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Author Topic: continuing pain after TPF  (Read 768 times)

Offline jasmin1989

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continuing pain after TPF
« on: February 01, 2012, 07:20:35 AM »
Hi
Feeling a bit down. I've had this pain just below my knee cap ever since my surgery to put in the hardware for a TPF. Surgery was in May 2011. Then because the pain didn't go away I had an arthroscopy and hardware removed in November 2011. It was found the cartilage had cracked. I've just been back to my Orthopaedic surgeon this afternoon and told him that the pain is worse and has not improved. I can't bend with weight on my knee. That's when it hurts. He said he thinks it's the infrapatellar fat pad that is irritated. The pain is stopping me from doing my physio exercises properly and because of this I can't seem to strengthen my VMO muscle - it's just wasting away.
I've been prescribed an anti-inflammatory used to treat arthritis and then to see how it goes. The OS said I can expect the pain for another 6 months! I can't do this for another 6 months :-( I want to be able to dance again.
Has anyone else ever been told their infrapatella fat pad is irritated and what did you do?
Jasmin
2011
24/4 Hit by a car
10/5 - Surgery 1 plate 11 screws, bone grafts
Started physio, NWB for 6 weeks
21/06 PWB for 2 weeks then increase
start Aug - down to 1 crutch
30/08 - driving again
29/11 - Hardware removal & arthroscopy
18/12/12 - Fat pad debridement & scar tissue removal

Offline pattyb

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Re: continuing pain after TPF
« Reply #1 on: February 04, 2012, 03:58:19 PM »
HI Jasmin,

I was reading your post and I sort of had the same problem as you.  When I was weight bearing early on, I would get pain right below my knee cap.  This was no where near my break or my hardware.  Not horrible pain, but it was bothersome.  I asked my PT about it and she told me it was tendonitis of the patellar tendon.  She advised me to massage it frequently and to move my kneecap around in circles.  I'm not sure if this is what you are experiencing, but for me, it did go away as my leg got stronger.  It didn't take 6 months, but more like 2 months.

Your case sounds more severe than mine but maybe this is what your problem might be too.
Hang in there...it does get better.

Best wishes,

Patty
2010
5/21 Injured by dog-TPF Type III
5/27 Surgery 1 plate and 5 screws
5/30 Left hospital
7/1  First PT - 5 weeks
7/8  PWB - 6 weeks
7/29 FWB - 9 weeks
8/2  Back to work FT - 10 weeks
8/20 Told to ditch cane by PT -12 weeks
9/13 Released by PT - 15 weeks
10/18/2011 HW Removal

Offline jasmin1989

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Re: continuing pain after TPF
« Reply #2 on: February 10, 2012, 05:58:46 AM »
Thanks Patty :-)
My physio thought it could be to do with the tendons too but she's not sure. The pain in below my knee cap to the left and then sometimes on the top of my knee cap on the left side. Physiotherapist has also noticed that my knee cap is very rigid and does not move easily. I have found a research article though about fat pad ablation (inject alcohol into fat pad to 'shrink' nerve cells) by Dr David Connell. He is in Melbourne so if things don't get better I think I might get in contact with him.
2011
24/4 Hit by a car
10/5 - Surgery 1 plate 11 screws, bone grafts
Started physio, NWB for 6 weeks
21/06 PWB for 2 weeks then increase
start Aug - down to 1 crutch
30/08 - driving again
29/11 - Hardware removal & arthroscopy
18/12/12 - Fat pad debridement & scar tissue removal

Offline stavebomb

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Re: continuing pain after TPF
« Reply #3 on: April 19, 2012, 04:41:52 PM »
I had the same type of pain (kind of still do, but its not as bad) you are explaining.  My physical therapist identified it as pain being caused due to the patella not tracking correctly.  She explained to me that there are a ton of components that contribute to the proper functioning of the knee, and that since I hadn't really been using any of the muscles for three months they started to operated differently than how they normally do.  She was insistent that if PT was done regularly and properly, that the pain would go away, and it did for me.  I still feel the pain a little bit, but I surmise that is because I hardly do PT anymore.  My affected leg is still noticeably smaller than it originally was, but I am able to do most things, including basketball, which was the cause of my tibial plateau fracture that eventually lead to two plates and nine screws to be inserted.  I have noticed that the best exercise to help this particular issue is to stand on a step or a platform with your bad leg holding onto a handrail, and slowly lower yourself down until the heel of your good leg meets the floor, and then rise back up.  I would do three sets of twenty reps 3-4 times a week, and eventually I would increase the height of the platform to get a more intense workout.  I am 24, and my injury was sustained on May 2, 2011.  Hardware is coming out in 5 days! Woohoooo!  Good luck with the pain; its a bitch, but you will get thru it!

 














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