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Author Topic: Constant Knee Pain  (Read 1012 times)

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Offline chocomamma

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Constant Knee Pain
« on: April 07, 2010, 11:12:48 PM »
So here is a bit of background.  I had some pain in my right knee last year and had xrays done to see if it was arthritis and it wasn't.  So the doc says to take over the counter med to help with pain and that was it.  I was having pain after sitting and going up and down stairs at that point.  So things started getting better had occasional pain every now and then.  Now a few months ago I started having stronger pain in the other knee which dissipated quickly but the pain in the right came back worse than ever.  Over the counter meds are not doing anything, ice and heat do nothing even icy hot doesn't help.  So doc says to do PT.  Well PT makes it 10 times worse to the point that I can barely move.  And that was with icing and elevation afterwards.  So I went back to the doc and he says it's supposed to hurt like that.  Is it really supposed to hurt that bad?  I expected some pain but not "hi I cannot move" pain.  What makes it worse is that everything that should make it better doesn't.  I've tried wrapping and braces and they don't do anything either. 

The pain is not just sitting and stairs anymore now walking and squatting have been included.  I am trying to restrict my movements the best I can but I have 2 kids take care of.  Doc says its that patella not in the groove problem.  I don't knw what else I should do.  I can't be hurting like that everytime I do PT.  My pain is usually between a 2 and a 4 without PT but once I've done PT then it is about a 5-6.  Is it supposed to be this painful?  What else can I do?

Offline crankerchick

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Re: Constant Knee Pain
« Reply #1 on: April 07, 2010, 11:39:00 PM »
The point of pt is to make the pain better not worse. Is your pt doing any kind of pain relief like e-stim or massage or stretching or anything? Pt is usually the first method treatment for problems like yours, along with anti inflammatories, possibly bracing, and possibly taping. But your pain shouldnt be written off or dismissed. Sounds like you need a new doctor. Is your current doctor a knee specialist or a general practitioner? A knee specialist is more likely to understand your pain and your problem.

What kind of exercises do they have you doing in pt?
Mar '07 - plica excision
Oct '09 - femoral + tibial derotational osteotomy & TTT
Aug '10 - hardware removal
"You control your leg. Don't let it control you." -Smart trainer
"Get your a$$ in gear and go for it! Nothing will happen until you make it!" -Smart doctor

Offline chocomamma

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Re: Constant Knee Pain
« Reply #2 on: April 08, 2010, 12:05:19 AM »
They are doing the massaging and stretching.  Bracing hasn't worked so far although they didn't suggest it I tried it myself.  The doc is a general practicioner, and he told me I have to go through the PT bfore they will send me anywhere else. 

Offline crankerchick

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Re: Constant Knee Pain
« Reply #3 on: April 08, 2010, 02:25:35 AM »
Hmm, I don't know that the PT would try a brace, usually that is the doctor that will prescribe it. The PTs would try McConnell taping though, if they felt the patella was moving so much to make the pain worse.

Maybe you could ask your therapists about McConnell taping? It is a way of putting the tape on to help keep the kneecap in the right place. If it works, it would really help with the pain while doing the exercises. Pain doing the exercises is generally not good because muscles shut down in the presence of pain, so the patient is going through all this pain and the leg still doesn't get any stronger.

I would also ask the therapists about e-stim. For some people it really helps with pain and soreness.

Have you relayed to your physical therapist how much pain you are in while doing the exercises and after wards?

I wish you the best with this and I hope you can get it resolved. It sounds like you might have to duke it out until your GP will refer you elsewhere if you need a referral in order to go to a knee specialist. I just don't understand the therapists making you exercise through the pain like that. It seems like physical therapists don't push people to work through pain, but instead encourage people to exercise to the limit of pain but then stop.

I am all out of ideas besides bringing the issue to your therapists attention if you have done so already and also asking about taping and e-stim. Sorry I wasn't of more help. :-(
Mar '07 - plica excision
Oct '09 - femoral + tibial derotational osteotomy & TTT
Aug '10 - hardware removal
"You control your leg. Don't let it control you." -Smart trainer
"Get your a$$ in gear and go for it! Nothing will happen until you make it!" -Smart doctor

Offline chocomamma

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Re: Constant Knee Pain
« Reply #4 on: April 08, 2010, 06:07:39 AM »
Thank you, I have told them of the pain.  It usually starts getting worse at the end of the session to about 20 min after.  Same thing happens when I see the doc, he messes with my knee and then the real pain starts.  They just dodge the question or look at me like I am making it up.  My next session I am going to bring it up again and if they dodge me I am going to ask to be reevaluated and then talk to my doc again.  I am just mad that they also noticed that I can't fully straighten my right leg and didn't really say much about what to do about it with the exception of one therapist who pushed down on it to stretch it and I wanted to punch him.  I couldn't stand on my leg for a minute or two and limped for about 5 because the pain was so bad.

Offline kscope09

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Re: Constant Knee Pain
« Reply #5 on: April 08, 2010, 10:19:45 AM »
Have you had an mri?  I don't have faith in them myself but others have found them useful.  Your gp sounds like one of the ones that I saw before I knew what was wrong with me.  Whenever I asked for an mri or a referal to Orthopedics (this was all NHS at the time), she just asked the physio for advice who kept telling her my knee was looking fine and I had a few niggling problems that were nothing to worry about and would go away.  A Gp can send you for an mri or to orthopedics thsmself, they don't need a physio's opinion, especially when the patient is tearing their hair out in desparation.

The other thing you coul do is go private, but the mris arn't cheap.  Anyway I know how it feels to have knee pain which the proffessionals never seem to be able to get to the bottom of.  They tend to see the VMO as the magic key to fixing knees instead of getting to the root of the problem.
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