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There are minimally invasive options that don't require pain meds: - gel injections (my mom's done this and it worked in one knee but not the other) - nerve ablation deadens the nerves transmitting the pain. Nerve may grow back but I think the ablation can be done again. - peripheral nerve stimulation (a temporary lead inserted at a strategic spot that interrupts the pain nerve transmission). This is different than like a TENS unit and is fairly new on the market but has a 72% success rate and once it works it doesn't need to be repeated. Keep pursuing these at your ortho pain clinic -- don't give up! There are options!
Very unlikely that any anesthesiologist will put her 'under' although sometimes these kinds of surgeries can be done with spinal anesthesia. You'd need a consult with an anesthesiologist to see if she qualifies for that.
I have a friend who is in her 70's and she put off knee replacement for quite a few years by having the gel type injections.
She should be able to take something by mouth for the pain. Nobody needs to live in constant pain. A pain management dr could help with that.
Her heart may not survive the surgery. A man we knew recently died from complications from knee surgery. He suffered a couple of strokes, then it was found he had CHF and needed bypasses. Couldn't do the bypasses because of his CHF.
If you've exhausted your options such as a second opinion, alternatives to general anaesthesia,etc., then I would suggest a consult with a pain management specialist.
The Dr. has reasons for refusing replacement. Then get her a "pain management" Dr. The longivity of pain will do things to her brain and body and she will "go downhill".
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
- gel injections (my mom's done this and it worked in one knee but not the other)
- nerve ablation deadens the nerves transmitting the pain. Nerve may grow back but I think the ablation can be done again.
- peripheral nerve stimulation (a temporary lead inserted at a strategic spot that interrupts the pain nerve transmission). This is different than like a TENS unit and is fairly new on the market but has a 72% success rate and once it works it doesn't need to be repeated.
Keep pursuing these at your ortho pain clinic -- don't give up! There are options!
Very unlikely that any anesthesiologist will put her 'under' although sometimes these kinds of surgeries can be done with spinal anesthesia. You'd need a consult with an anesthesiologist to see if she qualifies for that.
I have a friend who is in her 70's and she put off knee replacement for quite a few years by having the gel type injections.
She should be able to take something by mouth for the pain. Nobody needs to live in constant pain. A pain management dr could help with that.
Also, here is some information from the Mayo Clinic site:
https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/troubled-by-knee-arthritis-but-not-ready-for-knee-replacement