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Author Topic: what are the possibilities.......  (Read 1444 times)

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Offline slyguy1

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what are the possibilities.......
« on: August 30, 2005, 03:16:11 AM »
I am waiting for am MRI on both knees......injured both knees running. Present symptoms include stiffness and pain when going up stairs and painful to bend them all the way especially when sitting in a yoga position. My right knee seems to catch on something when i try to bend it toward hamstring. There is also grinding with occasional popping. X-rays are negative and the OS checked physical outlook for pain....cannot figure it out....what can it be....tear of some kind inside knee??He says that it doesn't look that bad.....but if that is the case why am i still having pain a year later....still cannot run!!

Offline Heather M.

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Re: what are the possibilities.......
« Reply #1 on: August 30, 2005, 08:12:28 AM »
From the tell-tale pain when going up stairs and sitting, I would guess that you have some kind of cartilage damage to the back of your kneecaps and other areas.  This used to be known as 'chondromalacia' but that term is passing out of favor.  Chondral damage, chondral lesions, and articular cartilage damage are a bit more precise.  Closely linked to the identified patello-femoral pain syndrome or PFS.

Check out the main kneeguru page:  http://www.kneeguru.co.uk and look up the patella, chondromalacia, osteoarthritis, etc.

Some other great resources:  http://www.steadman-hawkins.com/knee_chondral/overview.asp  and  http://www.steadman-hawkins.com/pate/overview.asp

and http://www.kneehippain.com/patient/i_patellarpain.html

Hope this information helps.  If your doctor truly has 'no idea' what could be wrong based on your description of symptoms, you need to get a new doctor!!  Depending on how badly you actually injured your knees while running, you may be dealing with an overuse syndrome, PFS, chondral damage, tendinitis, etc.  So you may be dealing with a long-term, underlying problem like PFS or tendinitis or something which was aggravated in a running incident.  This is pretty common, especially with PFS. 

If you want to post where you live (general region) someone might be able to recommend a great knee specialist for you to see for a second opinion.

Good luck.

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

Offline Gingergin

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Re: what are the possibilities.......
« Reply #2 on: August 30, 2005, 07:01:13 PM »
I have the same stiffness, pain, much grinding, and absolutely cannot bend my right knee anywhere near all the way because the pain makes me stop trying.  This did not improve much with 6 months of PT.  I have been told after OS exam and MRI that the cartilage behind my knee cap is all gone but for a sliver, and that there is no mechanical reason why I can't bend all the way - just can't get past the pain. The PT thought it a bit unusual, and the OS told me that having this is a "way of life".  Nice!  I am now keeping my quads very strong, trying accupuncture, and am on month two of glucosamine/chondroitin.  Something seems to be helping the flixibility a tiny bit recently, but I am not sure what!

good luck!

Offline slyguy1

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Re: what are the possibilities.......
« Reply #3 on: August 31, 2005, 05:03:44 AM »
I just got the call for my MRI to be done tomorrow on both knees at this ortho group where they specialize in sports medicine and where some famous athletes have been treated but none of them were runners. I guess we'll find out what the MRI reveals. Thank you Heather for that imformative explanation. I don't have too much confidence in my present MD can I take the results to another MD for second opinions and further evaluation? One more question--can scar tissue cause the same type of pain as a cartlidge tear or stiffness? I think i have an imbalance problem in addition to poor running gait according to runners which might have lead to this problem. I don't run that much maybe 5 miles at most per session....i never ran more than 10 miles per training session...i am just a recreational jogger who was doing great....losing the weight and then wham! I miss my workout ....now just try to strength train with weights but the knees just put a halt into my freedom to just jog .  I am in North Jersey...Wayne,NJ if anyone knows of any doctor or therapist who has treated running injuries I would definitely get that second opinion or third.

Offline Heather M.

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Re: what are the possibilities.......
« Reply #4 on: August 31, 2005, 10:40:39 AM »
I've never seen him, but Dr. Levy in Summit, NJ has a great reputation and has done a lot of work in sports medicine/orthopedics.  I've heard very good things about his skill as a surgeon and his bedside manner/patient communication.  Always a good thing.

Here's a blurb on him:  http://cache.zoominfo.com/CachedPage/?archive_id=0&page_id=766496315&page_url=www%2Enjsportsdoc%2Ecom%2Findex%2Ephp%3FpracticeId%3D1067%26dir%3Dpersonnel%26lib%3DPersonnel%26personnelId%3D2720&page_last_updated=5%2F22%2F2005+7%3A12%3A23+PM&firstName=Andrew&lastName=Levy

You might want to read posts of some people who have identified themselves as his patients and highly recommended him.  Holly is one, Nick Knack (I think) is another that comes to mind.  You can go to the members section and look up these kneegeeks using their screen names (which are exactly as I typed them above--Holly and Nick Knack) to read their posts.  Or you can use the advanced search feature to look up "Levy" and "NJ or New Jersey" to find posts that reference him.  He's also listed on this board's knee surgeon list.

Again, I haven't seen this doctor, but several people have and they said they thought he was a fantastic surgeon.  As always, YMMV ;D ;D

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

Offline eco49rvra

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Re: what are the possibilities.......
« Reply #5 on: September 01, 2005, 01:31:54 AM »
Hey Sly,
Sorry to hear about your knee... it sounds a lot like the symptoms I had when my cartilage was all trashed... felt like something was jammed in the joint, hindering range of motion, not so much fun.

You might want to check out Tri-County Orthopedic & Sports Medicine (www.tri-countyortho.com) in Morristown. There are a few knee specialists in the practice, including the doc who did my menisectomy and ACL recon, who I'd definitely recommend. I don't know about treating runners, but I imagine they've seen their share.

Best of luck with your recovery,
Kristen
2/2005- injured knee in police academy
4/2005- lateral & medial meniscus cleanup... SURPRISE! ACL is completely torn, too!
5/20/2005- ACL reconstruction (patellar autograft)

Offline slyguy1

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Re: what are the possibilities.......
« Reply #6 on: September 02, 2005, 04:32:46 AM »
Thanks again.......anyone have experience with Dr. Stoller over in Paramus who supposedly treated some famous sports athletes...not sure