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Author Topic: 19yr old distance runner looking at 3rd knee op in a year- please help!  (Read 1218 times)

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Offline tallaghtac

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hi everyone, im a highly competitive distance athlete on full scholarhsip in USA and have been injured for 2 years now. i had a sports hernia reapir in january and then in march hurt my knee. they operated on a torn medial mensicus which was repairede, thickened plica, bakers cyst. i never got any physical therapy and went back running a couple weeks later and then in august had another arthroscopy where another small medial meniscus tear was shaved off. now its december and ive ran somehwat but have been in constant pain. i ve tried rest for 8 weeks, therapy for 4, meds, ice, everything really and still strugglin.
my symptoms are pain in and around the knee cap, pain in patella tendon, chronic pain in my vmo when i exercise and often my adductor tightens up too. my knee cap doesnt feel right and i can even feel it just walking around or sitting. it grinds and clicks a lot also.

im really at a loss to be honest. im seeing orthopaedioc surgeon to discuss my options but any advice/opinions would be greatly appreciated

Offline Silkncardcrafts

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #1 on: December 05, 2008, 06:43:17 PM »
Hi there,

Second time lucky, I typed and posted a message but didn't work. So, here we go again.

My suggestion would be to see a good sports physician/doctor as a first step. They should be able to diagnose your problem and hopefully avoid in more surgery on your knee.

To be honest 4 weeks PT is not long. It is important to have the right sort of physio and be treated by someone that specialises in sports injuries, especially knee injuries.

You may want to consider trying clinical pilates and maybe seeing a sports podiatrist to see whether you could benefit from orthotics.

Good luck !!!
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline tallaghtac

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #2 on: December 05, 2008, 07:50:46 PM »
hi,
thanks for the advice.
i seen an ortho a few weeks ago and he reckoned chondromalacia and an issue with my vmo. he said we would try 4 weeks of pt and if no improvement re-evaluate which is what ive done, i see him again on monday.
i also have orthotics already. ive been through the mill for a 19 yr old!

Offline Silkncardcrafts

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #3 on: December 05, 2008, 09:25:25 PM »
Hi there,

I have had patella problems for a long time and know that chondromalica is not a real diagnosis, it can refer to a number of knee conditions. What sort of scans have you had so far ? CT scans and plain x-rays are the best for showing up any sort of patella problem, including instability and malalignment. Does the OS you see specialise in knees ? This is very important.

If you have some sort of patella problem you should be trying physio for at least 6 months. I had to do it for a year before my OS decided to do anything.

Like you I was a runner, more middle distance. I haven't been able to run for a long time, but hoping since my last operation I will be able to do that.

What part of the US are you based in ?
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline tallaghtac

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #4 on: December 05, 2008, 11:21:23 PM »
yes, my doctor does specialize in knees.  my home doctor is dr.ray moran in dublin, ireland. my first knee op though was with dr salob in nj. im now with dr salzer in nj.
im just not confident in therapy as i ve been doing a lot and if anything getting worse.

thanks so much fort your advice thus far

Offline Silkncardcrafts

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #5 on: December 06, 2008, 02:12:51 AM »
I wonder whether you should be seeing a different PT who specialises in patella problems. You may just need a different approach. A lot of physios will give up on patella problems as they can be difficult to treat. On a number of occasions I've had to change physios.

Haven't heard of those doctors. Do make sure they specialise in patella problems too.

When is your next OS appointment ?

« Last Edit: December 06, 2008, 02:17:03 AM by kjwilkin »
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline tallaghtac

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #6 on: December 06, 2008, 02:00:30 PM »
i cant vouch for the nj doctors as my school sent me there. but the irish doctor is very well renowned works with world class athletes.
i ve tried normal pt and aqua therapy. both with patella specialists (or so im told).  next OS appointment is monday afternoon.

Offline Silkncardcrafts

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #7 on: December 08, 2008, 09:52:47 AM »
Good luck with your OS appointment. Let us know how it goes.
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty

Offline tallaghtac

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #8 on: December 08, 2008, 09:07:05 PM »
i seen my doctor today. he feels PT is definitely not working. if anything its worse. he also believes scoping is a bad idea as its a complex issue and two previous scopes have failed. he wants me to have a bone scan for the knee cap? and mentioned something about tibial tuberosity im not really sure. he says the surgery would be major but probably necessary if i want to get back to myself. it sounds like he wants to clean up my entire knee via open surgery. what he said made a lot of sense and i felt very well looked after by him but im still confused.

Offline Silkncardcrafts

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Re: 19yr old distance runner looking at 3rd knee op in a year- please help!
« Reply #9 on: December 10, 2008, 06:23:22 AM »
Hi,

Sorry to hear that PT is not working. You really do need to give it a good go though. I would be asking about a CT scan and plain x-rays as they are the best for showing patella problems.

If you are confused I would be definitely getting another opinion. You need to see someone that specialises in patella injuries.

Can you see a sports doctor/physician through college ? I would strongly encourage you do this as surgery is a massive step and a long recovery.
11/1996 - RK LR
07/1997 - LK LR
11/1998 - LK MPFL Reco
12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
11/02/10 - RK Trochleoplasty
07/03/11 - RK Chrondroplasty















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