Sorry to hear about your experience. Whereabouts are you based ?
One recent doc suggested that an anterior interval release MIGHT help me.† I am afraid to let anyone touch this knee again for fear that the scar tissue would just get worse.† After every knee surgery, I have less function than before too.† I would love to know what doc suggested this for you.† How is your alignment?† How much scar tissue do you really have?† If this problem doesn't interfere that much with your everyday life, I would just modify your activities and deal with things because more surgery could make it worse.† In my case, I have already modified my activities, given up every form of exercise I used to love....all I can do is go in the pool and do upper body circuit weight training, very little biking (any tension hurts the knee).† I try to strengthen with SLRs...any "loading" exercises are just too painful.† I live dragging an ice bag everywhere I go.† Ice is the only thing that helps.† I have been on high dose anti-inflams. for over a year but have had to stop most of that due to stomach issues.† Now I am trying various gels...my knee heats up no matter what I do.† I wish I could just get a new knee but nobody will do that because they all say things aren't BAD enough!† My x-rays don't show bone-on-bone yet....Please let us know what happens with you!Francine
Is C at UCSF?†
Yeah, he's at UCSF.† He's the guy who underwent arthroscopy without anesthesia in the 1990s in order to create a pain map of the knee.† It's a really interesting article and apparently was quite influential at the time in changing view on treatment/management of PFPS. One recommendation in the article is to absolutely minimize conditions promoting inflammation in order to permit strengthening to remedy knee imblances (with apologies to any orthos reading this- I am a former biologist, but not a ortho/medical practioner).† Which kind of mirrors the recommendations you received.† He's got a lot of publications on his perspective on knee homeostasis, etc.† Might be interesting to read up on it as part of your decision making if you like doing that kind of thing and haven't done so already.
I suppose if I went to Steadman, he would say the anterior interval release would help...just because that is what he does.