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Author Topic: Please help - need more opinions!  (Read 978 times)

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Offline MorganaKC

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Please help - need more opinions!
« on: June 26, 2009, 06:12:29 AM »
Hi all. Thanks for looking.

17 years old, no medial meniscus in r. knee left, almost no lateral meniscus. I tore my ACL in 2003, the meniscus in 05 and then each year from then. My OS is hesistant to do another arthroscopy; he says it's unlikely the remaining part is torn again. However I've still been having similar pain, much worse than before the surgeries, and it still clicks and grates. Is there a possibility it's torn again? He's thinking about doing a surgery every 2 years or so to wash it out, but with my level of pain it needs to be every year, which is impractical.

I had Synvisc this year but to no effect, am working with a new physio, and have found out I have flat feet which is putting a strain on both knees. Since mid last year my left knee has been extremely painful, sometimes worse than the right, but an MRI showed no damage, so we think it's just pressure from favouring my right one for so long.

Is there anything I can do to manage the pain easier? Should I push my OS for another arthroscopy to see if the right knee's meniscus is torn again? I'm worried that because I'm young, it can only get worse from here, and I'd hate to find out what 'worse' is. Please help!
« Last Edit: June 26, 2009, 06:14:54 AM by MorganaKC »
R KNEE
Partial medial menisectomy Nov 05
Partial lateral menisectomy Aug 06
Partial menisectomy/ACLr Apr 07
Partial medial menisectomy May 08
Synvisc Jan 09

Offline kneepain4life

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Re: Please help - need more opinions!
« Reply #1 on: June 27, 2009, 01:33:05 AM »
I don't know what the perfect answer is, but I have some suggestions.  First thing to keep in mind is that every time you have surgery, scar tissue is created and that can cause the creaking sounds etc. (and I think to a certain extend, additional pain).  You need to be really careful with what shoes you wear.  Go to a shoe specialist that can get you fitted properly.  If there is not the right type of cushion, or if your shoes wear out - your knees will hurt.  Even the really expensive shoes only last around 6 months.  I don't know what to say about the pain because I am going through that now (I'm 40 and have had a lifetime of knee issues).  The more I exercise, the better I usually feel.  However, if the pain is really bad, I don't exercise - a viscious circle!. :)  Stress can play havoc on your knees.  OS's will deny that, but they are not into nutrition etc....You might want to look into applying essential oils (the right combo can do amazing things) and you might want to look at taking Arnica.  Arnica is a homeopathic sublingual pill that you can take for pain.  It is non-addictive and there are no side effects.  Once you have reached the right amount of Arnica in your system, the pain will subside (unless you are in a crisis situation with your knees and then it takes a long time).  There is also an Arnica cream that you can apply to your knees that helps after awhile.  I don't know where you are, but in the States - you can find them in your nutrition stores (I go to Whole Foods).
I was just reading that the fish oils can also help with knee pain.  Maybe that is why mine are bothering me because I haven't had the fish oil in awhile.  Anyway, good luck and do lots of research!!  I hope that you find better knee health soon!

Offline cboden51

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Re: Please help - need more opinions!
« Reply #2 on: June 27, 2009, 03:21:12 PM »
I would be hesitant to have my knee "washed" out. From what I have read there is no evidence that there is anything to wash out and as was pointed out every time you have surgery new scar tissue is created. That being said, you shouldn't have to suffer from knee pain either. The suggestion about shoes I think is a good one.

What does the PT say? They see a lot of knee patients and sometimes can make some suggestions as to footwear and even bracing.

Maybe a second opinion may be in order also.

Wish I had more specific suggestions.

Connie

Offline eaglemom

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Re: Please help - need more opinions!
« Reply #3 on: June 27, 2009, 09:08:59 PM »
I would suggest something to help with your flat feet.  No, it will not fix the pain but it possibly could lessen the pain.  I'm kindof in the same boat as you but have seen several second and third opinions.  They were equally disappointing - yes there is a problem but we don't want to touch what the first os who did the surgery has done.  I wasn't mentally prepared for each os to dismiss me.  Bear that in mind that that might happen.  Everyone agrees there is an issues but no one seems able to "fix" it.  Your young - hang tough and do what is best for the long term life of your knee.  eagle

Offline MorganaKC

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Re: Please help - need more opinions!
« Reply #4 on: June 27, 2009, 10:49:17 PM »
Thanks for all the help guys - I'm going to get some orthotics fitted to try and sort that out. My PT is away for a few weeks, but when she's back I'll ask about braces and some long-term things. The only issue with another opinion is that there's only about 3 or 4 OS's in my town, they all work in the same building and I'm already on my second one after another one referred me to get the ACLr done.

I'll see if my PT can sort out an exercise program to get me back on track, maybe just starting slow and not pushing too much at the start.

I've been taking a mixture of glucosamine, chondroitin and boswelia for about a year and a half, which is supposed to help. The only thing is, I stopped taking it for about a month and I had a lot less knee pain. Then I started taking it again and my knee returned to aching again at night and in the morning. Maybe I'm just paranoid? Has anyone else heard of this sort of thing?

Thanks a lot everyone! =)
R KNEE
Partial medial menisectomy Nov 05
Partial lateral menisectomy Aug 06
Partial menisectomy/ACLr Apr 07
Partial medial menisectomy May 08
Synvisc Jan 09

Offline Silkncardcrafts

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Re: Please help - need more opinions!
« Reply #5 on: June 28, 2009, 01:11:08 PM »
Hi there,

Generally, Glucosamine Sulphate does not work that well with young patients like yourself. It works best with patients in their 50's or 60's. My sports physician told me this.

Braces are generally not a long term fix. They often mask your problem and weaken the muscles. That certainly happened in my case.

You really need to find a long term solution. Finding an OS that specialises in knee problems is really important. Even if you have to travel to see someone good, it is definitely worth it.

Good luck !!!


11/1996 - RK LR
07/1997 - LK LR
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12/2005 - RK LR Repair
07/2006 - LK MPFL Repair
11/2006 - LK LR Repair
22/05/08 - LK Trochleoplasty
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