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I have moderate to severe tricompartmental osteoarthritis in my left knee and an inflamed Achilles tendon in the same leg. I'm know I need knee replacement surgery but not sure about the Achilles tendon. If I have to have surgery on both, can they be done at the same time or if they can't which should I have first? Thanks!
- Joe ( United States of America ) Dec 07,2015 1:49 PM

Answer

Dec 13,2015 8:53 PM
Dear Joe,

Severe tricompartmental osteoarthritis with the symptoms including pain, swelling, stiffness leading to marked restriction of daily life activities does require a total knee replacement. 


As far as the Achilles tendonitis is concerned, initially it should be managed conservatively. NSAIDs, ice packs, compression and orthotic devices, elevation of the foot would help. Bed rest should be advised in addition to avoiding exercises that strain the tendon should be avoided. Corticosteroid injections can be an option under ultrasound guidance. If the conservative management fails or the there is significant inflammation on imaging investigations such as an MRI or there is recurrent tendonitis then surgical option should be explored. 


The better option in my view would be to treat the Achilles tendonitis conservatively while going for the total knee replacement , first.


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