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by The_KNEEguru
Wed Feb 21, 2024 11:24 am
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: Anakinra injection
Replies: 14
Views: 4260

Re: Anakinra injection

I am sorry you have had no responses. A previous academic contributor on KNEEguru, Sebastiano Nutarelli, has set up this organisation in Switzerland - https://www.eukafcenter.ch/ and to which I am giving you the link in case their people can give you some insight into the use of Anakinra...
by The_KNEEguru
Wed Feb 21, 2024 8:34 am
Forum: General rehab issues and pain problems
Topic: MPFL repair,lateral release, Patella alignment 284 days ago
Replies: 9
Views: 61

Re: MPFL repair,lateral release, Patella alignment 284 days ago

From this paper https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445108/ one reads that "despite the widespread use of PRP in muscle strains, tendinopathy, and ligament injuries, and as surgical adjuncts to rotator cuff repair, ACL reconstruction, and meniscal and labral repairs, research on its c...
by The_KNEEguru
Tue Feb 20, 2024 8:00 am
Forum: General rehab issues and pain problems
Topic: MPFL repair,lateral release, Patella alignment 284 days ago
Replies: 9
Views: 61

Re: MPFL repair,lateral release, Patella alignment 284 days ago

That is helpful for us to understand your story. It is indeed strange that your MPFL tore in the absence of a patellar dislocation, so I did a brief scan of the available online literature. This paper - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6811746/ - "Local controlled release of cortico...
by The_KNEEguru
Mon Feb 19, 2024 9:09 am
Forum: General rehab issues and pain problems
Topic: MPFL repair,lateral release, Patella alignment 284 days ago
Replies: 9
Views: 61

Re: MPFL repair,lateral release, Patella alignment 284 days ago

Hi @CustomPaint89 I see this is your first post. Clearly you had some incident before this surgery, possibly a patellar dislocation event/or events? If you are able to edit your 'Signature' in your 'Profile' here, you will be able to give dates/events/procedures so that others reading your post will...
by The_KNEEguru
Sat Feb 17, 2024 8:44 am
Forum: Ruptured patellar tendon or ruptured quadriceps tendon
Topic: Recovery - suggestions !
Replies: 2
Views: 39

Re: Recovery - suggestions !

That was a major injury, and you may have some scar tissue behind the tendon? This paper talks about a re-rupture https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439322/ but I am just pointing out that during the second surgery the surgeon who published that paper found - ...dense adhesions from the p...
by The_KNEEguru
Sat Feb 17, 2024 8:31 am
Forum: Cruciate ligaments
Topic: Recent ACL tear
Replies: 2
Views: 29

Re: Recent ACL tear

Hi
I think you will find lots of help with exercises in this 'course' by a physiotherapist - /KNEEnotes/articles/general-articles/20 ... acl-injury
by The_KNEEguru
Sat Feb 17, 2024 8:10 am
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: Immobile fat pad and unable to walk. What do I do next?
Replies: 40
Views: 9296

Re: Immobile fat pad and unable to walk. What do I do next?

The Hoffa fat pad can be very problematic once damaged. It contains a lot of nerves, and once it is damaged it swells and impinges and gets more damaged. This paper gives an overview of management options - https://www.ncbi.nlm.nih.gov/books/NBK589637/ - but it must be so hard to decide where to go ...
by The_KNEEguru
Thu Feb 15, 2024 9:23 am
Forum: Imaging (MRI, X-rays, CT etc) and other investigations.
Topic: I am the new guy
Replies: 1
Views: 203

Re: I am the new guy

You are new to the forum. Do you have a story to share?
by The_KNEEguru
Thu Feb 15, 2024 9:19 am
Forum: Cruciate ligaments
Topic: Total Knee Replacement an amputation?
Replies: 1
Views: 28

Re: Total Knee Replacement an amputation?

You are completely correct. There is no going back to your own knee after a TKR - if all goes well, that is great - but even then a high percentage eventually need to undergo a revision of the procedure because of loosening or other factors, so you are forever tied to a surgical team. The very high ...
by The_KNEEguru
Thu Feb 15, 2024 9:12 am
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Is ultrasound guided injections of lidocaine available in UK?
Replies: 1
Views: 49

Re: Is ultrasound guided injections of lidocaine available in UK?

I do not know the answer, but to my understanding lidocaine would be diagnostic, not therapeutic. That is, it numbs the area for a while, and then wears off...
by The_KNEEguru
Tue Feb 13, 2024 3:27 pm
Forum: Ligament damage
Topic: PLEASE HELP Perineal nerve TORN along with ACL
Replies: 3
Views: 60

Re: PLEASE HELP Perineal nerve TORN along with ACL

When I read about a difficult case on the forum, I like to review the literature that is available online and found this summary of a paper - https://pubmed.ncbi.nlm.nih.gov/36326829/ - "Relationship Between Peroneal Nerve and Anterior Cruciate Ligament Involvement in Multiligamentous Knee Inju...
by The_KNEEguru
Tue Feb 13, 2024 3:05 pm
Forum: Ligament damage
Topic: PLEASE HELP Perineal nerve TORN along with ACL
Replies: 3
Views: 60

Re: PLEASE HELP Perineal nerve TORN along with ACL

@Justin A - if you are researching online, take care to spell it PERONEAL ... with an 'O'
by The_KNEEguru
Tue Feb 13, 2024 2:48 pm
Forum: The patello-femoral joint
Topic: left knee: patella alta+former dislocation--> incessant pain, also neuropathic
Replies: 51
Views: 4922

Re: left knee: patella alta+former dislocation--> incessant pain, also neuropathic

re
Dr Vicente Sanchis-Alfonso
Here are his details on KNEEguru - https://www.kneeguru.co.uk/KNEEnotes/kn ... is-alfonso but they have not recently been updated.
by The_KNEEguru
Tue Feb 13, 2024 2:33 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Are steroid injections effective for reducing nerve pain?
Replies: 4
Views: 86

Re: Are steroid injections effective for reducing nerve pain?

Lidocaine will just temporarily block sensation in a nerve. It is a local anaesthetic agent. It may be useful diagnostically, but is unlikely to have any long term benefit.

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