Practice Philosophy | Dr. Andre Shaffer
1:37
Advancing Foot & Ankle Care
2:36
Both Knee Surgery: Yes or No?
3:28
Пікірлер
@Cybernetic263
@Cybernetic263 Ай бұрын
I like happy stories
@austinado16
@austinado16 Ай бұрын
Excellent work Dr. Garcia, and Alycia!! Superb outcome, and it's great to hear the before (so typical) and after, and especially see her in the hallway! I was in the same boat as Alycia, but 59 when I had both legs straightened in late Jan. and late Mar. 2023 (a year and a half ago at the time of writing this. I'd had bowed legs all my life and the medial compartments of both knees were paper thin gaps. I was still a very "aggressive" mountain bike rider, and long distance trail runner, running and riding mostly year round, as training for running rim-to-rim and rim-to-river at the Grand Canyon several times a year. The year round pain, and amount of recovery time needed between runs was steadily increasing, and in early 2023, the searing stabbing pain at night became unbearable. I was no longer able to sleep more than about 45min at a time, before being awakened by what was sometimes so much pain that I just couldn't stand it. X-rays and a visit with a local Ortho earned me a, "There's no way you're still a runner, let alone ran in the Grand Canyon a week before these x-rays were taken." I opted for stem cell with PRP injections in both knees, using my own stem cells, and after 10days of "not doing anything," I returned to training significantly improved, and ran 2 more times at the Grand Canyon in Aug/Oct. Meanwhile, I learned about HTO, sought out a specialist in Walnut Creek, CA, and started the prep for the 2 surgeries. I opted not to be over-corrected. My right Tibia was opened 18mm and my left, similar. Both legs are one inch longer now. I trained hard, right up to the first surgery, and ate/supplemented specifically to grow bone fast. I was driving at 3 weeks, walked for the 1st time on day one of week 4, and x-rays taken that day showed that I had completely filled in the 18mm gap. (I had bone taken from my Pelvis as bone graft material). I did my own PT. Middle of week 5 I put away the crutches for good, and was back to training on the mtb, on the same rugged climbing trails that I normally ride and run on. My Ortho has never seen anyone recover so fast, or grow bone so fast. He moved my 2nd surgery up by 2 months, so I trained hard in week 6 and 7, right up to a day before the 2nd surgery. I healed the 2nd leg a week earlier in all phases, as compared to the first leg, and ran 150m on a track, at 90 days post-op on the 1st, and 4 weeks post-op on the 2nd surgery. I returned to real trail running, which for me is up and down our 3 local 1,200-1,400' peaks, on June 1st. By mid-July I was running 13.6mi using all 3 peaks, every other day. I celebrated my 60th, mid-Aug, by running my 11th R2R at the Grand Canyon, and did it as a marathon distance, instead of the normal 24mi. After that run, I worked on my trail racing fitness and speed, and raced a trail Half, with almost 3,000' of vert, in early Sept. and placed 3rd overall. Training continued and I ran R2R as a speed run, and again as a marathon distance, the first weekend in Oct. and raced another trail Half, with 2,400' vert in early Nov. and placed 1st overall. I had the plates removed in early Dec. 2023 (10-1/2mos / 8-1/2mos post-op), and returned to trail running 3 weeks later. I celebrated 1yr post-op on the first leg, by returning to downhill skiing, in late Jan 2024 and skied 8 times in as many weeks. I still ski like a teen, and have large, heavy Atomic skis. A ski day is a training day, so I'm hot-lapping on the mountain, and only come off to go to the bathroom. I just ran another speed run at the Grand Canyon in May 2024 and posted a vid to my channel. I videod my recovery process and have a series of videos on my channel that may help others who are considering the surgery and have questions about what it's like, what the recovery process is like, and what's possible post re-alignment.
@shariqsaifi6309
@shariqsaifi6309 Ай бұрын
I took my mother to the doctor, he took the xray and said that its not that much/severe but then just siggested TKR. Not why and how that doctor just suggested such a big procedure so easily makes me wonder why they dont other things?
@christinaalexander6533
@christinaalexander6533 Ай бұрын
I am unable to take narcotics and am terrified about recovery.
@yassirazraq6243
@yassirazraq6243 Ай бұрын
How long the new meniscus last??
@reginawade7370
@reginawade7370 Ай бұрын
Slipped and fell on wet floor . Non displaced hairline fracture on the dorsal aspect of the radius and the Ulna too. No cast just a splint.
@Reneebenson
@Reneebenson 2 ай бұрын
Bone spurs are not helping
@Reneebenson
@Reneebenson 2 ай бұрын
Hip impinchment sucks
@kristianharley7231
@kristianharley7231 2 ай бұрын
I had hip arthroscopy 5 months ago for FAI Impingement which caused a labral tear. 2 anchors were needed for the labrum and bone was shaved back. My original symptom was a sharp groin pain and i still have those symptoms 5 months after. What could be causes for this continued sharp stabbing type pain?
@angelafioretti861
@angelafioretti861 2 ай бұрын
I had both my knees done...The worst pain ever...Meds and ice helped a bit...I went for physio 3x weekly...Did my exercises at home faithfully...Worked through the pain crying...Overall i have absolutely no more pain on both knees...Please do your exercises and physio or you will still have pain and cant straighten your leg properly
@debbiechadwick861
@debbiechadwick861 2 ай бұрын
I had THR w spinal. Somehow it wore off and I woke up screaming bloody murder. Anesthesiologist looking down at me w a frown on his face. I couldnt get any details from them about this though. Makes me nervous about having a TKR.
@karen-xn6su
@karen-xn6su 2 ай бұрын
Thank you for sharing this. I'll be having surgery soon and really hate not being able to exercise for many weeks but it will be worth it.
@PNW_Sportbike_Life
@PNW_Sportbike_Life 3 ай бұрын
I recently had a MC accident where I fractured my distal clavicle. My MD opted to not surgically repair my injury, as the bone is still in line and he felt that it would heal without intervention. I'm 5 weeks out, doing one last follow-up here in a week. The pain is subsiding and my arm and shoulder seems to be functioning somewhat normally. I am not trying to over stress that side. I'm nervous that I may have injured my shoulder as well; time will tell. Great presentation and explanation of this particular injury. The Proliance physicians in Puyallup have taken great care of my ortho needs over the years; Kudos to you guys!
@shawndamichelle537
@shawndamichelle537 2 ай бұрын
I had a mc accident maybe 6 weeks ago, distal but misaligned. Dr opted for no surgery, I’m getting a second opinion this week. I wish I would’ve just gotten surgery when it happened
@johnferri7495
@johnferri7495 3 ай бұрын
It has been a year since my labrum was repaired. 3 months off work because my job is physical many mo ths if pt months before I could hike and I'm still having issues, primarily with muscles abductors hip flexors, hamstring. In some ways the pain is much better but the muscle flareups are so aggravating. I did my due diligence and found the best surgeon in my state and still feel I'll need a hip replacement some day. Problem is i have the same issue on the other side and don't want to go through this again. Any suggestions?
@user-yd1du5ny2i
@user-yd1du5ny2i 3 ай бұрын
I will need mine replaced in about 5-10 years..and I'm currently only 35 years old.
@scottmiller2159
@scottmiller2159 3 ай бұрын
Dr. Shapiro did both my SLAP 3 shoulder surgeries and I have full mobility in each. I highly recommend him
@orthopedicspecialistsofseattle
@orthopedicspecialistsofseattle 3 ай бұрын
We are very fortunate to have such a talented group of surgeons, including Dr. Shapiro. He is an excellent shoulder and elbow specialist, and we thank you for sharing.
@marcelleceide5529
@marcelleceide5529 3 ай бұрын
Can the repair be leveled like the other arm. It doesn't look like the other arm?
@mohammedjamaldeen5980
@mohammedjamaldeen5980 5 ай бұрын
I do have a Collar bone fracture and it's been 8 weeks now I have not seen a Doctor...! What is my faith?
@catiavescovi9846
@catiavescovi9846 6 ай бұрын
Excellent ! You have explained it very well and I feel there is hope since I just got diagnosed with a labral tear on a MRI. My hip pain has been going on for two years and I was told it was bursitis back then
@robertthomas1154
@robertthomas1154 5 ай бұрын
Exactly the same as me - I also have FAI. The pain has increased over recent months, so I’m having an arthroscopy in May.
@Hikmetkarademir
@Hikmetkarademir 6 ай бұрын
Commercials
@amynicholls814
@amynicholls814 7 ай бұрын
Most informative video on this i have seen. Thank you.
@orthopedicspecialistsofseattle
@orthopedicspecialistsofseattle 7 ай бұрын
Glad it was helpful!
@junehedges51
@junehedges51 7 ай бұрын
Hi l am on my second knee replacement, despite what my Surgeon said my second knee replacement was even better then the first,l am a 72 year old fairly fit woman living in Somerset , England U.K. My advice to others get your BMI under 30 ,do your physio from day one and use ice pacs to get the swelling down,swim and do a couple of miles walking about 4 weeks after the operation,take pain killers at night to help with sleep….
@jangriffin-fi1yx
@jangriffin-fi1yx 3 ай бұрын
Like sound of your good advice. Can you tell me how please when did you go out walking & how went about it all to build up to nearly hour a day as I want to do same. Have a beautiful German Sheppard cross Rotti want to take her for walks again. I am 7th day home after L/TKR doing/feeling great just can't wait like all for better sleep. Appreciate any advice yoy can give as nit wadting my life time to fly at 72 😊❤
@Frannie.Zamora
@Frannie.Zamora 8 ай бұрын
My son broke his collarbone 2 days ago (Thursday night)but the ortho will not see him until Monday morning. I don’t understand why he won’t see him sooner than that. He was just given a sling at the ER.
@luqmanmughal3727
@luqmanmughal3727 3 ай бұрын
Now your son is okay?
@elainegoad9777
@elainegoad9777 8 ай бұрын
Is it really worth the risks of surgery, anesthesia, incapacitation, severe pain for a long time, constipation from meds, minimul help at home, log painful recovery, etc... for a senior who may live only a few more years ? Living with the way it is may be the easier route?
@jangriffin-fi1yx
@jangriffin-fi1yx 3 ай бұрын
👋 I'm 72 younger than springtimetime 😂 I want to live as long as U can healthily of course. Just home 8th day today after L/TKR & feel best thing I have done other than when was married & had kids. Believe all with it us life changer for me very hopeful will have miles better quality of life. I never wanted anything done but no choice too tiring limping around not standing up straight felt like old lady of 100 & so limited in life. I have huge bucket list love life & family. Lots to do. You must find right Orthopaedic Surgeon you have faith in & trust ask all questions etc. Read as much about TKR as possible & prepare mind for journey. Do pre-op exercises so get in swing of it for after op. Eat well get organised don't leave it all to last min. Don't be in pain & leave like me although not entirely my fault. Life meant for living & too short to waste. I had spinal & femoral blocks less drugs awake throughout 2 hr op would do it that way again if have to. Just prepare & do what told to do. It is very painful after surgery but would be worse if Sat around doing 0. Elevating leg icing a must after exercises. Time goes & effort believe will pay off. Older people or people who gave heart conditions are usually good candidates for spinal blocks I never wanted General Anaesthetic procedure. Good luck with whatever you decided doing. Hope this helps you.
@dittohead7044
@dittohead7044 2 ай бұрын
Maybe but the pain prior drove me to get it done. It’s awful but need other knee done too. The sever pain after is indescribable. They should give you heavy duty pain meds for several weeks. Screw the complications
@cccEngineer
@cccEngineer 9 ай бұрын
There is no discussion of what the pros an cons of both options are.
@kelleeb7823
@kelleeb7823 10 ай бұрын
Funnest?
@riiiriii8715
@riiiriii8715 10 ай бұрын
Perfect thanks
@krystynacollier57
@krystynacollier57 10 ай бұрын
Not enough specificity as how you repair labrum, prognosis and tgerapy
@MP-cr1rs
@MP-cr1rs 10 ай бұрын
Dr. Peterson is awesome. I have had shoulder surgery and extremely happy with the results. He is very thorough not quick to throw you under the knife. I would 100% trust him to care for me.
@salehahmedalharthy
@salehahmedalharthy 11 ай бұрын
How long was the recoveryP
@jeffb1886
@jeffb1886 11 ай бұрын
I am a very active 70 yr old (former triathlete and avid street runner) who HAD severe PF pain on both knees due to very bad patella tracking and wear...prob the result of medial/lateral quad imbalance and weak VMO. I am quite fit and the from xrays, the meniscus and other compartments were in good/very good shape. I was therefore a good candidate for PF replacement. I had this done on BOTH knees 3 wks ago. I have been very happy with my progress and I believe my recovery has been far easier than if I had 2 total replacements. If you are a good candidate for this (not everyone is), I would highly recommend it.
@evictory92
@evictory92 11 ай бұрын
I begged the hospital to fix mine and they refused. He reckoned it would heal in perfect alignment and now has been causing alot of problems for me and seems to be malunion’d.. i lack endurant strength and hence i ended up crashing head on into a wall in which the exhaustion of my clavicle caused the accident 3 weeks ago, and apart from this i have numerous issues with it completely seperate from this event in which was the event i finally realised that something is really wrong with it. yet everyone is telling me it’s fine despite the shortness, twisting, pain, completely abnormally healed.. I’m seeing the doctor tomorrow with my new xray of it and asking to be referred for it to be fixed when it should have been fixed in the first place. It’s now 3 years later… I’m not sure what I’m gonna be experiencing with getting it surgically fixed and i really hope they agree to it…. Cuz i cant use it properly and it’s really upsetting me honestly cuz i wanna do things i love and i can’t to the degree i want to and i dont want it to be like this for the rest of my life.. 3 yrs on is my clavicle going to be very hard to fix? because the surgeon refused to fix it and reckoned it was only sitting the way it was cuz the muscles were apparently tight seeing as i actually came off my scooter with alot of force coming down a hill with wet wheels and hence hit the ground in which is why it was sitting the way it was in the xray when i broke it. I’m angry cuz it could have been fixed back then and i feel that doctor was so ignorant and stupid, and now I’m suffering the consequences of it. They didnt even give me physiotherapy. He said i didnt need it. 😤😭😖🤬
@NaturalMeAmerica
@NaturalMeAmerica 11 ай бұрын
One day I want to see research on the role of infection in joint degradation. I feel infection is at the root cause of most joint problems problems
@murielslie4207
@murielslie4207 Жыл бұрын
I'm diagnosed as OA and suggested hip replacement, kindly help🙏
@murielslie4207
@murielslie4207 Жыл бұрын
I'm diagnosed as OA and suggested hip replacement, kindly help🙏
@robinshepard4571
@robinshepard4571 Жыл бұрын
Appreciate the information ℹ️👍
@mamashecrazy7423
@mamashecrazy7423 Жыл бұрын
Thank you for this informative video. You seem like a kind and compassionate doctor... I have been having hip pain on and off probably for a year or so. Finally the pain was debilitating. Went to orthopedist who kind of fluffed me off and said "its muscular- take some Tylenol." I insisted upon getting an MRI which shows tears in labrum and a tear in the greater trochanter. I also have a cam deformity which from what I have read might have caused the tears to begin with. The internet beats an encyclopedia, but there is so much information and I am not a doctor. I guess I won't know anything until I go back to the orthopedist. Here is my guess-- if I were younger, a surgical repair where they could shave down the bone and repair the labrum would be the plan. Since I am in my 60s, ultimately it will be a hip replacement. But I would first like to maybe get a steroid shot and see if that gives me some relief. Wish me luck- I have an appt with doc next week...
@GeetaRani-od1yq
@GeetaRani-od1yq Жыл бұрын
Hello doctor.. my right collar bone broken 13 may and 14 may a surgery of collar bone and fixation a titanium plate.and my scapula also fracture..after 45 days I got physiotherapy but my hand don't have full movement and I have some pain..! After one year I have to removed the plate or not please reply
@vixerytie182
@vixerytie182 9 ай бұрын
Update can you move it?
@GeetaRani-od1yq
@GeetaRani-od1yq 9 ай бұрын
@@vixerytie182 yes now I am normal
@tcking1329
@tcking1329 Ай бұрын
​@@GeetaRani-od1yq for how long u start do ur activities since u done surgeon?
@arunseghal369
@arunseghal369 Жыл бұрын
Joint replacement is a failed treatment for OA.Skeleton is cut which means it can never be repaired by implants.I am a enlightened patient of B/L Tkr since May 2015 and life is loving hell.
@elliott177
@elliott177 Жыл бұрын
😊 *Promo sm*
@nicolafrost4054
@nicolafrost4054 Жыл бұрын
Is there an age limit of when you would do the surgery? My PT person said after the age of 40 doctors won’t do the hip surgery… only replacement and I really don’t want to do that.
@danmcarthur8077
@danmcarthur8077 Жыл бұрын
Im 37 and had THR three months ago and am weight training, golfing, hiking and cycling pain free
@mervemersinligil
@mervemersinligil Жыл бұрын
I am 38, I was born with dysplasia on both sides (right more flagrant) and was treated when I was a baby. Last 4 years, I have been living in pain. I have had arthroscopic labrum repair on my right side 2 years ago. Following the same on my left side, which didn’t work so I had to have labrum reconstruction with a tendon from my left leg (so I can not lift very much anymore). Pain is much less but still there. Long walks became a distant dream… in the mean time, because of walking wrong, I have developed other problems in my back and in my spine. However doctors still hesitate to give me a prosthetic. How much do you think it shall continue?
@christinetoppings8757
@christinetoppings8757 Жыл бұрын
Hello Doctor. Are you able to take on Canadian failed hip labral repair.. I have lost stability anf falling.. if tbe femur is dropped out... would this cause impingement on Obturator N
@jmc8076
@jmc8076 Ай бұрын
There’s good surgeons in Toronto, Calgary. Ask your primary doctor and search the internet. Also Montreal had a private surgical clinic who I think does this surgery. I don’t have names you’ll have do your homework. Good luck.
@blakemoore666
@blakemoore666 Жыл бұрын
I’m 61, have impingement w/ labrum tear, hip orthopedist told me arthroscopy to fix the tear is a useless surgery at my age, had I been in my 40’s that would be another story, otherwise it’s a replacement for me.
@swanval38
@swanval38 Жыл бұрын
Ain’t that great! It makes one wonder if the replacement just provides higher insurance payments for the doctor.
@jilldiprose3265
@jilldiprose3265 10 ай бұрын
Did you get replacement ? I’m 58 and hip guy wants to do labral repair and capsular tightening . I’m thinking would replacement just have it over and done with ?
@blakemoore666
@blakemoore666 10 ай бұрын
@@jilldiprose3265 I did get replacement, have had lots of issues with lingering pain and stiffness. I still think doing a labrum repair surgery is a waste, you’ll need the replacement eventually and the recovery for either surgery is the same.
@tam6912
@tam6912 6 ай бұрын
A PT friend told me labrum repair takes 6 weeks for recovery but if there is arthritis a replacement is necessary. She is waiting for her Orthopedist to say when on surgery because she has both problems.
@benmoore3375
@benmoore3375 Жыл бұрын
WOW! What a story with a fantastic outcome! What type of internal brace did you use?
@josephb9160
@josephb9160 Жыл бұрын
What type of wrap is it?
@hluvv7607
@hluvv7607 Жыл бұрын
I'm 48 yo, MRI was done Found out I had a labrum tear posterior on the left hip (FAI) with arthritis cartilage loss, and My surgeon said I’d be needing a hip replacement eventually, my treatment currently is steroid shots, furthermore, in stage 3 osteoarthritis on both knees.
@jondstewart
@jondstewart Жыл бұрын
When I had my knee replacement, I had a CRNA do the job and not an MD anesthesiologist. Very surprising. I thought they weren’t allowed to do it without direct supervision. She inserted the pain ball, then took me to the operating room and inserted the epidural block. Next thing I knew, I laid down with the staff facing me and woke up about 2 hours later, given a shot of fentanyl, and up to my hospital bed. I got to stay for 2 nights and got VIP treatment and Percocet, stool softener, and blood thinner every 4 hours. Got Valium as a bonus once or twice.
@jondstewart
@jondstewart Жыл бұрын
I guess I’m lucky. I’m 55 years old and almost 9 weeks out from a knee replacement. It was 100% bone on bone in the medial and middle compartment. I got my knee to a 122 degree bend at my last PT appointment, but it’s torture trying to straighten it and tired of the stiffness, swelling, and tenderness. I used Percocet the first week out, then switched to 600 mg of ibuprofen 3 times a day, but was sick from it and lost over 5 pounds and quit. Used an ice chest for the first 6 weeks. Only Celebrex, which I was using for years before my surgery helps, but just a bandaid. I’ve been told to hang in there and between 6 months to a year, it’ll be totally healed. Only problem is my other knee is in just as bad of shape and needs to be replaced as well.
@beckyconstantinides2546
@beckyconstantinides2546 4 ай бұрын
I am four months past knee replacement with lots of pain. My other knee needs doing but since my replaced knee is giving me 10 times the pain as the other knee needing knee replacement, I am very dubious about getting the second knee done.
@lillaemeru7812
@lillaemeru7812 Жыл бұрын
'Promosm'