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Author Topic: Help diagnose me please!  (Read 2134 times)

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Offline LilLaura

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Help diagnose me please!
« on: June 16, 2008, 04:57:15 PM »
hi there!

New to this forum, so apologies if posted in wrong place

I would really appreciate one of you 'experts' to help diagnose my problems

4 years ago whilst playing netball, I jumped for the ball and upon landing on my right (my left leg was still airborne) someone ran into my right knee, it collapsed inwards. I had torn my ACL.
4 months later I had an ACL reconstruction

All the 'dr's' I have seen, semm to give contradicting opinions and none will acknowledge that the problems listed below are interlinked with each other and the injury, as I'm convinced they are.

These are the ackowledged facts:

I am unable to extend my knee fully
The bottom tip of my fibula has seperated
I have a 'beak' osteophyte at the front of my talus of right ankle
I have a 'projected ridge' osteophyte on the anterior side of my right ankle
I have a bone spur in my knee

Blocked hip due to osteophyte

Restricted ROM in ankle, knee and hip


My Feelings

Weight is only distributed through the left (inner) side of right knee
Weight is only distributed through the left(inner) side of right ankle

My right ischia feels as thought it as been squashed against my body and protudes further at rear

My right shoulder feels dragged downwards,

My torso feels twisted to the left, with restricted rotation to the right.

My femur feels twisted inwards

My knee feels as though the upper and lower leg don't interact properly at the outer half of hinge

My knee feels unstable


Pain

I experience the following sources of pain, 

Right Ankle, right shin, right knee, right hip, right side of back, right shoulder, right wrist, neck, head


Sorry for rambling on!! but this drives me mad, I  Would really appreicte someone else's view, I spend all my time trying to figure out whats happenening to me!!

Thanx
Laura

fawn2388

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Re: Help diagnose me please!
« Reply #1 on: June 16, 2008, 06:03:55 PM »
Have you tried neurology?

Offline Nettan

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Re: Help diagnose me please!
« Reply #2 on: June 16, 2008, 06:47:54 PM »
What kind of docs have you seen ?
Have you had all this problems with right side since the injury or developed by time ?
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 LilLaura

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Re: Help diagnose me please!
« Reply #3 on: June 16, 2008, 07:40:04 PM »
Hi Fawn & Nettan

Thanx for the posts

I haven't tried Neurology, it could be worth considering, do you think this will enable my knee to extend and rotate properly?

Ive read that being unable to extend the knee fully will prevent in being abale to bring weight forwards adequetaly over the foot when wlaking, as the resistnce of the plantarflexors will oppose the move

I suppose if my knee is blocked from fully extending and 'titled' inwards, this could cause the ankle to be forced down and 'trapped' into my foot and unable to move or roate fully?? and the same for the twisting and forcing inwards of my femur at the hip njoint??

But I'm just guessing really.

 
What could be causing the blockade which is preventing knee extension?
And what could cause the bottom of the lateral maleolus to become a 'loose' piece of bone?
 
What kind of dr's have I seen?
In all honesty, not very good ones! i have been seen by an ankle consultant, a knee consultant, and a hip consultant, all at the same 'very poorly' performing local hospital. None appear to have read my notes prior to seeing me and only look at whichever joint I have been sent about. As example, my most recent appointment was with the knee specialist, he spent no more than 30 secs 'testing' my knee before declaring there are no problems with it as I can bend my knee!!

I have not had an MRi on the knee since the op, my GP could not believe this! In the words of the hospital dr's 'All an MRi scan will do is confirm that you have had an ACL recon and have screws in your knee, which we already know'.

I am now awaiting a referral to a more respectable hospital

The problems with my right side started as soon as I started weight bearing. I remeber when I first started to stand on my leg after op, my hip felt raised about an inch and pushed againt my leg, and the weight from knee to ankle felt acutley forced to the inner side, as did my knee to hip.

I actually think they are all sequential, in order

first the knee,
hip and ankle, (When started weight bearing again)
head, (not long after above)
lower back
shoulder (approx 2 years ago)
neck
wrist (only within last 6 months)

Thankx for replies

Laura  



Offline Nettan

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Re: Help diagnose me please!
« Reply #4 on: June 16, 2008, 07:50:16 PM »
Has anyone looked at your gait ?
Have you had any kind of PT during these years ?
Is your muscles back to fully ? How miuch in degrees do you miss from fully extending ?
One problem can lead to another. If you can't fully extend your leg, you probably don't walk as you should and that can have effect on the whole right side.
« Last Edit: June 16, 2008, 07:52:08 PM by Nettan »
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 LilLaura

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Re: Help diagnose me please!
« Reply #5 on: June 18, 2008, 10:45:24 AM »
Hi Nettan,

Before the problems in my foot were identified, I paid to see a poditrican to analyze my GAIT, he was supposed to use his video and computer equipment but wasn't working at time, he thought there were no issues.
hank
I had PT from the hospital 3 months after the op, these were mainly weight bearing bending of knee type exercises, which I could do, albeit awkwardly.

I had also been paying to see a private trainer, recommended to me by the hospital, who was focusing on my core stability. 

I'm notvery good with degrees, if laid on back with feet against the wall about 12inches from floor, my left knee sits about 2 inches lower than my right.


Offline luckygrandma6

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Re: Help diagnose me please!
« Reply #6 on: June 18, 2008, 06:56:51 PM »
First of all no one on this board is qualified to diagnose you. That would be illegal. We can only give suggestions. Are the doctors saying there is nothing they can do. I don't blame you for not accepting that. I've been fighting for a couple years with a knee after TKR and my PT has been blaming it on nerve damage. I went to see a Neurologist and the test show I DO NOT HAVE NERVE DAMGE. The most important thing is to rule things out and narrow the problem down. From what I have been through and what I have learned from both a Neurologist and Neurosurgeon is I don't think you have a Neurological problem. My OS tried to blame it on my back as I've had two back surgeries and my Neurosurgeon said "There is nothing that could happen with your back to cause your knee to have those kinds of problems, it is clearly a knee problem" My suggestion is to keep fighting and don't accept their diagnosis or opinions as long as there is a chance of fixing it. There is not much that can't be fixed today, but the longer these doctors put things off the worse it gets as we walk differently and cause more problems.
Right knee (arthroscopy) 2004
Right knee (PKR)) April 5, 2005
Right elbow (Bursectomy)1998
TRKR 2006 Failed)
Left knee (arthroscopy)
Left knee (arthroscopy)
THR 1992
2 back surgeries (Feb 2007 & March 2007
Right knee spacer exchange (Failed) 2008
TRK (Hinged Prosthesis) Jan 2009