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Author Topic: bruised bone/cortizone shot?  (Read 8109 times)

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Offline casey2291

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bruised bone/cortizone shot?
« on: November 20, 2004, 02:55:44 PM »
Hello.  I saw my OS yesterday to find out the results of my MRI.  He said that I have a bruised femur bone.  The radiologist wrote in his report that he thought I had osteochondritis dissecans or osteonecrosis.  The OS said that he disagreed with both of those diagnosis  based on my age (28) and my physcial build, that I am not overweight.  So, my OS gave me a cortizone shot and told me no exercise for a month.  Can anyone explain to me exactly what the cortizone shot does and what the chances are  that this will allow my knee to heal up?  I have had this knee pain for 7 months now.  He said that if it is not 100% better in a month that he will refer me on to a knee specialist and briefly discussed with me some of the surgeries that are being done for loss of blood supply to the knee, such as the microfracture surgery.   Also, someone else had mentioned in one of my other postings that sometimes the OS and the radiologist disagree.  I feel good about the OS that I am going to, but was wondering is it normal for the OS and the radiologist to have two different opinions?  Thanks for your help.  
LOA #2 and hardware removal 12/15/08-new cartilage from ACI looks "GOOD"
LOA on left knee 3/18/07
ACI and HTO on left knee 10/22/07
scope of right knee on 6/21/07
microfracture left knee 3/18/05

Offline dm

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Re: bruised bone/cortizone shot?
« Reply #1 on: November 20, 2004, 06:23:38 PM »
I had an mri come back inconclusive and the os saw a meniscal tear in the films, the os was right. so they can disagree. If you aren't happy with the disagreement, you can certainly go get another opinion from the "knee specialist" without waiting another month or so. i have my doubts about him discounting osteonecrosis simply because of your age and normal weight. Whatever you did to make the knee hurt could be the cause, if it is osteonecrosis, irrespective of these factors. That's my opinion, as a lay person. I'm certainly no doc! If it were me, I'd be going for the other opinion.
multiple arthroscopies 2/00,3/01,6/01,1/03, 12/07,10/10. chondromalacia, severe medial joint space narrowing following 3 partial menisectomies, chronic pain problems, kneecap problems, OCD lesion, failed mfx.

Offline KarenS

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Re: bruised bone/cortizone shot?
« Reply #2 on: November 20, 2004, 07:39:36 PM »
The cortisone is a powerful steroidal drug that's injected into the joint to reduce inflammation. Sometimes it works, sometimes it doesn't. I was recently diagnosed (by MRI) with a bone/cartilage bruise in both knees. I had the cortisone shot in the knee that felt worse, and it did nothing for me.

This isn't my first experience with bone/cartilage bruising, and it sometimes takes a very long time to go away completely. That's not to say it takes a very long time to be able to get around normally -- more like it took me a long time to notice that the pain in my joint was completely gone when crouching and when sitting with my legs bent for periods of time. It was a slow process. But everyone's different. Cartilage needs rest and a bit of passive motion (walking) to heal. I use ice a lot when I'm sitting with my legs up. No running! I don't plan on attempting to exercise my legs at all (i.e., using the treadmill) until I can function completely normally without any pain. I'm sure you'll be running again one day -- don't worry. :)

Ask your doctor about taking a glucosamine supplement. It supports the health of the cartilage in your joints. I've been taking it for close to two months, since the pain in my knees began, and I'm starting to notice that I can get around for longer periods of time without getting that "I need to sit down right away" feeling.

I hope you feel better soon!
« Last Edit: November 20, 2004, 07:43:45 PM by KarenS »

Offline casey2291

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Re: bruised bone/cortizone shot?
« Reply #3 on: November 21, 2004, 06:58:15 PM »
Thank you both for your replies and the info!!.  

KarenS...How did you get a bone/cartilage bruises?  Mine occured when I was out running.  And now, I think whatever my problem is that I might also have it on my other knee although my OS wouldn't give me the shot in the other knee...he told me to just focus on the one for right now and that I may have just stressed the other one out.  Exactly, how long did it take for your previous bruise to heal up?  And how long have you had your current one?  Is there something that you did, like some sort of physical exercise that caused you to have the same problem again?  When yours first occured did you have sharp pains that persisted for some time?  I had sharp pains on and off for four months up until I had some PT to strengthen up my muscles at which time the sharp pains decreased to just every once in awhile, particulary if I were to go out and exercise on it.   I'm just curious about yours as I can't seem to find a whole lot of info on knee bone bruises.  Thanks.    
LOA #2 and hardware removal 12/15/08-new cartilage from ACI looks "GOOD"
LOA on left knee 3/18/07
ACI and HTO on left knee 10/22/07
scope of right knee on 6/21/07
microfracture left knee 3/18/05

Offline KarenS

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Re: bruised bone/cortizone shot?
« Reply #4 on: November 22, 2004, 12:31:41 AM »
I did not have sharp pain, even when it first started (seven weeks ago). It was more of a tired, irritated, aching feeling in both knees, right around my kneecaps. First it came and went for a week or two, and then it became constant. At its worst, I even got electrical feelings that went down my shins, and my knees would throb. Now it's calmed down to just an irritated feeling, and I even get some periods where it seems to be almost gone. It's definitely improving.

I had been using the leg press and squat machines at the gym. I should've known better, because even simple quad sets and straight leg raises tend to irritate my knees a bit (I had lateral releases on both knees many years ago, so my cartilage is not in the best shape). But the "fitness professionals" at the gym kept insisting that I should be able to use those machines without any problem despite the fact that I kept complaining that my knees felt irritated when I used them.  >:( Obviously I should've been listening to my body instead of them. Every time the irritation went away, I would go back and use the stupid machines again. How dumb is that?? To top it off, I got a job at the gym that involved standing on concrete for hours on end -- something that my OS told me I should not have been doing anyway because it would irritate my knee cartilage. I had to quit after only three weeks. That job really pushed my knees over the edge.

So, it was overuse that led to my problem. My OS said that he feels that the bruising will heal in time, but there's no way of telling how long that will take. In the meantime, he said to just go about my business as usual but don't exercise or do obviously stressful things. He prescribed pain medication for when it feels worse (like when it's raining or snowing--it's so uncomfortable on those days, and even the day before!). I had to take some today because it's a rainy day, and it really helped a lot (although I feel like a zombie-- LOL!).

Last time this happened was after my second knee surgery eleven years ago. Both knees had been operated on in the course of six months, so my gait was altered. I also was doing quad sets and straight leg raises for PT. Then BAM -- suddenly I could barely walk, and it felt just like this does. The worst of it only lasted about 3 or 4 weeks, but it was a very long time before I could squat, or even bend at the waist with my knees slightly bent. I also had trouble sitting with my legs bent for long periods of time (knees would get stiff). I would say it was close to a year before I felt 100% fine, but keep in mind I had also had major surgeries on my knees prior to that, so I was still sort of recovering from that, too.

Anyway, I hope you feel better soon. I know what you mean about not being able to find much information on this. Maybe because the only "treatment" is to rest the joint and wait it out. The only info I could find on Google was related to professional athletes who had slammed their knees into something. And even they were told to just rest the knee and wait for the joint to heal. I saw that one person (not an athlete) claimed it took up to six months for his knee to feel better. And then I saw a story about an athlete who would "likely be out for three weeks." But there was one thing I read that was written by a medical professional, and it said that you should be careful with the bruised joint for up to one year, as you need to be sure the cartilage is completely healed before stressing the knee.

This is all very confusing, isn't it? In my case, where I have had problems with my knees in the past, I feel very strongly that I want to keep them in the best shape possible, so I don't plan to do anything stressful for a very long time even after I feel better. I'm very much into health and fitness, but for me, cardio will have to wait for awhile. The health of my knees is very important to me. Trust me, you don't want to need surgical repair for your knees in the future, so take good care of them now!
« Last Edit: November 22, 2004, 12:39:52 AM by KarenS »

Offline casey2291

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Re: bruised bone/cortizone shot?
« Reply #5 on: November 25, 2004, 04:25:19 AM »
KarenS,  

Thanks so much for sharing your story with me.  I really appreicate you passing the info along, because like you said it is kinda confusing with the lack of infomation available out there.  My symptoms really don't resemble yours, but I'm willing to just go with my OS says for now, praying that the cortisone shot is going to work its miracles.  I also am taking a break from exercise and I never thought that would be such a hard thing to do....I guess I'm more active than I had realized.  But it is worth it to be pain free.  I hope your knees continue to get better each day.  Take it easy.    
LOA #2 and hardware removal 12/15/08-new cartilage from ACI looks "GOOD"
LOA on left knee 3/18/07
ACI and HTO on left knee 10/22/07
scope of right knee on 6/21/07
microfracture left knee 3/18/05

Offline KarenS

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Re: bruised bone/cortizone shot?
« Reply #6 on: November 28, 2004, 08:44:23 PM »
Casey, I hope you're feeling better soon, too. :)

I guess everyone's knee react a little differently to things, and it seems like "my thing" when I have any sort of cartilage irritation is this weird, tired, irritated feeling. I used to get the same feeling when my kneecaps were tilted, so that's why I was panicking about this. But I've been feeling better and better ever since I hit week 7 -- the weird feeling and the aching are completely gone, and now my knees are just a little bit sore at times...but most of the time they feel pretty good -- yaay! I'm going to the grocery store today, for the first time in over two months!  :o

I know what you mean about having a hard time with the lack of activity. I was going insane over the past two months!!! I froze my gym membership through the end of this year, but I'm definitely going back in January. I'll only be able to use the weights and maybe do some slooooow walking on the treadmill (*maybe*), but it's better than being stuck in a chair all day!

Good luck, and I hope you have a speedy recovery!
« Last Edit: November 28, 2004, 08:45:20 PM by KarenS »















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