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Author Topic: Knee pain seems worse after surgery  (Read 3076 times)

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Offline Coach Phil

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Knee pain seems worse after surgery
« on: October 27, 2008, 12:36:41 PM »
I had meniscus tear removal five months ago, have had a lot of swelling and pain since then. The OS says he doesn't know what is causing it and that is just going to take time. It just doesn't feel right,it still pops and feels like there is a catch in it if that makes any sense. I have about given up on my OS after I had my surgery I have heard some terrible comments about the OS. These commits are coming from people that has had surgery, physical therapists, and nurses. I am a very active person. I'm not saying that I play sports, I gave that up after I tore my achellis four years ago. I coach football and basketball and I'm not the kind of coach that just sits there with their mouth shut. Anyway I am very seriously thinking about going and getting a second opinion from anther OS, would that be the best thing for me to do? I've got to get some relief from the pain and swelling. I can't even go see a college football game without it giving me trouble for several days.

Offline jmcc

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Re: Knee pain seems worse after surgery
« Reply #1 on: October 27, 2008, 01:30:53 PM »
It never hurts to get a second opinion - it's your health and your body after all, and you're the one that has to live with it.  So I would definitely recommend that, especially if you're not confident in your OS.
 
As far pain worsening after surgery - I've never had knee surgery (*knock on wood*), however I have had shoulder surgery last January (rotator cuff & labral tear), and I have to be honest, it isn't any better, it often hurts worse, and the cracking/grinding is worse than before I had the surgery.  I thought I needed to give it more time, but I think this fall/winter I'll be heading back in to see what the heck is going on with it.

Offline plantgeek58

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Re: Knee pain seems worse after surgery
« Reply #2 on: October 27, 2008, 02:47:12 PM »
Hi Coach Phil,
Sounds like a second opinion is a very good idea. 5 months post-op is too long for it to still be hurting. Your OS should have at least sent you for another MRI to see if the meniscus has torn again or if there are any other issues. It should definitely not feel like it's catching.
Terre
RK 7/04 part. m. menisc., plica resect., MF
    3/05 part. m. menisc., open OATS
    1/07 part l. menisc., MF, patellar chondroplasty
    9/08 MF
LK 11/04 & 8/06 part m. menisc.
     7/07 LR, patellar tendon debrid., part m. menisc.

Offline karen smith

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Re: Knee pain seems worse after surgery
« Reply #3 on: October 27, 2008, 08:49:58 PM »
Sounds to me that your knee cap may be off line.  I had similar. My knee cap was not riding in its proper groove. Instead, it kept moving wakwardly out of its groove giving a feeling of it slipping etc.  Another common ailment with this is 'alta' patella. This means your knee caps are riding high and obviously not in their groove.  This cam be corrected by surgery.  Please note, I saw many physiotherapists and had two keyhole surgeries with different surgeons who said nothing major was wrong.  It was only when I went to a specialist knee clinic that the true cause was discovered. Try suggesting the above to your OS.  Do you have a specialist clinic in knees only like we do in England(private)?

E mail me direct if you want to talk further

Karen Smith
England

Offline fatcats6

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Re: Knee pain seems worse after surgery
« Reply #4 on: October 27, 2008, 08:59:56 PM »
If you're confidence in your OS is knocked, I think it's a good idea to get a second opinion.  It would be hard to have continued faith in your OS when you're getting such bad report about him/her.  Your mental attitude plays sucha huge part in your recovery.  We've all been there, struggling with something and a caring/compassionate and competent person can really lift you or sink you.  I'm with the others, a second opinion can never hurt and it is your knee after all.  I always think you should listen to that little voice inside of you telling you something's not right.  Keep us posted.
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Offline eaglemom

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Re: Knee pain seems worse after surgery
« Reply #5 on: October 27, 2008, 10:28:45 PM »
Let me toss something out that isn't being discussed here - you've had surgery on your knee.  5 months may not be enough time for the knee to heal properly.  All I know is that my os says even if you have a routine scope he says 9 months to a year for the knee to heal properly.

Thats not what I wanted to hear either, but the knee just might need more time.

Offline Coach Phil

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Re: Knee pain seems worse after surgery
« Reply #6 on: October 28, 2008, 11:23:07 AM »
I have been told that it can take up to a year before it will heal, but my worry is why can't the OS tell me something besides he doesn't know and  that I am a mystery. I have been told and read that riding a bike and walking is good therapy for the knee but it seems like everytime that I do things like this I start having problems. I went to a college game Sat. night and I did my share of walking and for the next two days it had some swelling and pain on the inside of my knee. Yesterday I only had some stiffness and pain but my knee popped and it really felt better after that. Can I be having trouble with my knee popping out of place? I do think that I am going to get a second opinion, it would put my mind at ease.

Offline bavage

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Re: Knee pain seems worse after surgery
« Reply #7 on: October 29, 2008, 03:56:40 AM »
It just doesn't feel right,it still pops and feels like there is a catch in it if that makes any sense.


The popping noise and the 'catch' you are feeling may be from the rubbing of your tibia against the knee cap related to the removal of a meniscus tear. How much of the meniscus was removed?

You need another opinion and I'll tell you why.

I had 30% of the meniscus removed and had a TKR 11 months later. My leg was " bowed" out  and the leg swollen the entire time. Removing part of the meniscus sets you up for TKR because there really isn't they can do to replace this necessary ligament.
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Offline eaglemom

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Re: Knee pain seems worse after surgery
« Reply #8 on: October 29, 2008, 01:10:49 PM »
I agree with the second opinion.  However, I still say it takes time to heal, as we all know.  Also you might be like me - if i can ride the exercise bike 5 minutes why not do 15?  Or if I can walk around the block why not walk around 5 blocks.  To me it seems logical I "should be" able to do things and tried and then payed the price with pain and swelling.  You might be still over doing alittle.  Its so frustrating - I'm in the same boat. Had surgery to feel better and get my life back and now have more pain and no life.  One step at a time, this too shall pass.  eagle

Offline plantgeek58

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Re: Knee pain seems worse after surgery
« Reply #9 on: October 29, 2008, 06:10:51 PM »
Trust your instincts and go for the second opinion. I've had many meniscus trims and while it does take up to a year for the knee to feel completely normal again, you shouldn't be having the type of severe pain and swelling that you've described. There shouldn't be any kind of catching either. Some clicking and painless popping may be caused by muscle weakness, but catching could mean that the meniscus has re-torn or that there is some other problem. You are the best judge of what's going on with your body, and if you feel that something isn't right, then you should go see about it. I would get a copy of the surgical report, too, so you'll know exactly what the first OS found when he was in there and if he did anything else besides the meniscectomy.
Terre
RK 7/04 part. m. menisc., plica resect., MF
    3/05 part. m. menisc., open OATS
    1/07 part l. menisc., MF, patellar chondroplasty
    9/08 MF
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Offline Coach Phil

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Re: Knee pain seems worse after surgery
« Reply #10 on: January 06, 2009, 03:26:01 PM »
I did get a second opinion with another OS and had a friend of mine do a mri on my knee. The OS gave me an injection and is sending me for three weeks of PT before we talk about surgery again. The physical therapists thinks I have another tear in my meniscus so I guess I'll find out in a few weeks. Thanks to all for all the responses and will post again when I find out what is going on.

Offline maryb713

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Re: Knee pain seems worse after surgery
« Reply #11 on: June 07, 2011, 12:58:44 AM »
Coach Phil,

I am going through the same thing that you did with your knee.  I had orthroscopic surgery in Jan and they removed 80% of the meniscus on the outer and middle of the knee.  They left 20 % on the inside of the knee.
It hasn't gotten any better pain wise, I have popping, cracking and stiffness. Ocassionally it tries to lock up on me.
When I spoke to the Dr, he said it is scar tissue and not to be concerned but my PT said the opposite. He said that being 5 months out, I should have better range without the pain level I have.  I asked for a 2nd MRI and the Ortho Dr refused so I went to my Primary Care and she ordered it for me.  The results are alarming but now I can't get in to see the Dr until the 20th.  According to the results, it says I have Increased signal intensity in the posterior horn of the lateral meniscus and diminutive alterior horn of the lateral meniscus is suggestive of postoperative changes or tear. It says I need to be evaluated by the Dr.
So what did you finally do?  I had the "1" injection for lubrication but it last 1 week if I was lucky.  I have follow the rules of the dr and the therapy but still haven't had relief.  Please pass on any thoughts about what I could do...

Thank you for your help,

Mary B.

Offline maryb713

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Re: Knee pain seems worse after surgery
« Reply #12 on: June 07, 2011, 01:47:40 AM »
I had 80% of the meniscus removed from my left knee in Jan 2011 and the pain is steadily getting worse.  I have popping, clicking, locking up, and unstability.  The OS says the noise is from scar tissue.  That may be true to some extent but the pain should not be there in my opinion and that of my PT.  He agreed with me that something else is going on in there.  When I spoke to my OS, he said not to worry and gave me a "1" dose shot and it lasted 1 week at best.
Since the OS refused to acknowledge my situation, he also would not order an MRI so I went to my primary doctor and she ordered it.  Well, the results said there is a possibility of 2 more tears. I followed the instructions of the dr and the PT...
Am I looking at another surgery to remove the remaining meniscus or should I consider a TKR?

Thoughts from all would be great... thanks.

Mary B