Well, I finally saw another Doctor regarding my suspected medial subluxation. A well known and respected Doctor who treats professional teams in Los Angeles. He seems to think that medial subluxation was a red herring and that my true problem still stemmed from my lateral release, but that it is merely scar tissue. He said this type of scar tissue is extremely rare and he has only seen it 2 other times in 35 years of treating athletes etc...
he called it "Scar tissue formation of the lateral gutter"
And essentially told me that when my original doctor did a lateral release, the lateral retinaculum curled back underneath itself and is now "pushing" my kneecap out of alignment because of this scar tissue and the curling of retinaculum under itself.
He called for PT and a heavy icing / stretching routine, along with massage therapy to try and correct the curling and the scar tissue.
He seems to think that this is the cause of my instability and not the medial subluxation. He seems to think that 3 month of PT will correct this problem fully.
Has anyone ever had this happen to them? this "lateral gutter scar tissue" where the lateral retinaculum curled under itself after a lateral release, causing symptomology of a medial subluxation?
I have no choice but to be optimistic about his findings but at the same time, in the back of my head, I cant help but wonder if maybe I actually do have more wrong then just scar tissue. My first doctor did an "exploratory" surgery 6 months after my initial lateral release to look for scar tissue and said he didnt find any. So I have mixed feelings about a problem I've had for over 2 years being just scar tissue, especially after one surgeon has already looked for scar tissue and found none.