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Author Topic: Crunchy knee after manual manipulation?  (Read 593 times)

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Offline spannerwingnut

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Crunchy knee after manual manipulation?
« on: January 09, 2018, 07:11:32 PM »
Hi everyone,
Long story short I had a manipulation on my knee in June last year, and in the last few months my knee has become crunchy when extending or flexing, and sounds and feels worse with weight on it.
Had anyone else experienced this? My surgeon chose not to do the keyhole procedure I was scheduled for and did a manipulation instead. Is the noise all the scar tissue thats now loose in my knee, and will it be doing any long term damage?
Any advice would be great, I have an appointment with my doctor and hoping to be given a follow up with my post-op physio.
Grade II Sprain of MCL & MPFL & bone bruising
Ski accident 30th Jan 2017. Xray of knee in Austria.
19th Feb - MRI done in UK
26th Feb - 1st Physio appointment, 16th March 2nd physio
24th March 2017 - consulatation with orthopaedic surgeon
29th June - MUA under spinal nerve block

Offline DogfacedGirl

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Re: Crunchy knee after manual manipulation?
« Reply #1 on: January 10, 2018, 07:20:56 AM »
Hi Spannerwingnut,

Nobody can say what is going on in your knee, you will need an MRI to see what is causing the crunching (and pain?). The scar tissue should have re-absorbed by now I think, but there could be rough cartilage, or fragments of cartilage or meniscus floating around, or more scar tissue formed. It's also possible that bits of bone have started to form where they shouldn't, as a result of the inflammation from the MUA. Smaller non-bone fragments will usually be re-absorbed with time.

Whatever it is, don't rush back into surgery, your knee has already shown that it is prone to arthrofibrosis, and surgery can make it worse. If an MRI shows that there is rough cartilage, don't' get an arthroscopic "clean-up", research with double blind trials shows that the surgery is no better than placebo.

So, ask for an MRI referral, then you can figure out the best approach.

All the best,
Kay

1999 Osteoarthritis both knees, chondroplasty
2004 MACI graft L knee
2005 MACI graft both knees
2007 MACI graft R knee
2007 Patella baja
2011 TKR both knees
2011 arthrofibrosis

Offline spannerwingnut

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Re: Crunchy knee after manual manipulation?
« Reply #2 on: January 10, 2018, 10:24:45 AM »
Thank-you for the advice Kay! Much appreciated!  :)
Grade II Sprain of MCL & MPFL & bone bruising
Ski accident 30th Jan 2017. Xray of knee in Austria.
19th Feb - MRI done in UK
26th Feb - 1st Physio appointment, 16th March 2nd physio
24th March 2017 - consulatation with orthopaedic surgeon
29th June - MUA under spinal nerve block

Offline DogfacedGirl

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  • Posts: 90
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Re: Crunchy knee after manual manipulation?
« Reply #3 on: January 10, 2018, 01:09:02 PM »
My pleasure, I hope your knee problems resolve  :)

Kay
1999 Osteoarthritis both knees, chondroplasty
2004 MACI graft L knee
2005 MACI graft both knees
2007 MACI graft R knee
2007 Patella baja
2011 TKR both knees
2011 arthrofibrosis