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Author Topic: knee injury - any help?  (Read 990 times)

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Offline Ruthg

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knee injury - any help?
« on: August 03, 2004, 03:47:35 AM »
11 months ago, I fell over onto concrete and landed heavily on my left bent knee.  My jeans protected the skin so I only had a small graze.  I had no external bruising and no swelling.  Since then, I have had no impediment to walking or running, but cannot kneel on the knee - I get a very sharp pain which is actually just below my kneecap. It is not possible to bear with the pain and continue trying to kneel, and I have to get off immediately.  I also get a similar pain if the area is knocked acxcidentally,  and cannot wear anything tight eg lycra tights over the area either.  

I saw the doctor 6 weeks after the injury and was told was probably a soft tissue injury -I found this difficult to uinderstand as the pain was so acute and so localised.  I returned after 3 months - same story.  After 8 months I was referred for XRays - which I am told are "normal".

 I am 38 yrs old and have young children - to be unable to kneel is a real hindrance.  I am also a regular churchgoer, which also causes me problems!  Can anyone give me any idea about how to tackle this now, as I can't just accept it will stay like this now, or can't believe that 11 months on, when the pain is nearly as bad as the first week I did it that it is going to get better on its own!
Any help gladly appreciated.
Ruth

Offline Janet

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Re: knee injury - any help?
« Reply #1 on: August 03, 2004, 05:55:41 AM »
To have continued pain after all this time means something must be going on in your knee. What kind of doctor did you see? You need to see an orthopedic surgeon who specializes in knees. You deserve a second opinion. Don't let anyone get away with telling you nothing is wrong when you have continued pain.

Janet
Torn quad tendon repair & VMO advancement 4/99, MUA with LOA 10/99, Patella baja and arthrofibrosis, LR & medial release & LOA 5/01, LOA & chondroplasty 6/03,TKR on 11/06, MUA 12/06. From perfect knees to a TKR in 7 years, all from a fall on a wet floor...and early undiagnosed scar tissue.

Offline Ron22

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Re: knee injury - any help?
« Reply #2 on: August 03, 2004, 09:34:55 PM »
Hi Ruth....i agree with the previous post...if sounds to me like they have not given you a formal knee examination...an orthopedic surgeon will examine the knee, squeeze, bend, it ask very specific questions and attempt to properly diagnose the problem from a stability, swelling, and tracking perspective....from there x-rays and an MRI may be suggested.....sometimes they use "soft tissue injury" as a catch all to a non specific injury or one that is not diagnosed especially if this is a primary care doctor as opposed to an orthopedist....if you're having difficulties kneeling and fairly constant pain that's usually an indicator something is going on...however some minor sprains or partial tears w/out complete separation can heal w/out surgery thru therapy, rest and/or specific excersises.....I've had 5 surgeries on my rt knee/hip and have had the acl, mcl.medial mensicus, lateral meniscus repaired and/or removed as well as a bone graft and a screw implanted ...and 2 vascular surgeries on that same leg..that said, i unfortunately have a lot of experience and knowledge of the knee and surgery/treatment :)....pls let me know some more specific info on how you feel and what kind of dr. this was and how he examined you and what he said...all of the folks here are in the same boat and tend to become self educated on the knee and treatments...we're here to help.....and share our experiences and knowledge..

reply in this space if you have more questions and i'll be glad to help in any way i can

cheers,

ron
Surgery #1 ACL/LR/Mdl Mesniscus
Surgery #2 Vascular Repair
Surgery#3 ACL/Ltl Mesniscus/MCL
Surgery#4 Vascular Repair
Surgery#5 Maquet/Bone Graft/Screw/LR/ACL
Arthritis/Knee/Hip
Necrosis/Hip
PFS/Chronomalacia
RSD
Vascular Issues
All on Right Leg

Offline Ruthg

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Re: knee injury - any help?
« Reply #3 on: August 03, 2004, 10:53:00 PM »
Thanks for replies.  I have only seen GPs and XRay - 2 GPs have said not worth referring to specialist... >:(

I am very ignorant about structure of knee  :-[ so am looking for ammunition I can use in next visit to GP.  The actual area of pain is approximately 11cm down lower leg when knee is bent at rightangle and moreorless central, though feels numb to outside of leg.  |There is a slight indentation on the left leg at this point compared to right but then both my knees are quite naturally nobbly!  I think problem is they're looking at my knee, whilst perhaps problem is actually outside of working mechanics of knee.  All I can think of doing is going to GP with large black "X marks the spot" so at least they can find the correct area!  Any other help much appreciated!

tia

Ruth

Offline Nettan

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Re: knee injury - any help?
« Reply #4 on: August 03, 2004, 11:56:45 PM »
Hey Ruth !!

Don't give up continue struggling. A GP isn't that a general doc not specialized on anything ? In that case if you have done x-rays how can he/she say that's nothing wrong ? I mean come on when having damages like this on knee you need a ortopeadic surgeon take a look at the x-rays. I've never seen a doc not specialized who has looked at my x-rays only orthopeadic surgeon has done that. Maybe you also need to do an Mri.
You have us here whenever you need support. Try to see and othopeadic surgeon. Wish you best of luck.

Hugs nettan  ::)
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline Heather M.

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Re: knee injury - any help?
« Reply #5 on: August 04, 2004, 12:30:25 AM »
A GP is not qualified to make or rule out a diagnosis on knee conditions any more than he is qualified to definitively diagnose and treat cancer patients!  You have to see a specialist--an orthopedic surgeon, preferrably one with a specialty in sports medicine.  

Check with your insurance company.  If you are in the US and on PPO plan, you usually do not need the GP referral.  If you are on an HMO plan, you often do need a GP referral.  In that case, you must either convince the GP that he/she is in over his/her head, or that since the problem is not getting better with the GP's help you need to see someone who can make a diagnosis and can make your knee better.  I want to prepare you...if you are in an HMO for insurance, the GP may refuse to send you on.  It's very frustrating, and then you have to appeal.  I actually got my GP to refer me, but I went to see the OS (orthopedic surgeon) and he said that if I had pain while running, hiking, working out and walking my dog that I shouldn't do those things...not very helpful!  So I paid for an out of network consultation (about $150) and saw the best orthopedic surgeon in the city.  He immediately knew what was wrong, and then did an MRI to confirm--his diagnosis was correct and I had surgery about 7 days later.  

Your best bet is to inform yourself about the procedures for your particular state and insurance company.  Almost every plan, no matter how restrictive, has the option for patients to appeal whatever decision their GP makes.  It seems crazy to me that you've been having trouble this long and that no diagnosis has been made--worse, you haven't been referred to a person qualified to make a diagnosis.  I saw an internal medicine specialist from the Mayo Clinic because when you want to see an OS there you have to go through a GP or IM doctor first.  The man knew *nothing* about my condition and had never heard of the type of problem that I had.  He handed me off to the specialist with a sigh of relief.  

In my humble opinion, GP's have little business treating and diagnosing knee problems!  It's fine for them to recommend NSAIDs and some rest to see if the condition improves--maybe for a month or two.  But after that, I believe they have reached the extent of their expertise.  If the network requires a referral from a GP, s/he should not stand in the way of the patient getting a proper diagnosis and help for the problem!  An x-ray is only going to tell you if you have BONE problems or arthritis.  An MRI should be used when the x-ray is clear and the patient continues to have pain!  Additionally, I would have the x-ray read by an OS, because he/she may see stuff the GP missed....

Heather
« Last Edit: August 04, 2004, 12:31:01 AM by hmaxwell »
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
http://www.flickr.com/photos/hmaxwell

Offline Ron22

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Re: knee injury - any help?
« Reply #6 on: August 04, 2004, 04:14:11 PM »
hi ruth,

how are you...i hope you're able to get to an orthopedic surgeon to properly diagnose this...i read your reply it could be a variety of things......i won't even attempt to speculate...however...in order to give you "ammo" as you requested...tell the doc that the pain is keeping you from necessary daily activities as an active mom..and climbing stairs.....walking.....sleeping..etc are tough...also your range of motion and stability are hampered...it has not gotten any better so you'd like  to take the next step and have an ortho properly evaluate you for the next step to healing....hope this helps..let me know if i can be of any help ..we're all here for you..

cheers,
ron
Surgery #1 ACL/LR/Mdl Mesniscus
Surgery #2 Vascular Repair
Surgery#3 ACL/Ltl Mesniscus/MCL
Surgery#4 Vascular Repair
Surgery#5 Maquet/Bone Graft/Screw/LR/ACL
Arthritis/Knee/Hip
Necrosis/Hip
PFS/Chronomalacia
RSD
Vascular Issues
All on Right Leg















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