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Author Topic: Second referral to an orthopaedic consultant  (Read 7248 times)

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Offline Roberts

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Second referral to an orthopaedic consultant
« on: April 12, 2010, 11:04:30 AM »
Hi everyone, I have posted on here before about two years ago with a painful knee, I had an mri and it didn't show anything, then I was offered an arthroscopy which I turned down because I couldnt find out any information on the surgeon and Id heard bad stories about people having knee ops in England where their knee ends up worse.

However! I am still have a painful knee, I have to plan my daily activities around this to ensure I dont have to walk very far. I can't walk the dog anymore, I can't food shop, unless its running in for a few items. If I rest my knee starts to feel a bit better and I can potter around but I cant put weight fully through my knee on the medial side as it sets of the pain and inflammation again.

Eventually I've come to realise that 3 years is a bit ridiculous for me to be struggling this much and I should be referred again to a specialist. This time I have be recomended a hospital that is good with knees and have got an appointment to see a consultant there who specialises in knees!  :)

I have come back to this forum to ask for some advice on what to expect as its likely I am going to have an arthroscopy and Im scared!! I dont want my knee to get worse, its all so stressful!
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline anniehine

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Re: Second referral to an orthopaedic consultant
« Reply #1 on: April 12, 2010, 12:06:27 PM »
Hi Roberts,

Please don't be scared, if you can't walk around the shops or walk your dog then things are pretty bad already..I can't see how surgery will make anything worse!  Where are you based and which hospital are you going to? Try and get a second opinion if you're worried about getting the wrong advice.  A surgeon will not operate on you if he doesnt think it will benefit you.  Let us know how it all goes..and please don't worry!

Annie
Left knee started dislocating at 7 years old
Hypermobile
Arthroscopic scope April 2009
Trochleoplasty at 28 years old (10.2.10)
Did 1st SLR 1.4.10 WHOOP!!
Walked through house without crutches (12.4.10) very pleased with myself!!

Offline weirdknees

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Re: Second referral to an orthopaedic consultant
« Reply #2 on: April 12, 2010, 02:47:01 PM »
Hey, MRIs don't show everything.  I think it's probably best to see a specialist, getting a second opinion is always good as it's your body and it's important to get the best you can.  It's not that likely that an arthroscopy will make things worse, sometimes it's best that the doctor can have a better look to see what the problem is so that it can be sorted out.  I'm debating on having arthroscopic surgery at the moment too.
knee pain since very young
2008 - diagnosed with patella tilt
2010 - partial meniscectomy

Offline tez27

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Re: Second referral to an orthopaedic consultant
« Reply #3 on: April 12, 2010, 06:39:45 PM »
Hi Roberts
Try not to worry about having a scope as it the only way [in my opinion] to get a proper diagnosis, in my case my mri came back with a "little wear and tear" but when things did not improve after some months I went back to see my o.s who did the scope diagnosing a ruptured acl a mcl tear and a lot of scar tissue. Without the scope I would not have found out what the problem was and not be on the road to getting things sorted out.
I am coming up to 2 years since injury and the last 2 years have been a nightmare of painkillers and not being abel to do the things I want to do I also love to  walk the dog but even that has been getting harder so I sympathise with you.
You have to be big and brave and get this sorted out lol
Take care Tez   
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline Roberts

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Re: Second referral to an orthopaedic consultant
« Reply #4 on: April 12, 2010, 09:07:02 PM »
Wow you guys are so friendly and helpful here, thank you  :)

I live near Brighton, south east uk and was referred to the hospital there but I've asked to be referred to the Horder Centre near Tunbridge wells as they seem to be known to be good with joints, I can see details on the consultant I am seeing there & am happy to read that he specialises in knee arthroscopies  :)

It definitely makes sense to have the arthroscopy as its obviously not going to heal on its own & if its unlikely to make it worse then Im up for it!

Is it true that they wont perform an arthroscopy if you dont have much muscle? My quads and glutes are really wasted now as Im sure you can imagine from not being able to walk properly for over 3 years.
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline Lottiefox

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Re: Second referral to an orthopaedic consultant
« Reply #5 on: April 12, 2010, 09:39:44 PM »
Hi there

Like you I have finally booked to go ahead with my forst scope on the 4th May. Have sought out a consultant who specialises in knees and patellas (my problem!) and after a few years on and off of niggles and then 7 months of unrelenting symptoms I decided I was fed up with avoiding stairs, popping pills, restricting my life, making excuses, icing, massaging, crying, not being able to train like I used to, hike, drive a manual car and so on....how can things get worse?

it is scary but sometimes you have to just bite the bullet and grab the chance of an improved life!

In respect of the quads - I don't think they'd not operate because of weak quads (my bad bad knee quads have suffered recently) but the more you'll need to work afterwards to help get them back. Might be worth seeing a Physio prior to surgery if you have a wait to see if you can do specific work on them.

Good luck!

Lottie  :)
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 anniehine

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Re: Second referral to an orthopaedic consultant
« Reply #6 on: April 12, 2010, 10:47:30 PM »
Lottie congrats for getting the scope sorted!!  ;D

Roberts I had a scope last year so the surgeon could just check out my cartilage before my big op this year.  I'm pretty sure my quad strength was irrelevant as they didn't check them and I know they were verrry weak.  However, I had my big op 2 months ago and have really struggled with my quads. 

Lottie gives good advice  ;D, when you go to the specialist ask him about getting to see a physio and get as much strength in them as possible-they'll give you appropriate exercises.  Also, make sure you write down all the questions you can think of to ask the consultant when you go in. I know it's obvious but thought i'd mention it just in case! :)
Left knee started dislocating at 7 years old
Hypermobile
Arthroscopic scope April 2009
Trochleoplasty at 28 years old (10.2.10)
Did 1st SLR 1.4.10 WHOOP!!
Walked through house without crutches (12.4.10) very pleased with myself!!

Offline tez27

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Re: Second referral to an orthopaedic consultant
« Reply #7 on: April 13, 2010, 12:41:24 AM »
HI Roberts
please dont worry about the state of your quads, my scope was'nt done untill 18 months after injury and all my muscles had gone to pot during that time, its only now that I am prehabing that I feel some stregnth coming back into my knee unfortunatley it has not helped with the instability or pain which is why I am opting for the acl reconstruction.
Good luck with your hunt for a good o.s, how long untill you get to see someone?
Take care Tez
L K injured 25th June 2008
scope Jan 5th 10
diagnosis ACL rupture
fiberous band excised from acl
ACLr July 19th 2010  scope on 24th Sept 2011
ACL has failed incorrect tunnel placement
23rd July 2012 1st stage of a 2 stage ACL revision
10th May 2013 2nd stage ACL revision

Offline Roberts

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Re: Second referral to an orthopaedic consultant
« Reply #8 on: April 13, 2010, 04:07:59 PM »
Ok thanks  :), it looks like I might be ok then, though I guess it  doesnt make too much difference as Ive been trying to strengthen my quads for 3 years with physio exercises so I would just carry on the same! The only exercise I can do is an exercise bike on a very low level for a few minutes though I am just starting to build this up again since my last 're-injury' of my knee 3 weeks ago.

Ive been looking at exercise bikes today to find one with a lower resistance setting as I struggle on the lowest level of my cheap one at home, I think it will probably be a good investment as its the only thing I can do to build up my quads. In fact the bike sales man had had loose cartilage in his knee sorted out by an arthroscopy & he told me its much better now and not to worry about it, so Im definitely starting to feel more positive about it all.

My appointment to see the consultant is on the 4th of May - same date as your scope Lottie!  :) - so I dont have too long to wait to see someone. I will be amazed if they can mend my knee!
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline Roberts

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Re: Second referral to an orthopaedic consultant
« Reply #9 on: April 14, 2010, 01:55:58 PM »
Ive just been sent an appointment from my local Brighton hospital too and Ive looked up the consultant I would see and he is listed on this website's list of knee surgeons, Mr Chauhan.

Now Im wondering if he would be better to see as he's on this list? Does it matter if my other consultant isn't on this list? I really want to make sure I see a good person, Im so scared that something will go wrong. I kind of wish this 2nd letter had never arrived, I was quite happy with going further afield, now I just dont know again!
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline anniehine

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Re: Second referral to an orthopaedic consultant
« Reply #10 on: April 14, 2010, 02:40:54 PM »
Hi Roberts,

My surgeon isn't on the list either even though he's considered one of the leading surgeons  for my problem and was been recommended to me by quite a few people so don't worry! This website is brilliant and helpful and supportive but it's not an international database!  If it was me I'd go and see both of them;  get as many opinions as possible.

Annie
Left knee started dislocating at 7 years old
Hypermobile
Arthroscopic scope April 2009
Trochleoplasty at 28 years old (10.2.10)
Did 1st SLR 1.4.10 WHOOP!!
Walked through house without crutches (12.4.10) very pleased with myself!!

Offline Lottiefox

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Re: Second referral to an orthopaedic consultant
« Reply #11 on: April 14, 2010, 03:02:56 PM »
Hi Robert

As Annie says, the list isn't exhaustive. The surgeon I am going with isn't on the list but he is an internationally recognised surgeon who trained under some of the great cartilage gurus of America and is the guy who is leading the research in the area that is relevant to me (cartifill). Everyones knee is different. I sought 3 opinions, but I was lucky I could do that by funding them myself. I was fortunate and the final guy is the person that I trusted most as a surgeon and as an individual. He spends time with me, answers my questions, didn't try and force me into anything and I am confident he will do his best. My side of the bargain is that I also do my bit after he has done the surgical part by rehabbing properly. To that end - Annie, I won a cryo cuff on ebay - only used 3 times and a good price!! Wooohooo!!  ;D

I'm scared of the surgery - well, not of the actual event at all, I've had ops before but never on something like my knee. But I'm more scared of the rest of my life passing me in an "I wish i could do.." line of thinking.

Don't panic yourself too much. Meet with the first surgeon, see what you think, write down questions and if you aren't happy then seek further opinions. You can always go forwards to surgery, never go back. But someone on here said to me once - No Regrets - Ever!!

Lottie  :)
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 anniehine

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Re: Second referral to an orthopaedic consultant
« Reply #12 on: April 14, 2010, 04:49:07 PM »
Lottie: Well done on getting that Cryo Cuff!  ;D  When you get it you will take one look and laugh-it looks like a cooler box with a hose pipe attached but I promise you you'll LOVE it!  I've got mine on as a speak!!  :)

Annie
Left knee started dislocating at 7 years old
Hypermobile
Arthroscopic scope April 2009
Trochleoplasty at 28 years old (10.2.10)
Did 1st SLR 1.4.10 WHOOP!!
Walked through house without crutches (12.4.10) very pleased with myself!!

Offline Roberts

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Re: Second referral to an orthopaedic consultant
« Reply #13 on: April 15, 2010, 02:21:25 PM »
Okay I'll stop panicking! Ive cancelled my apt at Brighton as it was an error to give it to me anyway and I'll look forward to going to the other hospital that is mainly private and smaller so I should get good care there.

I have a cryo cuff too! And in fact have it on as I type too  ;D I used to put my whole leg in a tall bin of ice water which helped loads but wasn't very nice in winter, and then my toes started turning purple so I needed a new way of cooling my knee. The cryocuff is a great replacement!! Do you have the autochill system add on?

Anna ;) :)
9/05 Tore calf muscle, wouldn't heal, led to bad limping, led to painful opposite hip, weakened hip, led to weakened quads
7/07 Quad tendonitis, knee pain and swelling after 1 legged squats
6/10 Arthroscopy! Smooved cartilage, now have LOTS of strengthening to do

Offline anniehine

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Re: Second referral to an orthopaedic consultant
« Reply #14 on: April 15, 2010, 03:00:01 PM »
Roberts, you're not a man as previously thought..but a woman called Anna! :D

I actually lolled at the image of your whole leg in a tall ice filled bin, and of your purple toes, but very inventive!

What is the autochill system add on, it sounds pretty exciting.  You can tell I haven't been able to get out much can't you!!

Annie  ;D
Left knee started dislocating at 7 years old
Hypermobile
Arthroscopic scope April 2009
Trochleoplasty at 28 years old (10.2.10)
Did 1st SLR 1.4.10 WHOOP!!
Walked through house without crutches (12.4.10) very pleased with myself!!