u/Careless-Rate4778

Cartilage replacement or total knee replacement?

Hi all, 45f just been diagnosed with osteoarthritis of the left knee. Been told I'm headed for a TKR but told I can get 10-15 years with a cartilage replacement, which is 2 surgeries, one to remove healthy cartilage, boost it in the lab and replace 4 weeks later. I'm just wondering about experiences here. I am wondering if I'm heading for a TKR anyways, is it worth bothering with this and just getting it now or...?

I suspect the right knee has it too, but no-one seems to want to go there right now. The only symptoms I ever had was clicking during working out, squats specifically. Both knees have it. No pain, so I wasn't too concerned. Then one day I was walking downstairs and something went awry and the pain was insufferable. Immediately swelled up. I couldn't understand as I hadn't actually done anything. Then I was told after MRI that there was no cartilage left in my knee and it was completely worn out. Still perplexed as to how I just noticed at this advanced stage. And both knees were the same until now. I also click in many other joints so I'm worried, but no one wants to have that conversation as I'm not in pain anywhere else. Advice most appreciated! ♥️

Edit: I should add that I'm currently an expat and extremely privileged to have amazing private health insurance. When I go back to my home country I will be in the public system, so I am conscious I will not have the same care and may be waiting a long time for the TKR when I need it, so that adds to my concern, if it's worth getting now when I have good healthcare. Not to say the public healthcare won't be good, just that it probably won't be AS good based on my daughter and husband having the same ACL surgery here and in our home country recently. Her experience at home was an absolute nightmare and farce compared to his here. He was walking within hours of surgery, she was crippled for weeks. He had ongoing physio and help, she had one physio appointment that was basically useless.

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u/Careless-Rate4778 — 4 days ago
▲ 29 r/glp1

Already in a significant caloric deficit - is there any point trying GLP-1s?

Hi all. I had wright loss surgery back in 2000 and lost about 170lb. I gained back about 70 of that after pregnancies and perimenopause etc. My body seemed to settle at 200lb for years. I never had skin removed despite there being a lot and I also have stage 3 lipedema in the legs. I recently started to gain weight and can't figure out why. Probably perimenopause as all my bloods are normal and my doctors are equally stumped.

Due to the small amount I am able to eat because of the surgery, I average about 1000-1200 calories a day, I walk 10000 steps a day at least and resistance train 3-4x per week. On paper I should be losing weight but I'm not. I prioritise protein and generally get at least 100g per day.

My concern is that if I try GLP-1s I'll be forced to eat even less and become malnourished. I know tirzepatide has shown promise with lipedema so kinda hoping it might help with that at least as that is where most of the weight I have left is. I'm just worried I might end up starving myself.

Has anyone been in a similar situation and can advise?

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u/Careless-Rate4778 — 9 days ago

Living with grade 4 chondromalacia patellae

Hi all. Just been diagnosed with this. The research makes for stark reading. I'm 45f and my knees have always clicked while squatting at the gym, but never really bothered me until recently. Got a twinge going down the stairs one day and it instantly swelled up. No constant pain but feels very unstable and any kind of twisting causes shooting pains in the knee and ligaments around and behind it. Sounds like there's not much that can be done at this stage other than physio and it will just get worse. I'd rather avoid surgery if possible, as from what I've read it sounds like results are temporary at best.

Would love to hear from others living with this condition and how they manage/deal and what has helped. TIA!

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u/Careless-Rate4778 — 10 days ago