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Author Topic: Nick's FatPadTrim, Medial plica/Distal patella excision, AIR x2, LMR 3in1 Diary  (Read 282958 times)

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Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
18/03/16 20 Months Day 611 Post Op

Hi All,

Thanks for all your replies of support and suggestions, I am now feeling more calm and relaxed after a good night’s sleep one wakes up feeling more upbeat and positive. It just become frustrating that I happen to have a dodgy right knee that causing a headache for Prof Snow and is team! At least he admits he is not sure where to go from here onwards. He not sure what to do once he takes a good look inside my right knee as he knows I am prone to excessive scarring. I respect and know he is doing all he can so far to try and rectify my right knee problems.

I have already booked to see a OS located in the right down on the UK south coast, he ticks all the boxes for my complicated hard to diagnose and fix right knee problem. I will keep his name private and confidential, he was recommended by Sheila owner of KG. He had personal experience with patella tendonitis, he is trained in Orthopaedic Surgery, Sports Medicine and Sports Psychology. It's rare to find an OS that specialises in 3 areas, I know Kristin mentioned psychology to cope with my on-going right knee problems and my Asperger’s.   

I know I made the right choice for a 2nd professional opinion, I could have chosen plenty of other top UK OS’s close to the Midlands region but none of them are specialised in dealing with my specific right knee problems. I will be seeing him at 6pm Monday 4th April, paying cash that requires no referral. Lucha I agree with you that it best to go out of your local region for a 2nd opinion. I know you have done this and have found an OS that could straight away work out your on-going knee problems. 

I am limping even more, my PT got me doing too many leg squats on a step to get a 30 degree angle on Wednesday before seeing Prof Snow. Now my quadriceps tendon is sore above my right kneecap. I read up about online it's closely connected to the patella tendon. I knew straight away that I had overdone it too much. Now cannot do my daily 20 one legged right wall squats and calf stretches 30 x3.

My mum is not too good on her feet right know, she has been booked in for a hip replacement on 11th May 7 days before her 78th Birthday. Her knee also needs replacing, she has given up driving for a while as she was finding it difficult to drive a manual and the seat is too low for her. I am her driver, making sure she ok as we live in the same house.  She done well after raising 8 kids that her joints have lasted for so long. It was an ordeal to get her surgery as they made out it was gout and saw 3 PT’s before finally getting a referral to see an OS. Sold her car as few weeks ago, she will drive again once she is fit enough after her replacements buying an automatic car.

Thanks once again for your kind words and encouragement. I could publish my own book about my on-going right knee saga with such long winded post op dairy. Hope my dairy is helpful information for members and the medical professionals.

[email protected] 
« Last Edit: March 21, 2016, 05:12:49 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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  • Neil TheElephant knee packed up carrying his trunk
21/03/16 20 Months Day 614 Post Op

I have now changed my plans slightly after having a chat last night with my sister, she works as an orthopaedic nurse. I told her that I have asked for a 2nd opinion from another OS down on the south coast, she told me to save £225 consultation fee by cancelling the appointment.

If one of the patients at her hospital decided to get 2nd opinion and then went back to say to him that so and so said such and such a thing, he would be peed off! I did have this at the back of my mind all along. I just emailed the OS I would have seen on 04/04/16 explaining my current circumstances.

My sister suggested that If I am happy to go ahead with a diagnostic arthroscopy then I should call or email Prof Snows Secretary. Can say that I have discussed my right knee problems with my family, I am happy to go ahead with a diagnostic arthroscopy.

Another option is to wait for the appointment with the Sports Physician that does ESWT on the NHS while down in the south where the other OS is located can only be done privately! Meant to be 75% success rate for soft tissue injuries? I am not so convinced it will solve my right knee problems miraculously, my gut instincts was right all along that the best course of action now is to examine my right knee by doing diagnostic arthroscopy. 

My quality of life is more restrictive, the sooner I can get my right knee scoped the better. I am hoping to start a new job as a Playworker after a probation period with young people on the autistic spectrum. I do not want to be in a situation when I just started my new job then end up having a diagnostic arthroscopy, I would then have to go on sick leave! Not the greatest of starts to a new job.

[email protected]
« Last Edit: March 24, 2016, 05:53:02 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 Aly0108

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Nick,

I pray for you, that is really difficult. I think I have the same problem with my hoffa cause by kneecaps. My knees problems started in 2015 August. I plan to try an acupuncture.

Take care

Offline MyKnee2010

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The decision has to be yours. You know the risks you run due to AF & you know the pain you are in now. I used to work for a boss who always said "Do your due diligence, then no matter what happens you know you did all you could to make the correct decision". He's right, look at this from all angles then make your decision.

I personally always figure a 2nd opinion is a good thing but that doesn't mean it's the right decision for you. Did Mr Snow still offer to do a scope now? Do you know where you could get better PT this time after a scope? What would you lose by keeping the appointment with the sports med doctor? Even if you schedule a scope, why not talk to the sports doc?

I'm wishing you very good luck in which ever you decide! I've already had 12 surgeries on my knees, & now am going to have a procedure on the genicular nerves in my knee soon. They use radio frequency to burn the nerves so they can not transmit pain signals. Hopefully it will help ---

Offline lucha86

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fingers crossed on your second opinion nick

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
23/03/16 20 Months Day 616 Post Op

I will stick to my original plan seeing the Sports Physician for a 2nd opinion, Prof Snow is ok and happy for me to get another opinion.

ESWT can convert chronic inflammatory process into an acute inflammatory process much like a fresh injury, from which the body can usual heal itself. It has a success rate of 70 to 80%. 

http://www.sportsorthopaedicspecialist.co.uk/treatments/shockwave-therapy

I am more than happy to give'electric shock wave therapy' a go as the very last conservative form of treatment. If ESWT has no positive impact then will ask for a diagnostic arthroscopy on the NHS. I would then be in a good position to be put down on the waiting list for routine knee surgery.

A few weeks longer waiting will not make much difference. I wouldn’t want to have surgery before or shortly after my mum’s new hip replacement surgery on 11th May. If surgery is considered I would like to have it done during the month of July. This gives me plenty of time to recover during the school summer holiday 6 weeks break. Hopefully I will be fit again for the start of the new academic year to start my new job if probation period and interview goes smoothly as a Play Worker for autistic young people.

Thanks for your kind words of moral support and guidance, lets hope all our knee problems can be resolved or eased somehow.

[email protected]
« Last Edit: March 24, 2016, 05:58:42 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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  • Neil TheElephant knee packed up carrying his trunk
06/04/16 20 Months Day 630 Post Op

I have been in contact this morning with the hospital as I not yet had an appointment for seeing a Sports Physician for a 2nd opinion before going for a diagnostic arthroscopy. I also sent an email on Friday saying I would like to go ahead with surgery instead of seeing a Sports Physician, no reply so called to make an enquiry. I also received my latest consultation report from 16/03/16 today in the post. Prof Snow is happy to do a surgical procedure called 'inferior patella accessory pole excision decompression surgery'.

http://www.londonkneeclinic.com/mobile/knee-problems/tendonitis

I will soon get a letter in the post to see a Pain doctor and not a Sports Physician, see what he thinks is the best course of treatment at this stage post op. I am glad it is not the Sports Physician I am seeing! On his profile it mentions that he deals with psychological pain in patients that he sees. He has not got a good star rating with reports back from patients that are mostly of a negative tone. 

I was starting to get paranoid and self-conscious until I got today’s report that there is something not right with my right knee and surgery is now very likely to happen. What Prof Snow Secretary said to me on the phone conversation is that I should follow Prof Snow advise by seeing the Pain Doctor first who can refer me back again for scheduled surgery if he unable to help in any way.

Here is my latest consultation report from March 16th 2016.


Dear Dr ***

Diagnoses: Inferopatellar pain ? cause

Nicholas returns to clinic today. His steroid injection did not improve his symptoms and he continues to have this inferopatellar pain. He has been having further physiotherapy privately but has obtained little improvement. Surgically one could consider inferopatella accessory pole excision with decompression, however I think his response to previous surgery and scarring I think the outcome will be little unknown.

Potentially I think it could be worthwhile asking our sports medicine team to review Nicholas to see if they have any other alternatives that they could suggest. In the meantime he could think about the potential for surgery. I am more than happy to see him back after his appointment with the sports team if they feel there are no none-surgical options.

Yours Sincerely

Professor M Snow.



The link below does sound very much like my present ongoing right knee problems

http://www.londonkneeclinic.com/mobile/knee-problems/tendonitis

Surgical Treatment:

Surgical treatment is rarely necessary but may be used to:

    Change the forces acting on the tendon by a realignment
    Excise the worst affected part of the tendon
    Insert new material to supplement the tendon
    Remove a bony prominence or spur causing friction
    Decompress the tendon by removal of scarred tissue allowing new in-growth of blood vessels.


Remove a bony prominence or spur causing friction, this has already been confirmed on my latest MRI scan?

My latest MRI scan said that I have a slightly bigger distal pole of the patella with a spur which may be affecting the fat pad, however the signal of patella is normal.

I am finally coming to a conclusion, I might be having surgery after all if the sports team cannot assist any further no none surgical treatment options. I am now feeling more relaxed knowing that I do have a knee problem, I am now glad that I cancelled seeing the private OS, would have cost me £225 plus £150 follow up fee.

Has been extremely stressful last 20 months post op, I am one of those patients that has a knee condition that hard to fix with conservative methods. Hope to have a date soon from the sports team.

[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 Scubagrl4

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Dang, it seems like it is a full time job for you just to get appointments scheduled. I wish things could speed up a little for you. You have waited so long already  :-\
4/14/14 L ACL rupture, grade 2+ MCL tear
6/6/14 ACLr allograft
9/4/14 MUA
10/6/14 LOA/AIR, synovectomy, lateral/medial retinacular release, partial lateral menisectomy, chondroplasty, deep tissue
biopsies.
11/20/14 insufflation, MUA
10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
18/04/16 21 Months Day 642 Post Op

Scuba, with the NHS one has to be extremely patient for none emergency care and have finally been given a date and time to see the Sport Physician. I have been booked into his clinic at 9am on Tuesday 10th May a day before my mum goes into hospital for her new hip. 

It is becoming a bit of an ordeal to finally get the right type of care and treatment and hasn’t been that easy. It reassuring in a way that I now have a formal diagnoses that my patella tendon is not a straight forward fix.

It has not yet been officially confirmed that I might well end up having 'inferior patella accessory pole excision decompression surgery' in the not too distant future. What I have read up about this type of surgical procedure that a larger incision is made at the bottom of the kneecap to expose the patella tendon by the tibia.

The two things that look for certain if surgery was to go ahead would be to;

* Remove a bony prominence or spur causing friction.

* Decompress the tendon by removal of scarred tissue allowing new in-growth of blood vessels.


Also at the same time it would make sense to also have an exploratory arthroscopy done so Prof Snow can do an in depth assessment of my right knee. He might be able see current problems the MRI scan missed out on or future problems that could occur, that can be fixed now rather than at a later date. If the SP refers me back to Prof Snow then I can discuss the above with him with any concerns and reservations that I may have before going ahead with any surgery.

I have now officially applied for a job position as Play/Youth Worker for autistic children and young people and hope to be successful in hopefully get the job. What I had to mention on the online job application form was that I have had to go through 2 right knee surgeries already with a potential for a 3rd one this coming summer.

The job description to be able to take part in physical activities and could help out when they go swimming and could observe and manage other sporting activities. If I am the right person for the job my knee problems should not prevent me from progressing if I was offered the job. I cannot see it being a problem as I will have been volunteering for the playgroup for almost a year. The young people, leader and staff all get on well with me so hopefully will get the job position.

Hope my knee behaves ok when I fly out to the west coast of Southern Ireland next week Monday 25th April to Friday 29th April. It a disability rights conference and workshop that runs from April 2016 taking part in 6 workshops over 2 years, hope to have my own story book launch that's will be published in October 2018. I will try my best to help raise awareness in autism awareness and disability discrimination to be given equal rights and opportunities in life writing about my own personal experiences in the book workshops.

I have not found any members with posts or diaries about the surgery I might be having on my patella tendon. It would be reassuring to know what to expect from the surgery and what it like to recover from post-op. Any guidance or advice would be greatly appreciated on this type of surgery.

[email protected]
« Last Edit: April 18, 2016, 10:52:03 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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  • Neil TheElephant knee packed up carrying his trunk
26/04/16 21 Months Day 650 Post Op

Only 2 more weeks before until my Sports Physician appointment, hopefully I will finally get the decision of what to do next as I now at a point where something needs to be done. I had the job interview on Friday for a possible job as Play/Youth Worker for young people on the autistic spectrum. I am still waiting for a call if I was successful or not. I did have to disclose that I have an ongoing right knee problem with a possible 3rd surgery that would put me on sick leave for a few weeks if was successful after the job interview.

I am in Southern Ireland for a few days in the city of Galway on the west coast for a disability conference and workshop till Friday. I had a free day today and did a lot of walking around the Galway tourists hot spots. I can see how much slower I am than other people and going into and out of the plane with steep steps is not what you need with a dodgy knee. There was no gantry into the plane as it only a small city hopper from Birmingham International Airport to Shannon Airport going down several flights of stairs that was not the best start to a journey.

There is an arctic breeze across the UK that making up for the mild winter we had causing over two weeks of a sore chest and heavy cough. Was 18 oc one day the next day 6 oc! its a going round the virus that is hard to shift once you have got it. Had little sleep last night as each time I lie down I start to cough heavily, with mucus. Saw my GP said carry on taking ibuprofen and paracetamol tablets. It not really doing much and cough medicine often does nothing. Any tips to overcome a cough as taking pills regular is not good for the body. GP'S are reluctant to give out antibiotics nowadays.

Be annoyed if my right knee injury might stop me getting my dream job I have been aiming for for a while. No news is good news! Interview was Friday last week, hope I have done enough to get the job position. I answered all the questions with ease and have qualifications in autism and childcare, plus help out already at the Saturday Club. I liked by both staff and the young service users and the leader is easy to get on with. Would be gutted if they do not offer me the job.

[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 Puffy the Knee Slayer

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Hi Clarkey I really hope you get the job, if they did not offer it to you due to your knee that would be discrimination. Good luck I hope you hear soon
06/07 ankle sprain - collapsed arch
01/08 fall doing physio
06/09 MRI fat pad impingement
01/13 MRI medial meniscal tear
03/15 - decent orthotics
01/15 MRI - pes anseurine bursitis, SPL fat pad impingement, PFMaltracking
Cortisone 04/15; 03/16; 06/16; 08/15 Cortisone+Duralane; 10/16 Cortisone+Botox

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
10/05/16 21 Months Day 664 Post Op

I did not get the job position despite being told by the lady that interviewed me that I gave really good answers during the interview. When she rang me up she felt that they would feel more comfortable if I did more one to one support at the Saturday Club. I have been volunteering at the club over a year now so have the practical experience. I also have all the theory knowledge with certificates in childcare and autism awareness. I can still get the job position at any time even though I now have the practical experience and theory knowledge.

My appointment with the Sports Physician this morning went well who is the team Sports Physician for England Cricket Team and Warwickshire County Cricket Club. He also even was the London 2012 Olympic Sports Physician. What he suggested is to have regular PT on the NHS with a physiotherapist specialised in patellar tendon problems. When I told him that I was doing 1 legged wall squats he told me that it is old fashioned and be better off doing a technique trial from Australia 'Isometric leg lifts' holding the knee at an angle of 60 degrees for so many seconds that I will know more about when I see the PT. 

In 4 months’ time I will see the Sports Physician for 3 sessions of electric shockwave therapy that should hopefully ease or fix my patella tendonitis?

From a website about patella tendon injuries that gives a severity grading, mine is Grade 4!

Patella tendon injuries are grade 1 to 4 depending on severity:

•Grade 1: Pain only after training.
•Grade 2: Pain before and after training but pain eases once warmed-up.
•Grade 3: Pain during training which limits your performance
•Grade 4: Pain during every day activities

http://www.sportsinjuryclinic.net/sport-injuries/knee-pain/jumpers-knee

If my right knee does not improve after the PT sessions and ESWT I would need to go through a 3rd scope of 'inferior patella accessory pole excision decompression surgery'. One has to be extremely patient, I have expert advice and guidance from a top UK Sports Physician. It would be nice to get it over and done with soon, I can also see why they are hesitating to go ahead with surgery as the very last option. Lots of trauma for the knee to go through and risky!

My mum has her hip replacement surgery tomorrow morning so will have to care for her with the help of my sisters and know nowadays it a straight forward surgery and usually recovery well and she should feel a lot better several months post-op after PT. If? I did require surgery for my RT knee it's better to get it done in a few months time after my mum has recovered from her hip replacement surgery.

The Isometric exercises and ESWT might well solve or ease the patella tendonitis? Will wait now till autumn to see what happens.

[email protected]
« Last Edit: July 18, 2016, 03:39:19 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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  • Neil TheElephant knee packed up carrying his trunk
18/05/16 22 Months Day 670 Post Op

I had a meeting on Saturday with the Manager and Team Leader at the Autism Young Persons Playgroup that I help out at. The Manager would like me to get more experience doing more one to one support with different service users at other clubs. Their concerns are when I have to deal with distress behaviour when a young person becomes physically and verbally aggressive. How would I cope and manage the situation I could make it worse for the service user, restraining incorrectly that could injure the child! I did point out in the interview that I am happy to attend training sessions on how to deal with a volatile situation.

Also they are concerned about my ongoing right knee problems, not being able to run is putting a young person into a danger. An example if a young person runs onto a main road or quickly escapes club when a door is open for a couple of seconds. They would like me to do 6 more months as a volunteer, November I would have another interview and if I do not get through it passing their expectations I cannot re-apply again. If I did get a job I would be restricted in what service user I can do one to one with if my right knee remains the same. Maybe pair up with a young person in a wheelchair. My limited mobility is now a physical disability as my right knee is hindering potential employment!

I already have the date confirmed to see the Sports Physician on Wednesday 14th September 2016 @17:30 for ESWT. I am still waiting for the Sport Physiotherapist appointment for the isometric exercises followed by the 3 sessions of ESWT. I personally feel it taking too long to try and rectify or ease my ongoing right knee problems. I would rather have things speeded up more by having ESWT asap rather than waiting till Autumn 2016.

I think it is more than just patella tendinitis that's the route of my knee problems. My fat pad is not looking very healthy, have tracking problems that I think is the reason why I am feeling pain at the very bottom of my tibia. What the Sports Physician and Prof Snow seem to miss out on is pinpointing the knee pain. They are examining too high up towards the centre of the tibia, the pain and discomfort is right at the very bottom of the tibia. This is why I think it also knee alignment problems.

The only person so far that seems to be into what could be the cause of my tibia knee pain is the Registrar. Prof Snow was not in Clinic during one consultation and his Registrar is the only one so far that has pinpointed the exact tibia knee I am feeling on a daily basis. What he did was bending my knee at certain angle and then applying light pressure onto my tibia. I straight away felt intense pain! When my upper part of the tibia is examined hardly feel any knee pain, this is why they are slow to give surgical intervention at this point of almost 2 years post-op. He suggested ‘Knee Osteotomy’ that was a borderline to go ahead with the surgery. Was even mentioned in a report that was quickly ruled out when I asked Prof Snow about the surgery.

I am sure NI taxpayers and NHS would like me to be fit and well to find future employment, should be speeding up trying to get my right knee problem sorted rather than carrying on with PT and delaying having ESWT that might not work? Then surgery is the only option left, if it did happen be nice to get it done sooner rather than later. If I did successfully get the job as Play/Youth Worker in November, requiring surgery if the September ESWT did not benefit my patella tendinitis.

It would not be a great start to a new job to have time off straight away on sick leave. I know it takes time to recover from surgery. I am now 22 months post-op and I am still no better of, I am now worse of than I was pre-op on 17/07/14. At this point it is clear that PT and cortisone injections are not helping in any way. ESWT that so much talked about as an a miracle cure of chronic patella tendinitis is put right back until September.

I am living on my life savings, I cannot afford to wait much longer to see if conservative methods of treatment will help or not. Happy to do go ahead with diagnostic arthroscopy twice when my right knee was no where as near as bad as it is now.

[email protected]
« Last Edit: July 18, 2016, 04:01:18 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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  • Neil TheElephant knee packed up carrying his trunk
18/06/16 23 Months Day 701 Post Op

The whole process to try and make some progress in trying out less invasive methods of treatment before the final decision to re-scope my right knee for the 3rd time? I ended up calling the physiotherapist NHS department, I got told there is a 9 weeks waiting list till I can see a physiotherapist! I was not prepared to wait that long, deciding to pay for private physiotherapy at my local private hospital in the Worcestershire Spa Town of Droitwich.

Was waiting and expecting to receive a letter to see a physiotherapist, that Prof Snow arranged that works at the hospital once a week. His Secretary has been excellent responding quickly to my email enquire. Two weeks still no letter to see the physio, I personally went over to the hospital receptionist and told her that Prof Snow has referred me over for privately with a female physio. The physio heard her name being mentioned, she took down my information and told me that Prof Snow is in Clinic today and will pass on the message to book me in. I was not yet on the system for a referral and was told that there also a waiting list.   

I was not at all amused but did not show my frustration so emailed Prof Snow Secretary again saying I was expected a quick physio appointment, that I paying for out of my own pocket. There shouldn’t be a waiting list at all at a private hospital in a small town with a small population of local residents, plus a few small surrounding villages. My previous physio qualified before I was even born in 1976! The other physio is about the same time qualified. Can get to see either of them within a few days or 1 week that's in the same town of Droitwich Spa.

Email response I received on Thursday 16th June from Prof Snow Secretary.

No worries.  I have various information from Dr *** which I am just faxing through to *** and have spoken to *** again this afternoon too.  She could not locate the referral so resending with all the appropriate information on physiotherapy from Dr ***

Another 3 weeks wasted, I am hoping to get an appointment ASAP, after messing up the referral!

I wish I could report back saying my right knee is remaining the same, It getting worse rather than better with more noticeable pain at the bottom of my knee by the bottom of the tibia. I can pinpoint exactly where the pain is that’s more and less where the tibia meets the shinbone! Right where the pain is it feels knotted when pushing along the tibia, not sure what it could be? Maybe scarring around the patella tendon or loose cartilage?

I have booked to see another OS that also works in sports medicine, that works in the Worcestershire County. I am seeing him this coming Tuesday 21st June at 13:30. I have not kept it a secret, I told Prof Snow Secretary in advance in case he has any reservations. She never mentioned it in any emails, so assuming he ok about it as I did say I would go back to him for any surgery if it was required.

It needs sorting out soon, thankfully I been told I can have ESWT earlier than September, hopefully it will not be too long till I get an earlier date. It has been a lot of emailing and phone calls to make any progress. I would have waited till the last week in September and mid-July to see a PT. I cannot do my volunteering to my full potential due to my right knee with the autistic young people. Lots of lifting, kneeling, squatting, walking and running if I was able too. Now feeling sharp shooting pain around the bottom of the tibia and can see there swelling in that area!

Seem to be in a vicious circle! If I leave the knee as it is the scar tissue could be attacking the knee, if I have a 3rd scope I could make my right knee problem even worse than it is now! If it came to surgery it always a risk and gamble that it could go 50/50. I would take a gamble to have another look inside, who knows might be 3rd time lucky. 

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« Last Edit: July 18, 2016, 03:59:51 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 lucha86

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Hi nick
well even though the referral went slightly wrong at least they are getting the papers sorted for you now which is important......

Now with seeing other doctors sometimes i think its a good thing as each doctor has different expertise in different areas and some can pick up on things quicker than other due to different experiences, but one thing i learnt is doctors in the same area know one another and do talk to each other, and will try to help one another back each other up etc........

its nice to see that the sports physician you saw could see the issues directly too sometimes having a pair of fresh eyes to look at something can pick up on something quicker............

i still have both an NHS and private Physio as im lucky to get an appointment now with my NHS physio once every 8 weeks so if i have a major collapse i ring my private physio who will see me within 24 hours......

probably mr snow will question to why you did go to another surgeon when you see him as doctors generally have to ask this, to cover themselves for issues etc or to see if they can resolve the situation instead of problems that may arise further on......

i hope your consult goes well with that surgeon as you have seen my case Nick... it worked and i had an acl injury.........















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