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Author Topic: need help diagnosing problem when standing  (Read 1193 times)

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Offline lrs

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need help diagnosing problem when standing
« on: April 02, 2007, 11:03:21 PM »
I'm looking for some help in understanding a knee problem.
The knee aches and feels swollen after standing approximately
5 minutes.  Typically treat with ice; recovers in 1-2 days.
No problem, however, walking, running, biking, or weightlifting.

PT did not help.  Orthopedic exams, MRI, bone scan, arthroscopy,
nerve conduction test unable to explain problem.  This problem
has been going on for years.  To date, the only solution has
been to avoid standing (apart from steady walking or running).

Has anyone ever heard of such a problem, or guess as to what
could be the cause?

Thank you.

- lrs

Offline lilrosie06

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Re: need help diagnosing problem when standing
« Reply #1 on: April 03, 2007, 05:34:50 AM »
Irs....Hmmmm....Do you notice it doing this when you are standing in a certain way? Like both legs together. Are you standing straight? Do you tend to put more weight on that leg? Im just curious. Thinking maybe you are subconsciously putting all your weight on that one leg?Did any of these tests show any signs of arthritis?  Let me know.....Im real curious.

DONNA
LEFT KNEE INJURY-1-05
SCOPE 4-05, LR 1-07, TKR 6-07, MUA 7-07, REVISION 10-07, INFECTION CLEANOUT 11-07, REVISION 4-08, EXPLANT 2-09 ANTIBIOTIC SPACER PUT IN, AND PICC LINE FOR 6 WEEKS
REPLACEMENT 5-09

BACK IN PT NOW....HIP AND FOOT PAIN, POSSIBLY SCIATIC

Offline lrs

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Re: need help diagnosing problem when standing
« Reply #2 on: April 03, 2007, 08:21:50 PM »
Donna,

Thank you for the questions.

The problems come up fastest when I'm standing straight with my legs
reasonably close together.  Standing with a wide stance (approx 2.5 feet
apart) and/or with a break at the knees is less problematic.  No problems
on stairs.  Once the knee gets aggravated, though, everything is painful.

I've become pretty conscious of how I stand; I don't believe I'm putting
more weight on my bad side.

No arthritis.

Any ideas/suggestions gratefully accepted.  Thank you.

- lrs

Offline Nettan

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Re: need help diagnosing problem when standing
« Reply #3 on: April 03, 2007, 08:58:11 PM »
Are you sure this is a knee problem ? Sometimes pain can be in a area where the problem isn't. Like you can get pain in knees but you have problems with the back. Are you having any problems with back, hips or how is your feet ?
Do you have flat feet ? Is your knees knocked knees ? Have you tried different shoes ? What about orthotics ?
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 lrs

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Re: need help diagnosing problem when standing
« Reply #4 on: April 03, 2007, 10:50:33 PM »
Nettan,

Good questions.  My back, hips, and feet have all been evaluated.  My
feet pronate a bit, but otherwise all appear fine.  Orthotics did not
help.  At my latest round of PT, my feet were evaluated again; the
therapist found no reason to try orthotics.

I'm slightly bowlegged.  No help with different shoes.

My suspicion is that the problem originates in the knee.  This, however,
is based solely on a history of this knee taking a beating during sports
as a kid.  No problems were seen with the knee back then.

Thank you.

- lrs

Offline maile433

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Re: need help diagnosing problem when standing
« Reply #5 on: April 04, 2007, 01:53:20 AM »
Irs,

Where on your knee does is hurt?  It it isolated to one side (inside, outside, front, back)?  What kind of pain is it (sharp, dull, aching, etc.)?

When you are standing, do you hyperextend your knee?  This could lead to some extra strain on your ACL and eventually lead to ther issues.  Just a thought...
7/03 RK medial meniscus repair & partial lateral meniscectomy
2/04 RK partial medial meniscectomy & microfracture
1/05 RK medial & lateral partial meniscectomy & microfracture
8/06 RK OATS autograft LFC + LR

Offline lrs

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Re: need help diagnosing problem when standing
« Reply #6 on: April 04, 2007, 06:39:00 PM »
maile433,

Best description is a dull ache from the inside of the joint.  If I
continue to stand, definitely gets worse inside the joint.

To add more data on the question of whether the problem originates in the
knee, one ortho doc injected an anesthetic into the knee.  If the problem
had persisted, then the pain would have been referred from elsewhere.
The pain disappeared; I was able to stand for a half hour, at which point
it became uncomfortable due to swelling.  The knee actually felt
noticeably better than how I consider it to feel when its not aggravated.

When I ice my knee, I typically hit the front, back, and medial side of
the knee.

I've asked doc's and PT's multiple times if my knee showed any
hyperextension.  I thought that might have been the case.  Sitting on the
floor with my legs extended, the back of the right knee is closer to the
floor than the back of the left.  Possibly this is just due to muscular
differences.

Doc's and PT's claim the ACL and PCL are good.  The posterior drawer test,
however, really bothers my knee.

Thanks for any ideas.

- lrs

Offline Nettan

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Re: need help diagnosing problem when standing
« Reply #7 on: April 04, 2007, 07:07:30 PM »
Has any kind of bracing been tested ?
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 lrs

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Re: need help diagnosing problem when standing
« Reply #8 on: April 04, 2007, 08:31:51 PM »
Nettan,

I started with a Schultz brace, which seemed to possibly add some
stability (once).  Did not help with standing.  I currently use a patella
strap, which has reduced difficulties with walking.  Once the knee is
aggravated, the strap helps.  Possibly due to compression on the patellar
tendon?  I've also tried some neoprene and elastic sleeves, but no
benefit with those.

Thanks.

- lrs

Offline Nettan

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Re: need help diagnosing problem when standing
« Reply #9 on: April 05, 2007, 07:06:14 AM »
You are a mystery. Must be tough having these problems and noone can tell why exactly.
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 lrs

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Re: need help diagnosing problem when standing
« Reply #10 on: April 05, 2007, 03:34:22 PM »
I guess all knee injuries come with their own challenges.  I appreciate
folks' on this board willingness to listen and offer advice (though I'm
sorry for the reason they're likely here).

Anyone here with a PCL problem?  If so, how did it present?

Thank you.

- lrs