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by The_KNEEguru
Thu Feb 29, 2024 10:07 am
Forum: General rehab issues and pain problems
Topic: electrical,snaping feeling in knee mpfl repair,lateral release, patella alignment
Replies: 3
Views: 38

Re: electrical,snaping feeling in knee mpfl repair,lateral release, patella alignment

I wonder if it was not simply an adhesion breaking, as you suggest. I very much doubt that you need to do anything further other than gradually progress your rehab...
by The_KNEEguru
Thu Feb 29, 2024 10:04 am
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Fat pads causing weakness?
Replies: 1
Views: 34

Re: Fat pads causing weakness?

The fat pad is a critical structure in the knee as it is packed with sensory nerves. 'Trimming' it may trigger more problems, including pain. Time may be your best healer, and attention to small things such as sensible footwear, and gentle but regular exercise (see this rehab course by a physiothera...
by The_KNEEguru
Thu Feb 29, 2024 9:45 am
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Weight Loss and Joint Pain: Your Tips ?
Replies: 3
Views: 68

Re: Weight Loss and Joint Pain: Your Tips ?

I have found it interesting learning that there are two different types of metabolism in the body and you can trigger one or the other by the time of day that you eat or fast. The two types differ in how fat is metabolised. In the day, glucose is used as an energy fuel but at night ketones are used ...
by The_KNEEguru
Thu Feb 29, 2024 9:30 am
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Strengthening knees for injury prevention and improved performance
Replies: 2
Views: 35

Re: Strengthening knees for injury prevention and improved performance

On the other part of this site (the 'content' part) there is a rehab section, which should help you to find some initial direction - see https://www.kneeguru.co.uk/KNEEnotes/kn ... bilitation
by The_KNEEguru
Fri Feb 23, 2024 10:11 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Cementless TKA Thoughts?
Replies: 2
Views: 62

Re: Cementless TKA Thoughts?

I hope you get some helpful replies, but meanwhile here is a paper to read through - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6641115/ . The disclosure suggests there might be a bit of bias, but perhaps it will be useful.
by The_KNEEguru
Wed Feb 21, 2024 11:24 am
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: Anakinra injection
Replies: 14
Views: 4356

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: 134

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: 134

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: 134

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: 72

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: 57

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: 9526

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: 242

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: 47

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 ...

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