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Author Topic: New here, Looking for answers on torn meniscus.  (Read 3424 times)

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Offline gt45rpm

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New here, Looking for answers on torn meniscus.
« on: February 22, 2012, 05:16:57 AM »

 Here is  a brief over view, I don't have my MRI report in front of me with specfics on my injury on my left knee, but I have several tears around the posteral horn meniscus on my left knee. This injury happed in Augest 2011 while jogging, and working out.

 In december 2011 I went for a MRI, If you think the canadian heath care sytem is free and easy, Im here to tell you its not at all easy to get care.

 MY gp has refererd to a orthapedic surgon, I don't know if surgery is a option or if physio is a option, the pain is often intense while Im at rest.

 I have a phyiscally demanding job where knee pain, or taking a break while the alberta heath care sytem waits for me to kick up and die, is not a option.

 I have been told by my GP 6 months to year to wait to see a orthapedic surgon, so in the in term Im here seeking advice.

  My heath is relly taking a kicking, I have been fit and active all my life, Im 45 now not over wight and the pain is so bad, I doubt I will make 46, as im porking up, no I don't have any life or death issues, but quality of life and working for a living issues.

 Is thier any thing I can do to heal my torn meniscus, and pain managemnt options? T3 and T4 don't do any thing for me, nor do aspern advil, tylenol, ect.

 I have said screw it and went back to light work outs, swimming and work keeps me climbing laders, If I don't move, I am a hurting unit, when I work, Im still a hurting unit, But I feel 100% better earning a wage, I just don't know If Im causing more harm.

 I have began researching paying for my care my self, out side of Alberta, looking for advice on that topic as well.

 Thanks, soorry for typo, spelling mistakes.

Offline captainruss

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Re: New here, Looking for answers on torn meniscus.
« Reply #1 on: February 22, 2012, 10:14:48 AM »
gt,

I have a thread posted here that is entitled Meniscus and has all sorts of information on that subject:  http://www.kneeguru.co.uk/KNEEtalk/index.php?board=19.0  I hope it helps.  The moderator "knee guru" is wandering around the halls of this site and might see your post and also send info your way.  If you search for posts by missmyknee, she has posted a blog on here and in it she has tons of information, but most importantly you should search for "Intractable Pain Patient Handbook"  It discusses all types of pain medications and how to speak to your pain management doctor, etc.  It has helped me extensively.

Google "The Intractable Pain Patient's Handbook for Survival" by Forest Tennant, MD, DrPH.

Also, keep asking questions.  There are very smart people on here.....I am not one of them,....but there are a lot and they are all very nice.

The only dumb question is the one you don't ask.

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

Offline Vickster

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Re: New here, Looking for answers on torn meniscus.
« Reply #2 on: February 22, 2012, 10:30:29 AM »
meniscus tears don't often heal well especially if large / complex due to poor blood supply.  Some people have success with PRP but it's not cheap.  Most with bothersome tears end up having surgery - like me, it was very successful and sorted the meniscus symptoms almost straightway (after 5 months of trouble)

Read the meniscus section in the info hub - very useful

Good luck :)
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 captainruss

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Re: New here, Looking for answers on torn meniscus.
« Reply #3 on: February 22, 2012, 08:17:40 PM »
gt,

You will be amazed at what you can take.  If someone told me 16 months ago I would have endured 8 major knee surgeries ......I would have giggled at them thinking no one could mess up my knee that bad so many times in a row.  I wish I had educated myself more on this site.  I wish I had sought a second or third opinion?  I really messed up my life for a TKR that I don't need. 

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

Offline Vickster

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Re: New here, Looking for answers on torn meniscus.
« Reply #4 on: February 22, 2012, 08:25:01 PM »
The OP has a suspected torn meniscus...not considering a TKR  ???
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 captainruss

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Re: New here, Looking for answers on torn meniscus.
« Reply #5 on: February 22, 2012, 08:52:59 PM »
We are not considering a TKR for my daughter......I had TKR's because I was not informed.

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

Offline Vickster

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Re: New here, Looking for answers on torn meniscus.
« Reply #6 on: February 22, 2012, 08:55:14 PM »
Your daughter??  ???

OP = original poster - gt45rpm  :)
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 The KNEEguru

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Re: New here, Looking for answers on torn meniscus.
« Reply #7 on: February 23, 2012, 10:18:03 AM »
Hi gt45rpm
The big issues with regard to meniscal tears are -
1. Where is the tear in relation to the blood supply of the meniscus? The blood supply of the meniscus is rich on the outer edge but non-existent on the inner edge, and tears towards the inner edge seldom heal themselves.
2. What type of tear is it? A radial tear - like a split of a lip - has trouble healing because every movement cracks the tear open. A horizontal cleavage tear has trouble healing, probably because of shear stresses that occur with movement.
3. How large is the tear? Big tears have more trouble healing because there with movement of the knee it is unlikely that the tear edges will be in contact long enough to heal. Sometimes a large circumferential tear acts like a 'bucket handle' with the large inner section flipping over on occasion and obstructing the joint, and causing further damage.
4. Are there any loose flaps of tear? These can catch in the joint and tug on the meniscus and cause more damage.

You say that the MRI report talks of multiple tears of the posterior horn, so it may be that you have considerable damage to the meniscus and several of the issues related to healing may be relevant.

If a tear is in the vascular area, small, circumferential, no free flap etcetera then it is reasonable to try and give it a chance to heal by taking care of the knee, avoiding twisting exercise, avoiding over-exercise - but if not then the longer it is left the worse things are likely to get. If a surgeon is able to repair a meniscus or trim it to avoid the kind of complications I mentioned, then it is best that it is done early.

KNEEguru

PS captainruss, I understand that you are not suggesting that a TKR is relevant here, but simply that you felt that you ended up with a TKR because you did not get the right information early enough in your own knee history, and things got out of hand. Am I right? If so, then I hope gt45rpm is able to ask the OS about the likelihood of this healing by itself (it clearly has not healed in 6 months) and if the OS thinks it is unlikely then it seems that the only option is to try and pay for it rather than having the knee get worse while waiting. Meanwhile avoidance of stresses to the knee is important.

ref: http://www.kneeguru.co.uk/KNEEnotes/node/1825
ref: http://www.kneeguru.co.uk/KNEEnotes/node/1831
« Last Edit: February 23, 2012, 10:24:13 AM by The KNEEguru »
--
KNEEguru

Offline captainruss

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Re: New here, Looking for answers on torn meniscus.
« Reply #8 on: February 24, 2012, 04:03:22 AM »
Moderator,

Yes, I agree totally that doing no more harm is the most important first step.  The thing I am trying to say and don't seem to be able to communicate is to keep asking questions.  I took my daughter to my OS and he suggested a lateral release.  Six months ago I would have scheduled it.  Now, I am learning about MPFL, TTT, TT-G....and still have very little knowledge but will keep asking for opinions until I am very sure.

GT, please seek advice until you are sure you have a doctor who you are confident understands your needs.  I am only trying to tell you to ask as many questions, the only dumb one is the question you do not ask.

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

Offline gt45rpm

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Re: New here, Looking for answers on torn meniscus.
« Reply #9 on: February 24, 2012, 02:55:34 PM »
 I will track down the MRI report and post the true medical terms.

 At this point and until I get in to see a orthapedic surgon, I
m on this knee dam near 12 hours a day, thiers no rest for me and orginal injurty was in Aug 2011.

 Some times the inside of my left knee has a burning or itchy fealing, and tends to vibrate, all most like when you have a cut on your skin and you feel the cut is healing, than in abought 20 mim or so thiers some SOB wacking my knee with a dull axe.

 Im taking glucosamine and I do find it helps, Im also woundering if I have to give up manual transmissons, as this gives my left knee a daily work out, I will suffer in pain thow!

 Today is a good day, thiers no pain in booth my kness.

Offline captainruss

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Re: New here, Looking for answers on torn meniscus.
« Reply #10 on: February 24, 2012, 03:17:50 PM »
GT,

Have a great day!  If you suffer that much, you have to get in to see a specialist asap.

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

Offline FMRCathelete

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Re: New here, Looking for answers on torn meniscus.
« Reply #11 on: February 24, 2012, 06:20:53 PM »
I am only posting to say that a few people here are in the Canada and have made multiple calls to OS and were able to get earlier appts by being pleasantly persistent.  It never hurts to be a PPIA (polite pain in the a__) to get yourself into see OS sooner.   Good luck to you and take care.
Lat release 5/08
OATS 7/09
PJFR 10/10
Scope, plica removal/synovectomy 1/12
Scope, Medial retinacular release and debridement of excess tissues 2/13
Knee Denervation 3/2014

Offline captainruss

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Re: New here, Looking for answers on torn meniscus.
« Reply #12 on: February 24, 2012, 07:30:52 PM »
FMR,

How do you guys like government sponsored health care?  I am nervous as we currently have outstanding Federal Blue Cross because my wife works at a Veteran's Administration hospital, but if our Health Care is not found unconstitutional before 2014, we will be forced to accept the "government option" and I will have to go before a medical board prior to surgery for authorization.

I am not looking forward to that.

Russ
80 Shattered patella 5 surg
09  TKR 
09  MUA
09  MUA
09  Knee infected??
10  TKR  Scar Tissue
10  2nd OS  Diagnosis Infection
10  TKR with antibiotic spacer, no joint
4/11  TKR
11  TKR PT
11  TKR
11  TKR  AF diagosis
12/11  HO diagnosed
2012  Intractable Pain
2012  OS split
amputation possible?

Offline gt45rpm

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Re: New here, Looking for answers on torn meniscus.
« Reply #13 on: July 03, 2012, 03:21:20 AM »
  Next thursday I get to see a knee doctor after dam near year of working a labour intensive job and putting up with the pain in booth my knees.
 Inactivity is the killer, I hurt more by doing nothing, but now Im at the end as I can hardly walk.
 
 My left knee has several tears in the meniscus, my right knee has no tears, but its the knee that hurts way more than the left with the torn meniscus.

  Im sure I need surgery on the left knee and the right knee has issues, is it wise to get booth knees repaird at the same time?

 I don't have the time to take six weeks off than anothier six weeks off work, if I had one bad knee and a good knee thats a no brainer.

  Im sure of been a real CRANKY GUY IN THE LAST YEAR, as I fight the pain and the stress's of just living life.

  Ten mins of hard liqour is the only short term pain meds that work,  Tylonnel 4 don't do a dam thing so Im ready for the pain for long term heath.

 Thanks all.

Offline gt45rpm

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Re: New here, Looking for answers on torn meniscus.
« Reply #14 on: July 03, 2012, 03:27:34 AM »
oh and the dbbl rye and cokes ( candaian club and coke) are not helping my spelling, LOL