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Author Topic: Podiatrist or OS!  (Read 1249 times)

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Offline Clarkey

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Podiatrist or OS!
« on: March 05, 2013, 05:28:51 PM »
Hi All,

I need some advice and guidance on what I should do next with regards to my right injured after slipping on black ice 6 weeks ago thatís not improving yet and getting sorer towards the bottom of the knee with swelling.

I saw my regular PT 2 weeks ago and recommended that I would benefit having costume made orthotics made that would cost around £300 if I paid privately. While I was in the Spa Town of Droitwich I decided to pop into the Knee Clinic and asked the receptionist how much orthotics would cost to be fitted and made and would also cost £300.

I was lucky and had a quick chat to the Podiatrist and he suggested to get my right knee injury sorted out 1st and then make an appointment to see him. A private OS appointment and MRI scan would cost around £420 thatís not a bad price that has gone down in price since my last private MRI back in 2004 that cost around £700.

Now totally confused my PT says get orthotics fitted then see an OS if knee does not improve and the Podiatrist says see an OS 1st and get my right knee sorted out 1st.

I could use the NHS at no cost and would wait ages to see an OS and have an MRI done and even longer if I did need a 2nd scope. What I did with my last knee injury was to pay to see an OS Privately and then had an MRI and surgery done on the NHS and by seeing an OS sooner would cut out a lot of waiting time and costs £170 for 1st consultation at Droitwich Knee Clinic if you pay on the day to see an OS.

Is it worth spending some money just to speed up the waiting time and can also ask the NHS PT I am seeing tomorrow what she advices me to do next.

[email protected]
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline kimb

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Re: Podiatrist or OS!
« Reply #1 on: March 05, 2013, 09:46:32 PM »
If they are recommended orthotics, it is likely because they believe your foot issues are contributing to the knee not healing properly. Since you were injured in a fall that might be unlikely for this exact injury, but if you over pronate or something like that, it will contribute to your not healing correctly. They are expensive, to be sure. But they may help your knee heal faster, and may help prevent issues in the future. If you do not understand why they are recommending them, I would ask. Especially your PT if they said to get those before working on the knee more. There must be a reason they are suggesting them. I have orthotics along with shoes my podiatrist recommended as well. Combined they ended up cost $420 :( I have private insurance but they don't cover shoes at all and only a very small portion of the orthotics. Whether it was worth it or not, I don't know. I actually injured my knee 3 months after getting the new shoes and orthotics, lol.

I can't recall from your original post, did they do an MRI for you? What was the diagnosis you got? Knee injuries, especially to ligaments, can take quite a while to heal, even if they are fairly minor. I had a grade 1 mcl sprain with my injury 10 weeks ago and it is still sore sometimes.

Offline Clarkey

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Re: Podiatrist or OS!
« Reply #2 on: March 07, 2013, 12:52:25 PM »
Hi Kimb,

I agree with you totally that orthotics will benefit me and reduce knee and hip pain and what it's not going to do is getting rid of the swelling and pain at the bottom of my right knee that was doing ok and as soon as I fell onto my right knee on black ice never been right since and get fed up how the NHS deal with the injury by doing PT 1st rather then seeing an OS.

This happened with my last injury took a while until I was finally allowed to see an OS and getting similar knee problems again and can feel something is not right with the bottom of my right knee. You do not forget how to run suddenly and not in my mind as they thought it was the last time I injured my right knee just because I happen to have Asperger syndrome people assume I making up the injury and think that PT sessions will make my knee better again.

[email protected]


RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline kimb

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Re: Podiatrist or OS!
« Reply #3 on: March 07, 2013, 08:54:27 PM »
Sometimes you have to be rather forceful with doctors to get what you want. If you are not happy with your experience, can you see another doctor and tell them that you know something is not right and you need to find a way to get it fixed so you can move on?  Sometimes, they are hard to deal with.
 
My teenage son has Asperger's as well. He definitely struggles with certain situations and it makes it hard for him to deal with things because people are impatient with him. That's their problem, not yours. Find someone who will listen to you.

Offline Clarkey

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Re: Podiatrist or OS!
« Reply #4 on: March 08, 2013, 04:22:18 PM »
Hi Kimb,

Having a teenage son yourself with AS you will understand a bit about high functioning autism and running was my favorite past time and hobby and the fall is the worst thing that could have happened to me that's very hard for me to accept.

I been told could have a consultation and MRI done at Droitwich Knee Clinic as there is an OS that works at the Clinic and also works at the NHS Hospital I had my 1st scope at and maybe might be worth jumping the waiting lists and see him privately and then continue to see him under the NHS.

[email protected]
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline kimb

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Re: Podiatrist or OS!
« Reply #5 on: March 08, 2013, 10:00:27 PM »
Yes, I totally understand where you are coming from. My son is also an athlete, and skis and runs both cross country and track. It would be incredibly difficult for him to suddenly find himself unable to do these activities. I hope you find someone who will be able to help you get on the road to recovery so you can get back to what you love! Insist on being cared for, it's what you deserve.

Offline Clarkey

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Re: Podiatrist or OS!
« Reply #6 on: March 13, 2013, 03:00:24 PM »
Hi Kimb,

You know how I am feeling not being able to run at the moment and your son sounds similar to me likes his exercise and good to show people that not all Aspies are couched potatoes in front of a computer screen or games console all day that many assume that we are just geeks stuck on a PC all day and do not like sporting activities.

I have decided to see my GP on Friday and will ask for a referral to see an OS that specialises in soft tissue injuries of the knee and works for both the NHS and Private. I looked at his profile and think I made the right choice of OS and was thinking of seeing him previously when I was getting pain and swelling at the bottom of my right knee while running. Now I am unable to run and coming up to 6 weeks since my fall on black ice and have chosen to see Mr Martyn Snow and hope he can work out whatís causing my latest right knee problems and get me back to running once again.

Sayís the following on his profile.

Mr Snowís interests include all aspects of shoulder surgery. In particular arthroscopic procedures such as rotator cuff repair, shoulder stabilizations, capsular release for frozen shoulder and ACJ injuries. Mr Snow also has a major interest in soft tissue injuries of the knee, including Anterior and Posterior cruciate reconstruction. Mr Snow treats all aspects of cartilage injuries in the young Adult, using the full spectrum of cartilage regeneration techniques, osteotomy, Unicondylar and Total knee replacement.

http://www.drfosterhealth.co.uk/consultant-guide/Mr-Martyn-Snow-4449876.aspx

Is it worth seeing him 1st privately and if he feels I need an MRI scan and treatment can have it done on the NHS where I had my last scope at where he also works. If I see him on the NHS likely to see his Registrar and rather see him instead should I ask my GP in referral letter that I only want to see Mr Snow.

[email protected]
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Clarkey

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Re: Podiatrist or OS!
« Reply #7 on: March 15, 2013, 04:28:19 PM »
Hi All,

I have booked to see Mr Snow on Tuesday 19th March at 6pm at Droitwich Spa Hospital and hopefully its money well spent and can find out whatís wrong with my right knee and how to go about getting it right again.

[email protected]
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline Clarkey

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  • Neil TheElephant knee packed up carrying his trunk
Re: Podiatrist or OS!
« Reply #8 on: March 21, 2013, 02:18:29 PM »
Hi All,

I saw Mr Snow and it went as well as expected and did manage to find a problem with my right knee that has fluid at the bottom of the kneecap where I keep on getting the pain and swelling. I will be seeing Mr Snow again on the NHS who is really nice and helpful OS and trust him 100% and will now stick to him in future.

I am going to try out PT 1st and if that does not help a cortisone injection to hopefully disperse the fluid and swelling otherwise might be an exploratory scope that's always the last option and will see how the next couple of weeks go.

Mr Snow did suggest to go for a short gentle run my family have also suggested it and did manage at a very reduced running pace to go around the block and could feel while running pain and discomfort at the bottom of my right knee so will avoid running totally as now my tibia is sore.

I could do some permanent damage and never run again so have to be patient for the time being as I fully trust Mr Snow as he knows how much I was into running when I told him I use run 36 miles a week average pace under 7 minutes a mile.

Do you think I am being too cautious and should just ignore the pain and run short distances for now or let common sense take over and go swimming and walking instead.

[email protected]
« Last Edit: March 21, 2013, 02:35:41 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline kimb

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Re: Podiatrist or OS!
« Reply #9 on: March 21, 2013, 04:09:39 PM »
I wouldn't ignore the pain. Pain is there for a reason, and that is to alert us to a problem and stop us from making it worse. You can push through discomfort and typical muscle soreness but when pain is the result of an injury, you shouldn't ignore it or push past it. You only risk further, worse injury.