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Author Topic: Knee MRI -Mild thinning of medial femoral articular cartilage  (Read 208 times)

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Offline VenkatS

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Hi Reviewer,
I am having left  knee pain since 3-4 months, it started as a streching in knee and turned into pain.
Symptom is only when there is weight on the knee while walking. I am 91kgs , 43 yrs Male.
Got the MRI done and the Doctor gave some supplements for cartilage and exercises. I asked him if there is any surgery needed and he said no. My pain is still consistent. Any suggestions?

Following are the findings from the MRI Report :
--Minimal joint effusion extending to lateral recess.
--Mild thinning of medial femoral articular cartilage with focal subchondral PD - FS
   hyperintensity.
--Alignment, joint spaces and articular surfaces of the tibiofemoral and patellofemoral joints are
   normal.
--Generalized bone marrow signal intensity is normal. No focal bony lesions could be
  demonstrated.
--Thickness and signal intensity of the articular cartilages of tibia, femur and patella are normal.
--Anterior and posterior cruciate ligaments show normal curvature, thickness, signal intensity and
  fibre continuity.
--Medial and lateral menisci show normal thickness and signal intensity.
--Medial and fibular collateral ligaments show normal thickness and signal intensity.
--Rest of the soft tissues around the knee joint appears normal.
For clinical correlation.

Offline The KNEEguru

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Re: Knee MRI -Mild thinning of medial femoral articular cartilage
« Reply #1 on: June 22, 2020, 11:51:02 AM »
Hi VenkatS
The MRI is not saying a lot - just that you seem to have something active going on, leading to joint cartilage thinning on the inner aspect of the femur correlating with the underlying bone showing some stress, and the knee has produced extra fluid (possibly as a result of the bone/cartilage) issue.

You may perhaps try a few things in addition to the supplements and exercises:
  - orthotic inserts in your shoes to see if a slight change in limb alignment might take the pressure off that area
  - an unloader brace for when you go walking, again to take the pressure off that area
  - losing a bit of weight might help

Not much more you can do, really...
--
KNEEguru

Offline VenkatS

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Re: Knee MRI -Mild thinning of medial femoral articular cartilage
« Reply #2 on: June 24, 2020, 04:19:04 PM »
Thanks, this is very useful review. Will start with the unloader brace.

Hi VenkatS
The MRI is not saying a lot - just that you seem to have something active going on, leading to joint cartilage thinning on the inner aspect of the femur correlating with the underlying bone showing some stress, and the knee has produced extra fluid (possibly as a result of the bone/cartilage) issue.

You may perhaps try a few things in addition to the supplements and exercises:
  - orthotic inserts in your shoes to see if a slight change in limb alignment might take the pressure off that area
  - an unloader brace for when you go walking, again to take the pressure off that area
  - losing a bit of weight might help

Not much more you can do, really...















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