Banner - Hide this banner





Author Topic: Is there a surgery for this ?  (Read 6138 times)

0 Members and 1 Guest are viewing this topic.

Offline Sore knee

  • SuperKNEEgeek
  • *****
  • Posts: 1067
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #15 on: April 09, 2008, 03:13:54 PM »
 ;D :D

So how is everyone these days, is Kath still about. Where do we hang out now ?
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed

Offline tanyap

  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 2902
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #16 on: April 09, 2008, 03:29:16 PM »
kathy is still about somewhere - we hang out here with you :)
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline Sore knee

  • SuperKNEEgeek
  • *****
  • Posts: 1067
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #17 on: April 09, 2008, 04:19:31 PM »
awwww Tanya

Its nice to be back :)

So other than knee issues anything exciting going on in your life ?
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed

Offline tanyap

  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 2902
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #18 on: April 09, 2008, 04:31:16 PM »
no not really, had a tough couple of weeks there with my boyfriends family, his sis in law passed away then his granny did - so we are only coming back up from that now - he was very close to his granny - she was LOVELY - but she was 90, so there is an acceptance there. His sis in law had had a condition all her life, i think she is in a better place too.

so that occupied a lot of time recently - other than that ive just been moseying along waiting for my knee to improve :)
im looking at buying a house (me and boyfriend) - we are waiting for him to sell his share in a house he owns with 2 others, at the moment we noth live in my apartment - so itd be nice to have more space - how will i manage stairs though!!!!

hows things with you besides the knee?
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline Sore knee

  • SuperKNEEgeek
  • *****
  • Posts: 1067
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #19 on: April 10, 2008, 10:53:18 AM »
Oh Tanya you have had a rough time, I am so sorry to hear about your BF family loss. I hope you are baring up ok now.

((((hugs)))))))

here is a question for you, do you notice the click or bump in your knee or do you notice more when you have your hand on top of the knee to feel it.

Sometimes I hear it as it does such a big click, the rest of the time I think I have got used to it and don;t notice it but when I put my hand over my knee I feel it.

Then sometimes I get a lot of pain on the medial side as if something is stretched or sore a slight burning feeling but not where the muscles are lower than that at the lower side of the knee. Sorry not explaining it all very well but I am terrible when I go to OS and I get intimidated so trying to get my thoughts in order so I know what the important things are to tell him.
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed

Offline tanyap

  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 2902
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #20 on: April 10, 2008, 11:09:02 AM »
Hi Joanne,
Everyone seems to be doing ok in my BFs family - his parents went away for a few days just to relax - all seems alright.

I notice the clicking all the time. Its more obvious when Ive my hand on it - different positions are more obvious too, if I put my hand on during a leg extension its most noticable.
Ive a LOT of grinding - you can feel and hear it. It sounds awful - but it genuinely doesnt hurt.

I get a medial pain where you describe too - not the same type of pain - mine actually feels like something is rubbing that shouldnt be. I wonder if its meniscus?

ok - about getting intimidated - heres whats important. You need to be able to describe clearly the mechanical problem. What causes a problem, how it feels, what positions, actions etc...cause it.
Then describe pain and where it is, what type of pain etc... Sometimes you hurt in totally different places than where the mechanical problem is you know?
Then describe your limitations.

Ive always found that typing my own description and handing it to them to read works best - that way you have a chance to articulate it properly, and you dont forget bits.

Give a description here and we can all ask you things and try to get the important bits out of it for you to tell the doc?
xx
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline Sore knee

  • SuperKNEEgeek
  • *****
  • Posts: 1067
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #21 on: April 10, 2008, 11:37:02 AM »
ok

erm, something like this I guess


I have had knee pain since child hood. My earliest memories to right through teen age years are holding my knee and crying. In my teens I was told I had chondromalacia patella and told simply not to do sports. Then they tried taping my leg up and then wanted to do some operation where the bone is broken and set again. My parents refused as there were no guarantees.

I coped with knee pain but now having my children and doing more sport again my knee pain started bothering me more and more. I had a LR done last year but with persistent swelling.
You (the OS I saw last year and next Mon) scoped the knee cleaning it out and we both hoped everything would settle.

I have now had the knee brace for 6 months, physio for one year and the problem is not improving. My patella pulls to the side and Ian(PT) has tried to hod it wilst we do all our VMO exercises and he can't The brace compresses the knee and makes the bump, grind sensation worse. Sometimes it clicks audibly but I can't think of examples when this happens most, perhaps when the leg is locked straight and I go to release it.

At times I geta  real pain on the medial side of the knee lower down, not as high up as where the muscles go itno your thigh, more on the bony part of the knee.

The knee still swells and is painful after any sport / activity / gym work

Erm...thats its I think. Is this the sort of thing you mean ?

Thanks
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed

Offline tanyap

  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 2902
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #22 on: April 10, 2008, 11:51:45 AM »
Excellent - thats exactly what I mean.
I think it was a TTT they wanted to do on you as a child (would make sense from the description).

When you say patella pulls to the side specify 'laterally'. Thats important about the brace - I find that too. Its just restrictive.
Where does the click happen - kneecap or deeper?

Draw an X on your knee where you get the medial pain - that way you can just point at it and say 'there'. And what type of pain, sharp, achey - and what relieves it, ice/time/rest.

What limitations do you have? Can you play sports etc? Is it all just persistant pain and swelling or are the physically any things you actually cant do?




1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline Sore knee

  • SuperKNEEgeek
  • *****
  • Posts: 1067
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #23 on: April 10, 2008, 12:42:11 PM »
I couldn't run, or I would feel very vulnerable trying.
I can't do my dancing as I would feel very wary of twisting and some movements elicit sharp pains under the knee cap.
Physically I can move and bend the knee so I guess I could do them all but I don;t feel comfortable doing it if you know what I mean.

So all I do really is swimming and gym work such as bike, cross trainer but it slides and clicks its way through it and swells after it. I only do about 20 minutes at a time as I am trying so hard to build my quads. I also do all the woek on one of those fitness balls to isolate the VMO and do reps of that.
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed

Offline tanyap

  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 2902
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #24 on: April 10, 2008, 12:46:50 PM »
Explain what you mean by vunerable - do you feel your knee will go from under you or that it would hurt too much or that it would lock?

Definitely tell about twisting movements causing sharp pains under the kneecap.

Thats pretty descriptions Joanne - if you get all that down he should be well able to understand whats happening from your perspective. If he is at a loss ask him who might be able to help.

Do you like him? Is he approachable? Is he old? Sometimes the older guys go all conservative and never want to operate. It can be hard to know if they are right cos they ALL make out like they know it all!!!
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline Sore knee

  • SuperKNEEgeek
  • *****
  • Posts: 1067
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #25 on: April 10, 2008, 12:56:55 PM »
At a guess I'd say he is in his 40s, he is very charming and all the PTs (lady ones anyway) talk about him being the good looking one.
He is far more approachable than my 1st OS but I have only seen him 3 times and I just find the whole thing daunting. But this time I want a resolve so I guess I will need to find the guts somewhere.

After the scope last time he was a bit dismissive saying all will be fine now, but I am hopeful after all these months he will see that its not and something needs done.
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed

Offline tanyap

  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 2902
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #26 on: April 10, 2008, 01:43:34 PM »
its important that he is approachable (and good looking helps but lets face it - charm and good looks only take you so far eh???),
but in terms of being approachable - do you think you can make him understand that this situation is not acceptable to you anymore?

Thats where I had the problem with the last guy - he just wouldnt actually listen to me,
Immediately upon reading my history the new guy said 'well stopping activities is not dealing with the problem - thats not right'.

so you need to impress upon him that you cant take it anymore - that something NEEDS to be done and if he doesnt know what to do can he refer you to someone who will.

The whole thing IS daunting but sometimes if you make enough noise people listen!
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline Sore knee

  • SuperKNEEgeek
  • *****
  • Posts: 1067
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #27 on: April 10, 2008, 03:35:47 PM »
Well I am going private through my hubbie's work insurance so the least he can do is sit and listen. He is very charming I shouldn't worry, I just am scared not to get a result. Don;t get me wrong if they turn round and offer surgery to fix it I would bite their hand off but equally be as scared. However I just wish a resolve to my knee . which thankfully is not as bad as other peoples but I dont want to wait until it is.

Fingers crossed.
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed

Offline tanyap

  • SuperKNEEgeek
  • *****
  • *
  • *
  • Posts: 2902
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #28 on: April 10, 2008, 05:17:38 PM »
The 2 things that worry me the most are:
1: The OS says he hasnt got a clue
2: The OS says he knows what is wrong but there is no way to fix it.
oh I suppose there is also:
3: The OS doesnt listen to a word you say, talks BS about pain management despite you telling him 6 times there is no pain and then dismisses you saying its all in your head.
Anything other than that is a plus!!!!
1986 - recurrent dislocations of right patella began
1988 - Modified Hauser Procedure
1991 - dislocations started again
2005 to 2007 - 150 dislocations in 2 years - OUCH!!!
June 2007 - new OS, new physio
Oct 2007 - VMO woke up
Mar 2008 - big quads, still dislocating
Apr 2008 - next OS app

Offline Sore knee

  • SuperKNEEgeek
  • *****
  • Posts: 1067
  • Liked: 0
Re: Is there a surgery for this ?
« Reply #29 on: April 10, 2008, 07:01:09 PM »
yip anything other than that is a plus. I know the pain i worse, I am on tramadol and it doesn;t cover it now. Its just more bothersome now.

Anyhow fingers crossed, I doubt I will sleep Sunday night , a mixture of excitement and apprehension. I so hope he has some options for me.
11/5/07 LR right knee and cartilage tidied up
6/8/07 Knee aspiration, steroid injection- more physio
22/8/07 Knee to be scoped for answers
16/5/08 Patella stabilisation for  subluxations
24/6/08 Infection -hospitalised for a week. Debridement surgery
21/11/08 Repeat patella stabilisation performed