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Author Topic: Unusual pain after dislocation - accident and emergency  (Read 1078 times)

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Offline lbest

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Unusual pain after dislocation - accident and emergency
« on: April 11, 2013, 05:09:05 PM »
Hi everyone, I hope your all well.

I suffer from a very unstable left knee cap which dislocates regularly, I've had 4 dislocations in 9 days. However I had a dislocation last night but now I have an unusual sever pain down the inside of my left knee, it goes around the side of my patella and right down my leg. I can't get a hold of my physiotherapist and can't get an appointment with my doctor until tomorrow and normally when I go to a and e it is a waste of time as they are not at all familiar with the surgery I've had previously and do not have my notes as my previous surgery was done at a private hospital rather than an nhs hospital.

I normally get severe pain after a dislocation but this pain feels different. After I dislocated I heard a popping sound which I don't normally hear. Does anyone have any ideas? I'm thinking a trip to A&E may be on the cards but want to try and avoid it if I can.

I'm completely non weight bearing now after my last dislocation but I do normally part weight bare wi the help of 2 elbow crutches which I've used for the past 14 months due to 3 lots of surgery, the dislocations and constant pain with RSD.

Ay thoughts or ideas would be most welcome!

Take care, x

Offline Snowy

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Re: Unusual pain after dislocation - accident and emergency
« Reply #1 on: April 12, 2013, 07:53:27 PM »
I think you would be better off getting checked out sooner rather than later. The popping sound and pain suggest that a ligament may have torn. Hopefully not, but definitely better to have the knee evaluated so you know what you're dealing with.
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline lbest

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Re: Unusual pain after dislocation - accident and emergency
« Reply #2 on: April 12, 2013, 08:30:16 PM »
Hi snowy thanks for your reply. I went up to hospital today to get it checked out. The doctor didn't examine or xray it at all. She said it was far too complex an issue for a and e to deal with. She told me to put my immobiliser brace on and increase my oxycontin and then sent me home. I thought it may have been a damaged ligament too but she just said they didn't know how to deal with it.

Thanks for your reply :)

Offline Vickster

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Re: Unusual pain after dislocation - accident and emergency
« Reply #3 on: April 12, 2013, 08:43:52 PM »
Have you tried phoning your private surgeon's secretary, she should be able to access your notes - were you seen at the private hospital as an NHS or private patient?  If the latter, you should be able to see the surgeon fairly swiftly I would think...or get a follow up on the NHS fairly soon as an emergency.  Was the A&E not able to get hold of the on call orthopaedic team?

Hope you manage to get hold of someone who is familiar with your case after the weekend :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
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LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline lbest

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Re: Unusual pain after dislocation - accident and emergency
« Reply #4 on: April 12, 2013, 09:17:04 PM »
Hi bickered, at the moment I don't have a surgeon as my surgeon discharged me a few weeks ago basically telling me that there is nothing more he can do and I will have to live with it like this as he's not prepared to operate due to the amount of surgery I've had 7 ops all together and also because of the reflex sympathetic dystrophy.

My physio is trying to find me another consultant, I have seen 5 already, but no one is prepared to take me on as a patient as my knee is so complex so I'm looking at options of travelling. I was seen at a private hospital as a private payment and seen the top specialist there, therefore the other surgeons won't deal with me now so I'm looking at going to a bmi hospital in Harrow or the fortius clinic in London.

Today she said that there wasn't anything at all the orthopaedic team could do as I initially seen then with my injury and again they said there's nothing they can do at al and will have to wait until I'm older to get a knee replacement, at the moment I'm only 27 so have quite a wait as they said they can't give me this just now as I will outlive 2 replacements. My physio feels this would be the best option total replacement as just now I'm having very frequent dislocations and am constantly on crutches.

Hopefully I will find a surgeon soon. I've been online doing some research tonight and a few specialist names have popped up so I'm researching this now. What an exciting way to be spending my Friday night lol

Thanks for your reply vickster :)


Offline lbest

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Re: Unusual pain after dislocation - accident and emergency
« Reply #5 on: April 12, 2013, 09:18:30 PM »
Vickster not bickered! Silly predictive text! Sorry about that :)

Offline Snowy

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Re: Unusual pain after dislocation - accident and emergency
« Reply #6 on: April 14, 2013, 04:16:36 AM »
I'm really sorry you didn't get more help from A&E. Even if your knee is complicated, you'd think they would have at least tried to investigate the source of the new pain. At least the advice they gave isn't inappropriate for managing a ligament injury, but it's not very helpful in the long term.

I'll keep my fingers crossed that you manage to find a specialist who's willing to take on your case and help you find a solution. "Living like this" is something that's very easy for someone who's not actually living like it to say. It's not so easy to do.
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA















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