Arthroscopic booked 31st. August

[Bobbury]

Due to my great fondness & love of failing over, I've damaged my knee and now due to have this procedure. ( I have to say it's the first time in my life where I'm looking forward to surgery to get rid of the pain) Anyway, my question is what should I do regarding the taking of pred. I'm currently on 7mg, Should I stop, increase or just carry on with the same dose

many thanks

[DorsetLady PMRGCAuk volunteer]

I would stay on same dose, but you do need to discuss with surgeon, anaesthetist pre surgery - and at pre operation assessment just to ensure everyone is aware you are on steroids.

Good luck 🤞

[Bobbury in reply to DorsetLady]

Many thanks

[PMRpro Ambassador]

Absolutely NOT stop! Knee arthroscopy isn't a major intervention in the great scheme of things so I would just stay on the same dose for the present and discuss it with the surgical team and anaesthetist beforehand. Has anything been said about what type of anaesthesia they are likely to be used? The full range is available as an option!

Make sure they know you have been on long term pred and the current dose - they may decide to provide intra-procedural cover with hydrocortisone in an infusion. Make sure that EVERYONE is aware - don't mention it to a nurse and assume it will reach the entire team. It should - in an ideal world! And post op keep an eye out for any possible signs of a flare - different people will react in various ways.

originalText

[Bobbury in reply to PMRpro]

Thanks for that advise much appreciate

[Bobbury in reply to Bobbury]

Can I please ask you a question, what does meniscetomy, chondroplasty and microfracture mean.

[PMRpro Ambassador in reply to Bobbury]

meniscetomy is the surgical removal of the meniscus:

healthline.com/health/menis...

chondroplasty and microfracture in knee surgery:

roh.nhs.uk/patient-informat....

medlineplus.gov/ency/articl...

Does that help?

[Bobbury in reply to PMRpro]

Thanks

[piglette]

Knee arthroscopy is surgery that is done to check for problems, using a tiny camera to see inside your knee. As the others say just carry on as usual, but let your surgeon etc know you are on steroids.

[Bobbury in reply to piglette]

Thanks Piglette

[AyJayBass in reply to Bobbury]

They can also insert tiny tools to clean up bits of old damaged cartilage etc. I had one several years ago and they presented me with video (VHS tape in those days) showing everything the camera saw! Was most interesting if a little scary.