Search found 51 matches

by Douglas_Firs
Fri Nov 17, 2023 10:32 am
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: MRI results -- OS says 'no arthrofibrosis visible'
Replies: 18
Views: 2796

Re: MRI results -- OS says 'no arthrofibrosis visible'

Sebastiano felt he could not advise without seeing imaging… Thanks for asking, KNEEguru. I appreciate it a lot. I watched a youtube interview with Sebastiano (link below) a couple months ago and I was extremely impressed. Listening to his takes on knees/arthrofibrosis and related topics, you are le...
by Douglas_Firs
Wed Nov 15, 2023 11:54 am
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: MRI results -- OS says 'no arthrofibrosis visible'
Replies: 18
Views: 2796

Re: MRI results -- OS says 'no arthrofibrosis visible'

I recently had a four-part fracture of my left shoulder, which is not the same of course and I did not have an open reduction (ORIF), but I too have some ROM loss and would love to see a 3-D model of exactly where all the bits ended up...just so that I know what I can expect in term of reaching my ...
by Douglas_Firs
Mon Nov 13, 2023 3:58 am
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: MRI results -- OS says 'no arthrofibrosis visible'
Replies: 18
Views: 2796

Re: MRI results -- OS says 'no arthrofibrosis visible'

Grade V is a nasty fracture. I do understand your determination, but this paper https://boneandjoint.org.uk/Article/10.1302/0301-620X.87B9.16276# reports for a cohort of patients of mixed grades of TPF - “39 (62%) had an extension deficit of < 5° at three months. By one year, 13 (21%) patients stil...
by Douglas_Firs
Sun Nov 12, 2023 5:00 pm
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: MRI results -- OS says 'no arthrofibrosis visible'
Replies: 18
Views: 2796

Re: MRI results -- OS says 'no arthrofibrosis visible'

Hi Douglas, I had thought about replying to your earlier messages a while ago but with the new website transfer I had trouble getting into the site. I saw one of your posts earlier about hardware removal. I remember my OS at the time agreeing to taking the metal out to prepare my knee for a TKR. Se...
by Douglas_Firs
Sun Nov 12, 2023 4:43 pm
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: MRI results -- OS says 'no arthrofibrosis visible'
Replies: 18
Views: 2796

Re: MRI results -- OS says 'no arthrofibrosis visible'

I found this, which may be of interest - just scroll down to the Discussion - https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02700-2 Thanks, KNEEguru. I had a Schatzker Type V TPF. Bicondylar fraction. ORIF surgery with 1 plate and 7 screws. But my knee was operated on within 24 ...
by Douglas_Firs
Fri Nov 10, 2023 1:25 pm
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: study: Anakinra injections dissolve refractory knee arthrofibrosis
Replies: 6
Views: 1355

Re: study: Anakinra injections dissolve refractory knee arthrofibrosis

Anakinra is, as I understand, a chemical that can block this pathway from triggering. So far, so good. What I do not understand is why it is apparently effective in refractory arthrofibrosis, where I would have thought that the chemical cascade would have calmed down a bit?? But it is great if pati...
by Douglas_Firs
Fri Nov 10, 2023 12:07 pm
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: MRI results -- OS says 'no arthrofibrosis visible'
Replies: 18
Views: 2796

MRI results -- OS says 'no arthrofibrosis visible'

Quick background: TPF in 2017. +5 degrees extension/stiffness unchanged since 2017. First visit with new OS on October 1. He stated that I have a stiff knee, seems like fibrosis, and prescribed PT and a JAS brace, with potential arthroscopy scar removal in the future if conservative treatment produc...
by Douglas_Firs
Mon Oct 09, 2023 1:32 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Bony protrusion over upper tibia (Osgood Schlatter)?
Replies: 1
Views: 928

Bony protrusion over upper tibia (Osgood Schlatter)?

I just realized this morning that I've had a bump on my knee since my 2017 TPF surgery that looks exactly like the images of Osgood Schlatter Disease . It is a strange, firm, spongy protruding bump just under the kneecap area that is only visible when I flex my knee. Here is what it looks like, EXAC...
by Douglas_Firs
Mon Oct 09, 2023 12:52 pm
Forum: Bone breaks around the knee
Topic: OS says I have 'post traumatic osteoarthritis' in TPF knee
Replies: 4
Views: 911

Re: OS says I have 'post traumatic osteoarthritis' in TPF knee

Thanks KneeGURU, It's quite confusing. Apparently, there are 2 forms of osteoarthritis: primary OA (no direct cause) and secondary OA (caused by injury, overuse). Everyone with a serious TPF suffers some degree of cartilage damage, which is by definition post-traumatic secondary osteoarthritis . But...
by Douglas_Firs
Fri Oct 06, 2023 9:26 pm
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: is the JAS brace worth the money?
Replies: 3
Views: 1117

Re: is the JAS brace worth the money?

Vickster, it's a 'static hold brace' that helps people with contracture (extension deficit) gradually elongate the soft tissue in the knee to regain extension. There are some studies on pubmed that say it is effective even in cases of established contracture. There are quite a few kneeguru threads a...
by Douglas_Firs
Fri Oct 06, 2023 8:30 pm
Forum: Soft Tissue Healing Problems - Arthrofibrosis
Topic: is the JAS brace worth the money?
Replies: 3
Views: 1117

is the JAS brace worth the money?

How is the brace functionally different to just putting 20 lbs on your thigh and propping your heel up?
by Douglas_Firs
Fri Oct 06, 2023 8:17 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: study: People should not exercise for 16 weeks after cortisone shot
Replies: 3
Views: 1094

Re: study: People should not exercise for 16 weeks after cortisone shot

Jgardner, that seems to be the experience of many -- while others absolutely rave about the injections. Go figure. Did you feel you had to pull back on your PT after the shot? What were you feeling, if not relief? Do you remember how long it was until you felt comfortable doing therapy at your best ...
by Douglas_Firs
Fri Oct 06, 2023 4:10 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Ortho talked me into a cortisone shot (having regrets)
Replies: 14
Views: 2168

Re: Ortho talked me into a cortisone shot (having regrets)

Why have you never had one before? Seems odd I know. Everyone else seems to have MRIs as the seasons change. I had one of those situations where my original OS (the trauma surgeon who did my TPF) kind of gave me the brush off. He told me I should be able to live with imperfect extension and that pu...
by Douglas_Firs
Fri Oct 06, 2023 3:25 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Ortho talked me into a cortisone shot (having regrets)
Replies: 14
Views: 2168

Re: Ortho talked me into a cortisone shot (having regrets)

But you’ve not had an injection into a tendon or ligament, rather into the joint space? Correct. Which could damage/weaken cartilage, meniscus, ACL, etc, inside the joint, I think is the concern? Also, it supposedly weakens bone, leaves behind some kind of 'crystallized' residue that never goes awa...
by Douglas_Firs
Fri Oct 06, 2023 12:28 pm
Forum: GENERAL KNEE QUESTIONS and comments (good for new threads)
Topic: Ortho talked me into a cortisone shot (having regrets)
Replies: 14
Views: 2168

Re: Ortho talked me into a cortisone shot (having regrets)

Oh wow. That is reassuring. I'm glad to hear you say it. This is all new to me. I could be wrong. I am referring to a lot of the medico information online that is very stridently against cortisone shots, claiming they weaken tendons/ligaments and make the knee more susceptible to injury. E.g., this ...

Go to advanced search