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Author Topic: Botox injection for treatment of patellofemoral pain  (Read 4025 times)

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Offline Clarkey

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Botox injection for treatment of patellofemoral pain
« on: August 21, 2013, 06:14:22 PM »
Hi All,

I have a long history of anterior knee pain in my right knee that's already had a scope to remove the medial plica and trimming of the fat pad that did the trick for the time being and now got similar problems again after a fall on black ice directly onto my right knee in January 2013.

I am seeing Mr Martyn Snow who specialises in soft tissue injuries of the knee and also have PFS as well as maltracking and Mr Snow thinks the fall has not caused the symptoms I am getting that is a pre-existing condition sustained running a 9 mile circuit 3 times a week as I was getting pain back then but not as intense.

My right knee is swollen at the bottom and sore and tender in that region and been told I have very tight quads and an IT band and would benefit from having a botox injection in my right knee that should help loosen the tight muscles and then followed up by intense PT.

My question is has anyone every had a botox injection and was it beneficial for your knee problems as it still very new and not very well known and could it cause more harm than good.

I have had IMS (dry needling) in the past for tight tensed up quads that benefit me and worked well so why did Mr Snow not try dry needling 1st as it more well-known treatment then botox or is it good to try out this method as he highly trained in the USA and likes to try new methods of treatment on his patients.

Here a link to how to Treatment of Patellofemoral Pain!


(g) Botox injections

To paralyse the outer thigh muscles. The role of this treatment is still being investigated.


http://www.wocwa.com/latest-articles/david-colvin/treatment-of-patellofemoral-pain.aspx


[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: Botox injection for treatment of patellofemoral pain
« Reply #1 on: September 06, 2013, 04:16:47 PM »
Hi All,

I did not have a Botox injection after all into my right knee instead I had a Botulinum injection into the right tensor fascia lata that's just below the hip close to the groin that paralyzes and relaxes any tensed up knotted muscles. It is also used for children with cerebral palsy to treat spasticity (tight muscle tone), dystonia (fluctuating muscle tone), drooling or urinary difficulties.

Yesterdays Botox injection went smoothly and arrived at the Day Case Unit just after 7:15am that was already fairly busy with patients and their relatives. I of course stuck to what was said in the letter no food and drink after 12am and only clear water up to 6am that I thought was odd just for a Botox injection to be given a general anaesthetic that I knew was unlikely but was mentally prepared for in case they do and know what it feels like after my exploratory scope in November going under a GA.

I was 1st met by the anaesthetist in one of the offices and was talking about surgery and told him I only having a CT guided Botox injection into my right knee that was mentioned on my covering letter.  I asked him I do I need to go under a GA and said it unlikely just for an Botox injection and suppose he there on standby in case something happened during while having the injection and needed to be sedated.

I then saw Dr Steve James in another Office and told me what he is going to do and that I will be given a local anaesthetic and will not be given a general. The needle would be inserted into the tensor fascia lata and would be given a Botulinum injection and the needle would similar to those used for dry needling (IMS) small and thin and would be given 3 injections in total and then the Botox would be injected. 

I then felt a lot more at ease and more relaxed knowing I be awake during the whole procedure. I was with my Mum in the waiting room area that had only just been newly refurbished 3 weeks ago and the some of the staff were not too familiar yet with the new layout that use to be the outpatients department before the new one opened and is now the reception area for the ADCU (Admissions and Day Case Unit)

A Nurse then called me into another office and took my blood pressure, pulse and temperature and asked me a series of pre op medical questions and then left to be called in by Dr Steve James.

I had to wait till around 10am before I was called into ADCU and had to go into a cubicle and get undressed into a theatre gown and wear surgical pants as I did when I had my right knee scoped. I then was taken by a wheeled bed to the Radiology Department the opposite end of the Hospital and the man that took me there was very friendly and chatting to me. Why I had to be wheeled in as I could have be walked or taken in a wheelchair as it might look odd if I walk in bare feet with a theatre gown through the hospital.

I arrived at the Radiology and X-ray Department and the head nurse said why I was sent from the ACDU as I could have turned up at the Radiology and X-ray Department instead as I could have got changed there instead and they admitted that they sent me the wrong department letter. This would have stopped me from worrying about maybe having a GA if they sent me the right department letter.

I once again was met by the anaesthetist once again and was friendly and easy going and if the worse case scenario was to happen needed a GA I would feel fine safe under his watchful eye as he came across in a positive way. I walked into the room where the CT machine and told to lie down with my leg facing the CT scanning machine and there was a picture of palm trees on the ceiling to look at to that I found was relaxing. What I did not like was the anaesthetic machine on standby that was turned on and must be a standard procedure they go through.

Dr Steve James came into the room with two colleagues and he 1st had to leave me alone for about 10 minutes to scan the top part of my leg to establish were to inject. When he came back into the room he put a cooling liquid just below my hip and some sort of padding over the region to be injected and not sure what it was exactly as I could not see a thing what he was doing. He told me I would be given 3 injections and felt very similar to dry needling with Dr Brown and could feel the needles go in and the felt brief intense pain and after sticking 3 needles into the tensor fascia lata, and finally injected the Botox. It was all over and done and taken out of the CT Room at the waiting bay till I was pick up again by the very nice porter.

I was taken back to one of the wards and was once again had my blood pressure, pulse and temperature and was monitored for around 15 minutes and was give a cup of coffee and two slices of toast. The medical team were excellent and friendly and felt very much at ease. I left just after midday with a slightly saw hip.

I am now waiting for an appointment for some intense physiotherapy at the hospital and hope it solves my right knee problem and can run long distance once 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 Kefu

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Re: Botox injection for treatment of patellofemoral pain
« Reply #2 on: November 20, 2013, 09:44:19 PM »
Let me know how your botox goes. I am also in a similar situation to you, and might do Botox injections in January. Heres a post I have about me for some background information

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=63201.0