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Author Topic: MRI says fine DR says NOTTT!  (Read 947 times)

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Offline ladybiker

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MRI says fine DR says NOTTT!
« on: October 25, 2005, 04:05:56 AM »
I was sitting here reading about how some MRI's can miss things that are wrong and was just wondering if when a Dr examines your knee could he be wrong to.  Here is why I am asking my MRI showed a severe bone bruise.  I am still having trouble with stablility.  I was examined in July by the OS and he said contrary to the MRI I have ACL damage.  My question is could he be wrong to?  I dont really want to have sugery if it is not nesesary(SP)

Maybe I am just getting cold feet as I work for a living by walking 11-15 Km every day and dont want to miss that much time off work.  I also enjoy going to the gym and riding motorcycle.  Here in BC it can take as long as two years to have anything done so I am not to sure what to do.  I would have had the brace made a while back but I have been off work (summer vacation,strike) so couldnt really afford it ($1200,00) I was wondering does anyone just wear the brace and if I dont have the surgery will I have to wear it for the rest of my life.

Well any help or suggestions any of you could give me would be great.

Thanks and take care
Janice
Love to ride!!!

Offline Heather M.

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Re: MRI says fine DR says NOTTT!
« Reply #1 on: October 25, 2005, 08:37:43 AM »
I'm not an ACL expert or even a patient, but here are some good links on the questions you've asked.  Personally, I would trust a doctor over an MRI.  MRI's are not perfect--they have their uses, but the doctor has to treat a PATIENT, not a scan result....but when in doubt, and when surgery is recommended, it's never a bad idea to get a second opinion.

As for whether to reconstruct the ACL or not, that is a debated topic.  The general consensus is that if the knee is unstable, if the patient wants to be active, and if the patient is younger than 50, then reconstruction is a no-brainer.  That's because an ACL deficient knee can cause serious problems with meniscal tear and/or articular cartilage damage--stuff that requires a knee replacement down the road!  Read more in the Cruciate Ligament section of this board.

Good overview on ACL injuries, diagnosis, and treatment from a pioneer in the field:  http://www.steadman-hawkins.com/acl/overview.asp

Link on ligament injuries:  http://www.kneehippain.com/patient/i_ligament.html

MRI's:  http://www.kneehippain.com/patient/i_mri.html

I'm assuming you've already read the main kneeguru.co.uk page on ligament inuries--if not, head on over.  Another resource that lots of people have said is helpful is "Bob's ACL board."  http://factotem.org/cgi-bin/kneebbs.pl

Heather
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Offline Natalie.D

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Re: MRI says fine DR says NOTTT!
« Reply #2 on: October 25, 2005, 12:06:53 PM »
Janice,

I'm with Heather in that I would trust the doctor over the MRI, also I'm not sure but would a bone bruise give you instability issues?  Whereas an ACL would definitely give you instability.

Natalie.
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Offline kittent1211

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Re: MRI says fine DR says NOTTT!
« Reply #3 on: October 26, 2005, 02:37:58 AM »
Only you know how  your  knee feels, does  it  feel like there's a serious problem with it?  My OS didn't even do an MRI because I was in so much pain and had so much trouble with just every day tasks that it was obvious to me and to him that surgery was  called  for.  He  said  that regardless of what an MRI would  show he needed to get in there and see what's going on.  He thought it was most likely a torn meniscus but it wasn't.  He was right that it needed surgery, it was a different surgery then he had planned on performing but he was not wrong that it needed surgery.  I was pretty sure it would need surgery before I every saw him for the first time because I hurt so bad.  It was no surprise to me when he said I needed it.  So, what does your knee feel like and can you live with it the way that it is? 

Teresa















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