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Author Topic: Help!  (Read 1233 times)

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Offline AnonNYC

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« on: December 03, 2009, 05:33:09 AM »
I am a 30 yr old female who tore my ACL and medial meniscus 8 months ago.  I had surgery to reconstruct my ACL and repair my meniscus within days after my injury - went to physical therapy 3 days a week for 6 months as prescribed by my dr.  My knee still felt weak after the physical therapy when I would walk long distances or have a hard workout at the gym.  A few weeks ago, while walking down a flight of stairs, I felt a buckling sensation in my knee, it twisted, and I fell to the ground (however I fell in a sitting position and not directly on my knee).  I went straight to the dr. who brushed my injury off and told me there was no visible ligament damage and I would be fine.  After another week of pain and sleepless nights, I demanded an MRI, which now shows a hyperintense ACL (graft is intact) and an incomplete nondisplaced patellar fracture.  As for the fracture, my dr. tells me to wait six weeks, rest it as much as possible, and it will heal.  I have not been given crutches or a cast or any other instruction from my dr.  Living in NYC, which is a walking city, I am resting it as much as possible, but still doing a fair amount of walking on a daily basis.  I have been experiencing knee pain and setbacks in my daily routine for 8 months now and I just want to be sure this injury is being treated in the right way.  It doesn't make sense to me that my dr. would give me no other instructions on how to heal my knee.  Further, what can I do to reduce the pain?  I am going for a 2nd opinion next week, but in the meantime, any advice would be greatly appreciated.

Offline dm

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Re: Help!
« Reply #1 on: December 04, 2009, 09:49:04 AM »
For dealing with pain at the moment, you can use ice several times a day, you can take over the counter pain relivers, just not aspirin, whichever you can take, you can wrap the knee with an adjustable neoprene support available at most drug stores if you feel it's weak and needs support with being forced to walk because of where you live.

You can choose to get a collapsible cane and walk using it in the opposite hand of the injured leg, mostly for stability and to make others give you space in crowds. I've found that other people will give you a bit more space and not rush you so much when you walk slow if you have a cane, even if you're not leaning heavily on it, and mostly using it as a stabilizer. The metal collapsible kind are easier to contend with, and fold up to fit in a bag, and are thus less awkward to have around. I keep one in my vehicle for when I have places to go with extended walking required. It's also handy to lean on to take some of the weight off the knee. You use it by holding it in the hand opposite the bad leg, you're more stable that way. Seems funny, but it's the correct way to use a cane. If you use it in the hand on the same side as the bad knee, you lean too far to that side, and put yourself off balance, which actually worsens stability.

Hope the idea helps.
multiple arthroscopies 2/00,3/01,6/01,1/03, 12/07,10/10. chondromalacia, severe medial joint space narrowing following 3 partial menisectomies, chronic pain problems, kneecap problems, OCD lesion, failed mfx.

Offline littleyrag

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Re: Help!
« Reply #2 on: December 06, 2009, 01:02:15 PM »
My experience as a pain and injury specialist treating international athletes over several years is that the majority of injuries are caused because there is stress in the tissue before any injury has taken place. Meaning the muscles that cross the joints are under stress, that means that when the joint is put under load or a natural movement or twisting, the muscle contracts unevenly or twists or pulls, this causes the knee to be unstable and injury prone; over a period of time you would not know that it is there until you have a knee injury and we blame the physical activity. With cartilage and ligament issues this example is one of the biggest causes of knee problems just like a client Mark Philppousis . He was off the pro tennis circuit for eight months with a complete ruptured knee and having what would be the best care available to him; he attended his first major tournament with a swollen knee and what I discovered in the back of his knee was a lump of stressed muscle tissue which caused his problem in the first place that wasn’t dealt with, just like many knee injuries, as I read on this site people are so lost and yet when you know what is causing the problem  the closer you become to the truth the simpler things become!

The knee joint like any other joint has muscle across that moves the joint and one of the biggest things that surprised me that this is not taken in to consideration. What you need to look at is to take the stress out of the muscle tissue in the hip, quad and hamstring and maybe the back of the calf. This is what’s causing your knee to give way when going down stairs because the muscle tissue is not strong because of the stress in the tissue.

You need to have the knowledge to take the stress out of that area, stretching and strengthening will not eliminate your problem, it may treat the symptom for a while but the joint will not be as it should be.  Few people are aware that there are specific techniques that can be used in elevating these issues (the issue is in the tissue!) few specialist are aware of the importance circulation plays in all health issues and disease. The importance of circulation goes unnoticed throughout diagnosed symptoms when commonsense tells you that circulation plays a major part in staying healthy.  Boosting the circulation is vital to all healing processes.

Clients are left to discover to try and work out on their own the solutions to their problems, this is why I have spent many years researching the “why” behind clients’ pain and frustrations as few professionals can provide you with the answers of “Why”. Go to any professional and continue to ask “why” until they feel uncomfortable during this process. This is why I have now developed my own techniques, that are not only bringing results that alleviate pain after many years of suffering  but at the same time I teach clients’ how to empower themselves to take responsibility of their own wellbeing. 
Gary Little International pain and injury specialist works with world class athletes’ specialising in knee and hip injuries. "If you don't know the root cause of knee deterioration the problems will always exist and you will spend a lifetime treating symptoms"(You don't know what you don't know)