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Author Topic: Pain after partial removal of fat pad  (Read 264 times)

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Offline esmereldaxx

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Pain after partial removal of fat pad
« on: April 19, 2018, 05:53:45 PM »
Hi, I had a knee arthroscopy in July 2017 and had a partial removal of my fat pad in my left knee. It was better for a couple of months but now I am in the same amount of pain that I was before the surgery. I have been referred to the hospital again for another consultancy but would love to know if this has happened to anybody else?!

Online Vickster

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Re: Pain after partial removal of fat pad
« Reply #1 on: April 19, 2018, 06:05:48 PM »
How’s the tracking of your kneecap? Have you been assessed by a knowledgeable Physio?
I believe the trimmed fatpad can be replaced by scar tissue so if whatever caused the impingement previously (maltracking often) hasn’t been addressed, the I would assume the problem could arise again

This physio is a UK-based expert on the patella and the fat pad is one of her particular interests

http://clairepatella.com/the-infrapatellar-hoffas-fat-pad-explained/
« Last Edit: April 19, 2018, 06:38:53 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline esmereldaxx

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Re: Pain after partial removal of fat pad
« Reply #2 on: April 19, 2018, 07:31:02 PM »
I had physio for about two years and the impingement was mistaken for conditions such as patella tendinitis, so I'm not sure whether its best to try a different physio or just go for another surgery on both knees!

Offline James NZ

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Re: Pain after partial removal of fat pad
« Reply #3 on: April 20, 2018, 05:57:02 AM »
I had the fat pad and plica trimmed almost a year ago. Sorry to say I've been far worse ever since. There's always hope tho and I'm constantly searching for options to get better naturally

Offline Clarkey

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Re: Pain after partial removal of fat pad
« Reply #4 on: April 20, 2018, 10:28:36 PM »
Have had 3 surgeries on my right knee, my 1st scope was in November 2009 for anterior knee pain and catching, was not able to run anymore as a competitive long-distance runner. Had a diagnostic scope and had my fat pad trimmed and medial plica excision. Was slower than expected recovery of 18 months before I was able to run again with a cortisone injection pre-op and post-op.

To cut a long story short ended up having chronic patella tendonitis caused by scarring of the fat pad with anterior interval release surgery (AIR) scope #2 and again for scope #3 with decompression of the patella tendon and an LMR that did not show up on my MRI scan. Recovery is slowly improving with pain not too bad apart from around the 3 incisions that still swollen at the bottom of my kneecap. From 2 crutches to 1 crutch and now do not need any so signs of progressing slowly.

Good luck try not be to get too down about all the bad experiences of KG members some do make a good recovery will find that member with ongoing knee problems join up KG bulletin board.

[email protected]
« Last Edit: April 20, 2018, 10:32:04 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline esmereldaxx

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Re: Pain after partial removal of fat pad
« Reply #5 on: May 12, 2018, 12:12:12 PM »
I was recently scheduled another hospital appointment but it then got cancelled after the hospital decided i should see the head of the knee department as they are still having trouble diagnosing me!