PROMOTION5 signsyou may need a knee replacementGetting inshape for surgery8 reasons why youshould quit smokingbefore an operation1. Non-smokers are less likely to suffer ileffects from anaesthetic.2. They will usually make a quicker recov-ery than smokers, with fewer complications.3. An operation scar is also likely to healmore quickly.4. On average, smokers spend two dayslonger in hospital recovering from anoperation than non-smokers Weakened muscles and ligaments ofthe kneeMEore than 70,000 kneereplacements took place5. Smokers are more likely to developchest infections and blood clots afteran operation and their wounds takelonger to heal - smokers are 12 timesmore likely to develop wound healingcomplications and they are more at riskof infection than non-smokers.across England and Waleslast year. It is a majox, yeteffective and common operation and overtimebecomes the onlyway to eradikatepain and improve quality of life. Deformity of the area outside the kneeJolne Limited mobility due to chronic painand loss of function Continued degeneration of the kneejoint6. Nicotine increases the heart rate andblood pressure, which adds risk to anoperation as it is particularly importantthat the heart rate, thythm and bloodpressure are kept at a safe level.How do you know when you need a kneereplacement? Here are 5 signs to look outfor and to discuss with your GP. Reduced success rate of any futuresurgery 24-hour severe pain in the knee andthe surrounding area, or elsewheresuch as the hip or ankle, which impacts on your daily life even when youare restingIf you have experienced any of thesesymptoms and are worried, youshould discuss them with your GPUnless your sympeoms are very severeand debilitating your GPis likely tofirst recommend pain reliefand /or7. Smokers have a higher risk of bloodclots and their blood clots faster thanthat of a non-smoker. After an opera-tion, clots in the legs or lungs can bepotentially tatal. Swelling and inflammation of the kneewhich no longer responds to medication Siffness in the knee and immobilityBowing' of the leg Non-steroldal anti-inflammatorydrugs no longer provkde relief frompain8. Carbon monoxide is a poisonous gasfound in cigarette smoke, transterring from the lungs to the blood andreducing the blood's ability to transportoxygen. During an operation a smoker'sblood carries less oxygen, and after anoperation a poor oxygen supply to thewound will delay healing and reduce therisk of infectionphysiotherapy before suggesting anoperation, but ifand when they agreethat you need a knee replacement youcan ask to be referred to the hospital ofyour choice for NHS treatment.There are three options for surgery atPeninsula NHS Treatment Centre - as anKnee replacement surgery is an effectiveoperation and it is important to heed the5 signs. Failure to do so could lead to amumber of problems includingNHS patient via self-pay (costsare lessthan local private healh care providers).or using private medical insurance.Advice on quitting smoking can be foundat www.bht.org.uk/heart-healthrisk-factors/smokingwww.peninsulatreatmentcentre.nhs.uk PROMOTION 5 signs you may need a knee replacement Getting in shape for surgery 8 reasons why you should quit smoking before an operation 1. Non-smokers are less likely to suffer il effects from anaesthetic. 2. They will usually make a quicker recov- ery than smokers, with fewer complica tions. 3. An operation scar is also likely to heal more quickly. 4. On average, smokers spend two days longer in hospital recovering from an operation than non-smokers  Weakened muscles and ligaments of the knee ME ore than 70,000 knee replacements took place 5. Smokers are more likely to develop chest infections and blood clots after an operation and their wounds take longer to heal - smokers are 12 times more likely to develop wound healing complications and they are more at risk of infection than non-smokers. across England and Wales last year. It is a majox, yet effective and common operation and over timebecomes the onlyway to eradikate pain and improve quality of life.  Deformity of the area outside the knee Jolne  Limited mobility due to chronic pain and loss of function  Continued degeneration of the knee joint 6. Nicotine increases the heart rate and blood pressure, which adds risk to an operation as it is particularly important that the heart rate, thythm and blood pressure are kept at a safe level. How do you know when you need a knee replacement? Here are 5 signs to look out for and to discuss with your GP.  Reduced success rate of any future surgery  24-hour severe pain in the knee and the surrounding area, or elsewhere such as the hip or ankle, which im pacts on your daily life even when you are resting If you have experienced any of these symptoms and are worried, you should discuss them with your GP Unless your sympeoms are very severe and debilitating your GPis likely to first recommend pain reliefand /or 7. Smokers have a higher risk of blood clots and their blood clots faster than that of a non-smoker. After an opera- tion, clots in the legs or lungs can be potentially tatal.  Swelling and inflammation of the knee which no longer responds to medication  Siffness in the knee and immobility Bowing' of the leg  Non-steroldal anti-inflammatory drugs no longer provkde relief from pain 8. Carbon monoxide is a poisonous gas found in cigarette smoke, transter ring from the lungs to the blood and reducing the blood's ability to transport oxygen. During an operation a smoker's blood carries less oxygen, and after an operation a poor oxygen supply to the wound will delay healing and reduce the risk of infection physiotherapy before suggesting an operation, but ifand when they agree that you need a knee replacement you can ask to be referred to the hospital of your choice for NHS treatment. There are three options for surgery at Peninsula NHS Treatment Centre - as an Knee replacement surgery is an effective operation and it is important to heed the 5 signs. Failure to do so could lead to a mumber of problems including NHS patient via self-pay (costsare less than local private healh care providers). or using private medical insurance. Advice on quitting smoking can be found at www.bht.org.uk/heart-health risk-factors/smoking www.peninsulatreatmentcentre.nhs.uk

Date: 09 February 2020

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PROMOTION 5 signs you may need a knee replacement Getting in shape for surgery 8 reasons why you should quit smoking before an operation 1. Non-smokers are less likely to suffer il effects from anaesthetic. 2. They will usually make a quicker recov- ery than smokers, with fewer complica tions. 3. An operation scar is also likely to heal more quickly. 4. On average, smokers spend two days longer in hospital recovering from an operation than non-smokers Weakened muscles and ligaments of the knee ME ore than 70,000 knee replacements took place 5. Smokers are more likely to develop chest infections and blood clots after an operation and their wounds take longer to heal - smokers are 12 times more likely to develop wound healing complications and they are more at risk of infection than non-smokers. across England and Wales last year. It is a majox, yet effective and common operation and over timebecomes the onlyway to eradikate pain and improve quality of life. Deformity of the area outside the knee Jolne Limited mobility due to chronic pain and loss of function Continued degeneration of the knee joint 6. Nicotine increases the heart rate and blood pressure, which adds risk to an operation as it is particularly important that the heart rate, thythm and blood pressure are kept at a safe level. How do you know when you need a knee replacement? Here are 5 signs to look out for and to discuss with your GP. Reduced success rate of any future surgery 24-hour severe pain in the knee and the surrounding area, or elsewhere such as the hip or ankle, which im pacts on your daily life even when you are resting If you have experienced any of these symptoms and are worried, you should discuss them with your GP Unless your sympeoms are very severe and debilitating your GPis likely to first recommend pain reliefand /or 7. Smokers have a higher risk of blood clots and their blood clots faster than that of a non-smoker. After an opera- tion, clots in the legs or lungs can be potentially tatal. Swelling and inflammation of the knee which no longer responds to medication Siffness in the knee and immobility Bowing' of the leg Non-steroldal anti-inflammatory drugs no longer provkde relief from pain 8. Carbon monoxide is a poisonous gas found in cigarette smoke, transter ring from the lungs to the blood and reducing the blood's ability to transport oxygen. During an operation a smoker's blood carries less oxygen, and after an operation a poor oxygen supply to the wound will delay healing and reduce the risk of infection physiotherapy before suggesting an operation, but ifand when they agree that you need a knee replacement you can ask to be referred to the hospital of your choice for NHS treatment. There are three options for surgery at Peninsula NHS Treatment Centre - as an Knee replacement surgery is an effective operation and it is important to heed the 5 signs. Failure to do so could lead to a mumber of problems including NHS patient via self-pay (costsare less than local private healh care providers). or using private medical insurance. Advice on quitting smoking can be found at www.bht.org.uk/heart-health risk-factors/smoking www.peninsulatreatmentcentre.nhs.uk PROMOTION 5 signs you may need a knee replacement Getting in shape for surgery 8 reasons why you should quit smoking before an operation 1. Non-smokers are less likely to suffer il effects from anaesthetic. 2. They will usually make a quicker recov- ery than smokers, with fewer complica tions. 3. An operation scar is also likely to heal more quickly. 4. On average, smokers spend two days longer in hospital recovering from an operation than non-smokers Weakened muscles and ligaments of the knee ME ore than 70,000 knee replacements took place 5. Smokers are more likely to develop chest infections and blood clots after an operation and their wounds take longer to heal - smokers are 12 times more likely to develop wound healing complications and they are more at risk of infection than non-smokers. across England and Wales last year. It is a majox, yet effective and common operation and over timebecomes the onlyway to eradikate pain and improve quality of life. Deformity of the area outside the knee Jolne Limited mobility due to chronic pain and loss of function Continued degeneration of the knee joint 6. Nicotine increases the heart rate and blood pressure, which adds risk to an operation as it is particularly important that the heart rate, thythm and blood pressure are kept at a safe level. How do you know when you need a knee replacement? Here are 5 signs to look out for and to discuss with your GP. Reduced success rate of any future surgery 24-hour severe pain in the knee and the surrounding area, or elsewhere such as the hip or ankle, which im pacts on your daily life even when you are resting If you have experienced any of these symptoms and are worried, you should discuss them with your GP Unless your sympeoms are very severe and debilitating your GPis likely to first recommend pain reliefand /or 7. Smokers have a higher risk of blood clots and their blood clots faster than that of a non-smoker. After an opera- tion, clots in the legs or lungs can be potentially tatal. Swelling and inflammation of the knee which no longer responds to medication Siffness in the knee and immobility Bowing' of the leg Non-steroldal anti-inflammatory drugs no longer provkde relief from pain 8. Carbon monoxide is a poisonous gas found in cigarette smoke, transter ring from the lungs to the blood and reducing the blood's ability to transport oxygen. During an operation a smoker's blood carries less oxygen, and after an operation a poor oxygen supply to the wound will delay healing and reduce the risk of infection physiotherapy before suggesting an operation, but ifand when they agree that you need a knee replacement you can ask to be referred to the hospital of your choice for NHS treatment. There are three options for surgery at Peninsula NHS Treatment Centre - as an Knee replacement surgery is an effective operation and it is important to heed the 5 signs. Failure to do so could lead to a mumber of problems including NHS patient via self-pay (costsare less than local private healh care providers). or using private medical insurance. Advice on quitting smoking can be found at www.bht.org.uk/heart-health risk-factors/smoking www.peninsulatreatmentcentre.nhs.uk

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