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Offline watchmaker

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Newbie Needs Help
« on: October 04, 2003, 02:37:39 PM »

I'm new to this board and I hope some of you can help me.

I'm 27 and I've had pain in my right knee for over a year now. I hurt it playing football last September.

The knee isn't painful to touch or twist but feels sore almost all the time.

I've been to see various doctors, physios and specialists with no success.

I've had an xray and an MRI scan. The xray was normal. To quote from the results of the MRI scan: "The MRI scan showed no meniscus tear and no ligament damage. There is a little bit of wear on the joint surface of the inner side of your knee and a smal amount of joint fluid. This might explain the discomfort on the inner side of your knee to some extent. There was a minor irregularity seen on the kneecap tendon but this does not fit with any of your clinical signs and therefore is not significant." The specialist recommended I see a physio but the physio was no help and eventually gave up on me.

I've got orthotic inserts in my shoes and I've tried taking various tablets but again none of this has seemed to help much.

I'm due to get an artroscopy in December where they will look inside my knee with a small camera but the specialist didn't think it was likely they would find anything that the MRI scan didn't show.

I'm getting depressed because of the pain and because I haven't been able to play football. I'm also frustrated because no-one seems to know what the problem is.

I hope one of you can help me.


Offline Nettan

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Re: Newbie Needs Help
« Reply #1 on: October 04, 2003, 04:05:50 PM »
  :Hi Newbie !!

What happened when u injured your knee ?
Have you had problems before ?

Answer that and I will try to help.

Remember always smile makes life better.  ;D

Hugs Nettan
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline ozzybug

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Re: Newbie Needs Help
« Reply #2 on: October 04, 2003, 06:00:18 PM »

First- Welcome to the sight.  There are a lot of very nice people here.  You will find this out soon.

Second-  my MRI was negative/inconclusive, however, when my OS did the arthroscopy- he found that a portion of the lateral meniscus had totally pulled/torn away from where it belonged.  He placed 3 anchors in it to secure it.  I also had a plica removed from the same knee.  (Right knee)

MRI's are notorious for being "inconclusive" if there isn't a very obvious tear or abnormality.  X-rays do not show soft tissue, so they are no good for torn meniscus or soft tissue problems either.  So, when you continue to have problems, the best way to find out what is going on in there is to take a "look see".  

Let us know what they find!  Good luck! ;)

Rt knee:Meniscal repair 8/03: Repair prev. meniscus repair 10/03;Chondro shave, scar tissue removal 12/03;LR,debridement chondro & scar tissue 04/02/04;TTT done 09/14/04;VMO advancement 04/2005- Does it ever end?

Offline watchmaker

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Re: Newbie Needs Help
« Reply #3 on: October 04, 2003, 08:00:07 PM »
Thanks very much for your replies.

That's very interesting that the MRI scan's often don't pick things up. The specialist seemed to imply that nothing could hide from them.

I haven't had any other serious problems in the past. A few sprained ankles. I think I hurt the other knee about 8 years ago but it was nothing serious and hadn't given me any bother since.

Here's the history of how I injured my knee. The first time it gave me any bother was in the middle of a game of football. The strange thing is I didn't twist it or get a kick or anything like that as far as I can remember. It just started getting very sore and I had to stop playing. The next day I could hardly walk but stupidly I never got anyone to look at it and eventually it seemed to settle down.

I played football again about a month later and it started giving me grief again so I had to stop. I went to see a physio then. It was very sore when he pushed the sore knee towards the other knee and pulled the foot in the opposite direction. He recommended some exercises and it seemed to settle down again after another couple of months.

The last time I played football was last December. It seemed grand for most of the match, then with about five minutes to go, I was twisting my body when I got a very sharp pain in my knee. The only way I can describe the pain is that it felt for a second as if the top part of my leg had detached from the bottom part of my leg.

It has been giving me grief ever since then. That's when I went to see the specialist and got the MRI scan etc.

Thank you very much for taking the time to read and reply to my posts. It makes it feel better knowing that someone else cares.

Offline Heather M.

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Re: Newbie Needs Help
« Reply #4 on: October 04, 2003, 09:47:34 PM »
You may want to find an orthopedic specialist who only does have your current doctor tell you that an MRI catches everything is pretty silly.  We all have a story about something the MRI missed...want to hear mine?

First MRI of left knee showed complex tear of the medial meniscus, lateral meniscus showed up as fine.  Some chondromalacia/cartilage damage was shown to the lateral compartment (outer bits of the knee joint).  

In reality, when an arthroscopy was done on my knee, the surgeon found the following:  medial meniscus was FINE--no damage.  LATERAL meniscus had a tear of the anterior horn complete with large, grape-sized cyst!  I had extensive grade IV (as bad as it gets) chondromalacia all over the back of my kneecap, with isolated damage in the lateral compartment.

So the MRI bunged things up pretty good.  Luckily, my OS found enough structural problems that he decided to do a scope before the MRI results ever came back.

You want more MRI horror stories?  5 months after my first surgery, I had another MRI on my left knee for severe pain and swelling.  The MRI came out "perfect."  On doing a scope, my surgeon found so much scar tissue throughout the knee that the joint was not able to function properly.  So much for MRI's.

And I've had three MRI's on my right knee...nothing much shows up, even though x-rays and visual inspection show severe patellar tilt and grinding.

My point is that MRIs are completely fallible--depending on the views asked for, the skill of the technician, the settings of the instruments, the actually machinery itself, the skill of the radiologist reading things.....there are many, many places for errors to occur.  The only way to be sure is to go into the knee, which it sounds like your doctor is going to do.

Best of luck.  Definitely read up on the subject so when your doctor gives you little gems like "nothing escapes an MRI" you can respond with judicious suspicion.....

Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja

Offline Jennie

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Re: Newbie Needs Help
« Reply #5 on: October 04, 2003, 10:43:29 PM »
Hey, welcome to the board!

I am very sorry about your knee problems, and hope you can get some answers on here as I am sure you will!

I had a car accident 2 years ago and done alot of damage to my knee including tearing 3 ligaments and dislocating my kneecap. I have had 5 knee surgeries and before I had my last surgery in May I was complaing of main, instability and dislocations. My os ran numerous tests and they all came out fine, but after he got in there to see what was going on he discovered that all 3 ligaments that he had replaced were so lax they were not holding and my kneecap was completely out of whack again!

So with that said, sometimes tests fail to give the docs the true results and they don't find the actual problem until they are actually "hands on" inside your knee, so don't give up and I am sure when you have the  surgery you will get the answers you are looking for!

Take Care
21 yrs. old..Right knee injury. Ligament Recon 6-21-01, 2 LR's 3/02 & 9/02
TTT 11/08/02, patella and ligament recon 5/03
Recently dx with OA, Having hardware removed and knee scoped on 6/24/04