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Author Topic: Ligament damage or meniscus injury?  (Read 1010 times)

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Offline Purple Butterfly

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Ligament damage or meniscus injury?
« on: January 15, 2014, 07:34:53 PM »
Hi there,

I have a knee injury which occurred two months ago and despite seeing my doctor, two physios and an osteopath, I still haven't really got an answer as to what it is. The pain is on the outside of my right knee and initially my physio thought it was damage to the LCL, but now she thinks it could be a meniscus injury as it's not responding to the exercises I've been given.

I hurt my knee whilst hiking. I feel over and then had to walk down numerous steps to get back to my hostel. My knee was sore but not unbearably so. I went on another walk the following day which involved several steps, and after this the pain became horrendously bad to the point where I couldn't bend my knee. After RICEing the injury I saw a physio who thought it was my IT band and suggested using a foam roller and doing glute strengthening exercises. She said I would be fine in six weeks.

The pain had subsided before, but came back when I did these exercises. A second physio thought it was the LCL and gave me some different exercises to do. These helped and I thought I was getting better. After six weeks I tried a gentle walk and the pain came right back, along with swelling and a feeling of instability. The physio now thinks it could be a meniscus injury. My doctor examined me today and still maintains it's the LCL.

I am feeling confused and a bit desperate as I'm getting conflicting opinions. And I'm back to feeling how I did eight weeks ago when I first injured myself. This injury doesn't seem to be healing. Can anyone shed any light on this? I'm an active person so not being able to do any of the hiking or running I used to do is really getting me down.  Many thanks.

Offline vickster

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Re: Ligament damage or meniscus injury?
« Reply #1 on: January 15, 2014, 10:52:20 PM »
Have you had an MRI scan, although not 100% reliable especially with meniscus tears, they are certainly a useful tool if the diagnosis is not clear cut or the injury isn't reacting to management as expected.  It may show nothing, nothing new, or something, at least you'll have a better idea

I'd request one in the hope that it clarifies the situation.  It does need to be read by a specialist radiologist trained in reading musculoskeletal images (especially knees)

Knee injuries can be slow to heal, if you are seeing improvement then that's a good sign

Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Purple Butterfly

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Re: Ligament damage or meniscus injury?
« Reply #2 on: January 16, 2014, 11:10:18 AM »
Thanks for the reply. I've just been for an x-ray this morning which was suggested by my doctor. She didn't mention an MRI. Should I suggest this myself? I'm surprised she didn't mention it as it sounds like a good idea. I guess if I can at least get a proper diagnosis that would be good.

I'm worried because I was experiencing a definite improvement until I went for a walk and now my knee feels as bad as it did four weeks ago. It feels like a really bad setback.

Offline vickster

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Re: Ligament damage or meniscus injury?hat
« Reply #3 on: January 16, 2014, 01:13:17 PM »
What country are you in? If the uk, my understanding that if an nhs patient, only a specialist can refer for MRI. It may be area dependent though. You can pay out of pocket, cheapest around 200, up to 600+ depending on location. If the X-Ray is inconclusive or if gp doesn't suggest it, ask to be referred to an orthopaedic surgeon. Should be seen within 18 weeks I think.

Of course, if not in uk, the system could be very different!

Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Purple Butterfly

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Re: Ligament damage or meniscus injury?
« Reply #4 on: January 16, 2014, 02:15:12 PM »
I'm in the UK. My doctor did say that she's going to refer me to an orthopaedic doctor, so I guess I'm on the right track. I will ask about the MRI and see what they say. Thanks for your help!

Offline vickster

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Re: Ligament damage or meniscus injury?
« Reply #5 on: January 16, 2014, 02:26:06 PM »
Cool.  Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up















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