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Author Topic: Nick's FatPadTrim, Medial plica/Distal patella excision, AIR x2, LMR 3in1 Diary  (Read 282824 times)

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Offline Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1110 on: December 20, 2013, 04:18:22 PM »
Hi All,

I saw Russ on Sunday morning and was worth seeing him and paying him £25 and can tell the difference between a sports physiotherapist and a normal one as Russ comes up with much better options and ideas.

Instead of trying to run going to the gym, swimming and running in water is a good workout and at the same time doing PT. Another idea he suggested that I know Snowy has also suggested a while back is to purchase a foam roller and do stretching using the roller. This would help release tension in the ITB and leg muscles.

Russ said it no big issue if the worst case scenario does happen and needed to have a 2nd scope as it will not ruin my knee and not as risky as some make it out to be as he has had 6 scopes on one knee and still coaching juniors at a rugby club in North Worcestershire. Russ still gets some pain and discomfort, that you will always get after surgery, at least he is able to run ok.

Can anyone please suggest or give me a link to a good quality foam roller at a competitive price would be greatly appreciated. I had to put hold on my PT as I once again slipped this time on a wet surface on my left side and thankfully my left knee ok as the ribs took the main impact on Wednesday night in the Centre of Worcester after a Christmas Party with an Asperger syndrome adult support/social group gathering.

I was sober as I had to drive back to Birmingham in pain and discomfort just looked an idiot falling like a sack of potatoes outside restaurant in front of people. I can no way do my ITB stretches at the moment with my ribs being sore and tender.

I am looking forward to 2014 now MRI booked and seeing my OS and the start and end of 2013 has not been great as up to then hardly have had any falls and only 35 not 70.

Will be glad to see the the end of 2013.

[email protected]
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 IHMK

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1111 on: December 21, 2013, 01:59:35 PM »
Hi Nick,

I'm sorry to hear about the slip on the ice. Once you've got a knee injury, there just seems to be this whole universe of hazards out there. 

I can't help with pricing advice - I'm in the US - but maybe this review can be helpful even though it's a few years old:

http://www.mikereinold.com/2010/05/best-foam-rollers-and-self-massage.html

The first one on the list, the Perform Better roller, is the kind they have at the gym I attend. I like it and have asked for one for Christmas :)

Good luck with everything.
My knee story: http://www.ihurtmyknee.org

28 March 2013: tore right ACL (also meniscus tear, MCL tear ["Unhappy Triad"!!], tibial plateau fracture & condylar bruise)
28 June 2013: surgery to reconstruct ACL (allograft)

Offline Lottiefox

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1112 on: December 22, 2013, 06:35:16 PM »
Nick

Worth investing in a slightly more robust roller than some you may find in High Street stores especially if you plan to use it often and are quite tall/strong. These are the ones in my gym and they are excellent, I also have one at home and for clients:

http://www.physicalcompany.co.uk/club-core-roller-6-x-38-pid3126.html

Lottie  :)
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline Snowy

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1113 on: December 24, 2013, 12:16:32 AM »
I'm glad that Russ has been able to provide you with some additional suggestions. I also agree with Lottie - it's worth getting something a bit better than some of the off-the-shelf foam rollers. I started out with one of these and before too long had to switch to something firmer as I wasn't finding the standard one effective anymore.

This is the one I currently use, and I find it excellent: https://www.travelroller.com/

It's basically PVC pipe with a couple of layers of foam over the top, and it's small enough to pack with you if you're on an overnight trip which is handy.

Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1114 on: January 16, 2014, 06:40:40 PM »
Hi All,

It has been a couple of weeks since I last posted, I am still waiting for my appointment for my MRI scan. I been told by others that I should have a date within 6 week, there is another week left till 6 weeks are up. I am hoping that I do not have to chase up appointment again, that has happened previously.

Right knee still remains the same and unable to run, 25/01/14 marks my 1st anniversary of my fall and still remains untreated and looks as if 2014 will be another year of not being able to rejoin Droitwich AC, if I did need further investigation and treatment could take a while to make progress. I then have to build myself up again to full fitness.

Realistically the way things are at present, my prediction would be 2016 before I can compete competitively again for Droitwich AC. I have to put on hold getting a foam roller as I only got my rent money for my flat this week and last payment was 26/11/13, so out of pocket right now. This my is only income while out of work, Tenants made a late payment, which is an annoying start to 2014. I was glad to see the back end of 2013.

Thanks everyone for giving me some guidance of what type of foam roller to purchase, I will decide at later date which one to go for.

[email protected]
« Last Edit: January 16, 2014, 10:09:27 PM by Clarkey »
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1115 on: January 23, 2014, 05:44:49 PM »
Hi All,

I rang up the hospital on Tuesday afternoon as usual kept on ringing out with no one answering my call. I emailed instead and got a reply within and hour after sending my email and looks like they did not book me for an MRI as the email repply said the MRI Department will contact me directly to book me in.

After I have had my MRI I should email the lady that sorts out appointments and complaints. She told me she will have a word with Mr Snow to treat me swiftly. The fall on black ice is 1 year ago this Saturday 25/01/13 and not made any progress yet.

I need it sorted out soon as it hindering my manual work as a part time gardener at my local catholic church that I getting paid for it while training to become a house parent at a special school, you have to be flexible and quick. A child may decide to try and run away as they often do when dealing with challenging behavior. I really need to be able to run properly again and my patience is on thin ice now!

[email protected]
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1116 on: January 24, 2014, 10:48:27 PM »
Hi All,

I certainly like to test my right knee out as once again a year nearly to the day when I slipped on black ice. Tonight I managed to bang my right knee again. This time completely in a mad way, my cat Ellie was in her basket beside my bed room & I jumped onto the end of my bed to give her a stroke rather then going up to her as I should have done.

The duvet covered the raised wooden knobbly part sticking out at the back of the bed & banged my right knee hard on it & was in pain! Ellie was staring at me wondering what was going on, it funny to picture it & hope I have got of lightly this time.

I think I have just bruised my right knee & hope it heals the best it can with existing injury from 25/01/13. It is hard to tell if it swelled up more or not. I am not sure why I keep banging & falling in my right knee!

[email protected]
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1117 on: January 30, 2014, 07:22:10 PM »
Hi All,

I am still waiting for a phone call as promised from the MRI Department, still no date yet, it is now becoming stressful. I think knocking my knee on the bed has just caused some bruising.

I am still unable to run get pain and swelling at the bottom of my right knee, it is now over a year since my injury and still no progress. I still go swimming regular, on Tuesday I left Droitwich Leisure Centre after a swim. The running club members were outside the front of the Leisure Centre and could see they do not care and think I am making a fuss over nothing, if thatís their attitude towards an injured member I feel forced into joining another running club all together!

There is a women in her 60s and she had an injury and recovered quicker then me, I am only 35, so should have recovered from my fall by now. Why are running clubs so anti towards members with knee problems. Their views seem to be donít be such a wuss and run and ignore the knee pain and I should pull myself together.
 
[email protected]
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1118 on: February 06, 2014, 05:48:38 PM »
Hi All,

I was a bit grumpy in my last post and Droitwich Athletics Club are ok and saw them again as I was coming out of the leisure centre after my swim and briefly told them I really like to join again and just unable to and now waiting to see my OS again. One member is a support worker and had a brief chat as he knows I want to get into the same career as him. When I last saw them they just about to set of for their run so had no time to chat to me.

I am getting stressed out now as it been nearly 3 weeks since I emailed the hospital to arrange for an MRI scan, the lady the dealing with my appointment said the MRI department will contact me directly. I have been waiting for a call or a letter for a time and date since 21/01/14 and they still have not contacted me.

I am reluctant to call or email again as I do not want to come across as a Victor Meldrew at the Hospital as I have complained in the past as they took their time or forgot to book me in to see Mr snow for follow op appointment and then again for to see a physio. As well as making a mess on the day of my botox injection sending me to the wrong unit at the opposite side of the hospital and then sending me twice to the wrong ward.

I do not like to give the NHS a bad reputation but have to, the way my knee injury has been managed poorly. Over 1 year after knee injury still no progress. I unable to run flares up easily with pain and swelling at the bottom of my right knee. It is restricting me when I am gardening, feel pain in right knee.

I did go swimming 3 times this week as it the only way I can exercise at the moment. I am now getting annoyed as I have been patient enough with the way the hospital handles patientís appointments so poorly.

[email protected]
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1119 on: February 10, 2014, 10:50:33 PM »
Hi All,

Finally some positive news to share with you all, I am having my right knee scanned at the MRI Department this coming Thursday 13th February @7:40am.

This will be my 3rd MRI scan on my right knee & usually would be glad if the results come back with no problems inside my knee. I hope they do spot a potential problem this time round & is a straight forward fix to get me back running again.

[email protected]   
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1120 on: February 13, 2014, 05:36:42 PM »
Hi All,

I have finally had my MRI scan early this morning and did not have to wait too long until I was called into the MRI scanning room and was told to lie down. I knew what to expect as I have had 2 MRI scans done previously so 3rd time round was something I was getting use to.

I listened to the Local Radio Station Heart FM on the headphone and could hear the odd noises and slight vibration as my right knee was being scanned that took just over 15 minutes to complete.

I then got off the MRI machine and caught a glimpse of my right knee images through the result room overlooking the MRI scanner and could see that the radiography was looking at the results on a number of screens. My 2 previous MRI scans came up with nothing out of the ordinary. This may sound odd hope 3rd time round I am lucky and they do spot a problem inside my right knee rather then coming up normal again.

My right knee is still not feeling right after botox injection and PT and has been over a year since knee injury and would have healed by now if it was something minor. If there is a problem this time round and needed surgery I am not too fazed if it was to happen again. I know what to expect and it is not too bad the surgery part it the recovery thatís annoying.

I should know the MRI scan results within the next 2 weeks and hopefully what ever is wrong with my right knee can be fixed so I can go back to long distance running once again. I am still feeling pain in my right knee if I attempt to run at the bottom of the knee, there is still some swelling and fluid at the bottom of kneecap that I am sure will be spotted easily on the MRI images.

[email protected]
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1121 on: February 20, 2014, 05:28:11 PM »
Hi All,

A week has already passed since I had my MRI scan and now I am waiting for a follow up appointment hopefully with Mr Snow and not his Registrar as I rather see him as he specialises in soft tissues injuries in the knee that I have got which is why I chose him in the 1st place.

I was doing some gardening yesterday digging out a tree stump that seems to flare up my right knee with increase in swelling at the bottom of the kneecap and there was also some slight bruising showing up on the kneecap.

If I try and attempt to run I either get pain at the bottom of the knee all pressure exerted around my ankle and foot. Is this due to an injury to the knee that it is now exerting pressure onto the ankle as well as some hip pain.

My last knee injury was not as bad as this one so hoping that my 3rd MRI scan will show up a clear problem inside the knee.

I try and swim 3 times a week and prepared if surgery was required to keep my quads strong. If it was to happen 2nd time round it will not be too bad as I know what it involves this time IF surgery is the only option left.

[email protected]
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1122 on: February 24, 2014, 04:50:09 PM »
Hi All,

I received a confirmation email this morning from the hospital; I finally have a follow up appointment to see Mr Snow at his clinic, for my MRI results on Wednesday 5th March @10:40am.

I only have to wait till next week Wednesday; hopefully I will then know what type of knee injury/problem I am dealing with. It took 14 months to get to this stage. I hope the wait was worthwhile!

[email protected]
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1123 on: February 27, 2014, 05:56:29 PM »
Hi All,

Less then one week to go before seeing Mr Snow, it is now looking official with a letter of conformation as well as the email. The only thing I had to sort out still was I have to see Mr Snow and not a member of his team at it states in the letter.

I emailed the lady that sorted out my appointment with Mr Snow, she emailed me back saying can ask the staff at the reception desk to ask if I can see Mr Snow and not another member of his team.

Also the lady that is in contact with Mr Snow for getting the MRI results to see him said she will try and go to the clinic beforehand, if she has got time, to make sure I see Mr Snow.

I had this happen to me pre op in 2009; I was meant to be seeing Mr Green and instead saw another OS who English was not great! On day of surgery Mr Green got his Registrar to do the surgery instead of him; this often happens on the NHS.

This time what ever the outcome and treatment needed want Mr Snow to be the one treating me from start to finish as he one of the UKís leading OS for soft tissues injuries of the knee. I could do with his expert advice and attention to detail when is he sorting out patients knee injuries. 

I had to wait over a year with lots of delays so the least the NHS can do is allow me to be seen and treated by Mr Snow. I will feel more at ease knowing I am in his expert hands.

Am I entitled to get treated by Mr Snow, if anything needed to be done injection, surgery, being an NHS patient?


[email protected]
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 Clarkey

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Re: Nick's Medial Plica Excision & Fat Pad Trim 'Ongoing Saga'
« Reply #1124 on: March 05, 2014, 04:18:37 PM »
Hi All,

I did manage to actually see Mr Snow in person he spent a good 15 minutes with me and was excellent, very thorough & conscientious. Looking very carefully at my MRI scans. The MRI results was not the news I wanted to hear from him.

This time the MRI is showing some unsual images in my right knee that he said he does not see very often in the patients he is has treated. I think I have got it right anterior knee pain, with signs of bruising on the actual bone inside the knee that is not right and a cause of concern as well as fluid in the kneecap.

The fat pad I had trimmed is not looking too good with some signs of excessive scar tissue so something not right inside my right knee. The angle of my tibia is not at the correct angle that it should be so potential maltracking problems to contend with.   

The only option left is to do an exploratory scope and take a good look inside the knee the risks are he scopes my knee and finds no problem (unlikely). It could also show up problems that he can try to get right again; I have opted to have an exploratory scope.

I am happy to take a risk at this stage of my knee injury, despite having issues last time with scar tissue around portals, happy to go ahead with the surgery still.

Friday 18th July 2014 is when I will be having the surgery at the day unit as I want to get my courses completed in Functional Skills in Maths and English, Childcare Level 1 & Autism Awareness Diploma. Also enjoy helping out on a weekly basis at a school gardening community project in deprived region of Worcester.

This would take me up to mid July; I can then concentrate on sorting out my right knee ready for my next studies and volunteering in September 2014.

What I am not taking very well is being told I may not be able to do long distance running again. This is a big blow as I have always been a great long distance runner. It would be foolish of me to go against Mr Snow advice by insisting on carrying on running.

If you told me after my last scope in 2009 that 5 years later I woud be back in for surgery would say do not be daft will not happen to me. I admit I ran far too much 9 miles in just over an hour 4 times a week; plus 13 years manual labour is a lot for a healthy knee to take on.

I have paid the ultimate price now and have to face the consequences of my actions as I just ignored the knee pain while running saying I will not damage my knee as I am too young and fit.

I basically have the early signs of a worn out knee that is not going to go away.

On a positive note I do feel very happy and confident under the care of Mr Snow as I trust him 100% as I know I am in the best possible care under an excellent OS who specialises in soft tissues injuries of the knee.

[email protected]
« Last Edit: March 09, 2014, 06:08:45 PM by Clarkey, Reason: Editing »
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















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