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Author Topic: On going saga since feb advice sort please  (Read 1082 times)

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Offline setau

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On going saga since feb advice sort please
« on: July 07, 2007, 10:45:36 PM »
The beginning of feb I was playing with my dogs on my section and Red my large trailhound changed direction and ran straight into my left side knocking me over. I twisted my right knee and landed on the side of it hearing a large crack. Red is an ex racing dog and weighs 30k and was going full speed. I couldnt get up and had to shout to the neighbours for help. It became swollen staright away and I put a tuba grip on it after some ice. When I got up later it went from under me and I fell over again.
friends took me to the emergency dept and they x.rayed it told me I had strained it and it would be ok in a couple of days. If I put weight on it it would go from under me and I would be on the floor. He didnt listen to me and said that it was proberly a bit of anxiety that was making that happen!
 Went to my GP and he appled a robert jones bandage and gave me crutches said it would be ok in about 6 weeks.
Eventully I got referred to a specialist and had an MRI scan which showed bone bruising at the lateral tibial condyle posteriorly and moderated sized effusion.
I am still having problems can not stoop or kneel I also cant carry anything heavy as it cant take it and it is still swollen getting pain below the patella and on the inside of my knee. It keeps feeling like something pops and I get cracking noises and my knee sort of locks.
I had another x.ray last week and am seeing the specialist again on thursday.
I was seen by the occupational health doctor a couple of days ago and he said that there is nothing very much wrong. also that I have full movment. He then said that I have tendonitis and I will be fit for work on tuesday. I have been back to work but I am struggling with it.
Any help and suggestions greatly appreciated
It doesnt go from under me anymore but is not getting any more better and I am totally fed up with it.

Offline tenabutter

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Re: On going saga since feb advice sort please
« Reply #1 on: July 08, 2007, 07:12:37 AM »
I don't think I read that you had any Pt for the knee. If you were on crutches for 6 weeks, it is very possible that the muscles around the knee are very week. This happened to my knee after my microfracture and it hurt to touch the knee at all. I went for additional PT about 14 months post op for the hip, IT Band, and we worked on strengthening the muscles around the knee. I could not believe I could kneel on the knee when making my bed.  I was also getting quite a bit of popping, this was caused by me moving my knee wrong to avoid pain. I will say that my knee is not healthy, I am only mid 40's and need to wait a bit longer for the TKR, but I am using the knee more than I have since Dec 2006.

If your specialist doesn't see anything on the MRI and feels your knee is not just weak, perhaps they can scope it to clean it up and really see if there is underlying damage not seen on an MRI.

I wish you the best.
3/17/2006 RK Microfracture
12/28/2006 RK Scope

Offline setau

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Re: On going saga since feb advice sort please
« Reply #2 on: July 08, 2007, 11:32:25 AM »
Thanks for your reply. I am also in my mid forties! How did you hurt your knee and how is it now?
I have had physiotherapy but its not really done much for it so far.
Do you know what causes the cracking and popping? On a positive note I have had a good day today with it. Some days are worse than others. I have found that the cold seems to also make it worse and the winter has really kicked in other the last couple of days here!

Offline Linds

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Re: On going saga since feb advice sort please
« Reply #3 on: July 08, 2007, 02:24:01 PM »
It totally sounds like a Cruciate Ligament injury to me.  Get a second, Third, Fourth opinion. If your knee is giving way something is not right.
I fell off my horse 14 months ago and my foot got stuck in the stirrup a bit and I twisted my knee and tehn fell on it when I finally came free.  My knee was awful, swelled up right away, heaps of pain gave way a few times on me, but that has stopped, though i'm still very gaurded letting the knee go to full extension. My diagnosis is a partially torn  ACL (Anterior Cruciate Ligament) and medial meniscus injury. I'm having a scope this week finally to take a look around in there.  It's been 14 months and while things have improved significantly it's still not the same knee.

Physiotherapy is SO important to build up strength and flexability after a big injury like this.. even in the case where something is so damaged surgery is required.  IF I were you i'd find a physiotherapist I like and trust and try to work towards rehabbing your knee. I've been doing most of my physio at home..and checking in with my PT from time to time...but you have to stay motivated to do it at home and for some people this is hard. Sometimes you need that person there to push you.

I wouldn't settle for there is nothing much wrong,not if your knee is that uncomfortable and still swelling...

As to the sounds of cracking and popping.. is it accompanied by pain? Painful cracking and popping needs to be investigated, non painful, well it can just be caused the inflammation, air in the joints, ligaments, tendons sliding over bones.

Hang in there
Linney
« Last Edit: July 08, 2007, 02:26:18 PM by 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?

Offline tenabutter

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Re: On going saga since feb advice sort please
« Reply #4 on: July 10, 2007, 02:42:56 AM »
My knee issues are hereditary, thanks mom!!!!  To cause me to have initial surgeries, I was walking and heard the pop. I lost movement for bending and strenghting the right lknee. For me, the popping is bone on bone and there are spurs that catch. I would definitely get multiple opinions until you find someone that believes the pain you are in. Luckily, I found my OS in only 2 tries. I am in the desert, so there is no cold causing more discomfort here and the humidity is what killed my knee in New England area.

Good luck,
Tena
3/17/2006 RK Microfracture
12/28/2006 RK Scope

Offline setau

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Re: On going saga since feb advice sort please
« Reply #5 on: July 10, 2007, 08:31:11 AM »
Thankyou for your messages. I am off to the surgeon on thursday. The MRI scan showed apparently that the ligaments were intact but the surgeon did not look at it just looked at the report the radiologist had sent.
I have a copy of the MRI scan which I will be taking with me and will insist that he looks at it himself.
I live in New Zealand and it is much warmer here except for the last couple of weeks bgut generally pleasant in the daytime and chilly at night when the sun goes down.
The cracking Linds is accompanied with pain and it feels like sometimes I want to make it crack does that make sense I cant really explain it very well! Sounds like you had a nasty scare on the horse.
Tena what breed of dog do you have? Here in NZ cruciate ligament injuries are common. A lot of farmers get them from sheep would you believe running into them.
One thing the surgeon said is that it maybe that I have some cartiledge floating around in there and in 5% of cases things dont completely show up on the MRI.

Offline tenabutter

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Re: On going saga since feb advice sort please
« Reply #6 on: July 12, 2007, 05:08:05 AM »
I have Shelties, 2 little guys, that don't understand they can't trip me up   LOL

Good luck at the surgeon's!!!

3/17/2006 RK Microfracture
12/28/2006 RK Scope

Offline Silkncardcrafts

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Re: On going saga since feb advice sort please
« Reply #7 on: July 12, 2007, 05:39:18 AM »
Hi Setau,

It sounds like a patellofemoral problem rather than an ACL problem, particulary as you are having trouble kneeling.

As a first step I would go and see a good sports physician that specialises in knees. They will be able to do the appropriate scans and advise you on the best course of treatment. If you can, find one that works for an elite sports team. I understand that you have some good sports physicians in New Zealand. I am based in Melbourne and have some good ones here too.

For patella problems there are lots of things you can do conservatively. These include physio to strengthen the muscles around your knee, glutes, hips, hamstrings and calves, taping, bracing, clinical pilates, gym program and some work in a hydro pool. I would avoid having surgery for as long as you can. I've had patella problems for over 12 years and had to have quite a few operations in that time. Make sure the physio you go to specialises in knees, particularly patella problems. The rehab needs to be very specific in order to work. Would definitely give physio 6-12 months as it's a slow process and probably won't know until at least the 6 month mark.

Good luck !! ;)
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty