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Author Topic: Pain 7 weeks after microfracture...failure????????  (Read 43273 times)

Offline ski-bum

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Pain 7 weeks after microfracture...failure????????
« on: May 22, 2009, 04:28:39 AM »
I am 7 weeks after microfracture for a grade 4 defect in the load bearing region of the the medial femur.† I was 6 weeks strictly non weight bearing and allowed to begin walking slowly discontinuing my crutches.† I am having difficulty walking without a limp and still have significant pain when I put weight on the leg in certain positions.† My surgeon (who I think very highly of) is a leading cartilage specialist who reassures me that this is normal and says to give it time.† I am seriously afraid that this pain, which is in the area of the microfracture, means that the microfracture failed.† Does anyone out there have any advice, similar experiences, or words of encouragement for me.† I am really afraid for the worst. ???

Marc†

Lateral Release/partial meniscectomy 1993
ACL Reconstruction 1994
Partial Meniscectomy 2007
Microfracture 2009† †
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee

Offline madel23

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #1 on: May 22, 2009, 02:03:49 PM »
I certainly hope not.  I had microfracture 3 months ago and still have pain.  My OS doesn't think this indicates failure, and says you might not feel significantly better until 6-12 months after the surgery.  So we just have to wait, wait, wait.

Offline caroline889

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #2 on: May 24, 2009, 02:20:08 PM »
Hi Marc

I'm 6 wks after microfractures in both knees. My left knee has got no pain, but my right knee is very painful under the knee cap, it is agony trying to do straight leg lifts.  I was worried that it hadn't worked in the left but reading postings on here it seems to be quite common, it doesn't mean it hasn't worked and all knees are different. I'll be seeing my consultant on thursday so I will let you know what he says if your are interested

caroline
Dislocations since 1986
Lateral Release RK June 2008
Diagnosed trochlea dysplasia RK & LK 2008
MPFL Recon. &  microfractures LK & RK April  2009
Diagnosed grade 4 arthritis RK & LK 2009
Scopes  & microfractures RK & LK Nov  2011
Fulk'n osteotomy, mpfl recon& trochleoplasty RK March 2012 LK Feb 2013

Offline ski-bum

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #3 on: May 24, 2009, 05:05:08 PM »
Caroline
I look forward to hearing what your consultant says...BTW, did you have both knees scoped and microfractured at the same time?  Were you NWB totally or allowed to place some weight on it/them?  Good luck!!

Marc
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee

Offline sandiegosteve

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #4 on: May 24, 2009, 11:29:49 PM »
I had pain through almost 12 months.

Every time I did too much too soon it was a lot of pain, swelling and time on my couch with an ice pack.

Now, nearing 2 years, I am doing very well.  Just older ;-)
Rt. Knee
- Microfracture on 2 lesions (2.5x2.2 and 2.2x1.0) - July 2007
- Medial Meniscus - July 2007
- Cartilage removal - December 2002

blog on my surgery: http://www.sandiegosteve.info/me/microfracture-surgery/

Offline caroline889

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #5 on: May 26, 2009, 11:01:11 AM »
Hi Marc
I had the two done at once as I was having medial patella ligament reconstructions done on both anyway.  Thankfully I was FWB withc crutches but it has been really awkward having to wear the straight leg braces for 6 weeks.  When are you due to go back to your consultant then? I will let you know how I get on.

Caroline
Dislocations since 1986
Lateral Release RK June 2008
Diagnosed trochlea dysplasia RK & LK 2008
MPFL Recon. &  microfractures LK & RK April  2009
Diagnosed grade 4 arthritis RK & LK 2009
Scopes  & microfractures RK & LK Nov  2011
Fulk'n osteotomy, mpfl recon& trochleoplasty RK March 2012 LK Feb 2013

Offline ski-bum

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #6 on: May 27, 2009, 07:18:31 PM »
I am seeing my surgeon on June 1st mostly to ask him if he feels that things are progressing as expected.  I am still having pain  with walking directly in the area of the microfracture so naturally I am concerned that there is something wrong.  I will keep you posted.

Marc
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee

Offline caroline889

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #7 on: May 29, 2009, 10:47:14 AM »
Hi Marc
I saw my consultant yesterday.  I asked when would we know if the microfracture has worked or failed and he said  we know if it has worked when the pain goes away in about 3 months from now ( I'm 6 wks post op at the moment).  It takes a while for the new cartilage to grow. So  it is just a matter of time. How big was the area treated as he said mine was quite small which gives a better  chance of working. If it fails the other option is CARES cartilage transplant which is much more successful. So don't worry, there is a good chance the pain will settle down. My straight leg braces are off now thank god and he said to go full blast with physio. Take care

Caroline
 
Dislocations since 1986
Lateral Release RK June 2008
Diagnosed trochlea dysplasia RK & LK 2008
MPFL Recon. &  microfractures LK & RK April  2009
Diagnosed grade 4 arthritis RK & LK 2009
Scopes  & microfractures RK & LK Nov  2011
Fulk'n osteotomy, mpfl recon& trochleoplasty RK March 2012 LK Feb 2013

Offline madel23

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #8 on: May 29, 2009, 12:47:37 PM »
That's strange.  When I saw my OS after 3 months and told him it still hurt A LOT, he said it can take up to a year to feel better.  Why can't they all just agree on a timetable?

Offline ski-bum

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #9 on: May 30, 2009, 10:24:17 PM »
Caroline,
I will see my surgeon on monday and fill you guys in on what he says.  BTW...your surgeon gave you full permission to have PT without any restrictions?  Where your microfracture(s) in a weight bearing area?  What kind of pain are you still having?  Are you walking normally yet?  Keep your chin up!!
Marc
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee

Offline jt10

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #10 on: May 31, 2009, 11:31:44 AM »
Hi Marc,

I am at about 4 1/2 months post-op for microfracture of a load bearing area of the med. femoral condyle.

I remember what it was like at the 7-8 week stage as I started to wean myself off the crutches and it wasnít easy. Like you, I walked with a limp and had pain most of the time. After 6 weeks NWB your muscles will be quite weak and itís the muscles that give you stability while walking and take some of the stress off the knee.

Iíve learnt from reading other peopleís posts that every situation is different. I can only speak for myself but I did feel better as the muscles started to come back Ė particularly the quads. I started stationary cycling at about 9 weeks (with approval of my OS) and that really helped me.

The recovery from microfracture is long and has lots of ups and downs. I think the mental part of the recovery process is as difficult Ė sometimes more difficult - than the physical part. The pain can wear you down over time, but try to be patient and know that you are not alone in what you are going through.

 Keep your chin up and good luck at your appointment with the OS tomorrow! I hope he answers all your questions and gives you some encouragement!

Offline caroline889

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #11 on: June 01, 2009, 10:44:49 AM »
Hi Marc
hope you had good news at your appointment.  I know what you mean about time scale as Ive read posts on here where it has taken up to a year. I suppose  it depends on the size of the defect  the cartilage is trying to cover. Probably  when i go back after 3 months still in pain, he will say give it a bit longer.

Ive got no restrictions now except to avoid stepping and rowing machines. Otherwise Ive got to try and do as much as  I can. Easier said than done! My knees are so stiff and still not bending very much.  My bend knees cant take the weight and I feel as if they will buckle. Im still using one crutch as my balance is all to hell  as well!  I went on my exercise bike  which was ok  on a low resistance but got lots of swelling afterwards.

My left knee doesn't feel too bad. However, my right still has the arthritic pain I had before the op so obviously the micorfracture hasn't done anything there yet.

I don't know about you but I am finding the recovery difficult. I thought  having the splints off would make a big difference, but  it just opens up new problems to deal with!

Let me know what your consultant said today. Hope it is good news for you.

Caroline
Dislocations since 1986
Lateral Release RK June 2008
Diagnosed trochlea dysplasia RK & LK 2008
MPFL Recon. &  microfractures LK & RK April  2009
Diagnosed grade 4 arthritis RK & LK 2009
Scopes  & microfractures RK & LK Nov  2011
Fulk'n osteotomy, mpfl recon& trochleoplasty RK March 2012 LK Feb 2013

Offline ski-bum

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #12 on: June 02, 2009, 04:21:07 AM »
I saw my surgeon today who was quite positive about my recovery.  He explained that this recovery process is quite long and that I must slowly advance my activity level.  He wants me riding the bicycle 1 hour per day at moderate resistance and attempt to walk a bit more each day.  I explained the symptoms that I was having and he feels that the pain I am having is normal this early in the game. 

My wife reminded me that I chose my surgeon for the reason that he is very experienced in cartilage reconstruction and that at some point I must trust him and have faith that things are heading in the right direction.  I walked away from todays appointment with renewed confidence (I don't know how long it will last) that I will be OK!

I begin PT this week and really need to focus on regaining the strength in my knee...it is very very week because of the extended period of NWB.  I took a walk when I got home and plan on extending the distance every day by a block or two until I feel like I am no longer limping!   

Cautiously optimistic
Advancing SLOWLY

Good Luck...I'll keep on posting my progress and look forward to hearing yours!

Marc
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee

Offline caroline889

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #13 on: June 02, 2009, 09:11:02 AM »
Hi there
 glad it went ok for you. Do you think the pain has eased at all? My right knee is really painful under the knee cap when I'm trying to do the exercises. It is exactly the same as before the op. I'm 7 wks post op now. Do you think yours has improved at all?

Caroline
Dislocations since 1986
Lateral Release RK June 2008
Diagnosed trochlea dysplasia RK & LK 2008
MPFL Recon. &  microfractures LK & RK April  2009
Diagnosed grade 4 arthritis RK & LK 2009
Scopes  & microfractures RK & LK Nov  2011
Fulk'n osteotomy, mpfl recon& trochleoplasty RK March 2012 LK Feb 2013

Offline ski-bum

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Re: Pain 7 weeks after microfracture...failure????????
« Reply #14 on: June 04, 2009, 03:59:42 AM »
I am still not able to walk correctly...I have a slight limp and my gait isn't correct.  I can't put full weight on my left leg in full extension without getting lots of pain.  Otherwise, I am riding the stationary bicycle without pain and slowly trying to strengthen my leg with early exercises that generally do not hurt.
I am starting PT tomorrow with a guy who is supposed to be excellent so I'm excited to get his opinion on my progress. 
It seems that every time I try to do more...the  following day it is more stiff and uncomfortable.  Sounds logical but very unnerving.
I try to keep my head up...
I'll check in regularly with updates.
Marc
1995-ACL Repair Left Knee
2007-Partial Meniscectomy Left Knee
2009 (April)- Microfracture Medial Femoral Condyle Left Knee