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Author Topic: Help  (Read 1017 times)

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Offline missy1962

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Help
« on: January 29, 2004, 05:21:29 AM »
I had my knee scoped in Nov 2003.  Torn Meninsuc, MCL repair, tendon and ligament repair and floating pieces removed.  3 weeks after surgery I had no range and had to have a coritzone shot.  I am still having problems, feels like a tight band across my knee and can not bend it all the way.  I have went thru 2 months of surgery.  Doctor has give me the option of giving it more time, living with it as it is or rescoping?  Can any one give me any suggestions??

Offline Heather M.

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Re: Help
« Reply #1 on: January 29, 2004, 06:19:13 AM »
Missy,

You really need to read up on arthrofibrosis (scar tissue), which is probably what is keeping you from bending your knee.  It can happen after a surgery like the one you had.  It can also be very serious if it's not treated properly, so if your doctor isn't being responsive and isn't *very* experienced dealing with this problem, I would strongly suggest seeing another doctor who is.  The kind of problem you have can be reversed if it is treated early and properly, but many doctors have little experience and just put the patient through the standard rehab.  This can make the problem worse.  It's not that they aren't good doctors, it's just that this is a complex problem that does not respond well to standard knee operative and rehabilitation protocols.  Find an expert.  If you do a bit of research on the subject, you will find that suddenly you know more than a lot of the doctors you run across.  It's the strangest thing.  I saw an internal medicine specialist at the Mayo Clinic and he'd never heard of scar tissue causing problems like mine!

Anyway, there are quite a few of us on the board with the same problem.  It sounds like you might have what could be called 'situational arthrofibrosis.'  This means that you developed  a lot of scar tissue because you had a very traumatic surgery and were probably immobilized during the post-operative period.  With proper treatment, you will likely be able to make a full recovery, but the longer your knee stays like it is the worse the risk of bad things happening in the long run (like permanent changes in the knee mechanics--I have this).  So I urge you to read up on arthrofibrosis, scar tissue, adhesions and other topics that you'll find down below in the "Soft Tissue Healing Problems" thread.

Here's an article to get you started.  Don't be alarmed at the medical words--find a good online dictionary (Merriam Webster has one) and look them up, or post questions.  Understand your condition and you will see why living with it or waiting are probably not very good options.

http://www.physsportsmed.com/issues/2001/03_01/eakin.htm

Here is a link that will take you right to the Soft Tissue Healing Problems section.  You will also find lots of references to scar tissue in some of the other sections (like the rehab one and general questions).

http://www.kneeguru.co.uk/cgi-bin/KNEEtalk/YaBB.pl?board=softtissue

Best of luck and post with any questions that you have.

Heather

PS Don't be alarmed by the stories of some of us--we had inappropriate or delayed treatment and ended up with long-term complications.  You should do fine with proper care by an OS who specializes in this condition.  Where do you live?
« Last Edit: January 29, 2004, 06:20:47 AM by hmaxwell »
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
http://www.flickr.com/photos/hmaxwell

Offline missy1962

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Re: Help
« Reply #2 on: January 29, 2004, 03:51:30 PM »
Heather,

Thanks for the info, I live in Southern Illionis.  I feel like my doctor is good doctor, but I will research the links that you sent, of course I have not read the links yet, but did you have to have surgery to correct your problem?  I did have a 2nd MRI done after surgery, infact 2 weeks ago and it did not show anything, but then again my first MRI did not show anything torn.  Thanks again, I will be in touch.

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