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Author Topic: Any ideas?  (Read 1164 times)

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Offline sarah.jayne

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Any ideas?
« on: October 02, 2005, 01:21:05 PM »
I'm hoping that someone has some ideas of what could be wrong with my knees. I'm a 22yr old girl, i'm a fairly active person, although i've had to give up running. I've got pain under both knee caps and also just below the kneecaps. I'm slightly flat footed and have mis-alignment of the patella. However i've had several courses of physio, along with x-rays, i also have special insoles for my shoes. Despite this my knees are actually getting worse, recently it got to the point where i couldn't get down stairs for a few days until i was rattling with painkillers!!

I hope someone has some ideas what my problem could be, as i think the docs are getting fed up of me!!! ???

Offline Nettan

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Re: Any ideas?
« Reply #1 on: October 02, 2005, 04:47:27 PM »
What docs have you seen and what have they told you ?
Have you seen any Orthopedic surgeon specialized on knees ?

NETTAN  8)
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline kath

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Re: Any ideas?
« Reply #2 on: October 02, 2005, 05:55:22 PM »
Hi SarahJayne,

As Nettan says, it would be very helpful for you to see an OS who specializes in knees.

Running is high impact on the joints, and if you are already having pain under and below the patella, I'm guessing the misalignment is the culprit.  I too have flat feet and misalignment...this causes uneven wear as your leg is not truly balanced to distribute the weight evenly.  Having pain going down the stairs and also trying to squat were one of the first symptoms I had of needing medical intervention.

If you are simply seeing your GP, ask for a referral to an knee OS...GP's don't have the expertise to diagnose complicated knee issues. Hopefully this is just a matter of overusing your knees, but best to have it checked!

Good luck and let us know how you make out!

kath
Bi-lateral unicompartmental Nov 2004

shadehawk

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Re: Any ideas?
« Reply #3 on: October 02, 2005, 05:59:31 PM »
Sarah,

Well, if doctors are getting fed up with you - then - it sounds like you need another opinion.  Have you seen a knee specialist like Nettan mentioned?  There are OS's that treat these type of knee problems and understand patellofemoral conditions.  

Keep up with your physio exercises, knee strength helps.  X-rays only show bones and do not show the soft tissues within the knee or the ligaments.  An experienced OS can give a hands-on assessment and identify knee problems.  The way you walk sometimes even helps define knee problems.

If you have only seen a GP - please ask to be referred onto a knee specialist.  Sometimes - physios have good recommendations to OS that could help with your condition.

Hang in there and don't give up.

There is always someone that can help - you have to find them though.

Good luck,

Shade

Offline Doc79316

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Re: Any ideas?
« Reply #4 on: October 02, 2005, 06:22:36 PM »
Hi Sarah,

I agre with Nettan, Kath & Shade. You need to see an OS who specialises in knees and don't give up until you find the right doctor for you. He is out there somewhere. You may be best off to get a second opinion if your current docs are getting fed up with you. Don't stop your physio exercises unless told to by an OS. Good luck.

Take care,

Laura
Left knee surgery
08/06/02-L/Release
13/08/03-Fulkerson TTT
05/06/05-Stabilisation & Medialisation/Tendon Transfer
13/01/06-Proximal Hamstring Superior Stabilisation
06/03/06-RSD/CRPS diagnosed
20/07/06 + 03/04/07-Excision of scar tissue
29/05/15-Arthroscopy
02/03/20-Left transfemoral amputation

Offline sarah.jayne

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Re: Any ideas?
« Reply #5 on: October 03, 2005, 09:20:21 PM »
Thanks guys. I've seen a os twice, but all they did was take x-rays and refer me for physio. Both os's told me the problems were because of different things! The one told me it was due to mis-alignment and that physio would make it better. The physio was mainly to strengthen my quads and it helped a bit. But i was dicharged with the outlook that they had done as much as they could but there was still something up!  The other os said it was due to my knee cap being a irregular shape, but this wasnt mentioned by the other os!

Has anyone had any soft tissue problems that have displayed symptoms like these? I forgot to mention that the most recent flare up occured after i had a bad riding accident where i landed on my knees befoire bouncing on my head. I went to hospital and again the x-rays came back clear. This was over a month ago and all visible bruising and swelling has gone.

Thanks again for your replies, its nice to know i'm not alone!!!

sarah  :)
« Last Edit: October 03, 2005, 09:31:15 PM by sarah.jayne »

Offline amandalee

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Re: Any ideas?
« Reply #6 on: October 03, 2005, 09:47:04 PM »
SarahJayne,
I had the same problem for 6 years before that they decided it was patellafemoral pain syndrome, with mal tracking. i have it in both knees but my left was far worse. I recently had a Fulkerson's/LR which seemed to have worked very well(even though im not allowed to walk yet i already have greater quad strength and less pain). I know that physio does nothing, i went through it for 5 years! You should talk to your OS and ask if it could be patellafemoral, and if a Lateral Reticulum or Fulkerson's could help!
good luck and let me know how things go!

Amanda
(p.s. have you gotten an MRI because my problem didn't show on a X-RAY.