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Author Topic: Old injury severe pain  (Read 639 times)

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Offline Dracneya

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Old injury severe pain
« on: October 06, 2014, 09:41:12 PM »
Hi there, I know the first thing you'll probably say is to see a doctor. I have and I will again but am low on money. I have had 3 x-rays and all had nothing wrong.

So heres what happened: 4 years ago I fell running up some stairs, I hit the metal edge of a stair with my right knee cap. It hit so hard it had a cut. Went to urgent care right away and got it glued up. The whole rest of that day I couldn't bend it. After the injury the drs said not to do anything because nothing bad happened.

Not even a year after that I jury I had problems: I couldn't and still can't kneel on the knee at all, I feel it constantly, not always a pain but I can feel the knee. I have strong pains if I just touch to the right of the knee cap. If I hit it on anything, it hurts for 15-30 mins after.

Sometimes when I straighten the knee out it has a weird cracking sound and dull pain.

Not sure if it's worth going to a regular doctor or if I should see a specialist? I have been told to get an mri: I'd that even worth it? It would cost a lot of money I barely have right now but I will try to get one as soon as possible if it's possible I am damaging my knee more?

Offline Vickster

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Re: Old injury severe pain
« Reply #1 on: October 06, 2014, 09:52:08 PM »
A well regarded knee specialist would make most sense to get an informed diagnosis, and the correct imaging but what will you do with the diagnosis, for example if surgery is suggested? Assuming you aren't insured,it could get very costly, especially some of the more experimental repair techniques.

Does using ice, heat, pain medication help?  Other than knocking it, does anything else aggravate it, any sort of activities?

Bones in the knee once damaged are hard to heal if not a clean break unfortunately. X Rays won't isually show subtle changes in the cartilage on the bones, nor soft tissues, hence the suggestion for an MRI, these aren't perfect either

Good luck with whatever you decide to do?
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 LAS

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Re: Old injury severe pain
« Reply #2 on: October 07, 2014, 04:45:28 AM »
Hi Dracneya:   After 3 x-rays I would not bother with another x-ray and waste your money.   It sounds like you could of damaged the cartilage beneath your kneecap which would not show up on x-rays.  MRI would probably be the next step.  If you don't have insurance or the funds for it, at least get an opinion from a orthopedic surgeon that would advise how to proceed.   If you have pain, can't kneel, and cracking noise, it could be a meniscus tear as well and that can be diagnosed by the specialist on examination.   I don't know where you live or what your situation is  but you could apply for national health care almost anywhere.   Even if you have to wait for a while it would be worth it.  You may want to try seeing a physical therapist for advice and do some PT.   Obviously avoid kneeling and anything that aggravates it.   You could try the elastic  bandage around your knee to see if that helps along with the icing as previously stated.   You say that you have had pain now for four years and yes you can cause further damage to your knee if you don't get the proper treatment.  You can end up with a lifetime of problems if you don't have them already.  So many posters on this site have said "If only".
I understand that insurance and funds get in the way of these decisions but it is worth it. 
I wish you well:   LAS