Author Topic: Patella tendon raised and swollen  (Read 308 times)

Offline Fanson88

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Patella tendon raised and swollen
« on: July 12, 2017, 04:57:59 AM »
Was hoping I could hear some stories with tendonitis of the patella tendon from other sufferers. I've been having knee pain for about 3 years. Doc said runners knee. Have had about 3 cortisone shots. Did wonders for my pain! For about two weeks now the pain came back with the patellar tendon from my knee cap to my shin is completely raised up and swollen. I can not find ANYTHING close to this. I've seen swollen knees but nothing like mine. Asked my doctor if he has seen anything like it he didn't really answer. I can't bend my knee with out pain. He gave me another injection I think under the tendon which made it swell up more and made it tighter. ART guy at my work says it's scar tissue from overuse. 3 years of scar tissue. Has anyone ever experienced anything like this? What's your story? What was the outcome? PT, surgeries, other treatment options. I've searched and searched! Tell me your story! Thank you!

Offline Clarkey

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Re: Patella tendon raised and swollen
« Reply #1 on: July 13, 2017, 03:08:17 PM »
I can give you some information about my patella tendonitis treatment options that I have been through that have all failed to improve the anterior knee pain and discomfort. I have had 2 surgeries on my right knee with a 3rd one scheduled in the autumn due to scar tissue around the patella tendon that has caused the chronic patella tendonitis.

I had surgery of AIR in July 2014, 3 years post-op after several none invasive treatment options will have patella decompression surgery. I have had 5 cortisone injections in total the 1st one was pre op to scope #1 of medial plica excision and fat pad trim, 2nd post after scope #1. The remaining 3 cortisone injections was done post-op to scope #2 after anterior interval release surgery.

I have had 3 sessions of shockwave therapy (ESWT) it has not really benefited the pain around the bottom of the kneecap by the tibia.

http://www.sportsorthopaedicspecialist.co.uk/treatments/shockwave-therapy

Good information about patella tendonitis from an OS with 1st hands experience with jumpers knee.

http://www.sportsorthopaedicspecialist.co.uk/sports-injuries/patellar-tendonitis-jumpers-knee

I did email him about my patella tendontis, he said that ESWT has a high success rate that I was sceptical about. I was lucky getting it done on the NHS at the Birmingham Royal Orthopaedic Hospital after seeing the Sports Physician at the hospital.

Surgery is always going to be the very last option, I have been seeing my OS at the outpatients clinic for 3 years, none invasive methods of treatment failed! Back in theatre for the 3rd time, I have had 3 MRI scans since scope #2, one and two found nothing of a concern for surgery the 3rd one showed an increase in joint effusion that was a significant finding for a further surgical intervention. If the MRI showed no changes I would have been told there nothing more one can do for the patella tendonitis.

My post-op diary, do not have to read through the whole diary or will be here still till Christmas, look at parts of the diary that sounds similar to your knee problems and symptoms.

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=43471.msg650937#new

Good luck trying to find a way forward, it a stressful and long saga to endure, do not have any more cortisone injections it will weaken the cartilage and could rupture the patella tendon that is a big surgery to go through and recover from.

[email protected]
RK: PFS, P.T, maltracking & arthrofibrosis
Scope #3 scheduled October 2017
18/07/14 Anterior interval release  
16/11/09 Medial plica excision & fat pad trim
Cortisone injections: R-hip 04/04/17 R-knee 23/12/15, 22/10/15, 13/05/15, 30/03/10, 23/04/09

Offline Kasix

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Re: Patella tendon raised and swollen
« Reply #2 on: July 24, 2017, 09:14:44 PM »
I am also suffering with patellar tendonitis. My case is unusual because it is a complication after treatment of a broken tibia and fibula. To make the story short, my patellar tendon was cut open to hammer a metal rod inside tibia and then sutured. I have a lot of scar tissue under the patella, it is swollen and very thick (about 10mm, when my healthy one is 2,4 mm).

What I did was ESWT (Clarkey has already given some inside), 5 sessions over 4 weeks. It helped, the sharp pain is gone, the knee is less stiff. There's still some discomfort and sometimes pain when I put some load on the tendon but it should be sorted out with special PT protocol. At least that is what my OS says. Will see.

Stay positive!

Offline Fanson88

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Re: Patella tendon raised and swollen
« Reply #3 on: July 29, 2017, 08:47:18 AM »
Thank you so much for the replies! Wow Kasix.. that's some seriously gnarly stuff I appreciate your response. Turns out my tendon wasn't raised up or swollen, my doc thinks my knee is atrophic! So it's sunken in behind the tendon. I still have some serious tendonitis and chrondomallacia going on, he thinks I have a "tracking" problem with my kneecap. He thinks I have a necrotic fat pad from all the cortisone shots and that's why my knee looks like it does. Still can't find anything on that either. I had an MRI last week and I find out the results Tuesday! Thanks again for sharing!!

Offline jackson7

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Re: Patella tendon raised and swollen
« Reply #4 on: July 29, 2017, 06:50:09 PM »
Last year, MRI showed I had tendinosis (chronic version of tendinitis) of the patella tendons.  Mine were caused by walking down a lot of steep inclines (that exercise seemed good because it was really working my vmo...so i proceeded to do way too much).  For months after, i only walked when absolutely necessary (a lot of bed laying).  I couldn't bend over at all or even start to initiate any sort of squat. Going down steps was very awkward, but even walking up them hurt bad. Literally took me over a year before i could walk without pain.

Cortisone didn't do anything for it (and, hopefully, I won't be desperate enough to use that awful knee destroying stuff again). According to a recent x-ray, the lack of exercise gave me a slight leg osteo deficiency (nothing from which i shouldn't be able to walk back into shape), but I could finally walk and do minimal squats without it hurting.

Were you still trying to run with the pain during those 3 years?
« Last Edit: July 29, 2017, 09:24:34 PM by jackson7, Reason: because i can »
Dec 2015: slow speed bicycle crash (wet leaves)
Jan 2016: a zillion x-rays & 2 MRIs only showed tendinosis
Mar 2016: bone scan showed "uptake" in all compartments
Aug 2016: cortisone shot (did nothing)
Mar 2017: diag scope (partial med meniscus resection, med fem chondroplasty, synovectomy)

Offline Fanson88

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Re: Patella tendon raised and swollen
« Reply #5 on: July 31, 2017, 11:40:02 PM »
Thanks for the response jackson7! And no I didn't try to run, I'm actually not athletic at all. The 2 jobs I've had the past 11 years were super physical. I now work warehouse for hallmark (driving forklifts, checking in drivers, computer work etc..) so I finally have a job that's easy on my body. My knees are shot from constant walking 8 hours a day, every day for 11 years (miles of walking) as well as intense physical therapy for my back off and on for the past 3 years. The cortisone shots did wonders for my pain but have now destroyed my left knee and it's really upsetting. I'm not an athlete by any means but I am a fairly active person and in really good shape especially after all the physical therapy I've done. I have a couple questions for you if you have the time! You said you had an MRI and they diagnosed you with tendonosis, what was on your MRI? Like what did they see that showed tendonosis? Also, what treatment did you do? You said you rested a lot but was that it? And how are your knees now?? Thanks again!!

 

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