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Author Topic: Cortisone Injection Into The Fat Pad!  (Read 29393 times)

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Offline Clarkey

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Cortisone Injection Into The Fat Pad!
« on: December 05, 2008, 09:44:25 AM »
As you might know already from my fat pad thread will be having a cortisone injection into the fat pad that's already swollen with fluid around it. Has any other members had an injection into the fat pad and did it help at all or did they end up having to have a scope. I know its reduces the knee pain but not so sure it will fix my fat pad problem and make me run again and walk properly. If the injection does not help will need to have a scope which would be more strain to the knee. The OS that saw my MRI scan said he not seen a fat pad problem like mine for a while the size and the posistion its in so not sure if the injection will help or not but worth giving it a try to see if it helps before surgery which would be good to avoid if possible.

Nick :) {2008} :)
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 suehaem

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Re: Cortisone Injection Into The Fat Pad!
« Reply #1 on: December 06, 2008, 12:29:41 AM »
Hi Nick,

I had an injection into mine and it was brilliant and it lasted quite a while but I was destined for a scope before I had the injection, it was just to see me through.

I would love another one now to take away the ache I have but I think there is little chance of that.  The injection will help in the interim for you but if you have other issues your knee pain will return.

Best of luck

Sue
 ;D
North Wales
Fall from horse 04/04
Arthroscopy 27/07/07 -Grade III debridement
Re-injured knee running 1/03/08
Arthroscopy 11/10/08 - Grade II debridement
09/03/16 Fracture fib sking damage to knees
31/05/16 Grade 4 Chondromalacia and patella tilt (R)
17/11/16 Need new knee cap (L)knee
Awaiting Arthroscopy 2018

Offline Clarkey

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Re: Cortisone Injection Into The Fat Pad!
« Reply #2 on: December 06, 2008, 12:10:22 PM »
Hi Sue,

I would be very happy if the injection did help or even fix my fat pad problem but alexander pointed where the injection will go and its on the bottom of the knee on the medial side and not the lateral side where I get the most pain and catching so might ease the pain for a while but not solve the knee problem.

At least I getting it treated at last  :o

Nick :) {2008} :)
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: Cortisone Injection Into The Fat Pad!
« Reply #3 on: December 11, 2008, 05:12:05 PM »
Hi Sue,

Did the cortisone injection hurt at all when the needle went in, is it like the needle at the dentist when they numb your mouth that sort of pain feel when the needle go in with some pain.

Nick  :) {2008} :)
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 suehaem

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Re: Cortisone Injection Into The Fat Pad!
« Reply #4 on: December 11, 2008, 08:15:26 PM »
Hi Nick,

I would be lying if I said it did not hurt, it did hurt but not as bad as I expected.  I watched it all as well.  They talk you through it all and you sign a disclaimer. I then had to stay in the hospital for an hour in case I had a reaction to the jab and was told not to over do things for a couple of days whilst the injection started t work. 

My knee felt funny after it like a sensation of being full of fluid but no pain after it.  I would say it was about two days later when I could see th benefitand I was one of the lucky ones as it did work.  I would love another one now just to ease my aches but I don't think they would give it for post op ache LOL ;D (would be nice though).

Best of luck wth it.

Sue
 ;D
North Wales

Fall from horse 04/04
Arthroscopy 27/07/07 -Grade III debridement
Re-injured knee running 1/03/08
Arthroscopy 11/10/08 - Grade II debridement
09/03/16 Fracture fib sking damage to knees
31/05/16 Grade 4 Chondromalacia and patella tilt (R)
17/11/16 Need new knee cap (L)knee
Awaiting Arthroscopy 2018

Offline Fyre-Faery

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Re: Cortisone Injection Into The Fat Pad!
« Reply #5 on: April 03, 2009, 01:51:29 PM »
Hi Nick & Sue,

Interesting reading,
I've had 3 years of cyclic knee probs - they've diagnosed Mal-tracking but the exercises don't work to help it so now they are looking at obscure types of arthritis.
I'm booked to have a cortisone injection in a week - am a bit scared! They are putting in both the joint and the fat pad.
How long did your injections help the both of you for?
X
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Offline suehaem

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Re: Cortisone Injection Into The Fat Pad!
« Reply #6 on: April 08, 2009, 07:41:18 PM »
Hi,

I would say it was about 6 to 8 weeks.  I was due to have another one just before seeing the OS but I decided t would mask the pain and he was making a decison on surgery as well so did not have a second one but it was a great help.  I was worried with reading the form I had to sign before the jab but felt I had nothing to loose as the pain was bad.

Best of luck with it and ask lots of questions to elay any concerns which you have.

Sue
 ;D
North Wales
Fall from horse 04/04
Arthroscopy 27/07/07 -Grade III debridement
Re-injured knee running 1/03/08
Arthroscopy 11/10/08 - Grade II debridement
09/03/16 Fracture fib sking damage to knees
31/05/16 Grade 4 Chondromalacia and patella tilt (R)
17/11/16 Need new knee cap (L)knee
Awaiting Arthroscopy 2018

Offline Clarkey

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Re: Cortisone Injection Into The Fat Pad!
« Reply #7 on: May 12, 2009, 04:10:42 PM »
As you may have read on my regular thread had a cortisone injection on the 23/04/09 but have to say its not helped at all as my knee feels just as bad as before the injection. Mr Green gave the injection into the lateral side of kneecap where I feel the sudden sharp pain and catching/pinching but so far not helped and is now almost 3 weeks since injection and should have felt some improvments by now. Been told can take up to 6 weeks to work but feel in another 3 weeks time knee will be the same.

I hope to see Mr Green again in June on the NHS to discuss what other treatment he can offer me and maybe have to go for a scope at this stage as knee not improving and got worse during the last few weeks. 

I just want some improvments with my right knee and even if I cant ever run again it would be nice not to feel any sharp pain and catching/pinching on lateral side of right knee. I like to know if any other members on KG also found that a cortisone injection not improved thier knee problem.

I never felt any pain when the needle went into the knee and was surprised when it was already over.

Nick :) {2009} :)

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 TwoBadKneesUSA

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Re: Cortisone Injection Into The Fat Pad!
« Reply #8 on: May 12, 2009, 05:26:01 PM »
Hi Nick,

Too bad the shot is not helping.  I don't get much out of them personally.  If I get a week or so I consider myself lucky.  So I pass on them now.  Good luck getting to see Mr. Green in June.  Hopefully there is more to try so you can get this thing sorted out.

Milly
'83 lt knee scope
'88 lt knee LR
'89 rt knee LR (6 mos. after left)
'05 rt knee scope (clean up)
7/5/07 - scope, LR left, right clean
3/19/08 - LR failed, Supartz failed
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=47974.0
8/21/08 - new OS apt
8/5/09 - TTT, LR, PFJR sched.

Offline Clarkey

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Re: Cortisone Injection Into The Fat Pad!
« Reply #9 on: June 27, 2009, 11:40:08 AM »
I think the injection helped a little bit as pain not as intense anymore but took 6 weeks to work kind off? but its not really fixed my knee and problem still there just not as painful. I am seeing Mr Green this comimg tuesday so hope he can do something else to get knee back to normal again. I cant seem to get the swelling down even after the injection its not reduced the swelling but not long now till my appointment.

Nick :) {2009} :)
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: Cortisone Injection Into The Fat Pad!
« Reply #10 on: July 05, 2009, 09:52:34 AM »
The injection has not really helped and now on the waiting list to have a scope on my right knee sometime in october. I did have some hope in the injection working and not having to face my 1st ever surgery but there are no other options left but for Mr Green to take a good look inside the knee and hope he can find some damage and fix it up. Injections I found dont really solve or fix the knee injury and just a temporary solution and masked the pain slighlty.

Nick :) {2009} :)
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 olivia.fiero

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Re: Cortisone Injection Into The Fat Pad!
« Reply #11 on: July 18, 2010, 03:29:55 AM »
Hey there,

The first thing my knee specialist (very highly regarded) did when he diagnosed me with a fat pad injury was inject it with cortisone. Unfortunately, while I didn't mind so much that the needle hurt while it went in, the pain got worse for the following two days and the condition did not improve. However, everyone is different.

One thing that I've found works well (temporarily) for me is acupuncture. For the next couple of days my knee feels as good as new but then if I try to do exercise it goes back to normal.

The taping for my leg did help but my skin is very sensitive and I can't tape anymore, even with the protective film underneath.

This is such a frustrating condition and I am struggling to find a physio who has actually treated fat pads before even though they've heard of it. My last physio just gave me exercises to do but they made my knee even more sore.

Now my ankle has started to compensate and I am in pain even when I sleep!

I feel your pain :)

Olivia


Offline Clarkey

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Re: Cortisone Injection Into The Fat Pad!
« Reply #12 on: July 19, 2010, 04:22:33 PM »
Hi Olivia,

Sorry you still having problems with the fat pad and the injection has not helped. I had my fat pad trimmed and it has stopped the catching on the lateral side but has not really solved my knee problems. Sometimes surgery is the only way to solve fat pad impingement, so always the last resort.

Hope you can get your fat pad problem sorted out soon.

Nick :) {2010} :)
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 fatpad

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Re: Cortisone Injection Into The Fat Pad!
« Reply #13 on: January 24, 2011, 11:28:50 PM »
I crashed skiing and think i have a fat pad issue - i had a cortisone shot it seemed to work and then went skiing again and the pain came back....I am using voltaren gel and a lot of ice.  however the pain is still there.  How long does this last?  i am going in for an mri soon.  It is just a dull pain inside the knee.  anyone have suggestions?

Offline stateofplay

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Re: Cortisone Injection Into The Fat Pad!
« Reply #14 on: October 13, 2012, 03:27:41 PM »
Hi Clarkey,

I just wanted to update your fatpad thread as it seems one of the very few threads on the internet!

Like you, I have had a cortsine injection, and although the needle didnt hurt, It was a bit painful in my knee for a day or two.

But alas, that did not help. I did go back to say that there was no difference, but the specialist just told me to take more ibuprofen and come back in 6 weeks. I think that advice was because this type of injury is really difficult to cure.

The cure is rest. The cure is for the fatpad inflammation to reduce so I can go back to normal.

I found some information on Youtube about taping, and my wife is currently doing that for me.

It is too early to say if it will solve the problem, but it has totally relieved the pain I was feeling. I was in constant pain, even with the ibuprofen, but since the tape has moved my kneecap up and to the side, it has been pain free. I am hoping that with this and rest I will get the inflammation down and be on the road to a cure.

Fat Pad. Whoever heard of such a thing lol















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