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Author Topic: 12yrs old and lateral pressure syndrome  (Read 1443 times)

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Offline redd_angel

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12yrs old and lateral pressure syndrome
« on: November 28, 2014, 12:14:59 PM »
Hi everyone, this is a bit of a long story, so please bare with me!
3 years ago, my then 9yr old daughter came out of her dance class complaining of pain in her left foot (knee problem to follow!). I thought it to be a dance related injury, so the usual R.I.C.E. treatment, but the pain remained. To cut a very long story short, we saw several GP's and one paed OS. She was diagnosed with having an extra navicular in her foot. Acording to all of them it's common and shouldn't cause any pain....but it did! She had several insoles, numerous physio session ect ect ect , but the pain stayed the same!
Earlier this year, I made another appointment for the OS and told her I will not leave the office until a solution is found. I demanded to hear the options left to rid her of the constant pain.
Two options:
a) cast the foot/leg for 6 weeks in the hope it will fuse
b) surgery to screw/fix the "floating" bone to the ones underneath
Thankfully, the cast was successful! Only took 2 1/2years!

Now to the knee problem:
Roughly after 2 months of being pain free, at dance again, my then 11yr old daughter said her right knee was hurting  :-\
Through the usual channels again, saw the above OS, she had x-rays and nothing was abnormal. I paid for private physio as the OS  mentioned the pain could be muscular. She had physio all summer but the pain remained.
By recommendation of the Physio, we then saw a knee specialist, who ordered a MRI. We found out while visiting A&E because she was in so much pain, that it's lateral pressure syndrome. I don't know yet what treatment the Consultant is going to advice as we are not due to see him til next Tuesday.

Now my opinion is, because it took so long to fix my daughters foot, she now has this knee problem. I suggested this to both my GP and the Consultant, but they both said denied the connection.
My daughter over-compensated for her foot pain for 2 1/2yrs and in my eyes, my suspicions seem valid!
I would love to hear your opinions please!
« Last Edit: November 28, 2014, 12:18:54 PM by redd_angel »

Offline Scubagrl4

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Re: 12yrs old and lateral pressure syndrome
« Reply #1 on: November 30, 2014, 04:35:27 AM »
I think it's possible one could cause the other, especially with your daughter still growing during this time. If she was in a cast for 2.5 years while growing, I would imagine other parts of the body would have to compensate somehow. I would imagine you are both very frustrated to be facing another injury after waiting so long to get over the foot problems. I'm really sorry to hear that she has to deal with all of that at such a young age :(
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biopsies.
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10/19/15: LOA/air, PLM, chondro, synovectomy, med/lat releases

Offline redd_angel

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Re: 12yrs old and lateral pressure syndrome
« Reply #2 on: November 30, 2014, 09:52:11 AM »
Thank you for your reply!  :)
She wasn't in a cast for the entire 2.5yrs. The entire foot issue took that long to solve and it was a 6 week cast that finally sorted it. She was however limping and therefore in a non natural body position for that long! Annoys me even more to think that something so simple and non invasive did the trick. I fully understand that different things would be tried, but if they don't work, they have to look at the remaining options.
We are due to see the Knee Specialist this coming Tuesday and I guess I will have to demand quicker solutions/treatment options this time  :-[

Offline Clarkey

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Re: 12yrs old and lateral pressure syndrome
« Reply #3 on: November 30, 2014, 01:40:25 PM »
Hi redd_angel,

Maybe for the time being your daughter could have a gait analysis assessment done to access her posture and foot arches to see if there are any signs of a slightly flat foot that can contribute to the knee pain that I am sure you have already done. PFS and maltracking can also be a common problem amongst adolescents with females in particular at a higher risk of developing joint problems at an earlier age.

I know the above might not be specifically related to your daughters current knee problem, so seeing a paediatric OS is the next course of action that you already pre arranged.

Good luck, hope you can get your daughter can get her knee and foot problems sorted soon!

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« Last Edit: November 30, 2014, 01:44:33 PM by Clarkey »
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline redd_angel

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Re: 12yrs old and lateral pressure syndrome
« Reply #4 on: November 30, 2014, 08:17:44 PM »
Hi Clarkey,
my daughter has got slight flat feet. This was thought to be the cause of her foot pain to start with, hence the insoles. Thanks for pointing it out again though, as I totally forgot about it!  :)

Offline Clarkey

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Re: 12yrs old and lateral pressure syndrome
« Reply #5 on: December 02, 2014, 05:26:04 PM »
Hi once again,

I am glad that I pointed out something that can easily be forgotten when you are stressed out when your own child health is not 100% things slip your mind a lot more easily that is perfectly normal during stressful circumstances.

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RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming