Advertisement - Hide this advert





Author Topic: Need some advice  (Read 2867 times)

0 Members and 1 Guest are viewing this topic.

Offline Walshybloke

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
  • User's Text
Need some advice
« on: December 03, 2002, 05:41:21 PM »
Hi everyone, this is my first time on here and hope i get some good feedback?

I have played Football since I was 7, im now 31!

Over the last seven years or so i have slowly had lots of niggly problems with my knee's. Luckily nothing too major general knocks.

In recent years my knees have become stiff and somtimes very painfull especially when trying to kneel it feels like someone is stabbing me just bleow the knee caps!  If I stand in one place for more than a few minutes they start to stiffen etc etc.

A few months a go i saw a specialist who sent me for an MRI which he seemed to think it shown that there was no ligament damage but could be some tracking problems.....i forget the term he used?

He sent me for Physio to build and strengthen my muscle above the knee joint which was to protect the knee and help with the kneecap tracking problem?  Having done a few months of physio the exercises i was doing were giving more problems and pain so i stopped.

When I saw my consultant again he has booked me in to have a LATERAL RELEASE.

I agreed not really knowing what it was but having looked on the internet ive seen some horror stories and am now having doubts!

Does anyone have any advice or gone through the same procedure.

Thanks

Iona_-Uk

  • Guest
Re: Need some advice
« Reply #1 on: December 03, 2002, 07:20:14 PM »
Hi and welcome to the knee board, we've all got dodgy knees here, so you've come to the right place!.

I think your OS thinks you have maltracking, where the kneecap moves either to the right or left of the groove it sits in, this can be helped by physio in some cases where the mal tracking is not too bad, the physio helps build up the thigh muscle which in turn pull the kneecap in to it's proper position. There's no real cause for this condition, I am told, but it's due to normal wear & tear.

A lateral release (where the retinculum is severed or released by a variety of techniques) may sometimes help with mal tracking, although I've had 3 unsuccessful attempts at this, it's not a surgery you should enter lightly into, it take a fair bit of patience and physio afterwards and it's not an easy journey back to full fitness, it takes anything from 3weeks onwards, I took 5 months to recover from my second one.

However just as much as it can be bead, it can be extremley helpful for patients with mal tracking as well, I've heard a few success stories on here, so theres proof.

If you are unsure it would wise certainly to chat to the surgeon prior to your surgery, ask himfor his reasoning in wanting to give you a lateral release an in what ways he thingks a) it will help and b) what he hopes for your recovery, please don't always trust thy surgeon, make sure you do you own homework, it will be invaluable to you.

I wish you the best of luck
Iona

Offline Shazinoz

  • SuperKNEEgeek
  • *****
  • Posts: 1029
  • Liked: 0
  • G'Day from Australia
Re: Need some advice
« Reply #2 on: December 04, 2002, 02:44:59 AM »
Welcome Walshybloke,
I can't help on the Lateral release stuff as I am a ligament tear/stretch person and Chrondomalacia too. but there are heaps of people on here who have had LR's. Good luck and ask any questios you wish as I am sure that someone will be able to answer them for you.
2 ACL 'reco's', 3 'scopes', Pain, JRA, EDS, RSD, CMP, osetochondral defect & #, synovitis, adhesions, nerve damage, foot drop, MCL damage, tendonitis, fibrosis, ligament damage AGAIN, dislocations +++

Offline Linds

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4097
  • Liked: 3
  • worry about what you can change!
    • Linney and Kitty's Website
Re: Need some advice
« Reply #3 on: December 04, 2002, 04:29:17 AM »
Hey ... I had a LR about...8 months ago...not quite. Anyhow...the first thing you should know..is that most people on here..have lived the nightmares..which is why they are still on here.  There are some risks involved, with the LR, I think the stats are about .7% or something like that.  I developed a hematoma after my LR , which is probably one of the more common complications with the surgery I was on crutches for 4 weeks. or there abouts, and I went to physio everyday for about 8 weeks. Then I went away to work. My knee was good for a month or so. Now it is worse than ever..but..not for the same reasons. I had my LR because my patella tilted laterally, it no longer does that..I just have other issues. Anyhow..I don't know much else to tell you, but if oyu have any particular ?
s that I can maybe help with..
Send them along
Take care and good lukc
Linds
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline Walshybloke

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
  • User's Text
Re: Need some advice
« Reply #4 on: December 04, 2002, 10:54:51 AM »
 :) Thank you everyone.

Having read some of the stories I have on this board, it seems to make mine seem very trivial!

Ioan - Cheers but It worries me youve had 3 unsuccessful attemps!  Its also worrying the fact that the recovery takes so long especially with work commitments.

Linds - Without sounding very ignorant, what is a hematoma?
What was the reason for you having a Lateral Release if you dont mind me asking?  See I am starting to feel that the problems I have dont warrent such an operation!
I spoke to my consultant last night who seemed to put my mind at rest a little.  He will obviously be doing an exploritory arthroscopy and if he proves there is maltraking then do the Lateral Relaese at the same time.
Also is the post op period as painful as people say?


Offline Linds

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4097
  • Liked: 3
  • worry about what you can change!
    • Linney and Kitty's Website
Re: Need some advice
« Reply #5 on: December 04, 2002, 03:28:47 PM »
Hmm...well a hematoma is a pocket of blood , for me is was about half a litre of blood contained within the joint capsule, because the tissues they cut didn't stop bleeding . :-/ When the cut the Lateral Renticulum, they inject it full of Adrenaline, to keep it from bleeding... but in my case...it wasnt' enough.  After my surgeon made the cut..he had a feeling I was going to be one of the lucky 1 in 1000 surgeries to have this happen. Anyhow.... it's such a problem with knees, because Blood is a major irritant to the joint surfaces.  I actually had the scope, and then...my OS was probing around on the back of my kneecap, and on the lateral side, the scope dissapeared into the cartilage..becuase it was so soft.  He had his assitant bend my knee and well, my knee cap tilted laterally, and bumped up agains't my femur.  A Laterally Tilted Patella is cause for the LR.  
the post op period honestly is pretty painful, I am not going to try to sugar coat it.  The Damage that they inflict cutting that Lateral Renticulum, takes time to heal. It's kind of throbby for a few days..but then mostly it is an ache..except when you move it. Everyone is different though..and there was a lady on here that was walking the same day..ordered by her surgeon to do that. Mine had me on crutches for 4 weeks.  :-X But...if you rest, and do what you are told..and go to Physio , because the physio after a LR is almost as important as the surgery itself. You should be alright. I had more pain than most because of the hematoma, I had severe pressure in the joint, and I was actually in Shock for two days, because of the pressure in the joint.  But I had to have more surgery to clear the blood out of the joint...so, more surgery obviously increased my pain as well.  :-/  Surgery scares me..but I trust my surgeon, and so..I trust him to do what is right. I haven't yet been jaded..he is the one that went to school all that time...so he should know right?
I decided to have surgery, because the year before hand, I was taking an intense Equine Sciences program at a college in Ontario, and...I almost had to come home.
But my surgeon got me hooked up with some pain killers and a good brace..to keep me until I could finish.  So I knew..that at 21 there was no way I was living my life like that.  Now of course, here I sit at 22 worse, off..but it's not that the LR didn't work. It' that there was damage on other surfaces that when the patella came to a more normal position  those areas have now become weight bearing surfaces. :( So who knows...
K...hopefully that answers your ?'s.... probably answers it maybe a little too much. But  like I said before..any questions I might be able to help with...let me know.
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline Walshybloke

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
  • User's Text
Re: Need some advice
« Reply #6 on: December 04, 2002, 03:54:35 PM »
 :)Thanks for replying

You sound an expert in this field!

I guess my problem is trying to decide whether to have the op or not.  Building up the muscle around the knee is what i need to do to try and see if the situatuion improves but in building up the muscle and the exercises you need to do just aggravates the problem and makes my knee fell worse! Catch 22 :P

Also I have the problem in both knees so i might have to do it on both :'(

Its good to talk to people who have gone through it though.  And im sure theres plenty of other questions when i finally make that decision....times running out though Im booked in for January 3rd!

Offline belfry

  • MICROgeek (<20 posts)
  • *
  • Posts: 1
  • Liked: 0
  • User's Text
Re: Need some advice
« Reply #7 on: December 04, 2002, 05:41:53 PM »
I wonder if anyone has had cellulitis of the knee. I was in hospital for 2 weeks but since coming home have had fluctuating temperature and intermittent pain. has anyone else had this and is this normal ???

Offline Linds

  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4097
  • Liked: 3
  • worry about what you can change!
    • Linney and Kitty's Website
Re: Need some advice
« Reply #8 on: December 04, 2002, 05:42:24 PM »
I also have the problem in bot of my knees...but the right one caused alot more pain than the left. However..in all reality the left is clinically worse. For me...we did the right knee..had it turned out amazingly...as it apeared it would ... about 4 months post op..we would have talked about doing the left..but since...it didn't turn out so hot..so far...the left knee will be waiting awhile. I have the same issues with the exercise to strenthen as you. agrevate it or let it get weak...and not agrevate it.  Anyhow..I am just rambling on..good luck on your decision. Have confidence in that your surgeon is planning on going in and looking around..first..rather than just slicing and dicing..that was always a compfort for me.
Take care
Linds
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline Leentje

  • SuperKNEEgeek
  • *****
  • Posts: 2114
  • Liked: 2
  • ER nursing rules !!!
Re: Need some advice
« Reply #9 on: December 04, 2002, 07:51:26 PM »
I had a lateral release/shaving 2 years ago 'cause of maltracking and chondromalacia. Post-op I had pain where the LR was done. It is important to ice a lot and do SLRes.  Be sure before you go in for the LR that you have strong quads, so start exercising! This will make it a lot easier post-op.

I didn't have to use crutches, started PT 10 days post-op and returned to work 5 weeks post-op. I wasn't lucky, the LR failed, but my OS said I had a 50% chance the surgery would fail. But a scope is a lot less major than an open knee procedure so why not try it? I have to say my tracking was REALLY BAD!

Best of luck!!

Helena ;)
Bilat patellar malalignment/PFdysplasia
00/06/83 L wrist #
11/12/00 L knee LR + chondroplasty
21/08/02 L knee TTT
02/03/04 L knee stretched PCL
11/09/07 L ankle dislocation/medial avulsion #
25/05/09 L ankle medial avulsion # AGAIN!
05/06/13 R ankle dislocation

Offline Walshybloke

  • MICROgeek (<20 posts)
  • *
  • Posts: 6
  • Liked: 0
  • User's Text
Re: Need some advice
« Reply #10 on: December 04, 2002, 09:18:38 PM »
Cheers for that

Sorry it hasnt worked for you.  I have been told by a PT that in general there is only about a 20% success rate!

So your PT gives me a bit more hope!

Did the failed LR cause you more problems than you had in the first place?

Offline Heather M.

  • SuperKNEEgeek
  • *****
  • Posts: 4007
  • Liked: 10
    • Check out my photography!
Re: Need some advice
« Reply #11 on: December 05, 2002, 02:12:56 AM »
Belfry,

If you think you have cellulitis or an infection in your knee joint, get it checked out as soon as possible.  If necessary, go to the emergency room.

An infection post-op is just not anything to mess around with, it will make your life miserable.  There are several tests they can do to check for infection, and if you are concerned you should see your surgeon.

I had cellulitis and it was extremely painful--and it took me about 12 weeks to recover to the point where I could walk without crutches.

Heather
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
http://www.flickr.com/photos/hmaxwell