Advertisement - Hide this advert





Author Topic: Do osteophytes cause knee pain?  (Read 210 times)

0 Members and 1 Guest are viewing this topic.

Offline reflex_nl

  • Regular Poster
  • ***
  • Posts: 137
  • Liked: 13
Do osteophytes cause knee pain?
« on: March 06, 2019, 06:25:54 PM »
Hi,

After failing to recover from a focal grade 4 cartilage damage to the patella (>1 year), I had MCIC+LR+MFPF reefing done in the UK by Dr. Shetty. After 15 mths of rehab, no improvement, and more pain than I had before. The cartilage didn't restore and only the bone has filled the hole in the patella. They estimated I had 80% success rate of recovery... but no luck for me. Intralesional osteophytes do sometimes occur after an MFX like procedure, but the OS didn't confirm with certainty that they are the cause of my pain.

I can stand/walk/sleep, but no sports, only light cycling/swimming. The constant pain 3 out of 10 starts in the morning and lasts all day. I'm 38 and in (chronic) pain for 2.5 years now...

Does anyone have similar experiences, and is the bone (intralesional osteophytes) the cause of the pain?, any methods to confirm this?

(BTW: they did check on the alignment of the patella, and this seems to be ok)

See enclosed 3 MRI's

from right to left:
- MRI before surgery by dr Shetty (Nov'17)
- MRI 6 mths after surgery (may'18)
- MRI 11 mths after surgery (Nov'18)

« Last Edit: March 06, 2019, 06:27:32 PM by reflex_nl »
RK Patella Luxation in 2000
RK Scope grade 2 damage to patella
RK PT for 4 mths, recovered 90% after 4 years
LK Patella Luxation in Oct'16
LK Scope to remove loose bodies (grade 4) to patella Nov'16
LK Lateral Release + MPFL Reefing + MCIC in the UK Dec'17

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4668
  • Liked: 379
  • Neelie knee!
Re: Do osteophytes cause knee pain?
« Reply #1 on: March 06, 2019, 06:35:44 PM »
They certainly can do.
I recently had some smoothed about in the intercondylar notch. Hoping will help with general discomfort
Unfortunately, they are common alongside arthritis (they form as the knee is trying to heal itself, usually unsuccessfully).
Can the surgeon go back in and shave them off?  Have you tried hyaluronic acid injections too in order to improve lubrication in the joint, just a thought?
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 reflex_nl

  • Regular Poster
  • ***
  • Posts: 137
  • Liked: 13
Re: Do osteophytes cause knee pain?
« Reply #2 on: March 06, 2019, 07:18:01 PM »
Thx for the quick response. If they shave them away... they will grow back as body tries to repair the issue. I did try HA twice, no result...
RK Patella Luxation in 2000
RK Scope grade 2 damage to patella
RK PT for 4 mths, recovered 90% after 4 years
LK Patella Luxation in Oct'16
LK Scope to remove loose bodies (grade 4) to patella Nov'16
LK Lateral Release + MPFL Reefing + MCIC in the UK Dec'17

Offline Vickster

  • Administrator
  • SuperKNEEgeek
  • *****
  • *
  • Posts: 4668
  • Liked: 379
  • Neelie knee!
Re: Do osteophytes cause knee pain?
« Reply #3 on: March 06, 2019, 08:40:03 PM »
Iím hoping they donít grow back... more will possibly come along though!
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