The WAITING ROOM => GENERAL KNEE QUESTIONS and comments (good for new threads) => Topic started by: Tai-pan on January 09, 2018, 09:18:32 AM

Title: Have You Had Tendonitis?
Post by: Tai-pan on January 09, 2018, 09:18:32 AM
Hi All,

I'm really at a loss to what is going on with my knee! It has been 6 months now since the onset of my pain. I have rested it ever since, I had physical therapy for 3 months, acupuncture, ice/heat, I bought myself the same ultrasound machine, my physical therapist uses, and have been doing daily 15-minute sessions for the last 2 months I also bought a complex unit which I use twice daily...and one final thing, I have been having Prolozone injections for the last 6 weeks as well. Yes, the pain has lessened to a level where it is better described as discomfort and severe weakness.
I had 60% of my meniscus removed in this knee 3 years ago and have had no trouble up until now, I have recently had an MRI scan and the surgeon said, 'As far as bad knees go, this isn't that bad', but gave me no explanation why I'm experiencing the problem I have.
The onset of this condition came the following day after doing squats and Deadlifts in the gym, the weights were not heavy and I performed 6-8 reps for 4 sets. I did not feel any pain or discomfort at the time, however, the next morning I did.
So my question is to anyone who has suffered from Tendonitis, as I'm thinking this is what I have, what were your symptoms and please do your best to describe the pain/uncomfort you experienced and how long it lasted and what helped you resolve it, thank you.
1) My knee does not hurt to bend but does feel weak
2) Walking for more than 10 mins heightens the pain
3) Standing still brings the pain a lot quicker than walking, this happens within a minute! The best description of this pain is to call it pressure/stress in the centre of the knee and it's about a 4 out of 10 pain.
Thank you for reading and hope to hear from you soon, many thanks.
Title: Re: Have You Had Tendonitis?
Post by: Vickster on January 09, 2018, 10:54:34 AM
Have you actually had a diagnosis of tendinitis in the patella tendon? Shown on ultrasound or the MRI?
Or is it more a patellofemoral type syndrome brought on by overuse?

Prolotherapy to be honest seems a bit like snake oil with no official clinical trial data available (other than from practitioners!). PRP injections can help tendon inflammation, discuss with your specialist. Or any other medication.

Do you have arthritis in the knee? What specifically did the MRI show?

Perhaps you need a second opinion from a patella specialist
Title: Re: Have You Had Tendonitis?
Post by: Tai-pan on January 09, 2018, 01:54:22 PM
Hi, thanks for your reply.
No, I have not had a diagnosis of tendinitis. The MRI did not show anything and I have not had an Ultrasound image.
It may be a patellofemoral problem, but again this has not been suggested by the P.T or Surgeon.
I do not have Arthritis in my knee. The MRI scan did not show anything untoward.
I read the link you included and I do not suffer from any grinding or crunching, though my knee does catch (if that is the correct terminology) and I have to kick my foot out with a twist and I then get a click and it feels a little better, much the same way when you elbow needs to be clicked, But I'm having to do this 2 or 3 times daily, I never used to have to do this.
I hope this helps, thank you.
Title: Re: Have You Had Tendonitis?
Post by: Vickster on January 09, 2018, 01:55:36 PM
Id ask Physio or doctor to check for repeat meniscus tear given what you say. Easily missed on MRI
Title: Re: Have You Had Tendonitis?
Post by: Clarkey on January 10, 2018, 04:52:44 PM
I am happy sharing my experiences managing and coping with patella tendonitis, might be helpful comparing our symptoms. 60% of meniscus trimming is on the borderline of microfracture surgery as the next surgical step. Would only be done when your OS feels the time ready to go ahead after less invasive treatments have been exhausted.

My surgery twice on my right knee was not for a torn meniscus or arthritis, had medial plica excision and fat pad trim in November 2009. This caused scarring of the knee causing bone bruising that at first look like my kneecap was starting to wear away with a microfracture predicted pre-op in July 2014. Once my OS scoped my knee he performed AIR 'anterior interval release' surgery with excessive scarring around the patella tendon and fat pad that are both closely linked to arthrofibrosis of the knee.

A link to treatment options available for patella tendonitis that I have written for KG Bulletin Board.

Shockwave Therapy (EWST) helps to stimulate the healing process that has a high success rate for many patients, did not work for me.

Need to have an up to date MRI scan before deciding what action to take next sounds PFS that is often related to patella tendonitis. A CT scan to see your bone density and how well or poorly your knee alignment can be a helpful none invasive diagnoses tool. Good luck hopefully nothing too invasive needs to be done to ease your pain and discomfort.

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