Life after knee replacement at Ascension Saint Alexius
After decades of knee pain, a left knee replacement at Ascension Saint Alexius in Hoffman Estates helped a retired barber get back to golf with care from orthopedic surgeon, Dr. Paul S. Nourbash.
For most of his adult life, Ralph Spizzirri learned how to work around his left knee. A former barber who spent decades standing, he first injured the knee as a teenager playing sports. Over time, the damage worsened. By his 40s, his leg had begun to bow, creating a limp that made even short walks difficult. Swelling followed simple activities, limiting sports and daily movement.
Despite the challenges, Ralph stayed active where he could. Golf became an outlet, even as knee instability forced him to wear a brace for nearly 10 years. Standing still could cause the knee to slip out of place, making balance unpredictable and movement cautious. “It was hindering me for many, many years,” he said.
Deciding it was time for surgery
Like many people living with chronic joint pain, Ralph waited longer than he wanted to. Being self employed made health coverage complicated, and he adapted as best he could. But as he entered his 60s, instability not pain became the deciding factor. Walking bone on bone for years left his knee unreliable, and he knew he could not continue safely.
Encouragement from family helped. Ralph’s sister had undergone knee replacement surgery herself and strongly recommended Paul S. Nourbash, MD, an independent, board certified orthopedic surgeon specializing in hip and knee replacement. Trusted referrals from loved ones gave Ralph confidence as he moved forward.
Care centered on comfort and coordination
Ralph chose to have his left knee replacement at Ascension Saint Alexius Center for Advanced Joint Replacement, a center designed specifically for joint replacement care. From preparation through recovery, he noticed the difference of a team focused entirely on hips, knees and shoulders.
On the morning of surgery, Ralph felt prepared. The care team had walked him through each step, and he had taken time to learn more on his own beforehand. His surgery began mid morning, and by early evening, he was already moving with a walker. After demonstrating safe movement and daily tasks, he chose to return home the same day.
Home based rehabilitation followed, with nurses and therapists visiting regularly. Ralph described the care team as consistently supportive and reassuring. Within days, he was bending his knee to 90 degrees and managing recovery without prescription pain medication.
Reaching milestones sooner than expected
Progress came quickly. Ralph transitioned from a walker to a cane within days, then stopped using the cane entirely about a week later. Physical therapy continued both at home and later in a clinic setting, where flexibility and strength steadily improved.
Within two weeks, he was bending his knee well beyond what he had expected. As therapy advanced, his doctor helped guide safe limits to protect healing while supporting Ralph’s goal of returning to golf. By six weeks, he was walking confidently, regaining balance and seeing measurable gains in mobility.
Some discomfort remained, especially when straightening the knee fully, but it never interfered with daily life. When back soreness appeared early in recovery, therapy addressed that too, helping him stretch and move more comfortably overall.
A brighter outlook on daily life
The difference was clear. Ralph recently walked more than a mile and a half, something that had once been impossible without swelling after just a block or two. Everyday movement feels steadier, and the limp he once lived with is gone.
Beyond the physical changes, the experience reinforced something Ralph already knew about himself, resilience. Across multiple surgeries in his life, he learned he could manage discomfort and focus on healing without relying heavily on medication. More importantly, he learned that waiting too long does not always make things easier.
Encouragement for others considering joint replacement
Ralph is open about his experience and often shares it with others facing similar decisions. His advice is simple. If knee or leg pain is limiting your life and care is accessible, consider acting sooner rather than later. For Ralph, knee replacement surgery did more than address instability. It restored confidence in movement and opened the door to activities he enjoys.
Today, he looks ahead to spending more time on the golf course and continuing to build strength, grateful for care that helped him move forward.
If knee pain or instability is limiting your daily life, explore joint replacement options and coordinated care at Ascension Saint Alexius Center for Advanced Joint Replacement.
This blog is intended for general informational use. Any health-related information shared is not meant to provide or replace professional medical advice and does not establish a patient-provider relationship. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.
Last updated: abril 9, 2026