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Author Topic: Ghost Bursa  (Read 2421 times)

Offline philjay

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Ghost Bursa
« on: June 08, 2006, 02:55:01 PM »
Hi there Im new to the forum and wondered if anyone else has had this problem:

Last august I had a routine arthroscopy on the left knee, (third in 10 years), everything went well untill I started to try and get back to daily use of the leg and I developed prepatella busitis,as this got bigger the pains got worse eventually forcing me to use a stick to walk. Surgeon said it was nothing to do with the operation and it would go away, huh yeah right ::)) 10 months down the line after 7 aspirations and 2 steroid injections and alot of discomfort I asked for the bursa to be taken out, excised.

5 days after the excision the front of the knee took on that old familiar shape and now 2 weeks after the operation I have a new swollen bursa. I have just had an arthrogram and it certainly is a bursa, exactly where the old one was.

Before I had all this hassle I used to be a very keen cyclist and walker, I now cannot do either because it would seem as soon as I do any decent exercise the bursa swells up and the old pains come back and I have to have it aspirated again.

Has anyone else experienced a recurrence. According to my surgeaon he has "never heard of a bursa growing back" which is a change from the "No they do not grow back" when asked prior to the excision.

Thanks for your time

Phil


Offline weberbe

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Re: Ghost Bursa
« Reply #1 on: June 12, 2006, 01:16:43 AM »
Hi Phil,

Sorry to hear about all you have been thru with your bursitis...that is very frustrating to say the least...I am 4 months out from TTT surgery and I have been dealing with pes anserine bursitis for about the past month...I went to the OS and he did not want to do anything with it yet...just suggested ibuprofen...I am a walker but the walking causes the bursa to swell and become very painful...I have been trying to obtain any information I can about this problem...you mentioned an arthrogram...what is that?...

Mary

Offline Quill

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Re: Ghost Bursa
« Reply #2 on: June 12, 2006, 08:27:26 PM »
Hi Phil,

Even if a bursa could grow back, how could it that quickly. I think you ought to pursue a second opinion. I have bursitis in my thighs and that has been helped by injections from a pain management specialist.

Nancy
OA both knees, confined to patella. Arthroscopy 1998, cortisone both knees,  Halygan shots both knees. Had PFR 3/28/05. Recovery on schedule according to OS but lots of pain radiating up thigh and to lower back.

Offline philjay

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Re: Ghost Bursa
« Reply #3 on: June 15, 2006, 07:33:51 PM »
Hi and thanks for the replies Nancy & Mary

Mary, sorry to here about the problems, I have been there and got the tee shirt, Ibuprofen did nothing for me, it seems to be the first line of treatment along with rest but in alot of cases it does nothing. I had exactly the same problem, walking would agrevate the bursa and it would swell thus causing more problems in the knee. I found over the months that wearing a compression bandage when exercising seemed to do the trick, it would slow, (but not stop the swelling). I do not know how easy it would be to drain the bursa you have but from my experience this reduce the pressure on the surrounding muscles and will get you pain free walking again, for how long depends on the speed at which the bursa fills up again.


An Arthrogram is basically a fancy X ray I found out last week. You have a local anethetic in the knee and they inject it with flouroscopic die right into the joint.You have to walk around a bit so the die spreads around the joint and then they take X rays fore, aft & sides. Its not a very pleasant experience but it reveals an awful lot of detail.I am lucky having private health insurance so I was covered for this but its a very expensive and time consuming procedure and I should imagine UK National Health would not use it often.

Nancy, my thoughts exactly but as revealed by the arthrogram it would appear that I have indeed formed a fluid pocket in front of the patella in exactly the same place as the old bursa, my wife thinks I must be an alien or something now ;D. It is independant of the joint capsule and seems to have generated its own fluid so if its not a bursa I dont know what else it can be.
Thankfully with RICE Rest, Ice, Compression and Elecation over the past 2 weeks it seems to have behaved itself and not filled up any more, so now I am starting gentle exercise to try it out, so far so good but it is early days yet.I shall be seeing the consultant who took the bursa out tomorrow so it will be interesting to find out what he has to say on the subject.

Busitis in the thighs sounds painful you have my sympathy, Its amasing how many bursa the human body contains. What injections are you having? I had seroids direct into the bursa several times and that did nothing, as mentioned above, it was only when I had the bursa drained did I get any relief.



 


 

Offline Quill

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Re: Ghost Bursa
« Reply #4 on: June 24, 2006, 06:48:34 PM »
Phil,

the doc said the shots were a combo of steroids and other anti-inflammatories. Don't know exactlly. I just had about six shots in my sac yesterday at an ambulatory surgery unit. The doc wanted to do it there becaucse they have 3-dimensional radiology and he can see exactly where to put it. We'll see the results. Let you know. He said I'll know in about 4 days.

Best,
Nancy
OA both knees, confined to patella. Arthroscopy 1998, cortisone both knees,  Halygan shots both knees. Had PFR 3/28/05. Recovery on schedule according to OS but lots of pain radiating up thigh and to lower back.

Offline kims22

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Re: Ghost Bursa
« Reply #5 on: September 20, 2006, 04:37:37 AM »
hi, i'm new to this knee issue ... my OS just told me today that I should get my bursa excised. I have suprapatellar bursitis, have had it for the last 9 mos after falling on it during a hockey game (directly on the ice because my knee/shin guard came loose). I've had one cort injection, doc is not a believer in too many because it can break down soft tissue near the surface. Can you tell me how the surgery was and the recovery? I'm not sure if I want to have this procedure done.
Thanks, kims22

Offline stgiles16

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Re: Ghost Bursa
« Reply #6 on: September 20, 2006, 09:44:20 PM »
Hi guys, I had bursitis in both knees last year. I was sent to PT for iontopheresis only on the bursas. It really did work. It is expensive but it is also non invasive. Have either of you tried iontopheresis? it may be worth asking about, it worked wonders for me.

good luck
missy
2 ligament recons right ankle
2 arthroscopic,
5 open knee procedures
2 Plica removals
bone spur removal
2 microfractures
4 debridements
2 open LOAs all on left knee
Arthritis,both knees, ankles, shoulders, elbows, hands,spine
Fibromyalgia
Arthrofibrosis
LOA & PKR 2/15/06
RA
in pain mgmt
TKR JAN 2012

Offline Quill

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Re: Ghost Bursa
« Reply #7 on: September 21, 2006, 10:29:34 PM »
Missyt--that's very interesting. I never heard of it. I will ask my pin doc. Thnaks!

Nancy
OA both knees, confined to patella. Arthroscopy 1998, cortisone both knees,  Halygan shots both knees. Had PFR 3/28/05. Recovery on schedule according to OS but lots of pain radiating up thigh and to lower back.

Offline kims22

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Re: Ghost Bursa
« Reply #8 on: December 29, 2006, 05:35:43 AM »
hi, and thanks for the responses! i had the bursa excised and a chondroplasty on 11/10 and still have swelling...I have a great OS, so I know he is telling me the right thing to do. He said it was my only choice of getting rid of the chronic pain.  Has anyone gone through this? :-\? Anyone have any insight on how long the swelling/not bending will last? I was told 16 weeks of PT...seems a little excessive.

Offline hkay1

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Re: Ghost Bursa
« Reply #9 on: February 01, 2007, 07:34:30 PM »
What causes these bursas?  And what are they exactly?  And how do they become infected.  I have one.     I  just found this thread.  I am 3.5 months post op of a posterolateral corner and acl reconstruction.   I started to have terrible pain about 2 weeks ago when we ramped up the PT...  he tried a cortisone injection first and that lasted a week.  Today he drained it and there was all kinds of nasty puss in it.   He put me on antibiotics.   Is this something that will go away on its own with RICE or does it have to be excised?  Its very close to my ACL hardware.   He wants to wait until I am six months post op to go in so he can safely grab a screw while he is in there.  I am guessing he could take the bursa out too?   
Left ACL June 2007;
Removal of ACL Screw, drainage and debridement due to "reaction" subsequent staph infection - Feb 2007
Left Posterolateral Corner Reconstruction and ACL October 2006;
Left ACL June 2006;
Left ACL July 2001;
Left Miniscus Repair 2003;
Arthroscopy and Lat Release L&R 1988