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The general outcomes for both nonsurgical and surgical intervention are fairly good. There’s about an 80% recovery across the board and with the minimally invasive techniques, it’s about 90 to 95% successful. There are always risks to any surgical intervention on any body part, specifically the spine. There are nerves in that area. There are arteries, there are very important structures, and you need to have a specialist who sub-specializes in spine doing any kind of surgical intervention to your spine as this is a very specific area of treatment that needs a very specific specialist.
So a patient who comes in with knee pain or hip pain who has then been diagnosed with osteoarthritis of that joint will usually be treated conservatively. If they respond well to conservative treatment, we continue that conservative therapy until such time as the treatment no longer is relieving their symptoms or allowing them to do what they want for their activities of daily living. At that point in time, they would then be a candidate for a joint replacement. Joint replacements do remarkably well. There is a significant period of rehabilitation after the joint replacement. Patients usually need to be in the hospital for at least two days, if not up to five days, and will need aggressive physical therapy to get their body used to the new joint. Basically, by the three month mark, most patients are able to do almost everything they have wanted to do prior to the joint replacement.
There are some risks of doing a joint placement. Those risks include but are not limited to the pain not going away or not going away completely. There is risks of wearing down that joint where you would need another joint. There are arteries, nerves, and other types of soft tissues around the joint that might get injured during the procedure. They can have a stiff joint after a total joint replacement. At the end of the day, 90 plus percent are successful after joint replacement treatments.
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