaminophen"

    I've been unable to take NSAIDS for 2 1/2 months (healing bone), so I've been on Tylenol--initially 4 gm/d, now down to 3250 and a decreasing dose of Oxycodone. And a very occasional beer, when I haven't taken an oxycodone. Personally I'd rather take more oxycodone and less tylenol but docs don't like prescribing opiates, even when they might be safer in a given situation.

    I think it's important for docs to look as the whole picture--when you tell someone don't do this or that, or don't take this or that, you have to look at the whole picture, what are the alternatives, what is best for this particular patient at this particular time. Making a blanket prohibition of one drug or therapy when the alternative may be worse doesn't make sense, but it happens all the time. Sometimes it's because the banned substance is the flavor of the month (opiates), sometimes it's a specialist not considering problems outside of their specialty that the pt is experiencing, sometimes it's who knows what.

  22. #72
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    Mar 2006
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    Norcal
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    Quote Originally Posted by RCC55125 View Post
    @GeezerSteve, I'm also interested in how things went. I'm overdue for TKR.
    My daughter works for an orthopedic doc and said I would not be able to ski as well after TKR due to removal of the ACL. Did you have your ACL removed? Do you wear an ACL brace? Were you able to ski this past season?
    Any update is appreciated.

    Ron C.
    Plenty of folks ski well without a ACL, hurt my knee on Christmas Day. Late February due to insurance run arounds I got a knee cleanup which included trimming the meniscus on both sides, removing a large piece of cartilage on the medial side and cleaning up the back of the kneecap. The mri showed the acl was torn completely but it appeared to be an old injury. Pretty sure I know when it occurred 3 years ago but I was skiing again in 2 weeks with no brace. I opted not to have it repaired since Iíve been coping without one for awhile. My girlfriend who is a very good skier has not had one for 30 years. Iím a pretty avid cyclist so maybe thatís helped build up other areas so I donít miss it.

    Anyway my doc told me Iím eventually gonna need a knee replacement so not only would my knee cleanup ( without an acl repair) get me skiing again sooner (5 days after surgery) since I was coping already and they would just remove the acl after a knee replacement there was not much of a point. I have been wearing a brace with a medial unloader since Iím missing a fair bit of stuff on that side, hoping that will help me put off knee replacement for awhile.

    Powdork Iím sure life is gonna get much better once you get yours done, If I can help ya out while your recovering just give me a ring, plus I got my patented recovery cookies that Iíll make a batch for ya 😉

  23. #73
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    Apr 2007
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    do they still have to (or do they still practice) ligament removal in the case of intact functioning cruciates?
    https://www.sciencedaily.com/release...0722164132.htm
    powdork.com - new and improved, with 20% more dork.

  24. #74
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    Oct 2006
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    Hokkaido
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    I read somewhere there are three different types of TKR; with existing cruciate ligaments, with no existing cruciate ligaments and the acl function is integral to the TKR, and partial cruciate function in the TKR. Not sure where I saw it but that has always been my question and I think someone in my situation, currently with no acl in my left knee, I would get the second type. I'm sure it's in my future but for now it does not affect my skiing. I can't run but if the cost of avoiding surgery is no running, I can handle that. If anything ever looks like I will inhibit my skiing, I'm going to have to do something about it because that outcome will never be acceptable to me.

    I boiled my thermometer, and sure enough, this spot, which purported to be two thousand feet higher than the locality of the hotel, turned out to be nine thousand feet LOWER. Thus the fact was clearly demonstrated that, ABOVE A CERTAIN POINT, THE HIGHER A POINT SEEMS TO BE, THE LOWER IT ACTUALLY IS. Our ascent itself was a great achievement, but this contribution to science was an inconceivably greater matter.

    --MT--

  25. #75
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    Apr 2007
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    So I got the hardware out last week from my tibial plateau surgery. everything went as planned although i thin i did have issues from the ibuprofen use. stopped it on sunday before the surgery (wednesday) which i don't think was long enough. as a result there was some bleeding which required redressing and continued use of oxycodone vs getting back to ibuprofen. in retrospect, i would rather have finished the ibuprofen sooner prior to the surgery so i could stop bleeding sooner after the surgery and get back to the ibuprofen rather than the oxycodone. the main problem is i don't seem to get the inflammation relief from acetaminophen that comes from ibuprofen.
    unless all of a sudden my knee feels like it's new again now that the hardware is out, the replacement will come in early november.

    hardware removed
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    where it came from
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