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Author Topic: Cheap mri? Need to go private but consultants are expensive!!  (Read 8930 times)

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Offline Silkncardcrafts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #15 on: May 21, 2008, 10:16:32 AM »
Thanks for the good luck wishes.

Don't push yourself with the exercises. I'm sure you haven't done more damage, just your muscles are probably weak right now. Make sure you review with the sports dr regularly to monitor your progress.

Good luck with your rehab !!!  ;)
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 Roberts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #16 on: May 23, 2008, 12:37:05 AM »
Thanks kjwilkin  :)

Ok I held for 5 elephants (it was too much of a mouthful to say hippopotamus, even in my head  ;)) yesterday and did 3 lots, then it felt a bit sore so I stopped.
I haven't done any today as it hasn't had a break from being sore yet so I thought I'd give it a day to recover and then see if I can improve on the 3 lots of 5 elephants, I hope this is a sensible idea.
Also its 8 days now so on Saturday I can supposedly start doing squats, this sounds a bit scary, maybe I need to arrange a physio appointment for some guidance. I don't think I can rely on the nhs physio I'm waiting for referral to I think I'd prefer to see an expert with knees. Maybe I should ring pure sport med again. The idea of going up to london would be so much more appealing if I could tie it in with a shopping trip  ;).
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline tanyap

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #17 on: May 23, 2008, 10:22:01 AM »
hehehehe - elephants are just as good!!

I would DEFINITELY get some advice and guidance on squats - its the one exercise you need to do correctly so as not to cause any further damage.
Try to find a happy medium where you are not too sore to stay in a routine, its important to keep at it, thats how youll get best results, but dont do so much that you are unable to do the next lot. Always start off small and easy and build up - sometimes what feels easy at the time can have you sore later on too.
In the immortal word of my physiotherapist 'Little and often, little and often - thats the key!!'.

I had a scope yesterday they removed a huge piece of torn meniscus from my knee, am doing ok, bit sore, nothing major, started my post op physio this morning and it seemed too easy!! so thats a good sign!

Kisrty got on great too - she will be back online shortly - full update on both of us over on Tanyas Pre Op Diary including gory pic of my bit of meniscus!

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 Roberts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #18 on: May 23, 2008, 12:03:09 PM »
I think the rest helped, I've just managed to do 2 lots of 5 raises and then struggled with the last lot and only did 3 (should have listened to you and just done 4 raises!). But a big improvement on just 1 lots of 3. Hopefully it won't flare up and I can finally start making progress -fingers crossed!
I'll probably ring a physio monday and just keep with the straight leg raises for now.

Wow a huge piece of torn meniscus - I guess that explains the problem you've been having with your knee! Did you know you had a tear?
I'm heading to your pre op diary to have a read :)
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline Roberts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #19 on: June 11, 2008, 08:29:13 PM »
Oh I'm really struggling with this vmo strengthening, I did 3 lots of 4  straight leg raises 2 nights ago (with no hold) and did 1 minute on an exercise bike today and now its too painful to walk. I don't understand and can't make any progress.
Are there any threads anyone knows of that have info on vmo rehab as I'm stuck.
The muscle seems to be shrinking, if I press on the muscle I just feel bone and it dips in where it should be by the knee, its worrying and depressing. I'm off to eat to make myself happy  :(
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline tanyap

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #20 on: June 12, 2008, 09:36:20 AM »
Hi Roberts,
Yes, I posted a thread ages ago about VMO strengthening - I need to find it - it worked for me.

By the way - VMO strengthening is very difficult, you cannot isolate it. And if its switched off it can take months to switch on - it took me around 4 months to do it.

Let me look around for old posts of mine and Ill come back to you.
Tanya
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 Silkncardcrafts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #21 on: June 12, 2008, 10:05:25 AM »
Hi Robert,

Yes, it can be tricky sometimes. Make sure you go to a physio that specialises in knees. Are you going to someone at the moment ?

I have had trouble developing my VMO over the years. I've found riding an exercise bike and clinical pilates have been the best. You may want to look into clinical pilates. It is very gentle, but very effective.

Let us know how you go.  :D
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 tanyap

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #22 on: June 12, 2008, 10:12:49 AM »
check out this thread - this is the exercise program I used to awaken that darned VMO - might be of use to you.

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=38609.0
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 Roberts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #23 on: June 12, 2008, 12:56:57 PM »
Thanks for your replies again, I seem to be ok  for a while and then I fall back into despair and get lost in what I'm doing.
Tanya if the staright leg raises are causing tiredness and pain in just the vmo muscle (I assume thats what I'm feeling anyway) then does this mean that it is firing and just being overworked too much? I have a hollow just like you described in your thread where the vmo should be, when your muscle was this small did you get pain after less than 10 raises with no holds? I just seem to be struggle so much it doesn't seem right. Also I can't do squats or step downs as they make the inside of my knee lower down get irritated and then the knee cap starts to swell.
The stimulator knee thing looks interesting, would yo say it definitely helped?

Its a little less painful this morning so hopefully tomorrow it will feel better and I can try some exercises again. I will try my exercise bike again and look into clinical pilates, I was going to do some pilates anyway, but I've just kept putting it off.

I'm not seeing a physio at the moment, I'm waiting to see the sports dr again in the last week of june so he can see how I've got on after my injection. I've been waiting to see an nhs physio for 3 months but they seem to have screwed up so I need to see someone private again but I don't know who to see and I've lost faith in them. I'm assuming the sports dr will tell me who to see soI've settled down to wait till then.
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline tanyap

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #24 on: June 12, 2008, 01:53:41 PM »
Hi,
Its possible if the SLRs are hurting after 10 reps with no hold that your VMO is not firing at all and you are feeling the pain of a muscle that wont do its job - if you know what I mean. Can you feel it engage? If you do a quad set without actually lifting your leg up and put your hand over it can you feel the muscle hardening under your hand?
Its ok about the squats and step downs, I was doing them for ages with no VMO at all, your body will compensate so they are not necessarily going to start it firing.
How about terminal knee extensions - they get the vmo too - where you put a rolled up towel under your knee and extend your leg while pressing down on the towel?

Yes - the e-stim definitely helped me. It re-opened the neuro muscular pathways, Im sure of it. It doesnt build muscle bulk, but it gets the signals moving.

You really need to see a physio, someone who can check your form, make sure your vmo is actually firing and not just lying there slack like mine used to.
Would the London Sports medicine place be a good place to get a physio recommendation? You could tell them you need someone experienced with getting a VMO firing again - its a common enough knee problem, any good physio with some experience should be up for it.




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 Silkncardcrafts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #25 on: June 13, 2008, 03:22:32 AM »
Hi Robert,

I agree with Tanya, you need to see a physio for some guidance.

When you see the sports doctor at the end of June I'd be asking for a referral to a good knee physio privately. Also ask him whether he knows of any good places to do clinical pilates. The best way is to do with a physio and have your own program.

Hope this helps.

Just seen my OS this morning and really pleased with my progress so far. Check out my post-op diary.

Have a good weekend !!!  :D

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 Roberts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #26 on: June 14, 2008, 07:43:58 PM »
Thats certainly confused me now! I didn't think that a muscle would hurt when it wasn't firing. I think I can feel it contracting when I have my legs straight out in front of me and I press where the vmo should be and when I contract the quads I think I can feel it go hard though it seems to struggle and its very small compared to my other leg.

My vmo was feeling ok this morning, so I've painted a fence and then needed to do some food shopping so thought I could probably cope with that too, but whilst walking around the shop I could feel it tiring around my knee so that it was hard to walk and then right at the end as I was going back to my car, there was a sudden pain in the vmo by the knee and I couldn't walk without pain again. Does this sound familiar? I guess I really wore out the muscle and then it couldn't cope anymore. I've iced and compressed it and am back to full rest again!!

I will ask my sports dr for a referral, thats a good idea.  :)
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline tanyap

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #27 on: June 15, 2008, 01:20:54 AM »
Very familiar!!!
What used to happen to me was my joint would tire out because it had no support from muscle, so the areas where muscle should be would get tired first, then my joint itself would get sore from not being supported!!
All my problem turned out to be was meniscus tear, this caused the joint to get sore from use, the brain told the muscles not to work, this caused more pain, more pain shut muscles down further - its all a vicious cycle, pain, muscles wont work, weak muscles cause pain etc....
GREAT idea about the referral - Im so glad, you are someone who will do great when you have the correct physical guidance of a good PT - its so hard to fly solo and hope you are doing the right thing!! We need an expert to stand over and correct us and push us the right way til we are doing it properly.
It sounds to me like you are trying hard but experiencing pain, hopefully a PT will direct you to strengthen the correct areas so as to eliminate the pain. Then you will fly along!
Let us know how the referral goes!
Tanya

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 Silkncardcrafts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #28 on: June 15, 2008, 09:52:47 AM »
Definitely get a referral from the sports doctor.

You certainly need a good knee physio to point you in the right direction. It's a matter of finding the right balance, which can be hard sometimes.

I'm doing quite well. Not much swelling now. Go back to work tomorrow and then start physio on Tuesday. Can't wait. Already feel so much better and a lot more confident with my knee.
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 Roberts

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Re: Cheap mri? Need to go private but consultants are expensive!!
« Reply #29 on: June 15, 2008, 11:02:16 AM »
definitely a vicious cycle! Tanya in your preop thread you say how now after the surgery you can feel the muscles responding to your exercises, but also before you told me that you have managed to build up your quad muscles with your physio before the op, is there a difference before and after the op with how your muscles respond to exercise?
I guess when I can feel the muscles around my knee struggling I should rest straight away, I think I would do a lot better with rehab if there weren't necessary daily jobs to do, I need a house maid!

Glad you're both doing so well after your ops, I'm going to read your post op thread next kirsty, its good to hear knee ops going well as I hear so many horror stories.
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do















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