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Author Topic: Back from Doc...  (Read 2780 times)

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Offline FindnNemo91

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Back from Doc...
« on: December 21, 2007, 04:26:35 AM »
Hey everyone...

I got back from the doc and he said that he can notice some improvement in the injury to my calf. He said that i need to start PT asap, and start to walk on the leg more, because I have already lost 1 cm in the 'diameter' of my calf. He also said that I am at risk for RSD. Also he tested my left leg for ITBS and he said that it is not too bad but is tighter than the other. He also said that I have a leg length discrepancy, but didnt tell me by how much. The 2 solutions after i heal from the calf injury would be things in my right shoe to make me taller on that side or to have a surgery where they make the left side shorter by cutting the femur and inserting a rod and plate. Sounds painful, but it would fix the problem completely.

Anyway,
I am just trying to hang on...kinda depressed cuz i felt like he didnt answer all my questions and is just as confused as i and all the other docs are. i just feel sad... i wanted him to maybe find something or be able to do something. kinda sick of the pain.

Oh well....

Thanks everyone,
Jak


ps. my blood tests came back fine, which is  kinda weird cuz ive been eating salt out of the shaker. also my BP was 92 or 90 over 70. is that low????
TTT/Lateral Release/Chondroplasty: May 15th, 2009
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Offline maryc

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Re: Back from Doc...
« Reply #1 on: December 21, 2007, 04:41:44 AM »
Hey Jak - congrats on the improvement and being able to start PT - maybe as you build up muscles during PT some of the other things will be clearer.
Blood pressure less than 90/60 can be a concern, but can have a lot of causes, including some medications and low blood sugar from not eating (this always happens to me when they take my blood pressure at the same time they do blood tests - they tell you not to eat before the blood tests and then wonder why you have low blood sugar)

Hang in there
8/4/07 fell
8/5 diagnosed TPF
8/6 surgery plate and 6 screws
8/12 out of hospital NWM
8/21 staples removed
9/18 OS appt - WBAT with crutches
10/10 - WBAT with cane
10/27 - back to work w/cane
12/26 - no cane, slight limp when tired
1/25/08 - released from PT, no limp
2/3/09 - Released by OS

Offline kathat

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Re: Back from Doc...
« Reply #2 on: December 21, 2007, 06:16:59 AM »
BP of 90/60 is lower than average (which is around 110 - 120/60 - 80) but I had a teacher whose BP was always around 60/40. They never found a reason for it - it was just her normal BP. Better than having a high BP!!

Offline The KNEEguru

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Re: Back from Doc...
« Reply #3 on: December 21, 2007, 12:09:48 PM »
Hi
Blood pressure varies from person to person. Blood pressure tends to be lower in younger people than older ones.

Although eating excess salt is believed to have an effect on blood pressure, it is not wise to eat salt in an effort to get your blood pressure to go up. It is better just to ask your doctor to monitor it and advise you over a period of time.
KNEEguru
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Offline FindnNemo91

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Re: Back from Doc...
« Reply #4 on: December 22, 2007, 03:02:45 AM »
Thanks for the response guys. When i went to get my blood pressure checked after a couple weeks of salt cravings, it was 120/70. Then i stopped having such severe salt cravings and now it was 90/70. so....

anyway,
any thoughts on the surgery if PT doesnt help??


thanks,
jak
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

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brianne

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Re: Back from Doc...
« Reply #5 on: December 22, 2007, 03:12:42 AM »
NEVER take a surgery such as cutting your femur lightly.  There is no going back once you go through with the surgery.  Not to mention that the risk of complications is very high.  There are only a handful of surgeons who would even be qualified to perform such surgery.  At this point you should not even be thinking about such a major surgery.  It is not just as simple as cut the femur, put some rods, plates, and screws in place, and let it heal.  You could likely have pain for the rest of your life with such a surgery.  In any case, this is something that you should seek out an utmost specialist for and I doubt your OS would be one of those specialists.

In terms of leg length differences, this is a common problem and I would suspect that if your problem was really bad enough to warrant surgery then it would have been discovered by now.  I have leg length differences and orthotics help me quite a bit. 

I know you have had a lot of problems, but surgery is not the answer.

So for now, stick with PT, try shoe inserts, and don't think about such a major surgery as something that would fix your problem completely because it is likely to not.

Offline jathib

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Re: Back from Doc...
« Reply #6 on: December 22, 2007, 01:27:22 PM »
I agree with Brianne on this one. You don't want to have surgery to correct a leg length difference under any circumstances. Just put a lift in your shoe. I can't believe a doctor would even do surgery for that sort of thing. Much of the time it's not a difference in leg length anyway, but more of an imbalance in the hip and/or back that make it appear that way. Someone would have to actually measure each of the bones in your legs to make such a determination.  I had a difference in length of 3/4 of an inch. I wore a lift in my shoe for years that took care of the problem for the most part. When I had my partial knee replacement I ended up with two perfectly straight legs and as an added bonus they were both the same length. I would never have done such surgery just to change the length of my leg.

Offline FindnNemo91

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Re: Back from Doc...
« Reply #7 on: December 22, 2007, 06:58:31 PM »
I never wanted the surgery because of all the complications, but i dont want to have to wear shoe inserts forever. i am trying to get into PT, i just have to find a mode of transportation to get there after school. The doc said that i need to take a break from sports for a while ( a year or two) which is a bummer because again this year, i will not have the chance to be on the varsity softball team. i already lost a scholarship because i had to take a break from softball and i really dont want to lose another one. everyone says that it is more important for my knee to heal than sports. i know that is true, but it is really hard to accept. I cant play hockey, lacrosse or softball.  :'( nothing that has the chance of me getting hit in the knee. the only thing that i can do is swimming and it is soooo boring. and it ends soon. i am so sick of this. i just wish that they could find what is going on with me. the doc put off looking for reasons for the chronic knee pain again and said, yet again, next time you come back we will look for the reasons.

well, anyway,

thanks,
jak :'(
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

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brianne

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Re: Back from Doc...
« Reply #8 on: December 22, 2007, 07:11:07 PM »
Wearing shoe inserts forever sure beats going through with a major surgery that has a high chance of failing.  You may want to find an OS who is more specialized in treating chronic knee pain.  This may mean traveling quite a while but would be worth it.  I know it is frustrating that you have all this pain and you want to do all of these sports, but surgery is not the answer to your problems.

You would be surprised at how much shoe inserts can help you.  Keep an open mind about it and DO NOT THINK ABOUT SURGERY.

Brianne

Offline jathib

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Re: Back from Doc...
« Reply #9 on: December 22, 2007, 08:45:55 PM »
I think you'll be hard pressed to find a doctor that will do surgery for a leg length discrepancy, especially since you don't even know if that's the cause of your pain. Mine never caused pain in my knee, only in my hip and back.  If a leg length discrepancy is truly causing all your problems then try a lift now. If that's your problem then all your pain will go away and you can go back to sports. If it doesn't work then surgery isn't going to help you. Wearing a lift in your shoe is a small price to pay.

fawn2388

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Re: Back from Doc...
« Reply #10 on: December 28, 2007, 05:03:54 AM »
No PEDI surgeon would EVER do this on a 15 year old as your little blub states, you first need to stop growing fully before you even worry about slight differences.

Shoe inserts really do beat a rod, plates, and screws... I had to have mine out asap after I could because of the pain, however everyone is different.

And btw, you aren't the only affected by long term pain and sports... I blew out my knee for the first time in 8th grade... and I had OS from about 6th grade...

And til this day, I can't remember one day from about 6th grade basketball that I haven't had pain. And most likely, if I had stopped playing... and made my mother listen to me about my knee pain, I probably wouldn't be sitting here typing this. I've done a lot to my knee, and I'm 19, and they are already throwing a possible TKR by the age of 25ish on the table...

And you don't want something like that.

And the 'easy' solution isn't always the best. Many of us here have shoe inserts, including myself for flat feet. Shoe inserts are better than going throu surgery to recreate an arch.

Offline FindnNemo91

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Re: Back from Doc...
« Reply #11 on: December 30, 2007, 06:21:05 AM »
as i said above, i DONT want the surgery. i am frustrated with the pain, just like everyone else. Im 16 and have had knee pain for 9 years now. im no different than anyone else. but there are many people on this sight that know what they are facing. they know what they are fighting. I have no idea, because after 9 years and 6 docs, they still dont know WHY!! i cant even take a shower without being in so much pain. its always there, just nagging, sometimes not bad but bad enough to let me know that it is still there. i have lost 1 softball scholarship because I had to take a break from playing, and that wasnt part of the 'contract.' i cant run, it hurts to walk, i cant swim more than a few kicks without it starting to hurt, and most of the time, its just there, even when i am sitting on the couch. (and right now) ive tried all the easy solutions, and i am willing to do anything else.


thanks,
jak :'(
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

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Offline jathib

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Re: Back from Doc...
« Reply #12 on: December 30, 2007, 01:15:32 PM »
jak, I think you're missing the point. The fact that you don't know what is causing your pain is a big reason *NOT* to have such drastic surgery. You're gonna go through all that pain and rehab for nothing and likely end up in worse pain. You don't even know if the problem originates in your leg. Frankly, any doctor that would suggest surgery for a leg length discrepancy in a 16 year-old is a doctor that just wants to cut you up for the hell of it.

For gawd's sake just put a lift in your shoe and see if it helps. What's the big deal. I had one for years and never even knew it was there.

Offline FindnNemo91

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Re: Back from Doc...
« Reply #13 on: December 30, 2007, 07:02:39 PM »
like i said 2 times above, I DONT WANT THE SURGERY AND I AM NOT GETTING IT. i was just telling everyone what the doc said. i just said that i am frustrated, just like hundreds of others on this site. surgery is out of the question, any type. just relaying to yall what the doc said. im gonna try the inserts...and i would not consider the surgery, ever, even if the shoe inserts worked or didnt. it doesnt matter.


jak :'(
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

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fawn2388

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Re: Back from Doc...
« Reply #14 on: December 31, 2007, 02:49:34 AM »
Maybe the reason no doctor can figure out what is wrong you seem so resistant to try anything and everything.

Having pain at the age of 7 seems a bit young... Mine didn't start til I had lovely Osgood Schlatters, than I decided I loved my OS so much I blew out my knee  :P

I know you've mentioned going a pain specialist or a neurosurgeon a couple times, but they seem more like the correct doctor for your knee pain than an OS, because CRPS is a problem, and can be corrected with medication/PT etc etc.

Its hard being fustrated, but you aren't the only one who lost a scholarship (strange you'd be offered one sophomore year) and you aren't the only one who hasn't had their problem fixed.

But maybe if you stopped running surgeon to surgeon and started again square one you'd figure out whats' wrong.















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