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Author Topic: Anyone have any ideas?  (Read 2340 times)

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Offline Markmy

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Anyone have any ideas?
« on: August 07, 2006, 02:17:47 AM »
About 10 years ago I injured my r knee. After a scopt and removal of a lot of cartlage my knee got worse.I have to be cearfull of what I do and most of the time the pain is bearable. When it is BAD it never swells and is cold not hot. For 10 years flying has agravated it but it normaly settles down after a few days. After a recent trip it hasnt settled and if anything its getting worse. I have had MRIs done and shows nothing 3 specalists say there is something wrong but hav no idea what. 1 wanted to do MORE surgery( I have had 3 now) 2 said live with it till you cant bear it and have a replacement Just wondering if anyone had any idea what could be the problem

Offline shade

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Re: Anyone have any ideas?
« Reply #1 on: August 07, 2006, 12:20:46 PM »
Markmy,

Hi there, have you seen a patello-femoral specialist?  MRI's don't always help if your problems are behind the patella, CT scans might work, good skyview x-rays helps also. 

There are many restorative techniques being used on articular cartilage.  Check out microfracture, OATs, ACI/Carticel and TTT procedures.  Many procedures can be done to help a person before going down the road to TKR. 

You have to find a surgeon who specializes in the above procedues to see if you might be a candidate for any of these procedures. 

Good luck.  ~Shade
July '05 (RK) - LR/debridement
Mar '06 (RK) - Open LR + Allograft w/OBI TruFit Plug + Fulkerson TTT
 Feb '07 (LK) - LR + Fulkerson TTT

Offline Markmy

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Re: Anyone have any ideas?
« Reply #2 on: August 10, 2006, 03:24:58 AM »
Thanks for the tips Shade
Im willing to spend what little $$ I have to try to get some pain relif
After the last full reconstruction they siad there was nothing more could be done.
Has anyone heard any thing about a possable build up of bone pressure?? And maybe some relife if I had a hole drilled in my Femur to relesse it?? Thanks all
Mark

Offline dm

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Re: Anyone have any ideas?
« Reply #3 on: August 11, 2006, 12:50:13 AM »
I don't know about all that, but if you have chronic knee pain, as I do, you might try Lidocaine patches. There's a product called Lidoderm, and I put 1/2 or 1 patch on my knee, in my case, with the top edge of the patch at the bottom edge of my kneecap, covering the patellar tendon and the medial joint line. It takes some time to work, but it does "dial down" the pain I have a few notches. I've got early onset OA due to my meniscus being 3/4 gone, so there's not doody they can do to help me right now, since the damage isn't severe enough to do something drastic. SO, the pain patches help, and ice, and ibuprofen, occasionally a narcotic if it's that bad, but otherwise I have to just "live with it" too.
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 Sebastion

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Re: Anyone have any ideas?
« Reply #4 on: August 15, 2006, 02:57:09 PM »
 I had an ACL reconstruction in '86 and lost my lateral cartlige then as well.  Everything was great until about 5 years ago and then the knee was painful.  I had three more surguries which did nothing actually but worsen the pain (during the next three, they removed part of my fat pad, cut out tons of scar tissue, had 2 synectovies, fixed something with my IT band, removed old hardware, etc)... I'm not quite as athletic as I was, but during the last 5 years I kept telling my doctor that I just felt that something was wrong with my ACL (as it had been the problem before).  Everytime he went in (surgery), he said that the graft was fine and holding.  I just got a new doc who went in exploratory and said that yes, the graft is holding, but the ligament is streched enough to make it useless and I have a reasonable amount of muscle wasting.  He wants to do a cartilige transplant and ACL reconstruction, I think I want the reconstruction only for now (I'm 34) and I'll see how the knee is after that.  The interesting thing was, that NO doctor (and I saw 4 in one year) thought that my ACL was bad because when they manipulated the knee (while I was awake), muscle tension stabilized it, so they said it was "pretty stable."  It wasn't until I was on the operating table and it was manipulated that the doctor realized the ACL was useless (he originally told me it was fine as well).  It's just a thought.

Offline mbr20

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Re: Anyone have any ideas?
« Reply #5 on: September 06, 2006, 03:49:19 PM »
Hi Mark
Cant help with the diagnosis but can offer info on the flying side. I have PF arthritis (due worn out cartilage both knees). I fly regularly and was finding the condition was aggrivated. Not sure why, possibly the pressure changes, cold, or sitting for long periods or all of the above. I have found that gentle exercise (swim, walk) all the time, but particular the day before and after a flight, and regular stretching and elevation (if possible) on the flight.  Anti-infammatories and light crepe/stretchy brace bandage (not sure correct terminology) may help with support, pressure and warmth. Just in case you are crew, zero heel and well cushioned shoes (I use the Kumphs brand) can make a big difference, as lots of walking on hard floors with bags through terminals doesnt help with the knees.
Best of luck
MBR
« Last Edit: September 06, 2006, 11:41:09 PM by mbr20 »
Bilateral PF Osteoarthritis

Offline Markmy

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Re: Anyone have any ideas?
« Reply #6 on: September 07, 2006, 04:21:10 AM »
Thanks for all your help guys and girls. Im going for nerve blocker tests next week to see if they can cut the nerve that is causing the pain and still leave me able to walk















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