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Author Topic: The other knee  (Read 7009 times)

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Offline kscope09

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Re: The other knee
« Reply #30 on: May 07, 2010, 10:27:06 AM »
Its very sore again today, even though it's not particularly warm to the touch but it is still warmer than the other knee.  I remember when i got a post op mri and the raidiologist wrote that continuing pain could be from RSD.  The OS and pt said that the nerves mightbe a bit hypersenstive but exercise would help and it did.

So now it is the other knee that ihas suddenly flared up and seems to match the symptoms of stage 1 of RSD exactly as well as Rheumatoid arthritis.  I'm going back to see my gp this afternoon to ask for a blood test to see if I can get these ruled out.  Things are worse than on Tuesday so if the doc thinks that it seriously might be RSD then I'm going to need a specialist and fast.

If you get it early enough can you get better, prevent it from getting any worse or just slow it down.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline kscope09

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Re: The other knee
« Reply #31 on: May 07, 2010, 05:46:10 PM »
Saw a different gp today.  She said since the swelling was localised, it couldn't be Rheumatoid Arthtitis (What a relief).  She said it was far too early to tell if it was RSD and insisted that it was overuse because of the area which was inflamed and said that it looked like maltracking.  She said I should gt the pt to tape it and wait for the mri.  I got one of those dejavous (exciuse spelling) moments.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline kscope09

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Re: The other knee
« Reply #32 on: May 07, 2010, 09:44:33 PM »
At the moment it is warm and red even though it has been cool all day.  The gp said that if it was RA it would be constantly red and swolen all over as opposed to lcalised.

if it had RSD would it be cool during the day and warm at night?
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline vickster

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Re: The other knee
« Reply #33 on: May 07, 2010, 10:31:35 PM »
http://www.bbc.co.uk/health/physical_health/conditions/rsd.shtml

There is a link to a patient group at the end if you really think this is the issue
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline kscope09

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Re: The other knee
« Reply #34 on: May 07, 2010, 10:53:11 PM »
Thanks, but I've read that before.  It does look like I could be in stage 1.  The GP told me that even an RSD expert woudn't be able to tell me this early if I hae and to wait for an mri.  there are two problems with that; 1. You ahve to get it diagnosed and treated ASAP and 2.an MRI would never give any indication.  I've pretty much got all the stage 1 symptoms apart from my knee is not red and hot all the time, though it is right now only the knee is suffering.  She told me to ive it but if you use ice when you have RSD, yo will make it worse and the illness progresses quicker.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline Snowy

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Re: The other knee
« Reply #35 on: May 08, 2010, 07:18:43 AM »
I hope this isn't more deja vu, but just in case it reassures you your symptoms do sound exactly like what happens to my maltracking knees when I overuse them or do particular exercises that aggravate them. They've been doing this for years, so I almost don't notice it anymore (though my recent knee injury has me paying more attention again). On the other hand, if there is a chance it could be RSD I think you do need to pursue any avenue that will either confirm it or clear you. This is the problem with knees - there are so many different things that can all lead to a fairly similar range of symptoms. Makes it hard to figure out what's what. :/
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline kscope09

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Re: The other knee
« Reply #36 on: May 08, 2010, 10:18:47 AM »
Today! it is incredibly painful.  It hurts on both sides.  I know from the mri that I hjave thinning on the lfc, so now I must have a defect and the medial pain is a lot like the pain I had before my chrondoplasty on the right knee but more intense.  The noises are really disgusting and have got worse since Thursday.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline Lottiefox

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Re: The other knee
« Reply #37 on: May 08, 2010, 11:47:56 AM »
Today! it is incredibly painful.  It hurts on both sides.  I know from the mri that I hjave thinning on the lfc, so now I must have a defect and the medial pain is a lot like the pain I had before my chrondoplasty on the right knee but more intense.  The noises are really disgusting and have got worse since Thursday.

Confused.com.  :-\ You've had an MRI already on this knee? So why are you waiting for another one? Knees always make noises especially if you listen to them all day.  :P

Incredibly painful - on a scale of 1-10 - are they a 10? Pain on weight bearing? Flexion?

Knees that hurt more at night and feel more achy etc or warm towards the end of the day are classic signs of over use or OA. My kneecaps have OA and most evenings they ache more.

I would think RSD is INCREDIBLY unlikely and to be honest if you're going to see a GP twice in a week you have to take some notice of their views....

 

Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline kscope09

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Re: The other knee
« Reply #38 on: May 08, 2010, 12:08:22 PM »
The lalst mri on that knee was in October and it was only niggling then, it is screaming now.

Pain is mostly sitting and laying down.  Sometimes on extension.  It feels awkward standing and walking, and I jsut can't get comfortable.

I expect that it probably does have OA but the heat, the burning sensation even when there isn't heat, pain on the lfc area, pain in the mfc area and the rice crispies are all new.

There had been a little pain in the lateral side at times but it didn't used to bother me that much as it wasn't constant or burning.

Whilst there could be OA there it wouldn't explan such a violant flare up of symptoms.

I'd say the pain is about 7 or 8-10 at the worst and 3 or 4 when I'm at my best.  Before that it never got worse than about 3 or 4.  The only specific injury I can think of is that two weeks ago today I splipped on a pile of newspapers and skiddd accross the floor trying to protect my other leg and kind of hopped about a bit.  It wouldn't have hurt a normal knee at all though.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline vickster

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Re: The other knee
« Reply #39 on: May 08, 2010, 12:11:09 PM »
Have you seen a specialist recently?  What does your physio think?  Are you resting it properly and taking the full prescribed dose of the diclofenac - need to let it settle for a bit?  Gentle exercise only perhaps advisable - SLRs, heel slides, no squats or lunges
« Last Edit: May 08, 2010, 12:13:58 PM by Vickster »
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline kscope09

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Re: The other knee
« Reply #40 on: May 08, 2010, 12:24:23 PM »
I'm resting it lots and using plenty of ice.  I've been using diclofenac until yesterday but it started to make me feel sick,  so I'm going to take some solpadeines and use the gel, then try it again in a few days.  I see the pt on Monday so I'll have to see if he thinks I should see the OS or if he can fix it.  My guess is that getting the knee tracking will relieve some symptoms butnot all of them.

I'm doing some slrs to try and keep the vmo from dissapearing.  Also, I wodner if I got carried away with the lunges the other week and possibly twisted the knee a bit.

Less than two weeks ago I was doing really well, I was walking up and down stairs normally, if a bit slowly and going for short walks.  I felt really good and was even on the phone to Sensei to discuss returnng to the Dojo but I think that will ahve to go back on the back burner for a while.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline Lottiefox

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Re: The other knee
« Reply #41 on: May 08, 2010, 12:31:18 PM »
Sounds like it might have got twisted a bit on the skid activity. An OA flare up can certainly cause severe symptoms such as you describe.

In terms of the Diclofenac and stopping it - they can make you feel sick, you need to take an antacid to combat the symptoms such as Rantadine (OTC stuf) or ask the GP to prescribe some PPIs (eg Omeprazole) to stop the stomach lining being attacked. If you've got a severe flare or response to a twist then you need a good 2-3 course of an NSAID to make a difference.

So - this is the non opped knee? yes? You've had MRIs done on both knees and one opped on? This knee (assuming it is the non opped one) - what did the MRI actually say?

Lunges are hard on the knees as I have said before especiallly with a tracking issue. Get a model of a knee joint and simulate a lunge. Then add some weight into the equation. eeeek.  :o
Bilateral patella OA since 2009, no surgeries.
Euflexxa working well x3 to current
Right forefoot CRPS post fusion surgery 2011
Refusing to let the ailing parts stop me....

Offline kscope09

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Re: The other knee
« Reply #42 on: May 08, 2010, 01:50:59 PM »
Ye, it is non opped.  The mri said minor thinning of the lfc, irregularity ofthe patella cartliage and no focal defects.  The ACL is slightly attenuated from an old sprain.  6 years ago I was swept in a sparring match and fell backwards and sideways over my left knee, while on a training camp.  it didn't hurt mch at the time but afterwards it was just a bit week and I took a month of Karate but still walked around and used stairs fine.  When I came back to karate it was as good as new.  I had plenty of muscle in the leg then.  I've lost a lot of that leg but it is still stable.

It has been really overworked during the rehab and I've suspected that the niggling was OA, but does that mean I have severe OA all of a sudden.  The plan is to see the pt and see what he say's as wellas work on the tracking.  If that doesn't get things right then I'll be booking an appointment with an OS, hopefully this time one that I can see privatly and transfer to NHS for the op.  In the meantinme I'd got to wait for the mri and there doesn't seem to be a mobile one near enough.  If a scope is suggested then I might just go for it without mri, but I'd be worried about the right knee going bad.
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o

Offline Bazzak

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Re: The other knee
« Reply #43 on: May 08, 2010, 02:37:51 PM »
all i can offer is my own experiences. i trained contact sports , but gave it up due to a mcl/acl rupture.

i took up road cycling, which i enjoy, i developed maltracking possible fat pad impingement this was diagnosed by an ortho who is an athlete. His advice was one positive frame of mind & secondly get on the bike rehab rehab rehab, get muscle on the leg and the maltracking will be sorted

so firstly i sorted my goals & decieded my condition wouldnt beat me, then i got on my turbo trainer and started setting goals... pushed myself within a comfortable zone  and extended my distance and time daily

i lunge & squat daily. my knees wont depilitate my life

sort your head ... then sort your knees

Offline kscope09

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Re: The other knee
« Reply #44 on: May 08, 2010, 02:49:02 PM »
Having the scope on the right knee got the rice crispies out, I expect it will do the same for the left/  I suppose I need to know if what i'm going through is a new traumatic injury to the knee or a flare up of osteoarthritis.  It could be both.

Bazzak -  Did your knees click and crunch all the time and if so did improving your tracking fix of lesten it?
Feb 08 Inurred right knee
18 months of physio, knee tracking but knee still painful
Aug 09 Scope - Small tear in acl, fragment found in postereo-lateral compartment, suprapatella and lateral plica and small defect in mfc.
May 10 Right knee feeling better but left knee causing trouble as a result o