I am a 53 year old male and was diagnosed with osteoarthritis in both knees back in 2019 this has now progressed to stage 4 but have been advised by my GP that I would not be considered for surgery as the NHS trust I come under have a policy barring anyone overweight or an above average BMI,
The East and North Hertfordshire Clinical Commissioning group (CCG)has agreed a revised policy on the management of obese patients requiring routine elective surgery who may require a general or spinal/epidural anaesthetic. The new policy replaces and builds upon the hip and knee arthroplasty policy adopted by NHS Hertfordshire.
After discussions with stakeholders, a review of the evidence for the risks of surgery in obese patients and the benefits of weight loss, this new policy was agreed. Patients with a BMI over 40 (or with a BMI between 30 and 40 with metabolic syndrome) are expected to lose weight and will not receive surgery untiloThey reduce their weight by at least 10% over 9 months Or to a BMI less than 30 .
I have had knee physiotherapy classes and have made many changes to diet etc but with very little improvement. The pain is now severe and debilitating , I manage the condition using over the counter pain relief medication, Flarin, Paracetamol, Nurofen Gel, TENS and a heat delivery and vibrating knee support pad......
In terms of exercise I walk as much as I am able even to the point where the pain is severe and I participate in Yoga classes weekly, I understand that good weight management can be beneficial but there are times when I can barely stand because of the pain.....
sorry to drone on, I have explored private options for treatment for total knee replacement which averages around £13,000 per knee, I am continuing weight loss options but now feel that I being held hostage to the trusts policy......I just wanted to share my current experience, sorry for droning on.
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