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Author Topic: Fat Pad problems???  (Read 1327 times)

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Offline wimple

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Fat Pad problems???
« on: December 02, 2004, 09:07:32 PM »
Hi,
Long story but my physio has now decided that there may be a problem with my fat pad? Can anyone tell me what an OS would suggest to fix this kind of problem??

Offline imnotpunk

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Re: Fat Pad problems???
« Reply #1 on: December 02, 2004, 09:18:02 PM »
I had a fat pad problem a few years ago that was VERY difficult to diagnose. No one knew what was wrong with me, I was referred to physician after physician, had so many tests done, took so many medications...no one could figure it out, and it wasn't getting better.

I finally saw a rheumatologist (sp) who made sure to find out what was wrong. After a biopsy by a cancer specialist, it was determined I had a rare diesease called Panniculitis. Simply put, it's an inflammation of the fat pads. Sounds pretty basic, but it's a very complicated disease. I'm even in some sort of medical book, I was presented as a case at the Mayo Clinic!

Anyways, what does your OS believe is the problem? What are your symptoms? If you have something similar to what I experienced (btw I'm in remission for four years now!), there are medications to help correct the problem.

Keep us updated!

Patricia
R knee:
08/03-meniscal repair, LR
01/04-MUA, LOA
03/04-MUA
08/04-patellar tendon reconstruct. w/hamstring, menisci repairs, lateral/medial releases
10/04-MUA, LOA, debride., marsupialization, lateral release
12/04-MUA, LOA, meniscectomy
L knee:
09/05-meniscectomy, chondroplasty, microfracture

Offline wimple

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Re: Fat Pad problems???
« Reply #2 on: December 02, 2004, 09:47:09 PM »
My OS did an athroscopy in July this year and removed my plica, since then I can't fully straighten my leg without a loud click and terrible pain occurring. They believe that they have ruled out any other problems as an MRI done in February (before the surgery) didn't show anything. I have constant pain on the lateral side of my knee, ranging from almost a nagging toothache type pain to absolute agony. I also have 'surges' of pain that seem to come from nowhere and my leg can 'burn' from the knee to the hip at times. If I try to walk outside without a stick, it feels like something is shifting inside my knee, it 'clunks', huge pain and then the shifting sensation will start all over again. I'm normally ok indoors, but still in pain. I can't stand or walk for any length of time and haven't knelt down in over 18 months. The orginal problem was caused by an injury where I did the splits sideways after slipping on a toy.

Offline imnotpunk

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Re: Fat Pad problems???
« Reply #3 on: December 02, 2004, 09:51:18 PM »
I was wondering how much trauma your knee has endured, and it sounds like it's been through a lot. That's a key part to Panniculitis - trauma to the area. When the particular joint experiences a great deal of trauma (a car accident, surgery, falling down the stairs...just about anything, really), the fat pads basically "freak out" and almost enlarge, causing a lot of swelling and inflammation throughout the joint.

I'm not saying you are suffering from the same thing I have, but it does sound a bit intriguing. I would definitely reccommend for you to discuss your concerns with your OS, and see what s/he thinks. There are available treatments for fat pad problems, the trick is to find out WHAT exactly is wrong before treating it. Usually the treatment comes pretty easily, it's just the diagnosis of the problem that is difficult to find.

Patricia
R knee:
08/03-meniscal repair, LR
01/04-MUA, LOA
03/04-MUA
08/04-patellar tendon reconstruct. w/hamstring, menisci repairs, lateral/medial releases
10/04-MUA, LOA, debride., marsupialization, lateral release
12/04-MUA, LOA, meniscectomy
L knee:
09/05-meniscectomy, chondroplasty, microfracture

Offline yippy

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Re: Fat Pad problems???
« Reply #4 on: December 03, 2004, 10:47:55 PM »
Hi , I am recovering from a tibeal plateu # and having heaps of physio. I too have had problems with my fat pad caused by the other muscles around the knee being weak and the strin going onto the fat pad causing swelling and pain in the pad. My physio taped my knee just above the middle of the patella to take the pressure off the fat pad and help take some pain away. It apparently means the loading onto the fat pad is ditributed away from the pad.I don't know if this technique would help you as your problem sounds more severe than what I had but it may help eliminate some of your pain. Ask your physio if it might help even if it was a tempory measure until you get to check out the problem in more detail. With me it hasn't removed all the problem but made it more managable.
Good luck with this new prob.
Marianne
shattered tibeal plateau,Blocked artery
3 months in external fixation.
Rehab hicups
Nerve pain from artery repair
16/1/07 Osteotomy to repair plateau angle

Offline wimple

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Re: Fat Pad problems???
« Reply #5 on: December 04, 2004, 12:10:08 AM »
Hi, taping really helped my problem, in fact it took the pain and other problems away completely - but my physios don't like using it long term and as soon as they stopped doing it pain and everything else all returned, so will have to see what the OS thinks.