Advertisement - Hide this advert





Author Topic: When to give up?  (Read 899 times)

0 Members and 1 Guest are viewing this topic.

Offline Lofty76

  • MICROgeek (<20 posts)
  • *
  • Posts: 18
  • Liked: 0
When to give up?
« on: January 02, 2015, 07:04:25 PM »
I'm at the point of giving up with my knee problem as it seems no diagnosis is available!

1) pain in left knee in August
2) both X-ray & MRI are clear
3) consultant suggests physio
4) physio#1 diagnoses thickened plica but physio doesn't work
5) same pain arrives in right knee in December
6) consultant agrees to remove plica
7) physio #2 advises against this as suspects tendinitis & pf dysfunction not plica

My pain persists and is preventing me from doing anything any help greatly appreciated as I'm at my wits end!

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4592
  • Liked: 370
  • Neelie knee!
Re: When to give up?
« Reply #1 on: January 02, 2015, 07:10:58 PM »
When you say doing anything, do you really mean anything?  Perhaps try just back to basic physio exercises as advised to keep the muscles working?  What set it all off originally?  How long have you done physio for?

Have you tried a cortisone injection?  Or PRP for tendonitis?  Or even good old anti-inflammatories (either oral or topical), ice and heat?
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 Lofty76

  • MICROgeek (<20 posts)
  • *
  • Posts: 18
  • Liked: 0
Re: When to give up?
« Reply #2 on: January 02, 2015, 11:31:26 PM »
Thanks for the reply vickster.
By anything i mean any form of activity flares my aching knee, simply driving to work or walking up and down stairs or Ben just brisk walking.
My 2nd physio advised against any exercises until the tendinitis inflammation is down via icing 3 x times a day which is where I'm currently at.
Problem is I now don't know whether to have plica removed.
Has plica caused the problem or is plica a result of the problem?
How do 3 x professionals provide different diagnosis makes it frustrating.

What is PRP?

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4592
  • Liked: 370
  • Neelie knee!
Re: When to give up?
« Reply #3 on: January 02, 2015, 11:38:48 PM »
PRP is platelet rich plasma, can be used to treat inflamed tendons.  If in UK, it may not be available to you if reliant on the nhs and it's expensive if having to pay privately

Perhaps you should get a second opinion from an orthopaedic specialist? I think a plica is a cause of knee issues, I don't think it's caused by other knee problems, but look to see if there's informtaion in the info hub

Good luck with getting a solution :)
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 Stuart56

  • MICROgeek (<20 posts)
  • *
  • Posts: 5
  • Liked: 0
Re: When to give up?
« Reply #4 on: January 11, 2015, 09:13:04 PM »
Have you been diagnosed with Patellar Tendonitis / tendinopathy?  If yes, I can provide a detailed rehab programme that will get you well on the way.
Bilateral Patellar Tendinopathy (Tendonitis) since April 2014. Started rehab in October 2014. Stopped due to wrong exercise protocol.
Restarting now with the right protocol in Jan 2015. Going to beat this thing.....

Offline dal_knee

  • Forum Faithful
  • ****
  • Posts: 367
  • Liked: 47
Re: When to give up?
« Reply #5 on: January 14, 2015, 07:39:04 PM »

Have you looked into dry needling??   Please look into this before trying a surgery or expensive PRP.     The good thing about dry needling is that you'll get feedback right away (like 2 sessions), if muscular dysfunction is the issue.     No cartilage or bone issues shown in either MRI or xray leads to the possibility your issue may be related to myofascial or muscular pain.   Anti-inflammatories won't help with that either. 
2007 - partial medial meniscectomy
2010 - full thickness chondral defect & adjacent subchondral edema MFC.   Direct result of stupid partial mensicectomy from 2007.
2014 - Subchondroplasty, chondroplasty, unauthorized 2nd partial medial meniscectomy.
2015 - partial failure of subchondroplasty.