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Author Topic: kneecap sensitivity post knee injury mildRSD?  (Read 6141 times)

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Offline handyman24602

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kneecap sensitivity post knee injury mildRSD?
« on: October 12, 2014, 03:52:21 PM »
I had an bilateral overuse injury in the patella femoral joint 6 months ago aggravated by agressive early physio.

I stopped the exercises and the mechanical pain (walking/going down stairs) went away.

What i am left with is sensitivity in the kneecaps which is variable. The sensitvity is to cloth and cloth friction, such that wearing trousers is uncomfortable, and i can feel the bedsheets on my knees, i will occasionally get resting pain and buzzing/burning on the knee caps.

Whats interesting is that occasionally i will get a heat rash on a kneecap with heat for 30-60mins this might happen twice a day per knee cap or it might not happen for weeks.

This sensitivity has completely dissappeared for 1 week to return and has gone into substantial remission twice before returning. I did use 5 mins of ice per knee + biofreeze each night for month for pain relief and am concered that this damaged the nerves?

A specialist physio says that it is a neural dysfunction that is common in pfps and should go away, she said athough it might seem like a watered down version of rsd it is not.

She reconends letting it settle naturally or alternatively using capsin cream plus cardio to help it on its way. I have held back on the capasin cream because im worried its similar to the biofreeze but am getting desperate.

She is worried that an issue in my lower back might be influencing it ( i have recently developed mild bilateral sciatica).

Any thoughts on this are much appreciated.

Offline handyman24602

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Re: kneecap sensitivity post knee injury mildRSD?
« Reply #1 on: December 18, 2014, 03:43:19 PM »
So It went away (>100%) before returning again with a vengeance last week. Any thoughts on this would be welcome.

Unfortunately it seems I have now developed bilateral sciatica (pain down to feet, sniffness in leg) as well. Is this a form of RSD spread? A separate condition?   

Offline MDAL

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Re: kneecap sensitivity post knee injury mildRSD?
« Reply #2 on: January 13, 2015, 05:13:26 PM »
I am not sure what to say about this... but for a long time I had similar issues...

But I associated those to the actual cartilage damage in the patella... note that this is an inflammatory condition. Damaged zone get irritated with activity, and cause inflammatory reaction to spread all around the knee cap, the all zone feels warm, burning sensations and pain in some cases or last stages... the inflammation also seems to get the nerves in the area hyper-sensitive...

In the early stages it does come and ago... often related to levels of activity (irritation may last a while after some more aggressive exercise).

So I am not sure what it is, but it might be possible that what you are describing is simply the inflammatory condition in general... (don't know for sure),  consult with a few more doctors, get second and third opinions...

Offline schnops

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Re: kneecap sensitivity post knee injury mildRSD?
« Reply #3 on: January 29, 2015, 10:14:17 PM »
Hey there!
 I agree with MDAL that seeing a pain specialist or a neurologist would probably be best.

I had RSD (also called CRPS) after my TTO and from what you are saying I don't think that it is RSD. I'm no doctor though!! RSD presents in many different forms too though so it could be. Usually RSD is a lot more severe, and incredibly debilitating. It usually gets worse with time, has yours gotten any worse? You would have extreme hypersensitivity, discoloration, temperature changes, and intense pain. My guess is that it is your sciatica causing the pain in your legs. You do seem to have some hypersensitivity though and one way that many pain specialists treat that is justly desensitizing it. It's very uncomfortable, but rub whatever irritates it (so for you, bed sheets or pants) for a few minutes. It aggravates the nerves but also trains them to calm down.

Hope I gave some help! Again, I'm not a doctor by any means, those are just what my symptoms were and what worked for me!
Schnops
TTO, LR, arthoscopy, medial tightening R leg -03/'13
Hardware Removal- 9/'13
TTO, LR, athroscopy, medial tightening L leg- 10/'13
VMO advancement, LR, trochleoplasty

Offline TheEbae

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Re: kneecap sensitivity post knee injury mildRSD?
« Reply #4 on: February 19, 2015, 03:55:48 PM »
Hi there!

I had severe CRPS after mismanagement of my shoulder injury 2 years ago. I would say that it is probably not CRPS/RSD if it goes away. My pain would have "good days" but did not go away completely until I was in remission (which I have now miraculously been in for 1 year, thanks to God's provision and integrative medicine!).

My shoulders were very hot to touch, spasming 24/7, insanely sensitive to any material (I lived in a bandeau bra and huge, lightweight athletic wear), red (or purple, depending on the day) all over, and extremely hypertonic. CRPS symptoms can vary from person to person, but I would guess that this is not your problem.

I completely agree with MDAL about a neurologist or pain specialist. Getting a diagnosis and then finding a good PT who has a lot of experience with your injury is key!

schnops is absolutely right about desensitization. It hurts SO BADLY, but is so worth it in the end! I ended up in a pain rehab program (Cleveland Clinic's pediatric program) where they forced me to wear shirts, bras, and gave me a sensory brush (which was pure torture to me!). It hurt so much and was complete agony, but it did start to get better and I am so grateful every time I get dressed! I had lost all function of my arms and shoulders, so getting dressed by myself was a HUGE accomplishment.

Good luck with everything! I hope that this was somewhat helpful!

EBae
~The EBae~

11-12-14 MCL sprain
12-08-14 Plica Syndrome diagnosis
2-24-15 Plica and scar tissue removal surgery
4-20-15 Patellar Tendonitis onset

Offline room101

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Re: kneecap sensitivity post knee injury mildRSD?
« Reply #5 on: January 16, 2017, 01:16:04 PM »
Hi,

I have a similar story with hypersensitivity to clothes and wondering if it is the onset of CPRS.
Another option is disrupted blood flow that can hit hard on the peripheral nerves.
How are you lately?

Cheers!

Offline Jordan1

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Re: kneecap sensitivity post knee injury mildRSD?
« Reply #6 on: April 08, 2017, 03:06:22 AM »
I am not sure what to say about this... but for a long time I had similar issues...

But I associated those to the actual cartilage damage in the patella... note that this is an inflammatory condition. Damaged zone get irritated with activity, and cause inflammatory reaction to spread all around the knee cap, the all zone feels warm, burning sensations and pain in some cases or last stages... the inflammation also seems to get the nerves in the area hyper-sensitive...

In the early stages it does come and ago... often related to levels of activity (irritation may last a while after some more aggressive exercise).

So I am not sure what it is, but it might be possible that what you are describing is simply the inflammatory condition in general... (don't know for sure),  consult with a few more doctors, get second and third opinions...

Hi MDAL,

I have the same symptoms that you describe and have a cartilage defect in my patella. I was wondering if you had an MRI or know if you had any bone stress reactions in your patella?
Left knee Mensicus repair 2005
Left knee ACL Reconstruction 2005
Right knee ACL reconstruction 2010
Right knee ACL reconstruction 2014
Left Knee Scope debridmt (for chronic pain) 2015
PRP Injections & Bone Marrow Stem cell injections to both knees - 2016
Left knee Chronic kneecap pain 2014 - present















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