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Author Topic: Subchondroplasty recovery questions  (Read 4773 times)

Offline dal_knee

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Subchondroplasty recovery questions
« on: January 19, 2015, 04:25:05 PM »
Hello,
I would love to hear from anyone who has had subchondroplasty of the knee, particularly on a weight bearing area.   I am 4 weeks out and my symptoms are a magnified version of what they were prior to surgery.    I had this done on the medial femoral condyle, weight-bearing area.  I have a chondral defect adjacent to it.   Right now, I'm experiencing a lot of bone pain over about 1/3 of the femur.   

I'm a little worried because before I had the surgery, the doctor said to expect intense pain for 2 weeks and then it all just resolves.  So when I called with my description (that it feels a lot worse than before at 4 weeks out) he says  it's not unexpected and allow a 6 week period for recovery.   I much prefer to compare notes with actual patients, however.   Please share your experiences and whether my description sounds familiar.   Please state whether you have an associated chondral defects as well.   

Thank you.   
2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.

Offline The KNEEguru

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Re: Subchondroplasty recovery questions
« Reply #1 on: January 23, 2015, 08:37:33 PM »
Hi
Have a go with the 'Search' button on the menu bar - that should bring up a few discussions and you can see who is talking about subchondroplasty.
Sheila
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KNEEguru

Offline MDAL

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Re: Subchondroplasty recovery questions
« Reply #2 on: January 23, 2015, 09:28:37 PM »
EDIT: Removed since I gave an answer based on my experience with chondroplasty and did not read the SUB part of the OP...
« Last Edit: January 23, 2015, 10:33:29 PM by MDAL »

Offline dal_knee

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Re: Subchondroplasty recovery questions
« Reply #3 on: January 23, 2015, 10:04:56 PM »
Hi MDAL,
Thanks very much for responding.  Can you just confirm that you are discussing subchondroplasty and not chondroplasty?? 


Thx

2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.

Offline MDAL

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Re: Subchondroplasty recovery questions
« Reply #4 on: January 23, 2015, 10:26:59 PM »
No, I can't... I skipped the sub part since there are so many basic cartilage shaving threads that I wrongly and immediately assumed it was another one.

In this case, I doubt you will actually find just as many threads on the subject as I suggested, maybe a  few, and now I get the part of the bone pain... but among those who did MFX without any filling material like yours, you might try to see if there is some bone pain parallel with your case... I suspect the pain is the from the drilling anyway, not from the implant...
« Last Edit: January 23, 2015, 10:29:42 PM by MDAL »

Offline umtum

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Re: Subchondroplasty recovery questions
« Reply #5 on: March 02, 2015, 03:17:10 AM »
Hello my name is Ted. I was researching subchondroplasty and came across this thread. I have a focal defect in my ankle and my doctor has been suggesting subchondroplasty as well. On occasions I get really intense pain in the bone as if the nerves in the bone are angry and eating away at my bone. That's the only way I can describe it.  I'm just scared that doing this operation will upset my nerves even more.  I was wondering if you had any relief of pain since your subchondroplasty? I'm just looking for some advice from someone who has had it done. I hope you are doing better.

Ted

Offline dal_knee

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Re: Subchondroplasty recovery questions
« Reply #6 on: March 03, 2015, 10:05:29 PM »
Hello Ted,

Yes, I've had significant relief from the surgery, and still expect additional healing.  I'm 10 weeks out and am doing much better than I was prior to the subchondroplasty.     

When you say you are afraid your nerves may over-react....are you saying that you are weary of post-surgical associated flare-up of the condition or that you may have underlying nerve abnormalities that would worsen?   If it's the latter, you could have the doctor send you to a physical medicine specialist to run a nerve conduction study.   If that were positive, then your ortho would recommend against a subchondroplasty.    If you are referring to the former, I would say to expect an intense flare-up (several weeks) and you just have to hang in there and take your  pain medications and don't overdo it.   

Hope this helps.   
2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.

Offline umtum

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Re: Subchondroplasty recovery questions
« Reply #7 on: March 18, 2015, 04:25:28 PM »
Hey thanks for your response and sorry fo r my late reply.  I don't get a notification saying that you replied or an email.

Well I guess I should be more clear. I don't think I have an underlying nerve issue.  The nerves I was referring to is where I have my ocd. Bc when I have bone aching pain coming from that area it feels like the nerves in the bone are upset (since bone has many nerves and that's where our ocd pain comes from). So I was wondering if injecting material into that area would upset the nerves in the ocd area. I hope that makes more sense?

I was wondering if you can share what your pain was like before the procedure and now.  Did you have deep bone aching? Was it intermittent or more constant.  For me, dull mild ache happens once every couple days and it's not so bad. But sometimes maybe once a month I get really random deep aching pain that's pretty intense.

I'm really considering this procedure and just wanted to make sure it's the right operation for me. Just like you, after having 3 surgeries I'm very cautious about any more operations.

Well I hope you are improving still.  I appreciate you sharing your experience. Thank you so much!

Ted

Offline dal_knee

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Re: Subchondroplasty recovery questions
« Reply #8 on: March 19, 2015, 04:05:48 AM »
Hi Ted,

This surgery does flare up the pain nerves in that area certainly.  Expect a major flare for several weeks I would say, and don't get disheartened if that is your case for 4-6 weeks.  I would say it was more intense than I expected, imagined in my head.

My pain condition was/is similar to yours.   (I continue to have significant, debilitating bone pain but more on that later).    My bone pain could be both intermittent and constant.   I had mostly learned how to avoid the aggravating factors that would result in "constant" bone pain, by minimizing most types of movement.  Boy, this is sounding depressing.    :-\

Post-surgery,  I still have a deep bone ache, but am able to work through more activities of daily living.  When I last updated, I was just beginning to be able to bear-weight while standing (think brushing your teeth for 2 minutes without moving) and shower while standing etc.   I had not yet tried the dreaded sitting position ( foot flat on the floor, knees at 90 degrees) as that's one of the activities I assume will come without pain much later in the process.    When I last reported, I was 10 weeks out.   And these improvements (being able to simply stand ) were major compared to where I was at for the 5 months prior to my subchondroplasty surgery.   Oh yes, another major improvement was that I could walk with 90% reduced limp.   

At the 10 week mark, I had a major stem cell intervention to hopefully regenerate some of the lost cartilage in the OCD.   I cannot fairly report any progress or lack thereof due to this injection, unfortunately.   I am not yet back to the pre-injection state pain-wise, so I wait.   If you ask me right now, I think if in 8 weeks from today I don't have another 30% improvement in the bone-pain, I would consult with the surgeon and ask him to take another MRI.  I certainly continue to expect additional healing, but the stem cell injection has temporarily taken me a few steps back.   I'm confident this will improve.     
2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.

Offline stinkroach

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Re: Subchondroplasty recovery questions
« Reply #9 on: November 27, 2017, 05:07:07 AM »
Dal knee, how is your knee doing these days?  would you consider the subchondroplasty successful?
Also curious as to whether all the calcium phosphate compound has been reabsorbed

Offline dal_knee

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Re: Subchondroplasty recovery questions
« Reply #10 on: November 30, 2017, 10:16:08 PM »
Hi
Almost none of the calcium phosphate is resorbed.  And I'm 3 years out from the surgery.  Last x-ray was done just a few months ago.   

Regarding success, I would call it marginally successful.  For me, it helped immensely with eliminating non-tolerable pain while sitting, standing, sleeping.  While walking I was still "uncomfortable" and due to severity of my issue, I have elected to not attempt any low/medium/high impact activity, so I can't comment there.     
2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.

Offline stinkroach

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Re: Subchondroplasty recovery questions
« Reply #11 on: December 03, 2017, 07:36:46 PM »
Hi Dal,

So say if you hadn't had the surgery done would you opt for it again knowing what you know now?
Any did your doctor give you any recommendations on what you can do?  Or are you just being careful by not aggressively using your knee?

Also did he say anything about when the material will be reabsorbed?

I have a lesion in my medial femoral condyle too.  Fortunately the lesion is intact and cartilage not in a bad shape.

Offline dal_knee

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Re: Subchondroplasty recovery questions
« Reply #12 on: December 03, 2017, 10:19:51 PM »
Looking back I wish I had been brave enough to opt for a cartilage regeneration procedure instead of treating the bone pain only with the subchondroplasty.  I have a few reasons for opting for that, but are probably not relevant to this specific conversation.

I don't continue to see the surgeon who did the subchondroplasty so I can't comment on what the doc's thoughts are regarding the slow rate of absorption.  According to manufacturer the time is 1.5-2 years max for full absorption.

Prior to the surgery the surgeon stated that "running probably is not the best activity for this condition", if that helps.  That proved to be supremely overly optimistic, as 6-months post-surgery my knee blew up again just climbing stairs while carrying a heavy load.   Took 1.5 years to get past that.   However, multiple procedures were done (without my consent) in addition to the subchondroplasty, so there's that part that cannot be discounted.  After that incident, it became clear to me that I definitely wouldn't dare attempt impact activities at all.

Anyhow, since your overlying cartilage is mostly normal, this surgery may work better for your case, but these are just my own personal thoughts.   
2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.