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Author Topic: How long should I wait before getting my GP to refer me?  (Read 1528 times)

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Offline paulmead

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How long should I wait before getting my GP to refer me?
« on: October 14, 2010, 02:05:51 PM »
As a regular squash player - twice a week  - approx total 6 matches/18 games a week; last night near the end of my first game (approx 8.30pm) , I felt something go in my left knee  - I was probably twisting a bit, but was not a particularly excessive move. I will be 40 this month (boo hoo) :'(

I was able to stop without putting full force on my leg and sat down on court and realised that I could no longer fully extend/straighten my left leg. A&E x-ray shows no bone injury(expected) and no obvious evidence of fluid on the knee - there is no swelling - even today (2pm). The leg has been cricket pad splinted (straightish) and is a little sore - can be very painful unless I keep it fairly still in the slightly bent position. From information given to me at A&E last night and my research on the internet today - I believe that I may have a medial meniscus tear - hence the knee locking and pain on inner RHS of knee joint.

Question: Given that it would seem that an arthoscopy will be required to check/repair this problem - how long should I wait before going to my GP to get a referal hospital knee surgeon? A&E said leave it 10 days - but seeing as there is no swelling to subside - seems like a rather long time to wait.

Thanks for your opinions. :D

Offline k66yla

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Re: How long should I wait before getting my GP to refer me?
« Reply #1 on: October 14, 2010, 04:12:04 PM »
If your GP is anything like mine he will send you off to physio first. I had physio on/off for a year before he decided to refer me. I did'nt go to A & E, perhaps as they have indicated a tear your GP may refer you straight away. Good Luck  :)
April 83 - Right Knee Trauma
             2 Broken Wrists
1999    - Lateral Release Left Knee
Nov 10 - Anterior HornTear & Parameniscal Cyst Athroscopy Left Knee

Offline Kaputt_Knee

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Re: How long should I wait before getting my GP to refer me?
« Reply #2 on: October 14, 2010, 05:09:45 PM »
Get your GP to refer you ASAP. It will take long enough any way. In the meantime you can start on some physio if they feel it will help. The wheels of the NHS turn relatively slowly so waiting until one is finished before beginning the next stage is just plain daft. Get in the queue/waiting list now and rehab/prehab while you wait.

A GP is not an orthopaedic specialist and knees are complex enough as it is. Get a referral to an ortho who specializes in knees. Let the GP write out a prescription for physio as well as that always helps and maybe start with a referral for an MRI scan. It could be a meniscus tear it could be something else, but until the right diagnostics have been done everyone is just guessing. The sooner you know, the sooner you can get it sorted.

 ;)
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline Vickster

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Re: How long should I wait before getting my GP to refer me?
« Reply #3 on: October 14, 2010, 05:26:07 PM »
Most GPs have to refer you to the general musculoskeletal service and they decide whether physio or ortho.  However, if you say that A&E diagnosed a meniscus tear, push for the orthopaedic route.  Tears sometimes heal with time and physio, but many don't and likely need surgery if they are symptomatic and troublesome :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline paulmead

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Re: How long should I wait before getting my GP to refer me?
« Reply #4 on: October 15, 2010, 10:02:51 AM »
Thanks for your responses; My knee is not as painful today, not having it splinted all night (as advised) - which means it could be in a more confortable position, may have helped. I think I will leave it until after the week-end, to better gauge progress, before I book a gp appointment. I''' keep this thread updated with my progress. Cheers to all you knee suffering people.