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Offline meljoh

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Is my doctor crazy?
« on: August 21, 2007, 03:43:23 AM »
Hey all, long time no talk. Hope everyone is well considering...

So I'm in a tough spot right now. 2 weeks ago (and I'm telling this because it's my only logical event to have caused all this) I spent a glorious 5 hours in the blazing heat doing yard work. Lots of bending twisting crouching, mostly to accomodate the bum knee (left one). Brain is so fried, I couldn't tell you which way was up, not to mention at what point my good knee (right) started hurting. Tuesday comes and the right knee is sore. Not debilitating at this point, enough to make me think, maybe I overdid it. AS the day and evening wears on, it's getting worse. Well Wednesday rolls around. I feel extremely bad. Given everything I have been through with the left knee, my tolerance is pretty high. When I woke up I could barely walk. Pain was bad enough to have me, the queen of pain tolerance, call my primary doc and get an appointment. I mean this was bad.

I roll in there that afternoon and he looks around. Swelling was unbelievable at this point. He yanks on my leg a bit and calls it a day. Now I have had 6 surgeries on my left leg, I know what a proper exam consists of. Already at this point I question his "thorough" examination. He blurts out 3 things it could be: bakers cyst (haha I'm a baker), and 2 other things so lame I question it immediately and upon some basic research when I get home, I think he doesn't know a knee from an a$$. I get a script to T3 for pain and methyl predlisone (sp?). The steroids were a 6 day packet of decreasing dosages. Worked ok, but never took alot on my end to kick the swelling back up. The T3, only 20 pills mind you, hardly do anything for the pain. I ask him what do I do when meds are up, he said adjust my activity until it gets better. LOL thanks for the advice, can I get my friggin co pay back?!?!

So here I am 2 weeks later. I sucked it up this past Friday and made an appointment with an ortho for this Friday. I'm just about out of pain meds as I suffer during the day just to have 1 or 2 before I go to bed so I can wake up and actually walk, the swelling is uncontrolled at this point so oh well for that. I live in s 3 story townhouse, at which it is impossible for me to avoid stairs.

My knee feels extremely stiff, if I squat, it's dang hard for me to get back up quickly or painlessly. Originally the pain was focused on the back of my knee and the medial compartment area. It's at the point now where I am experiencing pain on the front side as well. Not dull pain either, I am talking sharp jabs that have me yelping. And if I move too quickly with my foot planted and body heading in a different direction, it's BAD. I curse in front of my children, unintentionally, it's so bad. Originally alot of what I found along with all of my symptoms (some not mentioned here) seem consistent with an ACL injury. But I wonder if that's possible because I am able to move and walk, not pleasantly, but I can.

Any advice on what I can expect from doc Friday? To what extent can a diagnosis be provided based solely on physical exam and possibly x-rays (these were not previously done, but this dr's office has x-ray equip in office)?

Thanks all sorry this was so long. I'm just such a detailed nerd :)
3/93 scope torn meniscus, 10/00 sched for LR but remvd exc. scar tiss 11/01 LR,  repair  degen men. tear 10/02 TTT with agg. trauma since 12/04 screw rem. dlng w/bone mass loss in knee, medial subluxg 9/05 open wedge HTO. More to come...

trainwreck

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Re: Is my doctor crazy?
« Reply #1 on: August 21, 2007, 04:34:21 AM »
Your gp sound like an idiot.  It is good you are going to the OS.  You probably won't get a firm diagnosis at your first visit.  They will possibly do xrays and schedule an mri if needed.  I am sure you will have a much more thorough hands on exam.  I have never gotten an immediate diagnosis.
Good Luck

Offline Nettan

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Re: Is my doctor crazy?
« Reply #2 on: August 21, 2007, 06:54:51 AM »
I really doubt there is any new injury. More then a overuse injury, if you compensate for the left one.
Have you tried RICE ? You haven't mentioned anything about that.
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 meljoh

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Re: Is my doctor crazy?
« Reply #3 on: August 21, 2007, 03:34:48 PM »
Good morning guys, thanks for the input.

Nettan, yes RICE has been tried alot actually. Even after all this time since the occurence, I still attempt hoping it will work. I thought about overuse and the fact that for so many years this knee has compensated for the other. It amazed me how suddenly this all came on and with a vengenance it seems. But now heading into the 3rd week? I could understand residual soreness and what not. But swelling is full blown and pain, ease of walking is only increasing as time wears on. That's the point that's getting to me.

And here I am on a fresh morning, got up twice in the middle of the night to go to the bathroom and waking up this morning, and still problems to walk and so much pain. Oh here's a thing, it's weird dunno what this will tell you: I find myself walking on my tippy toes with the right leg to alleviate some of the pressure of the pain as well and keeping my leg from having to bend and straighten, bend and straighten when I walk...
3/93 scope torn meniscus, 10/00 sched for LR but remvd exc. scar tiss 11/01 LR,  repair  degen men. tear 10/02 TTT with agg. trauma since 12/04 screw rem. dlng w/bone mass loss in knee, medial subluxg 9/05 open wedge HTO. More to come...

Offline plantgeek58

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Re: Is my doctor crazy?
« Reply #4 on: August 21, 2007, 04:43:53 PM »
Hi Meljoh,
This kind of sounds like a medial meniscus tear to me, especially since you mentioned doing a lot of bending, squatting and twisting. I notice in your signature you had that in your other knee. Does it feel anything like that one did? The swelling in the back could very well be a baker's cyst. Dunno about the swelling in the front. You would still be able to walk with an ACL tear, but I think most people feel some sort of painful pop when that goes, and your knee would maybe give out a lot.
With a meniscus tear, you would have a lot of pain and swelling over the medial compartment, as you mentioned. Pain with stairs and twisting movements is also consistent with that. Full extension and full flexion would hurt, too, as would getting up out of chairs. Your knee might also click, catch or lock up, but this doesn't always happen. Your knee might also feel unstable.
Your GP obviously has no experience with this sort of thing. Good luck with the ortho visit.
Terre
RK 7/04 part. m. menisc., plica resect., MF
    3/05 part. m. menisc., open OATS
    1/07 part l. menisc., MF, patellar chondroplasty
    9/08 MF
LK 11/04 & 8/06 part m. menisc.
     7/07 LR, patellar tendon debrid., part m. menisc.

Offline meljoh

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Re: Is my doctor crazy?
« Reply #5 on: August 21, 2007, 05:07:03 PM »
Thanks for the input Terre. You referenced my previous meniscal tear and I have been trying to conjure up memories of it. I was 14 at the time, resulting from a slip and fall.

The more I am able to think about it, it does seem similar. My knee certainly does snap crackle and pop quite often. Makes me want rice krispies haha. When I am in a seated position trying to get up it is definitely painful. I recall when I tore my meniscus when I was 14, the dr didn't want to operate because "he was afraid of messing up my growth plates". Sidenote, I haven't grown a friggin inch since then, I am short! lol Anywho, 5 months passed of this constant pain and suffering. They kept me in a knee brace, cause that helped alot...I remember the breaking point for my dad. We lived in an apartment with my bathroom directly across from the kitchen. I was seated on the toilet (covered! lol) removing my brace getting ready to take a shower. Chit chatting with my dad while I did this. Took off the brace and stood up to take it to my room. When I stood up, the most god awful painful and loud pop occurred. My Dad heard it in the kitchen. I sat back down in tears it hurt soooo bad. the next day he called the dr's office and let them have *ahem* a nice choice of words. They agreed to do an exploratory scope and lo and behold Melissa had a torn meniscus.

That pop and pain I experienced 14 and a half years ago, let's just say I have been experiencing some deja vu...Needless to say I know what you have described because for the past 2 weeks I've been dealing with it. One very prominent "symptom": Stiffness. REALLY really stiff. An even better way to describe it. If you crack your knuckles, think of that feeling you get when you know you need to crack them. That kind stiff, on the verge of popping feeling. One slight wrong move of my body but not moving my leg or foot, that oh crap it's about to go feeling sets in. It's so weird and hard to describe, but that's the best way to put it. one wrong move and my leg is just gonna fall off lol

Yes I think my gp is a ding dong when it comes to this stuff, all's I can say is thank god I don't need a referral to see a specialist. YIPPPEEE!!!!
« Last Edit: August 21, 2007, 05:27:28 PM by meljoh »
3/93 scope torn meniscus, 10/00 sched for LR but remvd exc. scar tiss 11/01 LR,  repair  degen men. tear 10/02 TTT with agg. trauma since 12/04 screw rem. dlng w/bone mass loss in knee, medial subluxg 9/05 open wedge HTO. More to come...

Offline meljoh

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My dr WAS crazy
« Reply #6 on: August 25, 2007, 02:08:26 PM »
Yay so went to ortho yesterday. PLantgeek, you have won the prize! Doc is bettin the farm on it, have an MRI to confirm on the 6th. Said if it's torn, we fix and fast. I'm like crap I am slammed for the month of Sept and most of Oct. with jobs (own my own cake decorating/wedding/event planninig biz). He was going to give me a cortisone shot, too but changed his mind. that was a bummer.

So I think back to when I had a scope for this many moons ago. I think I was off crutches within 2 weeks. I think. But I was young, and healthy lol. so we'll see what happens.
3/93 scope torn meniscus, 10/00 sched for LR but remvd exc. scar tiss 11/01 LR,  repair  degen men. tear 10/02 TTT with agg. trauma since 12/04 screw rem. dlng w/bone mass loss in knee, medial subluxg 9/05 open wedge HTO. More to come...

Offline plantgeek58

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Re: Is my doctor crazy?
« Reply #7 on: August 26, 2007, 04:41:37 PM »
Hey meljoh,
well, nice to know I wasn't off-base about the problem, but I'm sorry to hear that I was right. I know how you feel. I wasn't expecting to have to spend most of this summer recovering from surgery, either and I was pretty upset when my MRI showed another tear.
Don't sweat the surgery too much. These days most docs don't even put you on crutches after a meniscectomy. It's not easy to walk for the first couple of weeks, but after that, as long as you're mostly sitting down, you should be able to work at least part time. Of course, it all depends on what your OS finds when he gets in there and what he does to fix it. Hopefully it'll be minor.
Terre
RK 7/04 part. m. menisc., plica resect., MF
    3/05 part. m. menisc., open OATS
    1/07 part l. menisc., MF, patellar chondroplasty
    9/08 MF
LK 11/04 & 8/06 part m. menisc.
     7/07 LR, patellar tendon debrid., part m. menisc.















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