I've had (2) knee surgeries in the past two years: (1)

Let's get some more information first.

1. Are you male or female?
2. What is your height, weight?
3. When were the first and second surgeries?
4. What was the indication for the first surgery?
5. Did you go through a rehabiitation program?
6. The muscle that weakens with exercise, where in your thigh is it located?
7. Is the pain present at rest or only when you exercise?
8. Is there anything you can do to relieve the pain?
9. Do you have any other health problems?
10. How far can you walk?
11. How long can you stand?
12. Are you able to squat and then stand without help?

That will do for now. I'll look for your reply, and we'll go from there.

Teaching Doc






__________________
What I tell you is what I teach. I'm here to help improve your quality of life, and I'll work with you as long as necessary to help you.

QUESTION
1. MALE
2. 5' 10" 340 LBS.
3. 1ST SURGERY JUNE 30, 2004 2ND: FEB. 14TH 2005
4. KNEE REPLACEMENT RIGHT KNEE: ARTRIDITIC
5. YES
6. 4" ABOVE KNEE EXTERIOR
7. CONSTANTLY
8. NO, TAKE NAPROXEN SODIUM AT NIGHT (6) TAB
9. DIABETIC/ HIGH BLOOD PRESSURE TREATED
10.3/4 MILE WITH WALKER HELP
11.VERY SHORT TIME
12, NO

** NOTE ** AFTER SECOND SURGERY I WAS PRESCRIBED STEROIDS: GAINED 60 LBS IN 30 DAYS HAVE LOST SOME OF THE WEIGHT BY DIET NO EXERCISE:

TREATED FOR INFECTION BY INFECTION SPECIALIST, LAST REPORT NO INFECTION:

PA SAID MY BE DUE TO BAND BEING PLACED AROUND LEG DURING OPERATION !

First, neproxen. Six tabs at night or six tabs per day?

Bad news. Aside from the pain and weakness, it is probable that 90% of your impairment is weight related. You're doing the same thing you did before by continuing to do what you did that caused your knee problem in the first place.

Now, I'll be nicer, okay?

Are you on Social Security Disability? Your BMI (body mass index) is 51.6. If a person has a BMI in excess of 44-45 and a fixed, weight-related impairment (such as inability to ambulate independently), he/she meets the requirements. Since retiring as a medical school professor, I help people with these matters, so let me know.

The bad part again. Until you lose a significant amout of weight, I do not see a way for you regain what you have lost. You could
lose enough to possibly help you (possibly, no guarantee) and still be disability eligible.

At this point, the best I can do is suggest that you see a pain management specialist. If the band around you leg was responsible, the pain and weakness could be due to damage to nerve and/or muscle from compromised blood flow (and oxygen lack), but without that band, the surgeries could not have been done.

Let me know about the neproxen and disability. I'll try to help you as much as I can.

Regards from

Teaching Doc




__________________
What I tell you is what I teach. I'm here to help improve your quality of life, and I'll work with you as long as necessary to help you.