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Thread: New Knees for Old - not for the squeamish!

  1. #1
    Grand Master Griswold's Avatar
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    New Knees for Old - not for the squeamish!



    New knee yesterday. In and out in a day, great service from the NHS
    Best Regards - Peter

    I hate being bipolar, its brilliant.

  2. #2
    Master
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    Awesome battle scare there. Guy at work has just had the same done and he too sang the praises of the NHS. Hope you're recovery is speedy 👍

  3. #3
    Grand Master
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    Thatís nowt but a scratch lad! Nothing compared to the picture of Eddieís belly following his op (once seen, never forgotten)

    Best wishes for a speedy recovery, hope all continues to go well.

    Iím having x rays and scans on my knee next week, I think Iím still a long way from replacement and hopefully it can be sorted by a dose of keyhole surgery, had an arthroscopy on my other knee 3 years ago and thatís been fine since. Itís a bit like tyres on your car, they tend to wear out in pairs.

  4. #4
    Master
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    Get well soon, and do your rehab exercises.

  5. #5
    Master
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    I have been having Accupunture on my left knee monthly for the past 18 months. Made a remarkable difference.
    Can now play golf and Ski with much less pain. Not a cure but strengthens the muscles surrounding the joint.
    The MRI on my knee two years ago was not a pretty sight and consultant was willing to replace but at only 61 I thought
    It was a bit early. Hoping now I am 63 I can go as close to 70 as poss. Before replacement.
    Martyn.

  6. #6
    Excellent scar.

    Good luck with the recovery.
    Andy

  7. #7
    Grand Master
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    I can handle the scar, it's the shorts causing a mangina that are making me squeamish!

  8. #8
    Master
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    The brilliant NHS service, hope you have a speedy recovery there.

  9. #9
    Quote Originally Posted by Griswold View Post
    New knee yesterday. In and out in a day, great service from the NHS
    Looks like you've had a heavy duty zip fitted.
    Don't forget - don't kneel on it

    Speedy recovery

  10. #10
    Grand Master GraniteQuarry's Avatar
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    Oh that's quality, definitely one to unveil when the beer chat turns to scars

    Watched that show earlier in the year that had this very op in real time, fascinating stuff. Black & Deckers abound!

  11. #11
    Grand Master
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    Definitely don't kneel on it yet........that could be a 'stretch target' for the future.

  12. #12
    Master
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    That’s an impressive scar get well soon and glad for the warning on the title.
    Last edited by shoppy; 21st November 2019 at 17:48.

  13. #13
    Grand Master Neil.C's Avatar
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    Blimey!

    Get well soon Peter.😊
    Cheers,
    Neil.

    My Speedmaster website:

    http://www.freewebs.com/neil271052

  14. #14
    Master Skier's Avatar
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    Here's hoping it's a full and speedy recovery. Please post an update after 3 and 6 months - I'm very interested as I suspect I'll be having the same within 10 years or so.

  15. #15
    Master Jon Kenney's Avatar
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    That looks juicy. Good luck with the recovery, Peter.

  16. #16
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    Recently told Iím 10-12 years too young for new knees so on pain killing cream meantime instead of tablets, last op many years ago was to be keyhole surgery but doc changed his mind, 13 stitches down one side unlike yours and 1/3 ish as long, took a couple of years for full mobility but worth it, starting to fail now though. The physio will be fun.

  17. #17
    Well done...in and out in a day!

    I had the same 18 months ago, had a few hic-cups in recovery but with a superb physio (also got me 6 months free gym membership) all was well after 6 months or so.

    Now? Just perfect and the other knee that was taking the strain pre-op is absolutely fine too. Told the replacement would be good for 20+ years.

    Work hard with exercise and wish you well for a speedy and complete recovery :)

    David

  18. #18
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    yes the NHS do a great job.wishing you a [relatively] pain free recovery,do what you told and put the effort in on the physio exercises.ive been there,not knee but i have had three replacement [yes three]hip joints.

  19. #19
    Grand Master Andyg's Avatar
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    Looks painful, but hopefully successful. Wishing you a speedy recovery.

    Whoever does not know how to hit the nail on the head should be asked not to hit it at all.
    Friedrich Nietzsche


  20. #20
    Ask for hydrotherapy... Best post op physio I had following a new hip 2 years ago. Quite a few people in the pool with new knees, but follow the physio's advice!!!

    Good luck

    A

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  21. #21
    Got a similar scar. I had my knee repaired with a bit of bone from my hip. The hip wound was a swine to cope with. Hope you have a speedy recovery.

  22. #22
    Craftsman
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    Good luck with the rehab.
    Just one question? Why can they not do a neater cut?

  23. #23
    Grand Master Griswold's Avatar
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    Thanks for all the kind words guys' really appreciated.

    It's been a long and painful journey to get here but I think it will be all good going forward, well, once the pain has gone.

    It started in 2009 on holiday in Cornwall. For a while my left knee felt like it wanted to bend backwards! Strange sensation, then, whilst comming downstairs in the holiday cottage it actually did! Fell down the stairs and cracked a couple of ribs. Saw my GP on my return home who referred me imediately to a specialist who took one look at my leg and said he didn't even need a scan as he knew what was wrong - big ACL problems. A few days latr I was having keyhole lazer surgery to clean up and burn out the ACL which had gone all 'fluffy' - the consultant gave me photographs from the camera he was using to perform the op inside my knee. Crutches for several months, but once I'd completed all the physio I was no longer in pain. I was then pain free and could walk and run with no problems at all. Then, around 7 years ago I started to get pain in my left knee so back to the GP who referred me to the hospital. Scans showed that the cartilage in my left knee was wearing out and so started a series of cotisone injections, each of which lasted around 4 months- though I was now walking withh a limp all the time. The limp got worse, along with the pain and in the end it was decided that the only solution was a knee replacement as it was now prety much bone on bone!

    The op was very straightforward. Spinal injection to completely numb everything below the waist, then a lot of sawing, screwing, (which I wasn't aware of as they told me to bring in my iPod), and a lot of hammering which was strange because the only way I knew it was happening was feeling the vibrations in my back though the operating table!

    I'd signed up for a partial replacement with the proviso that the consultant should do a full replecement if he felt it necessary once he'd opened me up - it was, and he did. He's pioneering in and out in a day knee surgery as an option and that's what I chose - op around 8:30 am, tea and toast, lunch, 3 physio sessions and dinner before Lynn took me home around 6pm. I was even able to walk out of the hospital on my own steam, (on critches).

    Today the leg is quite swolen, and stiff because of that; and I know it will be some time before I'm back to normal, but my main target is to play a round of golf with my eldest Grandson and I'm fully confident I'll be able to do that.
    Best Regards - Peter

    I hate being bipolar, its brilliant.

  24. #24
    Craftsman
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    That does look painful. Hope you have a fast recovery.

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  25. #25
    Quote Originally Posted by Steve27752 View Post
    Good luck with the rehab.
    Just one question? Why can they not do a neater cut?
    That will look neat eventually. They all look like that for a week or two

    The incision is millimetres wide, but the suturing puckers it up a bit, and the post operative inflammatory/fibrotic reaction always looks a bit messy.

    For those that have posted "I'm too young for a joint replacement" please ask your medics about Osteotomy, we do it when you're "too young for a knee replacement" and I get good results. It bridges the treatment gap.

    Best of luck with the new knee, OP

    William
    Knee Surgeon

  26. #26
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    Good luck for a speedy recovery and let us all know how it goes.
    I'm bone on bone on my right knee and I've just had an xray on the left, which is hurting at the rear of the joint and goes down the outside of my calf and into the top of my foot.
    Xray should a good gap so it isn't cartilage.

  27. #27
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    Quote Originally Posted by The Doc View Post
    That will look neat eventually. They all look like that for a week or two

    The incision is millimetres wide, but the suturing puckers it up a bit, and the post operative inflammatory/fibrotic reaction always looks a bit messy.

    For those that have posted "I'm too young for a joint replacement" please ask your medics about Osteotomy, we do it when you're "too young for a knee replacement" and I get good results. It bridges the treatment gap.

    Best of luck with the new knee, OP

    William
    Knee Surgeon
    I don't mean to be ignorant but have never heard of Osteotomy ?
    I'm on sick leave at the moment with a view to retiring at xmas.Ive always been active but I think a lifetime of standing up all shift on a factory shop has finished me off after 45 years.
    I had a hip resurfacing op in 2008 which was a doddle compared to what I've heard about knee replacements and I'd done a lot of cycling previously which must've helped.

  28. #28
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    Quote Originally Posted by Griswold View Post
    Thanks for all the kind words guys' really appreciated.

    It's been a long and painful journey to get here but I think it will be all good going forward, well, once the pain has gone.

    It started in 2009 on holiday in Cornwall. For a while my left knee felt like it wanted to bend backwards! Strange sensation, then, whilst comming downstairs in the holiday cottage it actually did! Fell down the stairs and cracked a couple of ribs. Saw my GP on my return home who referred me imediately to a specialist who took one look at my leg and said he didn't even need a scan as he knew what was wrong - big ACL problems. A few days latr I was having keyhole lazer surgery to clean up and burn out the ACL which had gone all 'fluffy' - the consultant gave me photographs from the camera he was using to perform the op inside my knee. Crutches for several months, but once I'd completed all the physio I was no longer in pain. I was then pain free and could walk and run with no problems at all. Then, around 7 years ago I started to get pain in my left knee so back to the GP who referred me to the hospital. Scans showed that the cartilage in my left knee was wearing out and so started a series of cotisone injections, each of which lasted around 4 months- though I was now walking withh a limp all the time. The limp got worse, along with the pain and in the end it was decided that the only solution was a knee replacement as it was now prety much bone on bone!

    The op was very straightforward. Spinal injection to completely numb everything below the waist, then a lot of sawing, screwing, (which I wasn't aware of as they told me to bring in my iPod), and a lot of hammering which was strange because the only way I knew it was happening was feeling the vibrations in my back though the operating table!

    I'd signed up for a partial replacement with the proviso that the consultant should do a full replecement if he felt it necessary once he'd opened me up - it was, and he did. He's pioneering in and out in a day knee surgery as an option and that's what I chose - op around 8:30 am, tea and toast, lunch, 3 physio sessions and dinner before Lynn took me home around 6pm. I was even able to walk out of the hospital on my own steam, (on critches).

    Today the leg is quite swolen, and stiff because of that; and I know it will be some time before I'm back to normal, but my main target is to play a round of golf with my eldest Grandson and I'm fully confident I'll be able to do that.
    Sounds like you're doing well.How bad had it got before your op ?

  29. #29
    Quote Originally Posted by RD200 View Post
    I don't mean to be ignorant but have never heard of Osteotomy ?
    I'm on sick leave at the moment with a view to retiring at xmas.Ive always been active but I think a lifetime of standing up all shift on a factory shop has finished me off after 45 years.
    I had a hip resurfacing op in 2008 which was a doddle compared to what I've heard about knee replacements and I'd done a lot of cycling previously which must've helped.
    Here's a page to look at, written by one of Europe's leaders in osteotomy or re-alignment surgery, and a friend of mine.

    I have no connection to him or his business, it's just rather a good starting point for info

    https://www.hcahealthcare.co.uk/faci...teotomy-centre

    this also useful, although a bit negative and out of date because the Americans are slow to learn the new techniques: https://orthoinfo.aaos.org/en/treatm...y-of-the-knee/

    Your local guys should know about this, if not they are doing you a disservice

  30. #30
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    Quote Originally Posted by The Doc View Post
    Here's a page to look at, written by one of Europe's leaders in osteotomy or re-alignment surgery, and a friend of mine.

    I have no connection to him or his business, it's just rather a good starting point for info

    https://www.hcahealthcare.co.uk/faci...teotomy-centre

    this also useful, although a bit negative and out of date because the Americans are slow to learn the new techniques: https://orthoinfo.aaos.org/en/treatm...y-of-the-knee/

    Your local guys should know about this, if not they are doing you a disservice
    Thanks Doc.
    Now I know what you mean I realise that maybe 18 months ago I saw a specialist at Beaumont Hospital near Bolton.
    He gave me 3 options
    1) Osteotomy, which he sort of dismissed
    2) a partial knee replacement
    3) either a more sedentary job or early retirement.
    He asked what pain killers I'm taking and at the time it was only Ibuprofen but now codeine.
    The other knee's pain has sort of crept up on me and is more debilitating

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    Last edited by RD200; 21st November 2019 at 15:08.

  31. #31
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    Quote Originally Posted by The Doc View Post
    For those that have posted "I'm too young for a joint replacement" please ask your medics about Osteotomy, we do it when you're "too young for a knee replacement" and I get good results. It bridges the treatment gap.

    William
    Knee Surgeon
    Will ask about this next time I see doctor, in the meantime any online info I find will do, many thanks.

  32. #32
    Master thieuster's Avatar
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    Impressive!

    It springs to mind that this operation was perfectly planned! A little nasty this week, but next week.. You can sit on the couch all day long with a laptop, surfing in the internet & scooping up all those Black Friday watch deals that will come up. And we, in our offices and workshops will be too late.


    Just kidding. I wish you a speedy recovery!

    Menno
    Last edited by thieuster; 21st November 2019 at 15:08.

  33. #33
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    Quote Originally Posted by thieuster View Post
    Impressive!

    It springs to mind that this operation was perfectly planned! A little nasty this week, but next week.. You can sit on the couch all day long with a laptop, surfing in the internet & scooping up all those Black Friday watch deals that will come up. And we, in our offices and workshops will be too late.


    Just kidding. I wish you a speedy recovery!

    Menno
    It isn't to watch daytime TV with all the adverts about funeral costs and life insurance.That's enough to send you up the wall

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  34. #34
    Quote Originally Posted by RD200 View Post
    Thanks Doc.
    Now I know what you mean I realise that maybe 18 months ago I saw a specialist at Beaumont Hospital near Bolton.
    He gave me 3 options
    1) Osteotomy, which he sort of dismissed
    2) a partial knee replacement
    3) either a more sedentary job or early retirement.
    He asked what pain killers I'm taking and at the time it was only Ibuprofen but now codeine.
    The other knee's pain has sort of crept up on me and is more debilitating

    Sent from my SM-A105FN using Tapatalk
    If you feel he dismissed the option without a real reason why, or didn't seem to favour it, you could do worse than asking to see Matt Dawson at the BMI Lancaster or privately in Preston. He's my direct working colleague and President of the European Osteotomy Section of ESSKA, he is on your doorstep.
    You might not be a candidate, but you've nothing to lose.
    Alternatively your surgeon saw that you weren't a candidate; and it is, and was always, off the table.

    I can't treat you over the forum. I never give patient specific advice

  35. #35
    Grand Master Griswold's Avatar
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    Thnks again guys and yes, I'll keep this updated to let you know how it's going.

    Quote Originally Posted by RD200 View Post
    Sounds like you're doing well.How bad had it got before your op ?
    It was somewhat odd RD. As part of the process I had to fill out a form detailing how it was affecting me; answers to questions like 'how can you cope on your own with the weekly shop' were that I could do that with no problems, (but there was nowhere on the form to qualify it by saying that I drive an automstic so don't have to use my left leg, that I can park next to one of the trolly parks, and have no problem putting my weight on the trolly whilst pushing it: whilst to questions like 'how far can you walk before you experience pain' the answers would be that it always hurts - even when laying in bed!

    The pain itself varied from anoying, (when laying in bed), through bad, (when walking), to very bad, (when simply standing - strangely, that was when it was worst), though the cortisone injections gave me significant relief each time I had one.
    Best Regards - Peter

    I hate being bipolar, its brilliant.

  36. #36
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    Quote Originally Posted by The Doc View Post
    If you feel he dismissed the option without a real reason why, or didn't seem to favour it, you could do worse than asking to see Matt Dawson at the BMI Lancaster or privately in Preston. He's my direct working colleague and President of the European Osteotomy Section of ESSKA, he is on your doorstep.
    You might not be a candidate, but you've nothing to lose.
    Alternatively your surgeon saw that you weren't a candidate; and it is, and was always, off the table.

    I can't treat you over the forum. I never give patient specific advice
    I think I'm some way off looking at the pain @griswold has been going through.
    When I wake up in the morning the bone on bone knee is sore but it doesn't restrict me like the one that's stiff and sore and the back and that one sometimes gives way too.
    I don't expect treatment over the forum but appreciate your help
    Thanks

  37. #37
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    Quote Originally Posted by Griswold View Post
    Thnks again guys and yes, I'll keep this updated to let you know how it's going.



    It was somewhat odd RD. As part of the process I had to fill out a form detailing how it was affecting me; answers to questions like 'how can you cope on your own with the weekly shop' were that I could do that with no problems, (but there was nowhere on the form to qualify it by saying that I drive an automstic so don't have to use my left leg, that I can park next to one of the trolly parks, and have no problem putting my weight on the trolly whilst pushing it: whilst to questions like 'how far can you walk before you experience pain' the answers would be that it always hurts - even when laying in bed!

    The pain itself varied from anoying, (when laying in bed), through bad, (when walking), to very bad, (when simply standing - strangely, that was when it was worst), though the cortisone injections gave me significant relief each time I had one.
    yeah mine is worse when I'm just standing which unfortunately is part of my job, or was.
    Mine sometimes feels like its dropping when I'm lying on the opposite in bed and i get that 'bang' in the joint.
    Last edited by RD200; 22nd November 2019 at 08:38.

  38. #38
    Administrator swanbourne's Avatar
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    I didn't expect the knee scar to be so big but neither did I expect my scar to be so big either. When I mentioned it to the surgeon, he said "you need a big incision for a big operation". Fair enough.

    Eddie
    Whole chunks of my life come under the heading "it seemed like a good idea at the time".

  39. #39
    My sister will have her left knee replaced shortly, which will complete the set of both knees and both hips. She inherited her dodgy joints from the female side of the family, mine are thankfully all ok.

    Get well soon, and don't try to rush it. Painkillers work best if taken with a glass or three of wine, according to my sister.
    Although no trees were harmed during the creation of this post, a large number of electrons were greatly inconvenienced.

  40. #40
    Master
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    Out of couriosity how long does it take your knees / hips to start deteriortating to the point your need a replacement. Is it a long slow process or an overnight thing.

    I am 70, moderately active, eg I walk a couple of miles a day and so far everything seems ok. So I am hoping I will expire with my knees intact.

    I wouldn't fancy an op at say 75

  41. #41
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    Quote Originally Posted by Mick P View Post
    Out of couriosity how long does it take your knees / hips to start deteriortating to the point your need a replacement. Is it a long slow process or an overnight thing.

    I am 70, moderately active, eg I walk a couple of miles a day and so far everything seems ok. So I am hoping I will expire with my knees intact.

    I wouldn't fancy an op at say 75
    My father-in-law had his done last year (74) and it was not under general anaesthetic - he came home the same day.
    When you look long into an abyss, the abyss looks long into you.........

  42. #42
    Master
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    He had a bloody great incision made in his legs as per the OP and was sent home same day, all I can say is bloody hell.

    What I would really like to know is how long did the deterioration in his knees take.

  43. #43
    Grand Master Chris_in_the_UK's Avatar
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    Quote Originally Posted by Mick P View Post
    He had a bloody great incision made in his legs as per the OP and was sent home same day, all I can say is bloody hell.

    What I would really like to know is how long did the deterioration in his knees take.
    Gradually got worse over 4-5 years.
    When you look long into an abyss, the abyss looks long into you.........

  44. #44
    Quote Originally Posted by Mick P View Post
    Out of couriosity how long does it take your knees / hips to start deteriortating to the point your need a replacement. Is it a long slow process or an overnight thing.

    I am 70, moderately active, eg I walk a couple of miles a day and so far everything seems ok. So I am hoping I will expire with my knees intact.

    I wouldn't fancy an op at say 75
    On the balance of probabilities, you won't need your joints replacing. It creeps up on you slowly, and for some reason it doesn't affect many people significantly at all.
    The inheritance through families is very patchy too. Just because your elders wore out their joints, it doesn't mean you are doomed.

    More bizarrely, people wear out their hips and knees but very very rarely their ankles.

    Home the same day is a great idea, but it will still be very sore for a good month, then the latest data says decades of good use. Eg 95%of knee replacements performed in the UK are still going strong at 13 yrs.

    Data: https://reports.njrcentre.org.uk/

  45. #45
    Master
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    Doc

    Many thanks for the info.

    I don't hold much stock in the hereditary thingy. Both of my grandfathers died at 46 and my father at 51 and I am still poodling along at 70.

    I took a fall 9 weeks ago and dislocated my shoulder. I know in the scheme of things it is low down on the pecking order but it is still damn sore and my arm still has limited movement. I suppose being older means the healing process takes a bit longer.

    Anyway good luck to anyone who has a lump of metal in them.

  46. #46
    Grand Master GraniteQuarry's Avatar
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    The show I mentioned showing it in real time is here if anyoneís interested

    https://www.my5.tv/operation-live/se...ee-replacement

  47. #47
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    Father in law just had his knee done. Very painful for a couple of days but amazing how quickly motability is returning.

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  48. #48
    That must smart ,get well soon


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  49. #49
    Master Chinnock's Avatar
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    Awesome scar and a speedy recovery 

  50. #50
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    Quote Originally Posted by Mick P View Post
    Doc

    Many thanks for the info.

    I don't hold much stock in the hereditary thingy. Both of my grandfathers died at 46 and my father at 51 and I am still poodling along at 70.

    I took a fall 9 weeks ago and dislocated my shoulder. I know in the scheme of things it is low down on the pecking order but it is still damn sore and my arm still has limited movement. I suppose being older means the healing process takes a bit longer.

    Anyway good luck to anyone who has a lump of metal in them.
    I don't believe in the hereditary thing either.
    I was only 46 and as fit as the proverbial butchers dog when I first experienced pain in my groin which was later diagnosed as a hip problem.
    Neither of my parents had joint problems and lived till 74 for my mum and 82 for my dad.
    There are quite a few blokes at work with knee pain and some others with replacement hips or knees.Most of these are overweight but not all and none work in an office, all shop floor.
    2 of my neighbours (late 50's, early 60's) have had hip replacements, one on both legs and neither of these are overweight, both active.


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