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Author Topic: Severe patello femoral arthritis--advice needed  (Read 821 times)

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Offline deb43

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Severe patello femoral arthritis--advice needed
« on: February 02, 2012, 07:37:06 PM »
Long story short, I am 43, very active. Familial trait--abnormal tracking of kneecap.  Had lateral release done on L knee 13 years ago and it's been fine.  R knee didn't bother me until last summer when after a run, knee blew up like a balloon.  Saw an ortho and had an MRI, dx with severe patello femoral arthritis with bakers cyst  Cortisone helped and at ortho's suggestion, I did synvisc one.  I am almost 2 months out from synvisc and it has not helped at all.  I cannot kneel, I cannot do a quad stretch because I cannot bend my knee, I cannot squat, I can't seem to do much of anything without it bothering me. My range of motion is pathetic at this point. Have taken advil and swelling goes away temporarily only to return upon any activity.  I see my ortho on the 13th and really need some advice before I go in.  I know that cortisone helps me, so I could do that for some temporary relief, but I am beginning to wonder if maybe a patella replacement is a better option in the near future?  I am so torn about what the right decision is.  I either suffer now and put it off as long as possible and not be active or I do it now, resume my life as much as possible and face another replacement in 10 years or so.  Do I have other options?  My Dr. had mentioned maybe an arthroscopic procedure but I didn't ask details.  He also suggested putting off any type of replacement as long as possible, but I don't know if I can live like this.  I have 3 very active children and not being able to go sledding( because I can barely make it back up the hill) or ice skating with them is so hard.  Any advice/thoughts would be greatly appreciated. :) Oh ,yeah, also, my R thigh is much  noticeably bigger than my left due to all of the swelling. 
« Last Edit: February 02, 2012, 07:45:20 PM by deb43 »