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Author Topic: kneecap arthritis  (Read 264 times)

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Offline maresimpson

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kneecap arthritis
« on: November 20, 2017, 07:44:12 pm »
Hi! I am new here. October of 2016 I went to knee doctor to evaluate the pain I was experiencing in the front of my knee. The pain would wake me at night, and eventually I could not play tennis. Previously I played 4 times a week. He took an x-ray, said I had arthritis and recommended a cortisone shot. I was so desperate I took the shot. I felt pain for about a week, and then I was pain free.

Toward the end of the summer of 2017, the pain did not return, but now I had stiffness in my knee, and I noticed I had lost a great deal of range of motion in my left leg. When I tried to do child's pose, my rear end was about seven inches from my heel. I also had great difficulty in straightening my left leg, and my left quad had lost a lot of strength. I went to a better knee specialist/surgeon. He asked if I had done any PT. I hadn't, as the first doc never recommended it. (I was an idiot) He said it was not that severe and that i should do it for several weeks, and if it didn't help he would give me a shot of synvisc. I asked a lot of questions and found out that I had the start of kneecap arthritis.

I have been doing physical therapy for about 2 months. I am so much better, and I have really improved on my range of motion and on the ability to straighten my left leg, but I have along road ahead. And there is no getting around the fact that i have very little space between my kneecap and my joint. I want to be proactive.
I inquired about Regenexx and was sent a bunch of videos. There was one video that did show cartilage growth in the knee joint (Can stem cells help knee arthritis?), however when I asked that question directly, I did not receive a yes or no answer.

I also found The Stone Clinic, in California. Dr Stone Has procedures where he uses cleaned animal cartilage and stem cells to help knee problems. I live in Illinois, but I would travel if I knew it was worth it. The Stone clinic has a lot of videos on youtube. Can anyone weigh in, as i am really in a quandary. I am a 60 year old female. I play tennis 3-4 times per week, and we play hard. I'd love to be able to continue playing, but i want to be proactive in how to achieve my goal

Offline Brandon123

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Re: kneecap arthritis
« Reply #1 on: November 21, 2017, 10:28:16 am »
Hi there,

Good that you moved on to a new doc, cortisone shots are bad for the cartilage and actually break it down further. Sounds really good that PT is helping you! Have you tried Synvisc or similar viscosupplementation yet? It works for some, and for others not, but worth trying.

I would say continue for a few months with PT and Synvisc or similar injections. Stem cells and cartilage regeneration (especially patella cartilage) is still rather experimental/controversial and very expensive.

RK sharp pain while running, diagnosis chondromalacia patellae 6/09
RK arthroscopic chondroplasty 9/09
RK rehab, recovery, 90% normal, started running again -> back to square one 5/15
RK diagnosis patellofemoral arthritis + LK diagnosis chondromalacia patellae 8/15 -> conservative treatment

Offline Vickster

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Re: kneecap arthritis
« Reply #2 on: November 21, 2017, 10:46:28 am »
Have you discussed a patello femoral joint replacement? Cartilage is very difficult to repair around the kneecap due to the high shearing forces and also often caused by misalignment so you’d potentially need to address that too with an osteotomy

This guy in Indiana has been mentioned on here, might be worth a consult? Search the forums for his name and feedback
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
More tears and wear, scope planned in Jan 2019 to tidy up