How long after weight loss surgery can a knee replacement be done?
Patient's Query
Hi doctor,
I am struggling with severe obesity (BMI 45) and advanced osteoarthritis in both knees. My orthopedic surgeon refuses knee replacement until I lose significant weight, while my bariatric surgeon recommends a gastric sleeve first, followed by knee replacements after losing 80 to 100 pounds.
How do I exercise post-bariatric surgery with such painful knees? Also, how can I manage post-operative pain from bariatric surgery while taking arthritis medications, especially since NSAIDs are restricted?
What is the best sequence to minimize complications? How long should I wait between surgeries? What are my pain management options after bariatric surgery? I feel trapped between two urgent medical needs with no clear way forward.
Please help me.
Thanks.
Hi,
Welcome to icliniq.com.
I can understand your concern.
Your bariatric surgeon’s plan makes sense. Losing weight first reduces surgical risks and improves knee replacement outcomes. Many patients rely on low-impact exercises like swimming or cycling post-bariatric surgery to stay active despite joint pain. Ideally, wait 6 to 12 months between surgeries for weight stabilization. For pain management without NSAIDs (non-steroidal anti-inflammatory drugs), options include Acetaminophen, nerve blocks, or certain opioids under careful supervision. A pain specialist can help tailor a safe plan.
Feel free to follow up with any further questions or concerns.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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