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Author Topic: When to call the OS (again)  (Read 1471 times)

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Offline khaoskat

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When to call the OS (again)
« on: January 18, 2006, 05:21:47 AM »
Ok...long story short, some of the old timers may remember me.

I have had knee issues since 1999 (maybe 1998).  I would injure my knee once a year, starting May 1998 (I  believe).  Then Nov. 1999, Nov. 2000, Nov. 2001, Feb. 2002., Nov. 2004, Sept. 2005, January 2006.  It is believed that they were all dislocations/sublaxtions with some tearing.

The one in Feb. 2002 ended up requiring partial menisectomy (I also think that the sports med specialist I saw, made it worse when he was testing to see if there was an issue on the lateral side, I think he tore the lateral side during the test) of the medial and lateral sides of the left knee.  The OS removed approximately 1/3 of each meniscus.

In Nov. 04, the SMS sent for another MRI, after an injury.  The Radiologist thought there was a new tear, but the OS didn't agree.  So, I was given home PT exercise, a J brace and told to come back if problems continue.

In Sept. I did it again, but didn't go in for any treatment.  I initially was in sever pain, when I did the injury, but within about 20 minutes was walking on it without much of a limp.  By the end of the day I was fairly good.  I was back to normal activities within a couple of days.

Fastforward to this past Saturday (1-14-06).  Was in the middle of a Synchronized Skating Competition at Fraser, MI when my knee subluxes/dislocates right out on the ice.  Ok, I got out of the way best I could using my good leg to push...but couldn't stand up, as I couldn't fully bear weight for about 10 minutes or so.  The onsite medic checked me out, but I was able to limp out of the rink (took skates off) within about 10 minutes.  Within about another 15 minutes I was able to do a small squat and walk without much of a limp.

The inside (medial joint area) was and still is tender to the touch.  It hurts in that area when I bend it, and when I try to do stairs, going up or down.

Should I give it a few more days, or should I call and get seen.  I just really don't have the money for x-ray or MRI right now.  Plus I need to get back out on the ice this weekend for our practice before our next competition.  (Coach ordered me off the ice for a week).  I do this recreationally, not professionally - the skating is.

Melissa S.

Offline Nettan

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Re: When to call the OS (again)
« Reply #1 on: January 18, 2006, 06:46:25 AM »
Melissa, have they really rouled out what's causing your knee to sublux ?
A call doesn't cost so much, so why not just call and just give the the story short ?

HUGS 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 khaoskat

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Re: When to call the OS (again)
« Reply #2 on: January 18, 2006, 06:56:51 AM »
No, they have not stated a cause for the repeated dislocations/sublaxations.

The medic did say that there is a lot of laxity under the knee cap.  (Or I think, it was hard to hear here sitting in the hockey box with the music as loud as it was, and the other team talking, others talking on the walkie talkie, others trying to talk to the medic about me..etc).

I have seen this OS for several times (Knee surgery and follow up, and then again back in 04 when I did it again..oh, and a visit when my first child was about 9 months due to knee pain where I had the surgery).

Melissa S.

Offline smeagol

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Re: When to call the OS (again)
« Reply #3 on: January 18, 2006, 10:28:58 AM »
I think it is worth getting it looked at if you can.  Preferably while its still a little sore.  then they can see the inflammation in the joint and might pay more attention than they have done.  If itd doing that and causing a lot of pain its worth getting looked at.
Charlotte
About 10 years of pain, 3 arthroscopys, and still no help with my condition or my current problem.  And I'm only 20!

Offline Nettan

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Re: When to call the OS (again)
« Reply #4 on: January 18, 2006, 02:16:01 PM »
If this doc not is taking your problem seriously with those repeated subluxs maybe it's time for getting a second or even thrid opinion. If you have had it for so long and phys doesn't seem to help maybe you need some kind of surgery to make it better.
I would definately not skate on this knee right now, think of your future.

HUGS 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 horizons

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Re: When to call the OS (again)
« Reply #5 on: January 19, 2006, 04:18:38 PM »
I've had repeated dislocations since I was seven, the cause being a hypermobile patella. I've been seing the same OS since my first knee problems. He usually tells me if it still hurts and there's no improvement within a week after the dislocation that I need to have x-rays and come and see him and start of physical therapy again, of course surgery is an option too, but he advised against it untles absolutely necessary.

But for you if you don't really know the cause and if the knee is still painful I would go see your OS again or maybe even try a different one to get a second or third opinion.

From being someone who has had repeated dislocations, wait a few days after the dislocation before you make an appointment, most OS won't see you if it is too swollen because they won't be able to tell very much from all the swelling, not to mention that poking and proding is going to be more painful the more swollen it is. Typically after my knee cap dislocates it is very tender in certain areas for the next couple of days and I try to avoid stairs at all costs for at least a week after the dislocation, so I would say that is normal. My OS was able to tell my mother she had a torn meniscus when she went to see him last year, then he sent her for the MRI after to make sure his suspicious were valid. They were, and she ended up having surgery to fix it. But that's always an opton for your OS to try too. He just poked at a certain spot in her knee and she came off the table, that's one of the reasons they want your knee to be as swollen-free as possible, that way they're able to find the menicus, and then determine wether the pain is from swelling or the actual ligament.

If your not happy with your current OS, try to find another one, look around and get recommendations from other people on who is the best to see.

Offline Linds

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Re: When to call the OS (again)
« Reply #6 on: January 19, 2006, 05:53:56 PM »
I think you should get looked at, but that's just my opinion.
Goodluck
and welcome back, sorry to see you back here though. :(

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?