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Author Topic: Nick's 3in1 Diary FatPadTrim, Medial plica/Distal patella excision, AIR x2, LMR  (Read 281095 times)

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Offline Clarkey

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1380 on: December 02, 2015, 03:20:10 PM »
Hi Vicky,

You are right that the NHS cut backs and strikes backfires towards the patients that have to suffer that your Mum and thousands of others have to endure. It is a good idea to see my GP for the results that also long winded as you have to call to be booked in at 8am when the phone line is overworked! So much better the old system of being able to book any time that is now a thing of the past.

My mum fed up trying to get her knee and hip sorted out being sent two PT's rather than just the one and now looks likely she worn out her right hip! Not surprising as she has had 8 kids so bound to catch up with her aged 77.

The patella tendinitis may have been helped and eased after the steroid injection was given but the pain is still very much there. Hurts to speed up walking pace and kneeling and squatting is out of the question! It not only just patella tendinitis I am dealing with as I can feel something is not right around the tibia, the pain is still very much there.

It is not a pleasant experience to go through when you hear a loud clunk/snapping sound at the bottom of my right knee. It is easy to work out it is PFS and maltracking problems I am dealing with. My right knee is worse off now than it was before scopes #1 and #2! It would be nice to finally get to the bottom of the problem and how to go about treating it.

[email protected]
« Last Edit: December 02, 2015, 03:26:28 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 Vickster

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1381 on: December 02, 2015, 03:29:58 PM »
I've got PFS too in my right knee on and off, with the patella sitting laterally. For me, it's down to weak glutes, and very tight, shortened calf muscles. Physio has been helpful. If I were you, I'd spend some time finding a really good physio and get fully checked and a tailored exercise programme. Boring to do and takes months too see progress. Unless you are very misaligned, which I think you said isn't so from the CT scan, surgery can often cause more issues as you've discovered. If tight muscles are a problem, sports massage and foam rolling, and dry needling can help sort the tightness and trigger points

My problem is complicated by a bone spur on the fibula which restricts massage and stretching the calves which is a hindrance but not a complete impediment

Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Snowy

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1382 on: December 03, 2015, 05:40:29 AM »
Happy birthday Nick! Glad you were able to get some celebrating in as well as the MRI scan. Hopefully it brings positive information that can help you move forward in 2016. I'm so glad that Professor Snow is going to call you with your results so that you don't have to wait for March - he clearly understands how frustrating it is for you to still be dealing with the pain and limintations.

Like you and Vickster I have bad PFS in both knees. Mine was under good control until a change in my work circumstances six months ago which resulted in a lot more sitting and a lot less exercise overall, and now I'm also dealing with a lot of imbalances including weak glutes and severe tightening of the hip flexors and IT bands. I'm still doing the usual physio treatments - dry needling, massage, and foam rolling - but I've also started seeing a sports therapist who has given me a program of corrective exercises coupled with progressive strengthening to try and get things back on track. It's astonishing how bad the pain from the maltracking can be when it's at its worst; I'm still not really able to go down stairs. Your results so far do suggest that this could be what's happening to you; if it is, I hope they're able to correct things non-surgically. As Vickster says, so much is down to getting the right physio and the right corrective program.
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 lucha86

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1383 on: December 12, 2015, 01:10:13 AM »
In regards to Physios i do agree with snowy and Vickster about researching them....
i got in contact with a private clinic its like £38 pound for half an hour but they have been worth it i still have collapses but they made very sure my VMO and quadriceps, are now at full strength, and they were one of the ones that noticed something was up / lax in my knee.........

But also when i have had major collapses i can call them and get an appointment same day and generally then can get my leg out of its sleepy inhibited muscles and cant do a leg lift after a collapse by using some machines not available on nhs, sometimes it has been a saver for me and got me moving quicker and get off crutches quicker.....
The one who i have in this private clinic she has well over 20 years experience but has worked with some of the best athletes.....and she argued with my ex surgeon when she felt something wasn't right with some ligaments....

Sometimes asking around or asking in gyms, hospitals, and athlete training areas you can get good physio recommendation........

My NHS physio is great also funny even when my knee has went in front of him he has made sure to recover the quadriceps quickly, he is a senior physiotherapist too... but as my knee is unpredictable its very hard to get an emergency appointment with an NHS physio so that is why i have a back up in case, and also to be honest sometimes its good for someone to look at your leg and if you have two physios agreeing then for me i would believe them more because they deal with joints everyday............ and because all physios have different experiences you can learn things from others physios or get better results also..............

and now i got the right specialist treatment with the right doctor =)just waiting on results now =)

i hope you have a good xmas nick and i hope we shall hear news about your mri results and what professor snow decides next to do =)
 
« Last Edit: December 12, 2015, 01:14:44 AM by lucha86 »

Offline Clarkey

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1384 on: December 16, 2015, 02:46:22 PM »
16/12/15 16 Months Day 518 Post Op

Thank you Vicky, Snowy and Lucha for giving advice and agree it always best to avoid any further future scopes as it always a risk and gamble. I have been doing PT exercises daily and try and go for a swim at least twice a week. I lived with my right knee problem since the start of the millennium. I have never had experienced and endured so much knee pain as I am experiencing right now!

Pre-op to scope #1 & #2 the main reasons for having surgery was to be able to run long distances. Scope #1 was beneficial for a short space of time and was worth the gamble at the time despite the MRI coming back negative. When my previous OS Mr Green was inside he had to trim the fat pad and remove the medial plica. Scope #2 my MRI scan showed bone oedema that turned out to be excessive scar tissue and had AIR surgery.

Back to the present, I have had a stressful 24hrs and only fell asleep this morning after 5:30am as once again my 2nd MRI of 2015 is not showing anything significant or cause for concerns with both scans very similar that were done in May and October of this year.

I emailed Prof Snow Private Secretary yesterday late afternoon as I had not yet had any contact or response of my latest MRI scan result. Within the hour I received an email from his Secretary saying she spoken to Prof Snow and sent the following paragraph.

I had a chat with Prof Snow and he said he has looked at your scan and discussed the case with The Consultant Radiologist, Dr James and nothing major on them and nothing urgent changed since your last scan.  He is holding a clinic at the ROH on 23.12.15 and said if you want to see him on this date, he should be able to arrange to squeeze you into the clinic?

No complaints about the service and swift response from the Secretary and was nice that Prof Snow is happy to fit me in a week today on the NHS as I was prepared to pay privately. I am just getting paranoid and anxious and getting a complex as only 1 out of 5 MRI scans I have had over the years came back positive. Then I cannot settle down all night for a good nights sleep!

I was stupid enough to push my right knee too much by trying to run on it and speed up my walking pace after yesterday email that right knee looks ok again! It does really hurt deeply even after the cortisone injection right at the bottom of my kneecap.

My left knee according to past and present PT’s and Prof Snow say my left knee has more maltracking problems than my right. I do experience the occasional pain and discomfort associated with PFS.

I feel and would be more than happy to risk a 3rd diagnostic arthroscopy as the scope #1 two MRI scans pre-op came back negative. Back then in 2009 my right knee was not as bad as it is right now. Scope #2 was the least stressful pre-op waiting time as I knew I had an internal problem inside the knee and was pre-booked in advance for surgery on July 18th 2014.

I am not saying I disagree with all 3 of you, however I have had AIR surgery that is only done if you build up excessive scarring inside the kneecap that then attacks the knee slowly wearing it out! AF is very hard to get right and control and was not given any aftercare or protocol of how to stop the scar tissue from returning.

If my private PT was not so bigheaded pushing me too far too early on post-op by doing 1 and a half hours at the gym and forcing me to do calf raises right up to my buttocks! My knee kept on giving out 3 weeks after and was in extreme pain when it gave out.

Sorry for being as negative, I can only take so many setbacks that is now starting to increase my anxiety and stress level to an all time high! This is not a great combination if you been diagnosed with Asperger syndrome. I start thinking to myself that I am imagining the knee pain and must be going crazy in my head.

I will update again on Friday when I will be 17 months post-op, hopefully by then I should have confirmation of the time for next week’s appointment on 23/12/15 two days before Christmas.

[email protected]
« Last Edit: December 16, 2015, 04:22:51 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 RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1385 on: December 18, 2015, 04:50:34 PM »
18/12/15 17 Months Day 520 Post Op

Today marks 17 months post op and have been told it takes a while to recover from knee surgery. I have not seen any improvements yet and cannot see it getting any better without further treatment options.

I can fully understand mentioning having physiotherapy, IMS and Graston technique if you have soft problems inside the knee and scar tissue that needs to be broken down. It becomes frustrating if you have just 1 out 5 MRI scans coming back positive with the other 4 coming back negative! 

It was nice that Prof Snow could fit me at such short notice next week Wednesday two days before Christmas Day. I always had a feeling that it could be scar tissue build up once again that that’s causing me all the pain and discomfort in my right knee.

It is hard to explain the pain in my left knee feels different that has more tracking problems than my right knee pain with lateral release mentioned! AF is hard to control and eradicate that requires strict post-op treatment as soon as you are waking up in the recovering room after AIR surgery.

If I could choose what option to take next and was given the option to go for a diagnostic arthroscopy I would be happy to take a gamble and risk. Having a diagnostic examination is far more accurate than all 5 previous MRI scans I have had. I would then feel more at ease knowing every option has been taken to try and rectify or ease my on-going right knee problems.

I am fully aware of the risk factors with a possibility of a potential 3rd surgery on my right knee that’s is not something I like going through but has to be done to ease my mind! The two previous scopes I have been through during the surgery something that was not spotted on the MRI got spotted by the OS's eagle eyes.

I have been told as well to slow down and take things easier at a slower pace to give my right knee half a chance to recover. Even with plenty of rest and time to recover I feel it will not make much difference as my right knee is now a chronic condition rather than an acute knee injury that's getting worse rather than better.

[email protected]
« Last Edit: December 22, 2015, 05:18:42 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 RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1386 on: December 22, 2015, 05:18:06 PM »
22/12/15 17 Months Day 524 Post Op

It took a while until I had the time confirmed for tomorrow consultation that been confirmed this morning at 12pm. I can thank Prof Snow Private Secretary for arranging the time that has kept me informed regularly. As I have said before with so many years’ experience with on-going knee problems I know my knee best, it has never been as bad as it is right now!

Pre-op to scope #2 I was surprised when my MRI scan came back positive as the knee pain and discomfort was no were near as bad. I was then able to walk longer distances ok and the main reason for surgery was in the hope that I would return back to long distance running once again!

The PT exercises have helped that I can pinpoint the exact location where I am feeling most of the knee pain. While doing mini one right legged wall squats when I am lifting my kneecap up again feel anterior knee pain on the medial side of the kneecap right at the bottom by tibia. The clunking and snapping is still there that connects with the pain. 

It hard to just stand there doing nothing as even doing a few dance moves at the additional needs disco yesterday I volunteer at had to stop a few times to rest my right knee. The leader even noticed I was limping and only danced to 3 songs! I am too young to accept how my right knee is as I cannot enjoy long distance walking as I could do before scope #2.

Another option that has been mentioned previously is doing an ‘osteotomy’ as the last option and what I have read on other members post-op diaries it can be a great success that one can return back to running once again. I was on the borderline if I should have this done as well? Aged 37 is an older age to have such a big procedure. Teenagers have this type of surgery and return back to full fitness again so not as drastic as others make it out to be.

The Registrar suggested this a few months ago and even managed to locate the anterior knee pain who has been trained in the States. He will soon be a fully qualified OS who is originally from Poland with an American accent.

[email protected]
« Last Edit: December 22, 2015, 05:22:15 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 lucha86

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1387 on: December 22, 2015, 08:59:46 PM »
i wish you the best of luck tomorrow Nick, remember keep asking questions and make sure you leave there with everything answered..... let us know how you get on

Offline Clarkey

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1388 on: December 23, 2015, 03:47:00 PM »
23/12/15 17 Months Day 525 Post Op

Thanks Lucha for wishing me good luck for today’s consultation that went as good as it could have gone at this stage of my on-going right knee problems. No diagnostic arthroscopy that I was seriously considering that Prof Snow has talked me out of for now!

The most recent scan is not 100% clear as it does show signs of inflammation around the fat pad and fluid is also visible. He is still reluctant to scope the knee as he is concerned that it could make my right knee condition worse rather than better.

For the time being once again I was given another cortisone shot in the exact same areas as the last cortisone shot in October making it my 3rd this year with 5 in total so far! I know this is the maximum amount one can have in 1 year. It has be beneficial so far with no pain at the bottom of my kneecap. I will go back on March 16th my original appointment to see how the injection has worked or not.

Also I have had blood taken from my left arm as the last blood test was well over a decade ago to rule out if it is arthritis. I know I was adamant that I was prepared for a diagnostic arthroscopy that Prof Snow has talked me out of for now. I always have had respect and 100% trust in his decision with his vast knowledge and experience.

At least the pain for the 1st time is away for now and hoping it stays that way once the steroid starts kicking in less. I also mentioned seeing a physiotherapist on the NHS and said it not really necessary as I am already on top of my PT.

Another option that I think Kristin has suggested already is having 'Graston technique' done privately as I am certain it is still scar tissue that causing me all the pain and aggro! In the UK it not that well known and not that many centres that specialise in GT. The nearest one is 18 miles away in Birmingham that happens to be the same region I lived in till June 2015 when I moved to Droitwich Spa in Worcestershire.

http://www.harbornechiropractic.co.uk/expect.asp

It looks like a good treatment centre and can then inform Prof Snow that I am trying it out! One of the chiropractors can write a detailed report that he can read up before my next scheduled appointment.

The very last and expensive option is going to see Dr Mark Sanders the AF specialist in the States. He is the top World OS for excessive scarring of the knee as he knows how to reduce the scarring after the surgery with strict guidelines.

I have got to know Prof Snow well now who is now less formal during the consultations but still in a professional manner after seeing me so many times lol.
 
[email protected]
« Last Edit: December 23, 2015, 04:28:02 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 kcknee

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1389 on: December 23, 2015, 05:32:37 PM »
Give the steroid a chance to work. Take the next few days to just ice and rest your knee. Let others care for you over the holiday. Then, slow down. Do not walk long distances or on hills and take care of yourself for a few weeks and see if the inflammation cycle will stop. 

I would not do Graston therapy yet since you just received a steroid shot to try to stop inflammation, (Graston is an aggressive manipulation of tissues using specialized tools). Give it a good 6 weeks to see if steroid helps and even then ask Mr. Snow's opinion on Graston before getting treatments since he is trying to work for a solution with you.

The following site might have helpful info, even though not from your doctor.
http://www.sportsorthopaedicspecialist.co.uk/sportsinjuries/fat-pad-impingement-hoffas-syndrome/

12/31/08 - Skiing injury L knee
6/1/09 - ACL stump removed from joint
8/31/09 - ACLr - Hamstring Graft
12/21/09 - Ant Fasciotomy 
8/26/10 - Anterior Interval Release
12/6/10, 5/5/11, 12/22/11 - Fasciotomy
12/7/12 - Nerve Decompression
6/3/13(m), 7/29/13(l), 12/13/13(m & foot) 2/3/14(l) Fasciotomy

Offline Vickster

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1390 on: December 24, 2015, 08:36:03 AM »
Agreed with the above. Take it easy for a months or two, avoid squatting, kneeling, lunging, anything that places stress on the kneecaps. If you do need to kneel, use a cushion. Be careful going up and down stairs too :) Ice the knee as well regularly.  Stick to gentle physio exercises just to keep things moving

Mr Snow is right not to operate, he has seen inside your knee, he knows from that, examination, your symptoms and the scans what is going on.

We all know how frustrating it is, sometimes there's just not a surgical solution to knee problems, and certainly not one which is without risk

Have a great Christmas, take it easy :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Clarkey

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1391 on: December 30, 2015, 03:56:34 PM »
30/12/15 17 Months Day 532 Post Op

Thanks Kirstin and Vicky for giving constructive and helpful advice as usual that I have taken into consideration. I have been resting my right since last week’s cortisone injection by taking things easy at a slowed down pace. It does help that it is the festive season, I was able to enjoy Christmas with my family eating and drinking too much as usual.

It has not yet been mentioned by Prof Snow on any of my reports so far that I could be suffering from ‘chondromalacia’ that’s linked with patellofemoral pain syndrome.

The following quote from the web link below.

http://www.mayoclinic.org/diseases-conditions/chondromalacia-patella/basics/definition/con-20025960

The cartilage under your kneecap is a natural shock absorber. Overuse, injury or other factors may lead to a condition known as chondromalacia patella (kon-droh-muh-LAY-shuh puh-TEL-uh) — a general term indicating damage to the cartilage under your kneecap. A more accurate term for chondromalacia patella is patellofemoral (puh-tel-o-FEM-uh-rul) pain syndrome.

The most common symptom is knee pain that increases when you walk up or down stairs. Simple treatments — such as rest and ice — often help, but sometimes physical therapy or even surgery is needed to ease patellofemoral pain.


The cortisone injection was helpful for the 1st 48hrs before the same type of anterior knee pain returned again even after plenty of rest and icing. It certainly feels like it could be wear and tear with pain and discomfort at the bottom off the kneecap!

It not been a good knee day today as the weather has been wet and windy all day that has a negative impact on my right knee. Prof Snow said as I have had two MRI scans in less than a year. The two MRI's should be 93% accurate, only 7% of the time the MRI comes back negative when it should have come back positive.

My sister who I have mentioned many times who a nurse in orthopaedics thinks that my right knee is a result from having maltracking problems since childhood that have caught up with me. I am likely to be dealing with a chronic knee rather than an acute knee injury.

It now looks like my running days are over, I wish I could have taken part in at least 1 full marathon before my chronic right knee caught me out! Right now I would like to be able to walk longer distances once again as I could do ok before scope #2.

I agree it is good for now that Prof Snow is reluctant to do any further surgeries seeing how it goes over the next couple of months. It is frustrating as I am unable to give physical interaction with my two youngest nephews. Aged nearly 3 and 1 year as it painful to carry them, I am annoyed how restrictive my right knee is right now.

I would still like to become a care support worker for children and young people in the future. I am finding my right knee is stopping me from applying for jobs due to have an ongoing right knee problem. This is why I wanted to go for a diagnostic arthroscopy in the hope that something is spotted that can be fixed or eased so I am not enduring so much pain and limitations. 

Happy New Year, hoping 2016 is a better knee year for members of KG.

[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 Vickster

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Re: Nick's RK Medial plica excision/fat pad op#1 Anterior interval release op#2
« Reply #1392 on: December 30, 2015, 05:06:29 PM »
Nick, if you have chondromalacia (simply put, softening of the articular cartilage) it is likely that Prof Snow would have put it in his op notes as he would have probed all of the bony surfaces in the joint.  It'll often show up in MRI scans too and be reported (my recent MRI reports have certainly remarked up it)

However, if your patella is tracking poorly, that will have a detrimental effect on the cartilage on the back of the patella and potentially the trochlear groove, that's why, if surgical realignment isn't strongly indicated, it's important to keep all of those leg muscles strong and in balance to help the kneecap track :)

Cortisone can be bad for that articular cartilage and other tissues in the knee, so best avoid repeat injections if you can.  If the patella tendonitis doesn't settle, ask Prof Snow whether he thinks PRP might be beneficial and if he's able to offer it on the NHS (costs a lot privately)

Happy new year :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Clarkey

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18/01/16 18 Months Day 551 Post Op

18 months post-op and wish I could say that finally my right knee is starting to improve! Three cortisone injections throughout 2015 that has not really been any benefit, numbing the pain slightly. Walking is limited to a slow pace and can feel anterior knee pain and discomfort still particularly around the tibia. 

Arthrofibrosis with most patients their ROM is very much limited, my ROM is fine and was also ok pre-op to scope #2 of AIR surgery. My patella tendon is inflamed with fluid visible on my CT scan guided cortisone Injection. Also my fat pad is showing similar signs.

It is very similar pre-op to scope #2 with time no bone edema visible on my last MRI. AIR surgery is a procedure to remove scar tissue from around the patella tendon. My diagnoses so far is PFS, maltracking with patella tendinitis and fat pad irritation!

There is a high possibility that it could be excessive scar tissue behind the patella tendon causing me the pain and discomfort. Can you still have AF without having limited ROM or could it be tracking problems?

I am not sure what will happen next as injections are not working and PT and stretching exercises are not having any positive impact! Walking 1 mile feels like a marathon that I could do ok before scope #2. It's frustrating as I enjoy walking to places rather than driving and limping is a lot more noticeable now then it was 6 months ago.

The last option would be to have an osteotomy that has been mentioned before as a borderline for such a major knee surgery. Many younger people have been through this surgery with great success as they can return back to sporting activities again. I am still feel clunking when doing 1 legged wall squats.

Next consultation is on March 16th 2016 with the results of my blood tests. Who knows it might show something that contributing to my knee pain. I am not sure what will be suggested next as Prof Snow concerned that a diagnostic arthroscopy could make my knee worse rather than better!

I do not just want to leave it as it is and live with my right knee problems. Surely with today’s modern procedures, something can be done to make me more mobile again.

Vicky, I agree that having too many cortisone injections in a short space of time can weaken the articulate cartilage leading to chondromalacia! 18 months since my last surgery, a lot can happen, there could be softening of the articular cartilage and certainly feels chronic and long term.

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« Last Edit: January 21, 2016, 02:56:20 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 kcknee

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Hi Nick -  I read under under another post that you are swimming the breaststroke three times a week for 45 minutes each session. I remember that it was just about 6 or 7 weeks after your last surgery that you mentioned you were swimming the breaststroke and attempting jogging. I expressed concern then that your surgeon had said no high impact activities in your knee for several more months. Did you ever clear swimming the breaststroke with Mr. Snow?  With muscle weakness, high patella and I believe you said you have tight hips, this swimming could be causing a lot of the inflammation and pain in your knee. You might want to talk to Mr. Snow or a PT to ask their opinion. 
Kristin

http://livehealthy.chron.com/breaststroke-sore-knees-5974.html

http://files.mrapolinario.webnode.com/200000339-31a5c329d6/KNEE%20PAIN%20IN%20COMPETITIVE.pdf
12/31/08 - Skiing injury L knee
6/1/09 - ACL stump removed from joint
8/31/09 - ACLr - Hamstring Graft
12/21/09 - Ant Fasciotomy 
8/26/10 - Anterior Interval Release
12/6/10, 5/5/11, 12/22/11 - Fasciotomy
12/7/12 - Nerve Decompression
6/3/13(m), 7/29/13(l), 12/13/13(m & foot) 2/3/14(l) Fasciotomy