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Author Topic: Please help, severe lack of information!  (Read 756 times)

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Offline eltoro

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Please help, severe lack of information!
« on: April 28, 2016, 09:19:36 PM »
Hi guys, 
First off I'm so happy to find this site, there's a severe lack of info on knee injuries IMO.
Basically, I'm a 36 yo English guy living in Spain. At home, im a little lazy but I work out in the gym and go swimming at least 3 times a week and I'm in excellent condition for my age..( until now lol ) I smashed my knee 5 nights ago participating in a "zombie survival" event which basically involves running away from zombies so I was giving it some serious welly when I collided with someone running across my path. It hurt like hell in that moment but after a minute I was fine (in retrospect, adrenaline!) I protested my friends but was attended to by the on site first aiders and when I raised my jeans I had 2 pretty deep grazes that i admit looked bad and needed sorting. Still, I was able to limp and I had more or less full movement so I went on my way.
I continued hobbling about for about1.5 hours more but began to lose mobility, fast forward to hospital and  I'm in AnE with the initial bandage really compressing on my now very swollen knee.
X-ray reveals no break however they drained 60cc of blood ( I weigh 67kg) which surprised me but I was so dam happy to feel better :-)
The doctor told me to go to the AnE in my town, ( I was in Madrid and 5 hour journey back to Seville) and have them take a further look.
I did this and the exact words of the nurse were " tu rodillo es jodido" literal translation " your knee is f****d!".  I kid you not lol.
Anyway,  they changed the dressing on my knee and put on a full leg cast which I've had for 4 days now.

My problem is I still have no idea what's going on! They've told me I should be off the leg, raised , ice  etc..and I'm on dexketoprofen for pain and clexane to prevent DVT. They told me in Madrid that my consultation with the traumatologist has to be within 10 days but my appt isn't for another 2 weeks! Shouldn't I have to have my superficial injuries cleaned in case of infection at least? At present the problem appears to be under the kneecap. Basic reflex was fine before the plaster, it's something on the sides/back they said!!?? Man, it's all so vague even my Spanish partner is confused! Lol. The other issue is mobility. I'm an extremely independent person ( I don't live with my partner of over 2 years!) And he has to work so I have to do a lot for my self and I certainly did not do things right the first 24 hours , walking on it, no elevation , no ice,....I'm trying to do things right now but the reality is, I have to do things, food, bath, etc for myself, so how damaging could this be. And is it normal to ache all over and feel so very tired all the time ( considering I haven't actually broken a bone). And finally, does anyone have the foggiest idea as to what I've actually done? That would be a huge help.
Phew, longest thing I've ever posted online. Plenty of time on my hands (certainly none on my feet! )
Thank you in advance x

Offline 01

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Re: Please help, severe lack of information!
« Reply #1 on: April 28, 2016, 10:09:46 PM »
My advice: work hard to get an appointment with a knee specialist ASAP. Two weeks seems like a long time given your symptoms. The fact that one specialist can only see you two weeks from now does not mean a different specialist won't be ready to see you sooner.

If you have suffered a major knee injury, I would guess it's a ligament or meniscus sprain or even tear (simply because these are the most common serious knee injuries and your bones are OK).
04/2016 Denovo NT on LFC/trochlea

Offline eltoro

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Re: Please help, severe lack of information!
« Reply #2 on: April 28, 2016, 10:23:53 PM »
Wow, thanks for the swift reply!  :) . looking around the web,  I would tend to agree with your ideas of the actual problem. I was thinking of taking myself back to the ER as it's  close by and basically waiting until I can see the traumatologist there as I only have the one place which has a wait till10 may and I can't afford private. Thanks very much for your help. Let's see how this turns out .....Spain's not a place to get ill!

Offline Snowy

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Re: Please help, severe lack of information!
« Reply #3 on: April 29, 2016, 09:01:35 AM »
Be careful about jumping to conclusions on the source of the problem...if you took a direct hit on the knee (you described a smash), that's not actually a likely indicator of a meniscus or ligament tear. These tend to result from twisting injuries. I'm no medic and internet diagnosis is a sketchy business at best, but you didn't describe anything that sounded like this. You don't have to break a bone for the knee to be pretty messed up from a hard hit.

That said, there's no point panicking when you don't know what's wrong. Follow the rest-ice-elevation-compression routine, don't do things that increase the pain, and accept that there's a certain amount of uncertainty for the next little while. If the knee feels rotten and this seems too risky, go the ER route. Getting the diagnostics redone if it's still in bad shape is smart - I know of folk who've had patellar fractures that were missed on the original xrays. Don't be afraid to advocated for yourself if you need to - I got a lot of mileage out of what I describe as the "polite pain in the ass" approach, where I just wouldn't let things go until I got a new date or a better answer.

Good luck! I hope you get some answers soon.
Mar 11: R Biceps femoris tear (skiing)
Jul 10: ACLr (hamstring autograft)
Mar 10: L ACL rupture (skiing)
Feb 06: L partial ACL tear (kickboxing)
Dec 03: R bone edema (motorbike)
Jan 01: R patellar chip (motorbike)
May 93: R ACL sprain (hockey)
Ongoing: bilateral PFS and OA

Offline eltoro

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Re: Please help, severe lack of information!
« Reply #4 on: April 29, 2016, 10:21:19 AM »
Well, I'm about to head off to ER to plead my case and at least have the cuts/grazes cleaned and redressed. I'm noticing that the tiredness is after I do anything whatsoever. For example, I went to the toilet at 5am and I felt full of energy but on return to my bed, everything ached and I felt wiped out, like I had done some strenuous activity. It could be related to the meds I guess. I just wish there was more info on what to expect when in a cast. Thanks for the advice. I feel I have a little more control at least now!

Offline eltoro

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Re: Please help, severe lack of information! Update
« Reply #5 on: April 29, 2016, 11:15:53 PM »
UPDATE: So I have spent the day in ER and when I told them about my consultation date, they agreed it seemed a ways away so they took off my cast , which was broken in 2 places due to my lack of proper rest. Took a quick look, movement etc....they suspect ligament but said that I do need to wait till the 10th to get a clearer picture. So back in the cast for another 2 weeks with strict orders to eat better, ie stop doing things! And continue with the anticoagulants and pain meds. I feel better about the situation now and I also have access to the superficial cuts in order to keep them clean meanwhile. I will update anything of interest. Thanks again for all your help