Advertisement - Hide this advert





Author Topic: Need advice  (Read 3223 times)

0 Members and 1 Guest are viewing this topic.

Offline carmel1982

  • MICROgeek (<20 posts)
  • *
  • Posts: 19
  • Liked: 0
Need advice
« on: February 29, 2012, 05:28:10 PM »
Hi,

I've been having issues with my knees on and off for the last few years, i've had a lateral release and cartilage trimmed. I've have swelling and pain on and off since having these surgeries but have just put up with it cause I didn't want to have any more surgery.
On Monday while I was training and during the cool down I was doing a squat and felt something pop in my right knee. I had pain almost straight away and it swelled up. Since then I've had a lot of pain and swelling, i'm having difficulty bending my knee and it doesn't feel 100% stable when going up and down stairs. I can't get to see my doctor until next week but the pain is so bad at times that I was thinking of going to A&E.
Has anyone any clue what I may I have done and if I just rested it would things improve. Any help would be greatly appreciated

Offline Nettan

  • SuperKNEEgeek
  • *****
  • Posts: 13862
  • Liked: 7
  • Stronger then yesterday...thanks Sis...
Re: Need advice
« Reply #1 on: March 01, 2012, 11:00:45 AM »
Sounds like you have problems with scar tissue building up and possibly some of the scar tissue broke up now and that can give a lot of swelling and pain after. How is your ROM ? Have you ever gotten back to normal ?
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 carmel1982

  • MICROgeek (<20 posts)
  • *
  • Posts: 19
  • Liked: 0
Re: Need advice
« Reply #2 on: March 01, 2012, 03:35:48 PM »
Hi Net
Thanks for the reply. My knee has never been 100% since I had the lateral release done. My ROM is around 90 on flexion and 105 on extension. Before this latest problem my ROM was perfect. I'm still having pain and swelling. How long does is take to go away if it is scar tissue that broke up.

Online Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4668
  • Liked: 379
  • Neelie knee!
Re: Need advice
« Reply #3 on: March 01, 2012, 04:25:14 PM »
I would see the GP next week - popping, pain and swelling are quite common signs of meniscus or ACL issues.  Why did you have the lateral release done - this can also lead to stability issues apparently

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 Nettan

  • SuperKNEEgeek
  • *****
  • Posts: 13862
  • Liked: 7
  • Stronger then yesterday...thanks Sis...
Re: Need advice
« Reply #4 on: March 01, 2012, 05:15:02 PM »
As you don't have full flexion or full extension I guess you still have lots of problems. Go see your doc and have it checked and also make aware of that you don't have full ROM.  Scar tissue is a problem that can appear both after a injury and also after surgery and can lead to a long going problems for years and can be tricky to solve, but with right help and not overdo it can be managed. But the mainkey with scar tissue is patience.
I would go in and read under soft tissue injuries here. I'm sure you find a lot to read up about scar tissue. But first get the leg checked to there is no new injury.
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 carmel1982

  • MICROgeek (<20 posts)
  • *
  • Posts: 19
  • Liked: 0
Re: Need advice
« Reply #5 on: March 01, 2012, 11:21:40 PM »
Hi guys,

Thanks for the replies. I'm not really sure why I had the lateral release done, I was referred to an OS by my g.p and he did an mri scan, he said that I had torn cartilage and said I needed an little operation to have it fixed. So putting my faith in this guy I agreed to the surgery, I didn't want a general anesthetic so he said I could have a spinal but he gave me something else when I was in cause I remember none of the surgery, the 1st thing i remember was being in the recovery room and him coming in to tell me that he had trimmed away the torn cartilage and he had also preformed a lateral release. He said my knee wasn't tracking correctly and that doing the release would rectify the problem. I have had pain everyday since having it done and the knee feels a bit wobbly at times. I did go back to him and voiced my concerns but he told me this was perfectly normal. It's 2yrs since I had this done and i'm sorry I went ahead with it. I have made an appointment with my G.P for monday and if she mentions an OS i'm going to make sure she sends me to a different one because I think the last fella was just thinking of the money and not of me "the patient". I have versatis 5% medicated plasters which I was given in the pain clinic so i'm using them at the minute to try and ease the pain. They haven't helped much but at least they've taken the edge off it.
Thanks again for the advice

Offline captainruss

  • SuperKNEEgeek
  • *****
  • Posts: 675
  • Liked: 9
Re: Need advice
« Reply #6 on: March 09, 2012, 01:20:12 PM »
Carmel,

You need to check out the Patellafemoral section of this blog.  There are lots of people who suffered thru LR and have problems.  One thing is absolutely sure is if you are not tracking correctly, your knee will continue to do damage to itself.

You will need to see a specialist in your area.  The moderator has a list of surgeons who specialize in this....she is here...she will probably post it to you shortly.  Get multiple opinions brother. 

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 carmel1982

  • MICROgeek (<20 posts)
  • *
  • Posts: 19
  • Liked: 0
Re: Need advice
« Reply #7 on: March 17, 2012, 10:32:58 PM »
Hi Russ,

Since my last post i've been to my gp, she said she was referring me to an ortho specialist. Due to a clerical error in the referral letter still has not been sent and I am unable to get an appointment until they get the letter. So i'm a little frustrated at the minute as i'm no better than I was a few weeks ago. I will have a look at the patellafemoral section to see if I can get any tips on how to ease the pain. I think my left knee isn't tracking properly as the kneecap doesn't seem to be in the right position when i try to bend my knee, and as you said the longer I wait the more damage is being done.
I only hope now that the new ortho guy is going to help

Thanks for the reply
Carmel

Offline captainruss

  • SuperKNEEgeek
  • *****
  • Posts: 675
  • Liked: 9
Re: Need advice
« Reply #8 on: March 18, 2012, 12:43:28 AM »
Carmel,

I need you to understand that you are the patient and you are in pain.  Your GP can fax a letter to any specialist in a matter of minutes.  The original copy is part of your chart and easy to duplicate.  If your GP does not do this on the next business day, I would walk into a "walk in" clinic assuming you are in the U.S. where these are prevalent.  Any nurse can recommend you to a specialist and if you request a 'Patellafemoral" specialist, they simply look in their guide to practicing doctors and pick a name.

As far as pain, you need to google the Intractable Pain Patients Guide and read it.  It will tell you the different kinds of medication for break thru pain and for "ER" extended release.  You need to request both.  If they make you sick or don't work, you go get something different.  If you have insurance, your insurance can refer you to any specialist and it is in their best interest to refer you to multiple opinions. 

Ask your GP or insurance provider to refer you to a pain management specialist.  You need to request your GP fax the reports for all x-rays, mri's, and/or ct scans to the pain provider of your choice.  If you get any hesitation, find a new one.

You are in pain.  No one can tell you how much pain that is besides you.  If you get sent to PT and if that person treats you as anything but the wounded patient that you are, get up, walk out, hobble out...whatever but call another one.  If you get a script for PT, or anything else make a copy, take the copy to your PT practioner so your have the original if you need to switch.

You need to take care of you.  I am the exception to the rule as my complications are in less than 1/10th of 1% of all knee cases....but if I learned anything is that you DO NOT suffer in silence.  If you get anything but sincere concern for your condition, take your case somewhere else.  I hope you get help and if I can assist, let me know.

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 carmel1982

  • MICROgeek (<20 posts)
  • *
  • Posts: 19
  • Liked: 0
Re: Need advice
« Reply #9 on: March 20, 2012, 11:29:35 PM »
Hi Russ,

Thanks for the reply and advice. I think i'm going to take a bit of your advice on board, I am still waiting on my GP's secretary to forward my referral letter onto the new ortho guy. I had been trying to contact the secretary all day but there was no answer and I finally got an answer 5mins before they closed today, she told hold on the line for a moment and next minute the phone went dead..guess what, she had hung up and when I tried to call back all I got was the answer machine. I'm going to go to her office 1st thing in the morning and i'm not leaving until I get that letter, I think i've been patient enough with her. I live in Ireland but the GP's surgery that I am registered with has a walk in clinic and also works on appointments. I can not attend a different GP's surgery as once you are registered with a GP you can't go to a different GP's surgery. My GP is very good and has always tried in anyway she can to help me, her regular secretary is on maternity leave and her replacement doesn't seem to be able to cope with the work load.

I have good health insurance that covers me for all private and public hospitals over here, and my GP referred me to a pain specialist a couple of months ago. With all the cut backs in the health service over here there is a 2 year waiting list to see the pain specialist in a public hospital and 3-6 month waiting list in the private hospital. I'm hoping I get called soon as my referral is gone to the private hospital about 2 months now. I have a friend who works in the x-ray department of the hospital so he has already given me copies of all my scans and x-rays and all the reports.

I will google that guide and read it.

Thank you for all your advice and help
Carmel

Offline captainruss

  • SuperKNEEgeek
  • *****
  • Posts: 675
  • Liked: 9
Re: Need advice
« Reply #10 on: May 08, 2012, 03:47:02 AM »
Carmel,

How did it go?  Did you get to see another doctor?  I cannot imagine a doctor's assistant hanging up on you like that.  I am not trying to get in trouble, but I have often called an OS and told them that Dr. GP has referred me to them for an opinion and never take the referral with me.  Frankly, it is so common place for doctors to refer patients for other opinions. 

Please understand I am not suggesting this be a habit, but if your GP is delaying you, you must resort to an active approach.  If the assistant is not actively trying to assist you, they most likely hope you seek care elsewhere.  I really feel badly when a doctor does that or tells me they do not know what else to do for me?  Why is it I can read on KG about other solutions and my doctor cannot?

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 carmel1982

  • MICROgeek (<20 posts)
  • *
  • Posts: 19
  • Liked: 0
Re: Need advice
« Reply #11 on: May 30, 2012, 11:36:50 PM »
Hi Russ,

Since I last posted my referral letter has been sent and I was seen by the ortho doc. He wasn't to happy with my right knee, he said the range of movement in the joint isn't very good and it doesn't seem to be very stable, he also had concerns around the knnecap. It is moving a little more freely around the joint than he would like. On a plus note he said that it was clearly visible that I was sticking to the physio regime as my quads and hamstrings are in great shape. He had a few concerns regarding the left knee but said he wants to get the right knee sorted before he tries anything with the left.
 He gave me steroid injections and referred me for an MRI scan. I got that scan 2 days after seeing him and he said he would call me with an appointment as soon as he had a look at the scans. So true to his word he called but didn't tell me anything over the phone. He gave me an appointment for 8th of June (it's the earliest appointment he had), so i'll have to wait until then to find out what if anything he is going to do for me.

If I hadn't have gotten the referral to him I would have done what you said and hoped they never asked for the referral letter.
Hope your knee is doing well

Carmel

Offline captainruss

  • SuperKNEEgeek
  • *****
  • Posts: 675
  • Liked: 9
Re: Need advice
« Reply #12 on: May 31, 2012, 06:32:10 PM »
Carmel,

Let us know what the MRI says.  You don't have to stand on the one "second opionion".  Opinions are like buses, wait 10 minutes and another one is available.

All humor aside, you are looking for someone who makes sense and has a clear idea what is wrong and what to do to fix it and what the complications might be after he/she fixes it so they can treat those quickly.

I had six (6) opinions and not one of them was correct.

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 carmel1982

  • MICROgeek (<20 posts)
  • *
  • Posts: 19
  • Liked: 0
Re: Need advice
« Reply #13 on: June 08, 2012, 05:00:48 PM »
Well I was in with the OS today. He said that i've a partial tear in my ACL, and that I need a plica removal, clean up of scar tissue and something else but I just can't remember what it was. He said I need surgery but he said he may not need to do anything with the ACL. I have opted to hold off the surgery until I come back from my holidays as I want to enjoy my holidays not hobble around on crutches. I stuck the pain and problems with the knee this long so I can't see holding off surgery for another few weeks doing any harm. He also gave me another cortisone injection to make things a little more comfortable for another month. Do you know what the recovery time is for surgery on the above, with or without having work done on the ACL