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by vickster
Wed Feb 28, 2024 6:02 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Constant ache 4 months after Fall - MRI clear
Replies: 2
Views: 44

Re: Constant ache 4 months after Fall - MRI clear

Are you icing the knee regularly (or using heat if it’s stiff but not swollen). What are you doing with your PT? Do they also use massage therapy, therapeutic ultrasound, acupuncture? Have they assessed your muscle balance and function fully to check everything is working well? Glutes, hip flexors, ...
by vickster
Thu Feb 22, 2024 7:32 pm
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 ?

Refined Sugar is highly calorific, doesn’t satiate well and is inflammatory so cutting right back is a good place to start. Avoiding highly processed foods also good for health. More veg and lower sugar fruits. Low fat products tend to have more sugar, and obviously fizzy drinks, high sugar juices e...
by vickster
Fri Feb 16, 2024 2:15 pm
Forum: The patello-femoral joint
Topic: left knee: patella alta+former dislocation--> incessant pain, also neuropathic
Replies: 53
Views: 5306

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

Did you read the posts from SuspectDevice about loss of tissue homeostasis and chronic inflammation.
Unfortunately, there’s not always a clear correlation between decree of cartilage wear and pain.
Do you get relief from medication or cryotherapy (icing) plus complete rest (other than light ADLs?)
by vickster
Tue Feb 13, 2024 7:09 am
Forum: KNEE ARTHRITIS - General principles of managing Osteoarthritis of the knee
Topic: Huge price difference between clinics which do steroid injections
Replies: 1
Views: 68

Re: Huge price difference between clinics which do steroid injections

Are you already under an orthopaedic surgeon? If not, you’ll likely have to pay for a consultation first to confirm that the treatment is appropriate. You can get steroid injections on the NHS, have you spoken to your GP? Some GP surgeries offer, otherwise you’ll need to get onto the hospital referr...
by vickster
Mon Feb 12, 2024 9:48 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Are steroid injections effective for reducing nerve pain?
Replies: 4
Views: 125

Re: Are steroid injections effective for reducing nerve pain?

You’d need to discuss that with the specialist suggesting the injection, plus any risks of the procedure of course.
Also, try to read up on all of the medical literature on this
by vickster
Mon Feb 12, 2024 12:40 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Femoral osteotomy + microfracture?
Replies: 6
Views: 173

Re: Femoral osteotomy + microfracture?

You could perhaps seek a virtual consultation for a further opinion from Adrian Wilson. He’s an osteotomy expert and long time contributor to material on this forum
https://profadrianwilson.co.uk/
There should be a contact form on his website
Good luck :)
by vickster
Mon Feb 12, 2024 9:59 am
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Are steroid injections effective for reducing nerve pain?
Replies: 4
Views: 125

Re: Are steroid injections effective for reducing nerve pain?

Steroid is an anti inflammatory so not sure how it would reduce nerve pain unless due to swelling in the knee? There are medications which can address nerve pain like pregabalin but you’d need to discuss with your doctor as they do have side effects
by vickster
Mon Feb 12, 2024 9:56 am
Forum: Ligament damage
Topic: PLEASE HELP Perineal nerve TORN along with ACL
Replies: 3
Views: 88

Re: PLEASE HELP Perineal nerve TORN along with ACL

Are you in the US?
Perhaps try HSS in New York (and Florida) who are an orthopaedic centre of excellence
https://www.hss.edu/
https://www.hss.edu/locations.asp
by vickster
Sun Feb 11, 2024 1:35 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Femoral osteotomy + microfracture?
Replies: 6
Views: 173

Re: Femoral osteotomy + microfracture?

If there’s no meniscus, it’ll probably just get worse and unfortunately, sooner or later the other compartments may well start to wear due to the uneven load. A oartial replacement of lateral side may offer a good option, but they’re less commonly done than the medial,side so you need a highly exper...
by vickster
Sun Feb 11, 2024 10:26 am
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Femoral osteotomy + microfracture?
Replies: 6
Views: 173

Re: Femoral osteotomy + microfracture?

What symptoms do you have? How big is the lateral defect, is it wear and tear or from a trauma? Has anyone suggested you try an unloader brace (fitted by a specialist physio, Donjoy for example have fitters in different countries) as this can help replicate the effect an osteotomy might have in a no...
by vickster
Fri Feb 09, 2024 9:53 pm
Forum: General rehab issues and pain problems
Topic: Anxious about knee problems 7 years after ACL-R
Replies: 5
Views: 244

Re: Anxious about knee problems 7 years after ACL-R

You say you do hard bike rides? Have you had a bike fit, especially if you ride clipless you might need your set up assessed. Also, have you had your gait assessed to see if orthotics might be beneficial and check your footwear generally? It doesn’t read like there’s too much structurally wrong with...
by vickster
Fri Feb 02, 2024 5:03 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Full Thickness Chondral Loss
Replies: 8
Views: 335

Re: Full Thickness Chondral Loss

Don’t just focus on quads and hamstrings, could have an imbalance, strong glutes and flexibility in hips and lower back are crucial for knees ime. Get your feet and footwear assessed too, orthotics can be helpful esp walking. Orthopaedics could refer you to NHS podiatry. Give Pilates a go perhaps. Y...
by vickster
Fri Feb 02, 2024 4:43 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Full Thickness Chondral Loss
Replies: 8
Views: 335

Re: Full Thickness Chondral Loss

I’d definitely get assessed by a physio again, make it clear you’re wanting to know how your muscle balance/strength or lack of could be contributing to your knee issues and what exercises would help to target. If you can afford it, find a knee focused sports physio. Unfortunately the options for fi...
by vickster
Fri Feb 02, 2024 4:18 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Full Thickness Chondral Loss
Replies: 8
Views: 335

Re: Full Thickness Chondral Loss

It’s always been very challenging to repair cartilage damage to the patella because of the shearing forces as repairs may not take/just wear away again. Not sure there are many cartilage repair options offered anymore on the NHS due to cost and poor long term outcomes (clinical trials are finished)....
by vickster
Tue Dec 12, 2023 1:17 pm
Forum: KNEE ARTHRITIS - General principles of managing Osteoarthritis of the knee
Topic: Cool doctors in Australia?
Replies: 10
Views: 11423

Re: Cool doctors in Australia?

Unfortunately, this thread has not been active for 10 years, there are a couple of names mentioned upthread to explore though :)
Eg https://www.johnorchard.com/

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