- I got blue too.
Hi, I'm Bob Shrupp, physical therapist.
- Brad Heineck, physical therapist.
- And together we are the most
famous physical therapist on the internet.
- In our opinion of course, Bob.
- Brad, I gonna talk briefly today.
And this is mainly, I would say basically both
of our opinions by why, you know
with the total knee replacement, why some people wait too
long to the point where they can't even have it.
- Sure. Let's, let's go it.
- The first one is often just plain old fear.
They're just afraid of the surgery and they're afraid
of the outcomes.
They're afraid of their, you know, they're gonna go
through the surgery and, and they, maybe aren't
gonna have the, knee's not gonna be better
but I can tell you, Brad, anecdotally, you know, I've
I've worked with over a thousand patients
with knee replacement.
So have you I bet.
- Yeah
- Vast, vast majority are very happy with it.
- Right.
- Most of them have said, I wish I've done it sooner
than later.
Go online and look at some of the forums that
where there's discussion about this and you ask anybody
should I have my knee done?
And almost all of them will say, I wish I wouldn't
have waited so long.
- Right, very true.
- And these are some statistics I've seen them
on different sites.
I, one of them was a government site.
So I, I think this could be trusted.
The government can be trusted. Right, Brad?
- Don't, I don't want to go there, Bob.
Let's go somewhere else.
- Anyway, nine outta 10 experienced dramatic relief.
95% were satisfied.
90%, It lasted over 10 years, 80% lasted over 20 years.
- Right?
- 80%, eight outta 10 lasted over 20 years.
- Yep.
- But the number one reason
I think a lot of people wait, is because they're
they're told to aren't they? The doctor says
we want you to wait as long as possible.
- Right, With especially people in their fifties.
- I'd say even sixties, being told
Forties, fifties, sixties, I would say
- And you might want, see a different doctor.
If you think you're ready your doctor says no
get a second opinion.
- Or just say to the doctor.
No, you know what?
Because this is what is happening.
Let's say you're, let's say you're 55.
- Right? Okay.
- How old are you?
- 52.
- Alright.
Let's say you're 52, 52 years old.
And, and he's telling you to wait, you, you right now
you have a terrible quality of life.
You can't do the things you can want to do.
Right? Brad, you can't, you can't walk like you want to do.
You can't maybe play golf.
You can't bike.
You can't, you know, you can't do all these things.
The things that you can do
which really supposed to be somewhat the prime of your life
- Right.
your kids are out of the house.
Now you're starting to, you know
supposed to really start and enjoy yourself.
So let's say you wait, you're able to wait
till you're 57, 5 years of crappy life.
And now, it lasts 20 years and you're 77 years old.
Okay? Now you're gonna have to have it redone anyway.
Right? Let's say, if you hadn't done
at 52 and you were 72 instead either way,
you're gonna have to have it redone right.
In one time.
Right?
- Right.
So why are you waiting?
- And it adds up when you're 77 or even 70, you may have
other medical issues that are gonna prevent you from, from
- Having it done.
- Right.
- Or either that you're gonna have it done, but either
either way, you know, you're gonna have two done.
- Right. You know,
Just, and right here is the spot that you got five years
in the prime your life when,
- Exactly.
- You got empty nest, the kids are gone.
You want to have a little romance
with your wife and your knee.
- Oh Lord.
- Yeah.
- And, and sure enough, you miss that five years of fun.
And cause when you just don't do those things, when
- You, I mean, who's gonna, yeah.
When you're in your seventies now you can be very active
and doing, do a lot of things, but you're more
likely gonna be a lot more active in your fifties.
- There's a window of opportunity there's big...
- So it is all about pain to me.
I mean, if you got bone on bone and you don't have pain
I would keep going.
- Right.
- But if you're having pain and you're suffering
I think it's time to go.
Because the worst thing that can happen.
And this is what happened to my grandpa,
He waited too long and then he was unable to have it.
And, and once you're not able to have it now
your life is dramatically changed.
- Sure.
- And I've I had a patient yesterday, Brad
like this she's, she never had her knee replacement done.
She's in her seventies right now.
- Mm hm.
And she is immobile.
I mean, you know, basically she can walk maybe 30 feet.
I mean, do you want to be that way in your seventies?
- Right?
- I mean, you wanna be able to go.
- On the other hand, I just discharged a patient, 55
years old, knee replacement in four weeks
she was completely rehab, minimal pain, outstanding
out outcome.
And, and her prognosis is excellent.
She's back to walking.
The only thing, keeping her from walking now
is it's winter time and it's, it's icy outside.
- Sure.
- So she's going to the school,
she's getting back to walking,
she has grandkids.
She can now play
- Great quality of life.
- You better believe it.
And there's doctors, you know, Dr.
Larson Brook or people come from him
from all over the United States
and he'll do knees when other people won't at earlier ages.
- Sure. I think he understands that.
- Yeah he does.
- What's the youngest you've had?
- 44. It was a male, 44 years old.
He, he blew his knee out, running a marathon.
- Ah.
- He didn't train for it.
He had some guys had a bet.
They were all drinking and they got a bet.
Oh, do this marathon in a month.
He didn't trade at all before.
And he did it and he blew his knee out and he had a
replacement.
- I had one that was 40 years old,
both knees done at the same time.
- Wow.
- Just kind of a genetic thing.
That's really bad.
So, this is our opinion, our opinion alone.
But I would say sooner
than later on knee replacement, that's just our opinion.
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