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Hi Samiul27, for some reason I'm unable to send you a message via this forum. Anyway, Mr Willis Owen will be able to tell if you have fat pad impingement from an MRI. My fat pad was lit up like a Christmas tree. This was due to the formation of scar tissue following an exploratory arthroscopy 11 years ago which I should never have agreed to. I've had numerous injections in the past but surgeons always refuse to deliver the injection directly into the fat pad due to UK guidelines on how they are supposed to be delivered. Mr Willis Owen understands that in order for the injection to be effective, it needs to be delivered directly into the fat pad. The action of the cortisone will then shrink the fat within the fat pad which will stop it impinging and allow you to get back to your life. I live in Surrey so seeing Mr Willis Owen involves a 4-5 hour round trip journey but it's totally worth it. If your issue isn't fat pad related, I would have full confidence in him finding out what the issue is. He is an elite athlete himself, very personable and you'll feel like you have someone in your corner once you consult with him. I'm so glad I found his details when desperately searching at 3am one morning a couple of years ago. Sorry I can't reply to your message directly. Hope this helps.
How are you getting on now? Hope you're doing better.
Sorry to hear you're struggling with swelling. I'm due to have an arthroscopy to have my fat pad trimmed next week. What's helped me with internal inflammation (no real sign of swelling externally) is wearing an actipatch device https://amzn.to/3uD48K5 I binned the black thing they give you with it and taped it to my knee exactly where I wanted it and left it on for days, just removing it to shower. I also got this https://www.stressnomore.co.uk/catalog/product/view/id/6184/s/handheld-pain-relief-laser-therapy-device-12700/ I'm not sure which one has helped me more, but I think it might be the actipatch. I think I'll know more when I use them post-op. If you want to buy the laser, register on their website, leave it a few days and they start to send you discount codes. My physio has suggested blood flow restriction training post-op to build strength to support the knee. Not sure if you've tried this but it might help you with your recovery. Hope your knee feels better soon.
Just a quick update following my arthroscopy 2 days ago. The suprapatellar plica was somehow involved in the fat pad impingement. I think he said it was tethering it so he has completely removed the suprapatellar plica along with trimming the fat pad on both sides of the knee. Prior to the surgery, we had never discussed the plica. I had the medial plica removed 11 years ago. They grow back. Interesting that your surgeon takes that stance towards their removal. I feel in very good hands with Charles Willis-Owen. He's been in contact by phone and e-mail since the surgery and is also in contact with my physio (whom he suggested as he's had good results with him with fat pad removal patients). He's very keen to give me a good clinical outcome. So different to the surgery I had 11 years ago.