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Author Topic: Negative MRI but my knee still hurts  (Read 26085 times)

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Offline Moovin

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Negative MRI but my knee still hurts
« on: January 23, 2012, 08:01:11 PM »
I was playing Wii Dance Party 3 and my daughter and I heard a loud POP come from my knee and down I went in pain.  I could not walk on my right leg because it hurt so much. The GP took an X-ray and ordered an MRI. I was on crutches for 5 days because of the pain.  The MRI results came back negative for any ligament damage or meniscus damage. Everything looked good except my patella is a little out of alligment which is causing arthritis.  I am 44 and a female. All this took place 2 1/2 weeks ago. I am still having knee pain and doesn't feel stable. I can walk without crutches now but I still have pain. I am wondering if I should go to a OS for a second opinion. Or is all this pain due to the arthritis. My knee hasn't ever felt like this before and I'm sure the arthritis has been there for a while. So i am wondering if it could be more then arthritis?  Any suggestions? 

Offline aaa

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Re: Negative MRI but my knee still hurts
« Reply #1 on: January 23, 2012, 08:07:37 PM »
I had 4 (yes FOUR) MRI's done until a competent OS finally recognized my MPFL (medial patellofemoral ligament) was stretched / torn.

I'm not saying your MPFL is torn ... just that often MRI either doesn't show the damage or (more likely IMHO) they are not reading it right.

Perhaps get a copy of the MRI burned on a CD, usually the facility which does the imaging can provide it.  Yes, I think having another OS look at it is probably a good idea.

Is it your kneecap that feels unstable?






Offline Moovin

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Re: Negative MRI but my knee still hurts
« Reply #2 on: January 23, 2012, 08:12:11 PM »
My knee in general doesn't feel stable.

All the pain is In the Knee joint. 

Offline Vickster

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Re: Negative MRI but my knee still hurts
« Reply #3 on: January 23, 2012, 08:16:56 PM »
Do you have any swelling (a common indicator of tears various), can you straighten the knee and bend it fully?  Have you been RICE'ing?

If you are concerned, certainly see a specialist if you have the ability to do so.  2.5 weeks in knee injury world is quite a short time - any injury often takes a long while to settle down :)
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 aaa

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Re: Negative MRI but my knee still hurts
« Reply #4 on: January 23, 2012, 08:17:37 PM »
Did the OS do a clinical examination? It might have been there was some swelling so they didn't do a full exam

An MRI can only show so much, and its only imaging the knee ... not the entire alignment of the leg from hip to ankle

I would either get another opinion or see your OS again ... they should be doing a full manual exam to check for instability around the knee , and also let you know if there is any significant arthritic changes.

Offline MUMofpain

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Re: Negative MRI but my knee still hurts
« Reply #5 on: January 23, 2012, 08:23:09 PM »
I don't know which ligaments pop loudly when they tear but my son's acl certainly did when it went.  He was initially misdiagnoised by 3 doctors and a nurse. Does your local a&e have a knee clinic?, this is where my son was eventually correctly diagnoised. Best wishes.

27th September 2010 - Tore acl at football
12th January 2011 - ACL reconstruction (Hamstring)

Offline tez27

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Re: Negative MRI but my knee still hurts
« Reply #6 on: January 24, 2012, 11:11:22 AM »
Hi Movin if you feel the knee is not right then please go an see an OS, I also was told my knee was just a sprain for months after original injury, eventually I had an MRI which only showed some wear and tear, eventually a year and a half later I had a scope due to ongoing pain, where my ruptured acl was diagnosed, since then I have had the reconstruction  which has since failed and again the MRI failed to spot this and it was only after another scope that it was discovered, because of this I have no faith in he whole MRI thing,   I agree with yb and a manual exam is important but yet again even though I had many of these I tend to tighten up my muscles involuntarily and its hard for the doctor to feel the instability when having any of the manual test done, saying all that it is still early days for you and you might feel the knee starts to feel better over the next few weeks but if not go see someone, I have gone on to do more damage to the joint due to not getting this sorted out sooner.
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 Tinkerbell11

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Re: Negative MRI but my knee still hurts
« Reply #7 on: January 24, 2012, 06:38:38 PM »
Hey ur problem sounds similar to mine with the popping and pain I had 2 MRI scans which showed nothing part from a slight tilt and had partially dislocated it ... I went in for a lateral release were there was cartilage damage and damage to knee joint itself so if u no there's something wrong please see someone have no faith in MRI scans unsure about arthritis I am alot younger than yourself but problem sounds similar to mine please get it checked out ! ... Did you feel anything move ?         Tinkerbell x
Right Knee Lateral Release

Offline Moovin

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Re: Negative MRI but my knee still hurts
« Reply #8 on: January 30, 2012, 11:41:24 PM »
Update:
I went to an orthopedic dr and found out I have very little arthritis.  But my meniscus does show distress. So I am taking an anti-inflammatory drug to see if that helps. If it doesn't improve in a few weeks then I go back and we will take the next step.

Offline destinycrane

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Re: Negative MRI but my knee still hurts
« Reply #9 on: February 05, 2012, 03:43:17 PM »
MRIS can't always show everything.

I had two of them, one on my right knee (my bad bad knee, a month+ post op) and one on my left knee (not as bad)

He showed them to me and they both showed bruised bone and blood in my ACL. Which wouldn't be causing really any pain. (I suspected a meniscus tear, from my symptoms.)

So then he did a manual test on both my legs and every time he moved them, it clicked. Showing that I was positive for a meniscus tear. And then we scheduled surgery for 4 days later. I had multiple tears on the medial and lateral meniscus. And I got a cortisone shot for my left knee, which is now wearing off.

I had tried steroid shots, Physical therapy, and icing and nothing worked. So your next measure is most likely PT. Usually meniscus' when torn will tear then the flap will go back, so when there's the MRI, it doesn't show anything.

What kind of pain are you having? With mine I had giving out, locking up, pain with just about everything especially squats and stairs.
Goodluck!
17 years old
08-10 diagnosed w/ PFPS, runners knee/Osgood-Schlatters Disease
12/11 Exploratory R knee scope
09/12 R MPML Plication
12/12 L MPML Plication
-kneecaps still sublux