The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: William on January 25, 2006, 04:31:45 PM

Title: Still Looking For A Correct Diagnosis!
Post by: William on January 25, 2006, 04:31:45 PM
It is well over 12 months since I had a Arthroscopy
on my right knee which had a tear through the posterior horn of the
medial meniscus, and having the torn meniscus remove.
Unfortunately the pains and swelling remain, and I have seen countless medical experts to try and solved this problem.
Why is it that there so many different opinions as to what is wrong with the knee?
His a Sample of some of the opinions I have received so far.

Consultant Surgeon:
Who performed the Arthroscopy reckon theres is nothing wrong, just need to strengthen Quads, and exercise more.

2nd Consultant Surgeon:
Arthritis behind Kneecap, would do lateral release operation if problem persists

3rd Consultant Surgeon: 
Some intrinsic signal change noted on 2nd MRI scan, suggestion of residual or recurrent tear but feels that it not really significant, will get better in time. Should note that this consultant was a second opinion paid for by the private hospital, where I had the Arthroscopy after complaining. All were specialist knee surgeons!

I have since had a cortisone injection in the knee, and so far it seems a little better. Just wondering if any of the more knowledgeable on here could advise me as to why we have these different opinions, surely there should be only be one explanation, as I am now getting tired, of looking for a solution.

Best Regards

Title: Re: Still Looking For A Correct Diagnosis!
Post by: blackbeltgirl on January 25, 2006, 04:46:33 PM
Knee pain is rarely a "cut and dried" diagnosis.  This isn't something where they take blood, send it to a lab, and can conclusively determine that yes, you have a specific bacteria in your blood stream.  That's why you get variation in diagnosis.  There may be 3 different aspects of your knee that are less than perfect, but how does anyone know if all 3 are contributing to the pain, or just 1 or 2 of those issues contribute to your pain?

YOu haven't said what kind of pain you're currently feeling.  Where in the knee?  Is it worse with activity or with rest?  Sharp or aching?  Have you followed the suggestion to get physical therapy?  What type of exercises did you do?  Did they tell you that your muscles are in balance (not just strong)?  Were you advised to maintain a home pt regimen to keep the muscles strong and balanced after leaving formal pt?  How old are you?  How debilitating is your pain?

If you provide more info we may be able to guide you to ask more questions, which may get you better answers.  But you shouldn't be surprised that multiple doctors have difference advice for your care.  Even if they all agreed on the problem they'd still offer a variety of solutions.

Title: Re: Still Looking For A Correct Diagnosis!
Post by: William on January 25, 2006, 05:51:55 PM
Hi Jess,
Thanks for the reply.
Yeah the pain can be quite debilitating when I am going through a bad period, quite depressed and feel like doing nothing, and his worse with activity. As for the pain itself it is mostly around the front of the kneecap, sometimes it can be felt at the side, and tends to be more of the aching kind then anything else. It is also varies, and I can feel quite good at times, this can last up to a month, but unfortunately the pain come back

One strange fact regarding this, is when I am going through this period of hardly any pain,I still don't want to put too much pressure on my bad knee. As regarding exercise I have follow exercises regimes to try and improve my muscle strength, as to be honest my muscles are quite weak in this area.


Title: Re: Still Looking For A Correct Diagnosis!
Post by: blackbeltgirl on January 25, 2006, 06:39:18 PM
William -

YOu don't say how old you are.  Most people over the age of 40 have some arthritis, and most people have some bad days.  If you have some arthritis behind your knee cap it's going to hurt sometimes.  There's not a mirclae treatment out there.  As to the lateral release - that is intended to keep the knee from maltracking.  It is based on the presumption that the arthritis behind the kneecap is from it being pulled out of its groove.  Keeping the muscles strong will help.  Keeping active and fit can help.  Ask one of your doctors about physical therapy, to learn what exercises you should be doing, and how to do them properly.  And ask about fitness options.  Some people find a stationary  bike works, but if the issue is behind the kneecap, that may not work for you.  Walking, swimming, elliptical machines, etc. are all options. 

Good luck-
Title: Re: Still Looking For A Correct Diagnosis!
Post by: William on January 25, 2006, 08:18:54 PM
Hi Jess,
Actually I am now fifty years of aged.
You are right, most people shows some signs of wear and tear degenerative changes after the aged of forty.  
My physio calls it Osteo-Arthrosis, the earlier stages of Arthritis.

Thanks very much for your help and information.

Best Regards