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Author Topic: no one seems to know the cause of the pain :-(  (Read 34201 times)

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Offline KartBoy

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Re: no one seems to know the cause of the pain :-(
« Reply #30 on: September 27, 2012, 10:25:55 AM »
Good luck with the steroid injection, sounds like it should give you some relief, and either way should help them to get a better idea of what might be behind the pain.
7th Mar 08 - Pedestrian hit by car
10th Mar 08 - TPF (Plate + 6 screws)
12th Mar 08 - TPF Revision
Feb 09: Hardware removed + scope
Jun 10: ACI Stage I
Aug 10: ACI II (Stanmore)
Oct  11 - MRI + Scope (In pain)
Aug 12 - MRI + Scope (In more pain)
Sep 12 - TKR ruled out :(

Offline jasmin1989

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Re: no one seems to know the cause of the pain :-(
« Reply #31 on: October 19, 2012, 07:47:12 AM »
Finally success! I had the injection today. The doc injected straight anasthetic into the skin first (that felt awful!). Then he did the steroid/anasthetic into the fat pad. When I got up I felt like part of my knee was missing. It was a wondering feeling not having any pain. As per what my orthopedic surgeon said to do I tried squats, lunges, jumping, hopping, running on the spot, stairs and there was no pain! But 3 hours later the anasthetic has worn off. fingers crossed the steroids kick in and do their job.

Also at least now the docs and physio can be certain that the pain is coming from the fat pad.
2011
24/4 Hit by a car
10/5 - Surgery 1 plate 11 screws, bone grafts
Started physio, NWB for 6 weeks
21/06 PWB for 2 weeks then increase
start Aug - down to 1 crutch
30/08 - driving again
29/11 - Hardware removal & arthroscopy
18/12/12 - Fat pad debridement & scar tissue removal

Offline PonyExpress

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Re: no one seems to know the cause of the pain :-(
« Reply #32 on: October 19, 2012, 06:40:53 PM »
My fat pad injection has worked since the day it was done :)

That's 3 months ago now, haven't looked back!
19th Feb 2012 Damaged knee falling off horse, banged leg on jump
18th Apr 2012 MRI indicated significant bone bruising
30th Apr 2012 EUA arthroscopy, MUA, MFX medial femoral condyle
17th Jul 2012 Cortisone injection into Fat Pad

Offline jasmin1989

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Re: no one seems to know the cause of the pain :-(
« Reply #33 on: October 20, 2012, 07:23:15 AM »
Hi PonyExpress - so it worked immediately for you? I'm back to pain today, plus it feels all stiff - but was told that can happen.
2011
24/4 Hit by a car
10/5 - Surgery 1 plate 11 screws, bone grafts
Started physio, NWB for 6 weeks
21/06 PWB for 2 weeks then increase
start Aug - down to 1 crutch
30/08 - driving again
29/11 - Hardware removal & arthroscopy
18/12/12 - Fat pad debridement & scar tissue removal

Offline PonyExpress

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Re: no one seems to know the cause of the pain :-(
« Reply #34 on: October 20, 2012, 02:16:06 PM »
Oops! I'd forgotten, it wasn't great for 2 to 3 days immediately afterwards, but from then on inflamation and pain has continued to reduce.

Funny how your memory forgets pain (eventually).

Don't lose hope yet, it's early days x
« Last Edit: October 20, 2012, 02:18:49 PM by PonyExpress »
19th Feb 2012 Damaged knee falling off horse, banged leg on jump
18th Apr 2012 MRI indicated significant bone bruising
30th Apr 2012 EUA arthroscopy, MUA, MFX medial femoral condyle
17th Jul 2012 Cortisone injection into Fat Pad

Offline jasmin1989

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Re: no one seems to know the cause of the pain :-(
« Reply #35 on: October 28, 2012, 12:17:26 PM »
Trying to still stay positive but it's been over a week since the injection and it feels like my knee is worse. It's so achy and stiff (like it's full of glue)

Would love if my knee could be pumped full of anaesthetic again!
2011
24/4 Hit by a car
10/5 - Surgery 1 plate 11 screws, bone grafts
Started physio, NWB for 6 weeks
21/06 PWB for 2 weeks then increase
start Aug - down to 1 crutch
30/08 - driving again
29/11 - Hardware removal & arthroscopy
18/12/12 - Fat pad debridement & scar tissue removal

Offline jasmin1989

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Re: no one seems to know the cause of the pain :-(
« Reply #36 on: January 11, 2013, 05:03:14 AM »
The steroid injection never worked so I opted for a fat pad debridement. Unfortunately, it's now 3 weeks later and it still feels the same. I saw the arthroscopy pictures  and he had to remove sections of scar tissue and the section of the fat pad was inflammed, but the pain is still there when I bend with weight.

He did say the surgery might not work and that the pain could be due to the actual fracture. I saw the image of this and was surprised. The bone on the tibial plateau is all smooth but where the fracture is there is no smooth surface, it's just cracked and bumpy, but nothing else can be done about it.

So it looks like I'm stuck with the pain. I'm going to find out about pain management clinics in the city where I live. Anyone got any experiences with pain management clinics?
2011
24/4 Hit by a car
10/5 - Surgery 1 plate 11 screws, bone grafts
Started physio, NWB for 6 weeks
21/06 PWB for 2 weeks then increase
start Aug - down to 1 crutch
30/08 - driving again
29/11 - Hardware removal & arthroscopy
18/12/12 - Fat pad debridement & scar tissue removal

Offline KartBoy

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Re: no one seems to know the cause of the pain :-(
« Reply #37 on: January 13, 2013, 08:31:15 PM »
I've been to the initial consultation for RNOH Stanmore's pain clinic which if I'm honest was really an assessment of how much pain I was in and a medication review. At the time I was on 5/ 6 Tramadol a day which wasn't enough so they put my on a 5 microgram/hr Bu-trans patche which meant I could cut back a bit on tramadol, the other thing they do is pychiatric, things like group therapy to help you mentally deal better with pain although since I'm already having sessions with pyschotherapist who who's also helping me with depression Stanmore can't to much more.

Personally, don't give up yet on finding a cause, there are lots of people in (not just on this site) in a lot of pain and I think its one area where we as patients need to stop just accepting that they don't know what to do next and insist that they figure something out. I remember talking to one doctor for the purposes of a medical report who had personal experience of extreme pain (for her luckily, short -term, a few weeks) and it completely altered her perspective in regard to patients in pain.

Having now seen the court appointed pain specialist I can now seriously chase the Peripheral Nerve injury unit at Stanmore in the hope that they can make a difference.

Until then, Jasmin & Everyone keep your chin up, life isn't great but its a new year and we are not beaten yet

Andrew
7th Mar 08 - Pedestrian hit by car
10th Mar 08 - TPF (Plate + 6 screws)
12th Mar 08 - TPF Revision
Feb 09: Hardware removed + scope
Jun 10: ACI Stage I
Aug 10: ACI II (Stanmore)
Oct  11 - MRI + Scope (In pain)
Aug 12 - MRI + Scope (In more pain)
Sep 12 - TKR ruled out :(

Offline flatpik6

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Re: no one seems to know the cause of the pain :-(
« Reply #38 on: July 18, 2015, 03:06:45 PM »
Jasmine1989,

Just found this thread and find it closely aligned to my situation. Would really like to know how you are now and if you found any meaningful relief to your pain.