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Author Topic: Nick's FatPadTrim, Medial plica/Distal patella excision, AIR x2, LMR 3in1 Diary  (Read 331064 times)

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Offline TwoBadKneesUSA

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Re: Fluid around the Fat Pad!
« Reply #75 on: November 19, 2008, 02:58:20 PM »
Hey Nick,

Great news on the appointment.  Sometimes you have to be the squeaky wheel to get anything done.

We do have special parking and I have really thought about a permit.  I just have not found time to get to a Department of Motor Vehicles office and get the paperwork.  I should check online and see if I can download them or something like that.  The winter is going to be brutal according to what the weather folks say.  The downside of that is, we have several employees that need them on a permenant basis and the slots are usually full by the time I pull in.  I figure if I get a permit I will park as close to the special spots as I can and put the placard in the window.  The "parking patrol" should get the idea.  I would hope.

As for me, the doc has given me Medrol (a steroid anti-inflamitory) for the pain.  I am not sure if it will help the pain.  It sure does not make me feel good at all.  Thankfully it's only a six day treatment, so I should last.  I hope it works to cut the pain down.  I have not had much luck with the steroids and my knees.  They work for other things, but those knees are stubborn.

Milly
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
Re: Fluid around the Fat Pad!
« Reply #76 on: November 20, 2008, 06:42:03 PM »
Hi All,

I receaved the letter for my appointment today from the Hospital to confirm the date in writing incase they say I not booked in that day I have the letter as proof but sure it will run smoothly. The knee pain has been a little better the last 2 days but I know I will still get days with catching and intense pain on the lateral side of the knee. I not a great fan of hospitals or prospect of maybe needing surgery but I really getting fed up with not getting anywhere with the injury and hope the OS does not say carry on strengthening the muscles as Lenore OS has suggested she should do. I been doing it 3 times a week at the gym and its not helped ease the pain or swelling and I know where near being able to run.

Catching inside the knee.
Intense sharp pain in the lateral side of the knee.
Swelling.
Not being able to run.

If the OS dares leaves it saying strenthen the muscles by doing PT will tell him I not satisfied and want he to investigate it further. My gut feelings is that he should really take a look inside the knee and see whats causing the above symptom. You may think I being fussy and pushy again about my injury as I was to get the appointment but really need to be treated before spring as we will be busy again on the golf course mowing daily so now till end of March would be an ideal to receave what ever treatment is needed.

Lenore do you also have fluid around the inflammed fat pap or is it just inflamed?
I go on the excercise bike and cross trainer at the gym for 20 minutes on each machine and can feel catching and pain at times. My PT said to excercise but stop if I get any pain inside the knee straight away.

My fat pad still the same and ultrasound not helped at all and will see if a cortisone injection helps which is the next course of treatment but think it will only ease the pain not solve it. I read up that if conservative treatment fails then they scope the knee and remove or shave the fat pad.

My advise is if you not happy with what your OS suggests it does not hurt to seek a 2nd opinion from another OS as he/she may suggests something else such as a scope of the knee.

Milly sorry the painkillers are not easing your knee pain and not getting very good weather. I am sure you can get a special parking permit if you send a copy of your medical records to the department that hands out the permits. With the condition of your knees you are entitled to park close to a shopping mall/centre.

I really should be seeing an OS on the 3rd December and not a PT again as he cant fix my knee problem but like Alexander and sure he will listen to me and refer me to an OS.

Nick :) {2008} :)

 
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline lenorem9

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Re: Fluid around the Fat Pad!
« Reply #77 on: November 20, 2008, 07:03:16 PM »
Hey Nick,  That's great you have a confirmation letter and a plan.  Noone wants surgery for any reason but sometimes you get to the point where you don't care what they cut as long it takes care of the problem.  It's maddening!  I'm so sorry you're going through this. 

I started my own fat pad thread so that I don't hog yours with all my questions.  I'll still follow your progress because there are a lot of great fat pad'rs on this thread and I'm interested to see how you make out. 

OS says I have fluid and inflammation.  MRI shows progressive extensive scarring throughout fat pad.  I've already been to 4 OS's but I'm looking for a better one (#5) possibly in one of the big cities who will have a better knowledge and more experience with difficult knee issues such as mine.  I think I'm beyond the small town guys.  I dread the thought of driving 2 or 3 hours into the city to find a specialist but I'm at my wits end and not getting better. 

I agree with your view of the cortisone shots.  It may get the inflammation down but doesn't answer what caused the inflammation.  I really hope you get some answers soon Nick. 
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline TwoBadKneesUSA

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Re: Fluid around the Fat Pad!
« Reply #78 on: November 21, 2008, 02:50:14 PM »
Hey Nick,

I don't think you are being pushy about your knee at all.  It's you knee and being blown off is not an answer.  The cortizone may help the inflamation, which in turn will help the pain a bit.  The root of the problem needs to be sorted or the inflmation will just return.  So keep pushing to get the treatment you need.  The weather is a tad warmer here, snowing like anything though.  I have been put on an oral steroid for six days.  I am on day 4 and don't see any improvement.  I will finish the meds this weekend and see how Monday goes.  The grinding pain is not so bad, but there is a feeling of great pressure in the knees and that's the part that is so hard to tolerate.

Lenore - I had to go two hours from home to find a patellofemoral specialist.  I am so glad I did.  I now have a game plan in hand to fix these knees up.  So it may be worth it to travel, if someone can help you out.  Followup appointments are going to be interesting for me, but hey, if it helps the pain I don't mind.

Take care all,
Milly



'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
Re: Fluid around the Fat Pad!
« Reply #79 on: November 21, 2008, 03:08:11 PM »
Hi Lenore,

Its good that you also started your own fat pad thread and hope you get somewhere with your fat pad problems as I so far not been getting anywhere with mine. I get people still saying you should not think to far ahead thinking you need a scope but I cant think what else is going help me at this stage. I have enough symptoms to be offered a scope as the conservative methods have not helped at all. Its better to get knee sorted now rather then wait and wait as it could become worse and lead to permit knee problems.

Its easy to say why not cut out the fat pad and the problems will be solved. Increase in arthritis could result without no fat pad and we all know what that leads up to a TKR. Its a tricky one do you just leave it and learn to put up with it or go ahead and get the fat removed.

My MRI came back normal and the only thing they could see was fluid and inflammation around the fat pad. MRI are not 100% always and the best way to see if thier damage inside the knee is to scope the knee and take a look inside with a camera. Many members on this board MRI came up normal but when the OS looked inside the knee he/she was suprised at the extent of damage to the knee.

I think the long journey to see another more experienced OS is worth it with you knee condition as they will have a better idea on how to solve your fat pad problems.

Milly its good to be pushy as you mentioned otherwise would be waiting for a long time before I finally get treated. Sorry your knees are not feeling too good hope you have better knee days.

Nick :) {2008} :)

RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline suehaem

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Re: Fluid around the Fat Pad!
« Reply #80 on: November 21, 2008, 08:03:33 PM »
Hi all,

It is the waiting and not knowing that is the worst part with these things. 

Milly - I also travelled 2hrs away to see my OS as he has a good reputation and the follow up was a scream 2 hrs there and 2hrs back for a 12 minute consultation( ;DLOL have to laugh).

Not to long to wait now Nick and make sure he refers you to an OS to assess you.

Sue
 ;D
North Wales
Fall from horse 04/04
Arthroscopy 27/07/07 -Grade III debridement
Re-injured knee running 1/03/08
Arthroscopy 11/10/08 - Grade II debridement
09/03/16 Fracture fib sking damage to knees
31/05/16 Grade 4 Chondromalacia and patella tilt (R)
17/11/16 Need new knee cap (L)knee
Awaiting Arthroscopy 2018

Offline Clarkey

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Re: Fluid around the Fat Pad!
« Reply #81 on: November 23, 2008, 03:32:56 PM »
Hi All,

Sue you so right about the worst part is not knowing what will happen will I or wont I have a scope, will I ever be able to run again, the list can goes on. I have another question to ask and must be sick of me by now but when I see an OS finally should I be seeing a recommended OS and there are 3 OS's at the hospital I going to that are recommended by this website and also work at a top private hospital in Birmingham. I will ask Alexander who he thinks would be the best OS to see with my type of knee issues as he will know what each OS is good at.

Thanks for the replies and hope you all have better knee days.

Nick :) {2008}  :)
 
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline lenorem9

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Re: Fluid around the Fat Pad!
« Reply #82 on: November 25, 2008, 05:48:03 PM »
2 hrs for a 12 minute consultation Sue?  Egads!  Hope it was a valuable 12 minutes. 

Nick, it's good you have 3 OS's at the hospital you go to that are recommended.  If you don't get the answer you want from one just keep trying different ones.  It's very frustrating, time consuming and expensive but you can't live with your knee the way it is right now.  The longer you limp and have pain the more problems you will have. 

Here's hoping you will have some answers very soon!
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline Clarkey

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Re: Fluid around the Fat Pad!
« Reply #83 on: November 25, 2008, 06:00:18 PM »
Hi Lenore,

Its my 5th anniversary today when I joined kneeguru as a member and I still not really made progress with my knee issues but the fat pad problem only over 13 months old but the 1st scan I had back in 2003 said the kneecap is at the low end of normal touching the fat pad. This is the right knee which is the main problem knee but do get pain in the left knee on and off due to maltracking problems.

Think you right about leaving a knee injury too long it cant be good for the knee, I have a high tolerance to pain so what might be a small pain for me might be a bigger knee pain for others. I just got use to the knee not feeling 100% with the dull ache but know its wrong to put up with it and get use to it and should be seeing an OS soon sometime at the start of 2009 I hope.

Nick :) {2008} :)

RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline suehaem

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Re: Fluid around the Fat Pad!
« Reply #84 on: November 25, 2008, 07:23:37 PM »
Hi All,

Lenore - I wish I could say it was a 12 minutes worth while with good news LOL  ;D.  Apparently it will be a recurring problem  :(

Not long till party time Nick another year older and hopefully the knee will be sorted as well.

Sue
 ;D
North Wales
Fall from horse 04/04
Arthroscopy 27/07/07 -Grade III debridement
Re-injured knee running 1/03/08
Arthroscopy 11/10/08 - Grade II debridement
09/03/16 Fracture fib sking damage to knees
31/05/16 Grade 4 Chondromalacia and patella tilt (R)
17/11/16 Need new knee cap (L)knee
Awaiting Arthroscopy 2018

Offline TwoBadKneesUSA

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Re: Fluid around the Fat Pad!
« Reply #85 on: November 25, 2008, 09:14:52 PM »
Hey Nick,

Let us know how the birthday bash turns out!  We have Thanksgiving holiday here this week, so I may be out of touch for a few days doing family stuff.  Lots of food though!

Milly
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline Clarkey

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Re: Fluid around the Fat Pad!
« Reply #86 on: November 27, 2008, 06:27:00 PM »
Hi All,

I now becoming peed of about my whole fast pad issues as again my boss made a nasty comment again. He said to me its my last week in my 20s and once I reach my 30s will start to feel aches and pains. I said I am very healthy apart from my knees.  He told me there nothing wrong with your knees while in the room with all the staff. I get this alot from people even some family members thought its all in my head the pain, limping and not being able to run. Thankfully my family now know its a real knee problem and if my knees were fine why would Paul send me back to the Hospital and he even said that I got maltraking in both knees.

I been sending PM to Lenore as she has the same problem as I do and said many experts are saying to build up the muscles around the knee. I been going to the Gym for almost 6 months and can squat ok and fully lift my legs while laid down in bed. I could not do this back in June but can now which says that I have stronger leg muscles and in my case its not working. I be very annoyed if the OS I see says the same thing about muscle build up as I cant see how it can help me. My Mum on my side and agrees with me that buiding up leg muscles around the knee wont improve my fat pad issues.

I said I can put up with the pain but its now becoming annoying and would hate to wait a few months or even another year to see if the fat pad improves. If they keep telling me I need to build up the muscles the guys at work will really think the knee issues are in my head due to my Aspergers.

I really glad I can share my frustration on this board as you all know what its like to have bad knees and understand how I feel. If the 1st OS says build up muscles around the knee shall I ask for a 2nd or even a 3rd opinion until one decides I need to be treated. I know its not great for the knee to have a scope but it cant make it any worse then it is now just by having a good look inside the knee and who knows might find other problems and resolve it and might be able to run again.

The injection might help me for a while but wont solve the fat pad problems. Sorry for the moan you must think I am Victor Meldrew who also liked to moan on a well known sitcom in the UK.

Nick >:( {2008} :)
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline lenorem9

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Re: Fluid around the Fat Pad!
« Reply #87 on: November 28, 2008, 02:42:50 AM »
Try not to let your coworkers get to you Nick.  They really have no clue what you're going through.  And don't worry about moaning on here.  As you know by now...I'm the queen of bitching, whining, and moaning.  It's allowed and expected.  Sure helps make me feel better anyway. 

Hoping you get some answers very soon!!!
07/07  Injured @ Taekwondo
11/07  ACL allograft, Posterolateral corner recon
01/09  Scope for scar tissue, notchplasty
02/09  Diagnosed w/arthrofibrosis/IPCS
04/09  Scope for scar tissue, lateral/medial release
05/09  MUA
11/09  Scope for scar tissue, chondroplasty
Learning to "live with it"

Offline Clarkey

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Re: Fluid around the Fat Pad!
« Reply #88 on: November 28, 2008, 04:26:34 PM »
Thanks Lenore for your support it really means a lot to me.

Its nice to know I have members on this board that understand my knee problems and knowing its not in my head. I was raking bunkers at work today and the sharp pain came and was painful that it makes you swear out loud. I call it swearing pain as its so intense that you come out with words others should not hear. I not prepared to put up with this any longer and will tell Alexander my PT on Wednesday want to see an OS. I get on well with Alexander and will tell him PT not working and my leg muscles are strong already and not helped my fat pad problems.

I have the support of my Mum on wednesday who agrees with me PT not helped and does not want to see her son in pain and discomfort any longer.

Nick :) {2008} :)
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline helsbels

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Re: Fluid around the Fat Pad!
« Reply #89 on: November 29, 2008, 12:03:00 AM »
hi

i am so sorry to hear wot u r going thru and i hope u will get answers wen u see the os

i 2 am in a similar situation as u, i have been having problems wiv my knee since 2005 - i fell on it in aug 04 wen i put my knee thru a kitchen floor tile and smashed it 2 peices, suprisingly i didnt ave any serious problems with it till march 05 although it did realy hurt at the time and was swollen/bruised etc)

ive had 1 scope in july 05 were they removed loose cartilage and cleaned it up inside. although it stil wasnt 100% i could walk wiv a v big limp but cudnt bend or run or anyfin. i had lots of physio afterwards but it didnt seem to help and then in march 07 i was sitting on floor changing a dogs bandage (i am a vet nurse - or at least i was!) and wen i tried 2 get up the knee had locked in a semi straight position and cudnt do anything wiv it. it was soooo painful and my fella had 2 try and minipulate the leg to try and release it so i cud move. ever since then i have bin on 2 crutches, unable to put any weight on the leg wot so eva, in tremendous pain 24/7 on 3 different medication and i have had:

4 mri's between 2005 and 2007
5 steroid injections between 2005 and 2006
physio ongoing since 2005 and has done nothing at all
mri arthrogram 19th nov 07
5 xrays (i fink cant remember)
all mri's have been normal apart from a bit of fluid and inflamed fat pad.
i am now onto my3rd os.
 it seems to me like they think it is all in my head like they do 2 u but i am just pushing them to show that it is not there IS sumut wrong with my knee!!!

i am know at oswestry hospital which is the national orthopoedic  hospital for sports injury and trama so i fink (i hope) i am in the right place. my 3rd os here has sed he is willing to go into the knee and take a look and also to shave the knee cap and whateva else needs doin but he sent me to his anestetic/pain guy wen i saw him he told me i dont need an operation its just nerves so put me on nerve blockers and told me i should be able to walk and that there is no reason y i shouldnt be able to do!!! what an idiot - does he not realise that if i could walk on the leg i would! any way the nerve blockers have done bugger all and i am now waitin for an appointment to see him again to find out what he wants to do next - just hope he agree's with the os and lets the os do what he wants to do and go in as i cant see anyfin else that can do.

both my other 2 os told me they dont know what is wrong with the knee and so there is nothing they can do and so i just have to live with it but i am only 26 and was not gona stand for this. i sed 2 them how can they say theres nothing they can do if they dont know what is wrong!!! so i therefore pushed to see somebody else away from the trust i was in (i was told 2 go out of the nhs  trust because all docs in the trust will not want to say somthing against there collegue).

i know how annoying it is 2 b fobed off all the time and i know it is even more worse wen u get the shite from ur work - i was sacked from mine in oct 07 because i couldnt walk!! - uve got enough goin on wivout avin to get crap bout it at work.

all u can do at the moment is keep ya chin up and push to get an answer and NO it is not in your head - IT IS REAL and make sure u tell every1 that. they wudnt know coz they dont have these problems, they can walk!!!!!!!!!!

keep us informed on how u get on and if u just wana ave a bit of a rant or rave were hear 2 listen etc

hels xxxx



fell on knee aug 04
op jul 05 + physio
4 mri's between 05 + 07
5 steroid inj between 05 + 06
mri arthrogram 19th nov 07 - normal
3rd opinion os appt -aprl 11th 08
op jun 09
os discharged me aug 09!
physio 09-present
pain doc sendin me to pain management course-if get into it '2010
STILL CANT WALK!!!















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