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Author Topic: How much damage have I actually done here  (Read 1741 times)

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Offline jg5118

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How much damage have I actually done here
« on: December 13, 2013, 02:32:50 PM »
My knee started hurting after a training session - kicking and punching at people so lots of jarring of the knees, jumping away from being hit myself. 

I just put it down to the usual aches and stiffness from the training session - which I only have to do every six months - and my knee gradually got a little worse, and then worse

Went to see the GP about six weeks later who referred me to the orthopod.  I had an MRI which the conclusions are as follows:

Subtle bone marrow oedema at the site of attachment of the MCL complex on the medial condyle

1cm mediolateral x 5mm craniocaudal sized outerbridge grade III chondromalacia on the lateral patellar facet articular cartilage at the level of the patellar equtor

Minor proximal patellar tendinopathy

Supra patellar fat pad oedema

Pre patellar bursitis

Minor deep subcutaneous oedema in the anteromedial aspect of the knee to the superficial aspect of the deep fascia.

How much damage have I really done - and what will heal without help, and what needs help (physio, injections, surgery) to eventually heal

Thanks

Judith
« Last Edit: December 13, 2013, 05:42:14 PM by jg5118 »

Offline dm

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Re: How much damage have I actually done here
« Reply #1 on: December 14, 2013, 12:41:31 PM »
"oedema" or "edema" = swelling.  that can resolve itself with time and rest/ice etc.
bursitis can worsen if aggravated, they may recommend ice massage or sometimes a steroid injection if it doesn't improve on it's own. had this once in another knee bursae.
"chondromalacia" is a fancy word for softening of articular cartilage. different docs have different ways to deal with this.

sounds like initially some RICE treatment is in order for tissue swelling, and then decide from there. Doesn't seem like you really tore anything bad from what I understand, but it's of course what the docs say that count. I'm no doc, just been through a lot myself.
multiple arthroscopies 2/00,3/01,6/01,1/03, 12/07,10/10. chondromalacia, severe medial joint space narrowing following 3 partial menisectomies, chronic pain problems, kneecap problems, OCD lesion, failed mfx.

Offline jg5118

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Re: How much damage have I actually done here
« Reply #2 on: December 15, 2013, 09:47:19 AM »
Thanks - Dr doesn't want to do anything - said it would resolve 6 - 8 weeks after I injured it - and that was at 7 weeks...

Offline bispo007

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Re: How much damage have I actually done here
« Reply #3 on: December 15, 2013, 11:59:58 AM »
You should get a second opinion from another Drº
March 2013 - ACL rupture and meniscus tear

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Offline vickster

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Re: How much damage have I actually done here
« Reply #4 on: December 15, 2013, 01:31:14 PM »
I believe bone marrow oedema is another name for a bone bruise.  These are nasty and can take at least 3-6 months to resolve, indeed up to 12.

The other soft tissue swelling and inflammation will also need time to settle - physiotherapy with good sports physio should help but will take time.  In the meantime, talk to your doctor about anti-inflammtory medications and try to ice the knee a couple of times a day for 10-15 minutes to help the inflammation too

It doesn't sound like anything needs surgery, just time, so not sure what a second opinion would achieve

Knee injuries, even if they seem straightforward, often take months to resolve rather than weeks and need rest.  All very much depends on the individual too.  Have you seen improvement with rest in the 7 weeks?  If getting worse despite conservative measures, then it may be worth a trip back to the specialist

Good luck :)
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline jg5118

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Re: How much damage have I actually done here
« Reply #5 on: December 15, 2013, 10:25:36 PM »
I'm lucky that my local hospital is the Royal National Orthopaedic Hospital so am seeing one of their consultants (via private cover) - I trust their opinions as these are the top guys in the country.

I don't get much of an opportunity to just rest up - although I haven't exercised properly since I've done it.  I'm not a runner or cyclist I tend to swim instead.  However, my strongest stroke is breast stroke so not stressing it doing that.  I had shoulder surgery last May, so not too keen on doing freestyle and putting too much stress on shoulders. 

It's the right knee, and even driving - with foot on the accelerator is painful on the knee. 

I've now seen a physio, and he said I should have gone into a knee brace at the beginning (my fault for not doing anything for 6 weeks) - and we'll see how it all works out


Offline vickster

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Re: How much damage have I actually done here
« Reply #6 on: December 15, 2013, 10:33:04 PM »
Sounds like you've got it all covered, just try to avoid anything that hurts and all will be fine .  You may have prolonged the healing but probably not by too much:). What does the physio think the brace would have helped?

I was treated up at Bushey for a bit too, they know their knees pretty well
« Last Edit: December 15, 2013, 10:56:07 PM by Vickster »
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline jg5118

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Re: How much damage have I actually done here
« Reply #7 on: December 17, 2013, 11:16:40 AM »
The physio thinks a brace would have helped the MCL damage that was done along with the bone bruise. 

I did phone the Bupa advice line about 2 weeks after I did it, and they told me to see my GP the next day - as I'd only just started a new job, it took me another 2 weeks to see the GP...  The chap on the Bupa advice line also suggested I should wear a knee brace, just from how I was describing my symptoms.

I probably haven't helped myself in any of this.

And yep, I also go to Bushey - on a Monday evening to see Mr P

Offline vickster

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Re: How much damage have I actually done here
« Reply #8 on: December 17, 2013, 11:41:40 AM »
Didn't see mention of mcl. Think brace quite standard for that.
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone















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