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Author Topic: Diary of Post-Injury of MCL & LCL 13/05 (Long)  (Read 4567 times)

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Offline Lizzie - UK

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Diary of Post-Injury of MCL & LCL 13/05 (Long)
« on: July 17, 2003, 09:50:52 AM »
I have been diagnosed with Hypermobility Syndrome/ EDS III and, therefore, my ligaments are one of the soft tissues that are prone to be more lax.

Anyway, I had taken my friend to the ER as she had injured her eye.  During the wait I got up to find out how long she would be and managed to find the floor that someone had dropped a drink on and had not thought to either wipe it up, or notify anyone of it.  I'm still on crutches and my left crutch just made touch with the slippery floor and went flying.  I, however, didn't - thankfully.  Or that is what I thought.  I did manage to jarr my knee and my back - so I didn't get off scott free.

I had an appointment at 5.30 pm to see my doctor to see whether or not I could either come off my pain meds, or reduce them and see a Pain Management Clinic, which he agreed would be a good idea and quickly dictated a letter for me to be referred - he is excellent at getting things done quickly.

Everything seems to be going great, until later on in the evening when my left knee decides that it has had enough of being good and gives way on me.   This is a usual thing but I couldn't get up, I was in too much pain.

I end up going to ER where I see the SHO who diagnoses that after having a set of X-Rays done that I have damaged both my lateral and medial collateral ligaments.  I already have a suspected medial meniscal tear, which I am waiting for surgery on 16 June!!  He gets the nurse to put me in a Robert Jones bandage from thigh to ankle and gives me some pain meds and off I go.

2 days later I am back in considerable pain to the ER, I had to call out the paramedics because I was in sooo much pain (after being advised to do this by the NHS helpline)  I end up waiting 7.5 hours and by this time I got up and told the nurse that not only had I waited all this time, but I had been sick twice because of the pain.  He quickly goes off to get me the same medication I have at home and gives me a lower dose than I already take.  I eventually get seen by the SHO who writes me up for an injection of dihydrocodeine which makes me feel sick, so I get an injection for the sickness and then also I get put in a pop backslab and told to come back to the fracture clinic the next day.

I come back as told to the fracture clinic and I see the OS who incidentally is the OS I see privately! ;D  He thinks that I should go into a fibreglass leg cylinder cast from thigh to ankle, as he believes that I have torn the MCL and LCL, but he also thinks that I have fractured the medial femoral condyle so I have to have a CT scan.

A few days later I am back to have a CT scan which I find out at the next visit to the fracture clinic that I don't have a fracture - thankfully

A week later I am back to the ER with a suspected DVT - all the symptoms - I am admitted for 5 days and have to have a doppler scan to check whether or not I have a DVT, which comes back clear, so I can go home, with yet another new cast.

I am told to stay in the cast for at least 6 weeks and to come back after that 6 weeks - however, it is not as easy as this, I end up damaging my right knee on Friday 13 June and have to stay in hospital in the Orthopaedic ward for 9 days.

My surgery for my suspected medial meniscal tear and LR are on 16 June so I go and see the fracture clinic on 11 June to be told that I need to keep my cast on until I see my private OS when I am going in for surgery.  I call his private secretary to tell her this and she says that he is not happy with this and would rather wait to perform my surgery once my ligaments are healed. >:(

Eventually after being in hospital twice and countless replacement casts as they kept falling down and resting on my peroneal nerve in my ankle, I get my cast off after 10 long, and painful weeks to only be told that I will have to wait for physio in 2 weeks.  

Today is the day that I have my first PT - wish me luck and I will report back with what the PT has to say!  ;D
Past History of L&R Knee
Bilateral OA
Medial Meniscal Tears
Lateral Releases & Medial Reefings
Ruptured LCL, MCL & PCL
Adhesions in the interconylar notch of ACL removed
Suprapatella plication
Debridements/Lavages
Deep chondral fissure in crest of patella
Awaiting MRI - LK
TKR - RK

Offline Lizzie - UK

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #1 on: July 17, 2003, 07:52:37 PM »
Okay, so today was my first day of PT -  much the usual thing,  My PT - Andy took a history of my knee problems on my left knee and then had a prod around to see where it was hurting.  He said that there wasn't a precise arear that he could pinpoint.  He told me that there was a hydrotherapy pool that would be good for me after he has gone through some exercises in the pool with me later.

Today he performed some accupuncture to start off with.  The first needle was a bit painful, but hey, I've performed leg waxing on myself before, so what was a few needles going to do.  I'm not afraid of needles, so it shouldn't be a problem. Was I wrong - the pain that some of the needles gave me and the last needle was the worst.  It nearly had me off the bed - it was that painful.

He did tell me that I might feel tired and yes he is correct - but then that could also be that I went out with my friend and her children and met up with some other mums and their children and had a few Bacardi Breazers!!  Probably the mixture of alcohol and accupuncture.  Needless to say that I will not be posting much as I can feel my eyelids closing by the second.

I will keep you informed of my progress as I go along - next PT is on Monday afternoon.

Seesya
Lizzie xxx
Past History of L&R Knee
Bilateral OA
Medial Meniscal Tears
Lateral Releases & Medial Reefings
Ruptured LCL, MCL & PCL
Adhesions in the interconylar notch of ACL removed
Suprapatella plication
Debridements/Lavages
Deep chondral fissure in crest of patella
Awaiting MRI - LK
TKR - RK

Offline Janet

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #2 on: July 17, 2003, 10:45:21 PM »
Lizzie:

You have been through a lot! That's one thing that I find so interesting on this site....so many of the stories are long and involved and difficult for the doctors to address. Hope your PT helps you come along to the point you can have the surgery you need. Do you have any idea how long you will have to wait?

Janet
Torn quad tendon repair & VMO advancement 4/99, MUA with LOA 10/99, Patella baja and arthrofibrosis, LR & medial release & LOA 5/01, LOA & chondroplasty 6/03,TKR on 11/06, MUA 12/06. From perfect knees to a TKR in 7 years, all from a fall on a wet floor...and early undiagnosed scar tissue.

Offline Lizzie - UK

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #3 on: July 21, 2003, 02:52:25 AM »
Janet

I don't know when I will be able to have the surgery.  

I just hope that I have put all these problems behind me now.  

I'm in quite a bit of pain, but I'm trying to rise above it.  Easier said than done, but I think that a positive mental attitude is required, as well as a c0cktail of drugs.  Although I hope to get off these, or reduce them as I have an appointment to see a specialist in the pain management clinic at my local NHS hospital.

I have PT tomorrow and hopefully will get some relief and also some advice on what PT I should be doing after my injuries.

Thanks for your message.

Lots of love
Lizzie xxx
Past History of L&R Knee
Bilateral OA
Medial Meniscal Tears
Lateral Releases & Medial Reefings
Ruptured LCL, MCL & PCL
Adhesions in the interconylar notch of ACL removed
Suprapatella plication
Debridements/Lavages
Deep chondral fissure in crest of patella
Awaiting MRI - LK
TKR - RK

Offline Lizzie - UK

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #4 on: July 23, 2003, 12:37:01 AM »
Hi KNEEgeeks

I went and had PT yesterday for my 2nd session.  My PT, Andy did some more accupuncture on my knee as well as putting needles in the front of my knee and down my ankle, he also put 3 needles in the back of my leg.  This time they didn't hurt, except for maybe one or two.  Even when he came back to twiddle the needles it didn't hurt, even the two that hurt when they went in and none of them hurt when he took them out.  I don't know if this is a good thing or not.  If you understand what I mean.  Or course I don't want pain, but my mum's accupuncturist said that if you don't feel pain then you are not getting the meridians to open.  We shall have to see!

Will have to keep you informed of my progress

Much love
Lizzie xxx
Past History of L&R Knee
Bilateral OA
Medial Meniscal Tears
Lateral Releases & Medial Reefings
Ruptured LCL, MCL & PCL
Adhesions in the interconylar notch of ACL removed
Suprapatella plication
Debridements/Lavages
Deep chondral fissure in crest of patella
Awaiting MRI - LK
TKR - RK

Offline Heather M.

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #5 on: July 23, 2003, 07:23:52 AM »
Lizzie,

I understand why your PT is twirling the needles--acupuncture works best when the muscle 'grabs' the needle.  But my doctor does this at the beginning to ensure proper placement, then leaves the needle alone for the rest of the treatment.  I'm just curious why your acupuncturist twirls during...?  Different techniques?

Also, does your guy use estim on the needles? It's kind of odd, feels good but very intense at the same time.

Hope you have good success.  The acupuncture helps almost all of my pain except the mechanical stuff.  It's not a complete cure, but I do feel much better.

Heather
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
http://www.flickr.com/photos/hmaxwell

Offline Lizzie - UK

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #6 on: July 23, 2003, 09:29:19 AM »
Heathers

Thanks guys for your responses.

I don't think that I suffer from any more pain than the rest of the KNEEgeeks on this wonderful board that don't support everyone as well as I do.  I just think that with the HMS/EDS I just seem to have more joints to ache!  ;) ;D

I don't know if it is coincidince or what, or whether or not I just feel like I should do more after my accupuncture, but the next day or so I seem to have a sensational flare up of pain.  In fact, I had to take all my pain meds last night (Tramadol 100mg, Dihydrocodeine 60mg and Celebrex 100mg, including Diazepam 20mg) to get me off to sleep eventually with all the pain that I was in.  I eventually managed to fall off just after 2.00 am.

My delightful pussycat, Micka decided to wake me up at 5.00 am - so hey, 3 hours sleep wasn't too bad.  I'm going to try and catch a nap during the day if I can and I am also going to see if I can get an earlier appointment with my Chiropractor (originally booked appointment for Friday as I was going to be taking my mummy and daddy to Waterloo Station in London for their short trip to Paris, France and didn't think it would be a good idea to have any treatment beforehand, but now that they are no longer going, means I can see whether I can get one today or tomorrow)  hopefully as I know that my spine feels out of alignment and is propbably putting pressure on my other joints.  Both shoulders are killing me, around the rotator cuff area and my right wrist is painful to move - hey I'm just falling to bits.  Although my spirit is high and I'm not going to let a few aches and pains get me down - no siree!  ;D

I have my next bout of accupuncture next Monday, so I will report in as to what treatment I will be getting.  The left knee still feels very unstable and I find it strange that he is not getting me to do much exercising - even though I do a lot at home with static quad exercises and other such exercises.

Wishing you all well with your post-op or rehab from injury.

Much love
Lizzie xxx
Past History of L&R Knee
Bilateral OA
Medial Meniscal Tears
Lateral Releases & Medial Reefings
Ruptured LCL, MCL & PCL
Adhesions in the interconylar notch of ACL removed
Suprapatella plication
Debridements/Lavages
Deep chondral fissure in crest of patella
Awaiting MRI - LK
TKR - RK

Offline Lizzie - UK

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #7 on: July 26, 2003, 09:24:49 PM »
Hey all

I've not been on the board for much time each time I log on, mainly because I am in a lot of pain and don't have the energy to reply to the messages.  SORRY!!!

Had my 2nd lot of accupuncture but still don't feel any better.  In fact I ended up going to see my chiropractor as my whole body felt in pain.  

I have good news that I am going to the Pain Clinic for my first appointment on 1st August at 0900 hrs, so wish me luck.

Speak to you laters
Lizzie xxx
Past History of L&R Knee
Bilateral OA
Medial Meniscal Tears
Lateral Releases & Medial Reefings
Ruptured LCL, MCL & PCL
Adhesions in the interconylar notch of ACL removed
Suprapatella plication
Debridements/Lavages
Deep chondral fissure in crest of patella
Awaiting MRI - LK
TKR - RK

Offline Marriah

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #8 on: July 27, 2003, 10:31:06 AM »
Hi Lizzie, God, I could barely make it through your first post about everything you've had done/happen!!!  I had surgery about 2 weeks ago, and I can sympathise with your pain issues.  I am miserable.  I really hope you are feeling better now.  I wish you luck at your appt at the pain clinic.  Let us know how it goes, and if it helps.

Love, Marriah
May 02 nondisplaced spiral fracture, rt leg, below knee,incompetant dr.,now I have a piece of bone sticking up at the top of tibia, scope Nov 02...July 10, 03 had osteotomy,a plate,6 screws,ACL recon

Offline lam651

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #9 on: July 27, 2003, 07:14:01 PM »
You have my sympathy and prayers. I sure hope going to the pain clinic does you some good. Good luck, Larry
arthoscopy('99),HTO(tibia didn't heal 10/01),knee braces(7/02),HTO w/ex.fix. to repair tibial non-union(3/03), remove ex. fix.(9/03),HTO other leg(12/03)

Offline enuff81020

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #10 on: July 28, 2003, 04:26:54 PM »
{{{{{{Lizzie}}}}}}

Wow--you keep pulling something new to try out of your hat--I'm hoping that one of these alternatives gives you some relief.  It sure tells a tale when you read about all of the folks who are helping--the chiro, pt, acupuncturinst etc....it tells me that you are still in good positive spirits, seeking out that answer.

I've kept you in my prayers and will do so, praying that you have found a good solution for this.  Take care, Sylvia
Both kneesOA.
Scope on rt knee,9/00;2/01
scope w/ LR and debridement rt knee 2/02
left knee same5/02
Patellar problems
LeftTKR12/16/02
Right TKR7/14/03
Complications MUA 8/14/03
R TKR revisio

Offline Lizzie - UK

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #11 on: July 28, 2003, 10:13:48 PM »
Thanks guys for all your replies.

I've been to PT today and told him that the accupuncture has done nothing to relieve the pain in my knee or even the swelling.  The only thing it has done is leave my leg with red marks, as though I have been bitten! My luck, as usual! LOL

I am now having IF - hopefully that will help, but I don't think PT is going to do much until I have surgery to repair or trim the meniscus and perhaps a LR.

I will keep you informed.

Lots of love to everyone
Lizzie xxx
Past History of L&R Knee
Bilateral OA
Medial Meniscal Tears
Lateral Releases & Medial Reefings
Ruptured LCL, MCL & PCL
Adhesions in the interconylar notch of ACL removed
Suprapatella plication
Debridements/Lavages
Deep chondral fissure in crest of patella
Awaiting MRI - LK
TKR - RK

Offline enuff81020

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #12 on: July 28, 2003, 10:41:47 PM »
Hi Lizzie--

I'm full of questions today--tee hee.

What is IF?

Good luck with it in any case--Take care, Sylvia
Both kneesOA.
Scope on rt knee,9/00;2/01
scope w/ LR and debridement rt knee 2/02
left knee same5/02
Patellar problems
LeftTKR12/16/02
Right TKR7/14/03
Complications MUA 8/14/03
R TKR revisio

Offline Lizzie - UK

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #13 on: July 28, 2003, 11:05:33 PM »
Sylvia

IF is interferential treatment - low frequency waves to repair soft tissue damage.

Electrotherapy includes pulsed electromagnetic fields (PEMF) and interferential treatment, which depends on two slightly different electrical wave forms crossing within the area to be treated and raising the temperature at their point of intersection.  Shot wave diathermy was once in general use but is now becoming less popular.

Hope this helps and explains it.

Lizzie xxx

Past History of L&R Knee
Bilateral OA
Medial Meniscal Tears
Lateral Releases & Medial Reefings
Ruptured LCL, MCL & PCL
Adhesions in the interconylar notch of ACL removed
Suprapatella plication
Debridements/Lavages
Deep chondral fissure in crest of patella
Awaiting MRI - LK
TKR - RK

Offline enuff81020

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Re: Diary of Post-Injury of MCL & LCL 13/05 (L
« Reply #14 on: July 29, 2003, 02:41:28 AM »
Thanks for the info Lizzie--I'm learning lots from you today ;)

Hope that you are feeling ok...

Keep smiling, Sylvia
Both kneesOA.
Scope on rt knee,9/00;2/01
scope w/ LR and debridement rt knee 2/02
left knee same5/02
Patellar problems
LeftTKR12/16/02
Right TKR7/14/03
Complications MUA 8/14/03
R TKR revisio















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