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Author Topic: MCL ...or not?  (Read 237 times)

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Offline Kie_hutch

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MCL ...or not?
« on: June 04, 2020, 08:10:34 PM »
Hi all,
I tweaked mcl in a 50/50 challenge around 7 months ago. Physio said I had a grade 1 mcl sprain. After following the guidelines (strengthening, cycling, cross trainer after a bit of rest) it settled down but then pretty soon pain returned. been very up and down since then and a recent mri has detected no significant injury to the mcl. so now I am confused as the pain can range from very mild to more severe. Has anyone had anything similar? Tried strengthening hamstrings, glutes and also had large stages where I literallynhavent done any exercise. Been extremely patient and cautious.The pain is exactly where the mcl is and hurts more when weight bearing (walking) so I think that may rule out nerve damage. HELP please. Like many of you will, I struggle massively mentally when I'm unable to exercise. Cheers, kieran.
« Last Edit: June 04, 2020, 08:26:24 PM by Kie_hutch »

Offline Vickster

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Re: MCL ...or not?
« Reply #1 on: June 04, 2020, 08:34:07 PM »
Did the MRI show anything else?
When did you last see the physio? What have they said.?
Have you seen a knee specialist?
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 Kie_hutch

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Re: MCL ...or not?
« Reply #2 on: June 04, 2020, 08:44:19 PM »
 Thanks Vickster for reply. MRI showed nothing else significant. Havent seen physio since this pandemic but in constant contact and he still thinks its mcl issue. It's just very confusing then up and down nature of it after 7 months. I havent seen a knee specialist. Do you do that through doctors? Because I can still walk with it, and mri showed all major structures are fine, they dont seem to be too interested but obviously I still cant do the things I love.

Offline Vickster

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Re: MCL ...or not?
« Reply #3 on: June 04, 2020, 09:17:06 PM »
Yes, assuming youíre in the UK, youíll need a GP referral for a knee surgeon. I donít think NahS physios can refer to NHS surgeons
 If you go private, it may easier, the physio can probably refer, although if using private insurance, the provider may ask for a referral

A letter from the physio plus the MRI disc and report would be beneficial to have
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 Kie_hutch

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Re: MCL ...or not?
« Reply #4 on: June 04, 2020, 09:24:20 PM »
A surgeon!? The radiologist said the mri scan results ruled that out. What's your thinking behind seeing a surgeon may I ask?

Offline Vickster

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Re: MCL ...or not?
« Reply #5 on: June 04, 2020, 09:44:46 PM »
Knee specialists in the UK are orthopaedic surgeons. Obviously, not all injured knees need surgery obviously, but they are the experts in diagnosis.

What does your physio suggest given itís still not better 7 months after what seems a minor injury. A fresh pair of eyes can be invaluable

Did the radiologist definitely rule everything else out? Even getting a fresh pair of eyes over the MRI images can be invaluable.
Iíve personally had several diagnoses from orthopaedic specialists that the radiologist hasnít picked up as they new what they were looking for based on history and thorough examination, which the radiologist doesnít have the benefit of, they just have the images
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 Kie_hutch

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Re: MCL ...or not?
« Reply #6 on: June 05, 2020, 09:54:41 AM »
Thanks again I will try and get through to orthopedics through my gp doctor.

Physio still thinks its tendons and mcl issue but like you say...7 month is a long time.
















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