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Offline andreas

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Need advice
« on: July 11, 2007, 07:35:53 PM »

I am looking for some advice/suggestions.  I am 36 yrs old. and have had several surgeries to remove torn cartilage resulting from a sports injury along with a Maquet procedure in 1994.  Exactly two months ago, my OS did a scope because I was experiencing difficulty in walking stairs, pain after walking for extended periods of time, and stiffness and pain behind my knee.  My OS said that he removed a piece of cartilage about the size of a fingernail from behind my kneecap, and then proceeded to show me the damage to the cartilage behind my patella (articular?).  He indicated that after the surgical pain was gone, the pain I had originally might come back, and, he was right.  He mentioned that the next step would be a potential reconstruction of the kneecap, and told me to come back and see him to discuss if the pain came back.  I guess I'm a little nervous about making the appt. because of what he might tell me.  I had a very tough time just sitting home for two weeks after the scope, and I am afraid how long I might be off my feet with something more extensive.  Has anyone had a similar experience and are there other options that I should look into?  The humidity here the last few days is making the pain even worse and sometimes it is difficult to get to sleep as my ankle and foot even ache at night.

Any advice would be appreciated!!
Andrea   :)

Offline kaci74

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Re: Need advice
« Reply #1 on: July 12, 2007, 02:48:03 AM »
Hi Andrea, 

I don't have nearly as complicated story as you, but my suggestion is to get a second opinion if you have any doubt.  If your insurance pays for it, all you have to lose is a bit of time.  You would get more information that would better prepare you to make a final decision.  I've been bouncing between a family physician, a PT and an OS.  By going to all three I've learned more (even how to read an MRI, thanks to the med student joining in on my OS appointment) about my pain and what helps and what does not.  I hope you find the answers you need, and I hope you are relieved from your pain quickly.

Best wishes,

Offline Silkncardcrafts

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Re: Need advice
« Reply #2 on: July 12, 2007, 05:56:59 AM »
Hi Andrea,

Before considering anymore surgery I'd go and see a sports physician/doctor to see if there are any conservative options. A GP often won't be aware of these options. This kind of surgery is fairly major and has a long recover. Whereabouts are you based ?

I also wonder whether doing some more physio with someone that specialises in knees, particularly patella problems might help. Just a thought. Another idea would be to consider doing some clinical pilates. It has helped me immensely.

As other's have said if you're not sure about it I'd get an opinion from an experienced knee surgeon, particularly someone that's treated patella problems.

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

Offline andreas

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Re: Need advice
« Reply #3 on: July 12, 2007, 05:14:15 PM »
Thank you both for your replies.  A few of the people I work with have said the same thing about getting a second opinion "outside of our area."  I live in Northeastern Pennsylvania and many of the drs. we have in our area don't specialize in a certain area, so they are just OS's and do everything from knees to hips to shoulders, etc.  I am trying to research some drs. in the Philadelphia and/or New York areas as I live only a 2 hours drive from either.  If anyone is familiar with any specialists in those areas and can suggest someone, I would appreciate it.

Thanks again!
Andrea :)