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Old 25th April 2014, 01:09 PM
burdle burdle is offline
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Default My knee

I have been having problems with both knees recently- pain when I go up or downstairs- suddenly- but not all the time.

Anyway my physio said I had 'knackered knees' and would put tape on them to sort of keep the kneecap in place. The tape only lasted a couple of days but it gave me a bit of support.

Anyway stepping out of the shower 12 days ago with no tape ( in between appointments) I got this sharp pain in right knee which mad me lean on my left knee with the result that I slipped across the floor- falling on my back and left knee. I have been on crutches since- had an MRI on left knee which I cannot use yesterday- Knee consultant told me that he thinks I have torn the miniscus and will need an op. Am waiting for him to confirm. Hurts like mad- I am used to pain but still

Am really worried about my back as obviously my hobbling around is not helping the crappy discs that I have got.

Cannot do much - sleep or move which is BAD for my scoliosis management.

How do I go about making sure that any treatment I have takes into account my back. I had less than 10 minutes with the consultant and I told him about the scoliosis, but although I appreciate that his remit was my knee I have to be so careful that they don't fix my knee and leave me in a bad state because of my back. I am tempted to say leave it to heal by itself and not have any surgery.

Simple things like the fact that I cannot lie on my back without extreme pain etc. which is so difficult to convey to nurses and hospital staff. The MRI was awful and my back kept spasming. They are sort of sympathetic but nit is so difficult to convey the problem. I end up minimising everything and then dealing with the fallout myself

I just don't know what to do- needless to say my PLIF is going to have to be re-scheduled.
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Old 26th April 2014, 12:10 PM
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Default Re: My knee

Ugh what a mess I really feel for you. I had an awful time when I was in hospital with my bowel perforations because it really set off my back issues - I was waiting for revision surgery at the time and on morphine patches and god knows what else. I think all you can do is make sure your voice is heard and not let yourself be fobbed off - says the person who never stands up for herself in these situations
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Old 26th April 2014, 04:00 PM
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Default Re: My knee

Oh no - I am so very sorry. You really don't need this. I had a torn MCL in 2007 and I still have issues with that knee these days. I luckily did not need an op but had about 8 months of intense physio. It still hurts today and there are lots of things I could do before that I cannot even contemplate now such as jogging or speed walking. The elliptical is the only thing that I can do these days (7 years on) that helps my back and does not hurt my knee.

I really don't know what to advise other than to be firm with the doctors and get them to understand your situation. Don't ever worry about making a fuss - sometimes you need to go all out to make them appreciate the physical issues you have to manage. During a check-up last year (I wont say what as it is woman's issue) I was in a nasty position for my lower back. I asked the nurse to be in another position and she said "This is how everybody does it Miss" so I then had to resort to yelping in pain (I was acting to a certain degree to be honest...) and it was amazing how fast she was then able to change my position. I hated having to make such a huge fuss. On the other hand, during my thyroid biopsy I lay flat and it hurt but I said nothing (a pillow under the knees would have helped me). I still kick myself because it aggravated my back pain so much that I could not sleep well for many weeks.

So please make a fuss. Just know we are all there with you in spirit
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Old 16th May 2014, 12:46 PM
burdle burdle is offline
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Default Re: My knee

The MRI on my knee did not show a meniscal tear. It just showed swelling etc. and a Strained MCL

The consultant said to me to have physio and come back afterwards.


oh the joys of physio- I still cannot weight bear and tiptoe on the injured leg - much to the physio's disgust - he tells me I must not limp.

It is still so painful- it is 6 weeks now. It is a bit better but the pain in my hips and back is so bad now- I know I have made it worse because of the uneven gait and hobbling about.

I am concerned because my knees were giving me trouble before I fell (they were the cause of my fall in the first place) - should I raise this with the consultant when I go back or would he have picked this up himself from the MRI if there was anything that he could do to improve them.

I am sick of physio -
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Old 16th May 2014, 03:24 PM
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Default Re: My knee

Obviously I've not been around so not sure about your whole situation, but what are you doing with regards to exercises for your knees?

I spent a few years with really shonky knees and thought it was just par for the course. They did an arthroscopy on my left one after an MRI didn't show anything and quelle surprise there was nothing to see.

When I went for post op physio the lady took one look at me and said all my treatment thus far had been totally pointless, because the problem was clearly the scoliosis/flat feet and gave me a bunch of exercises that have totally changed the situation.
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Old 19th May 2014, 09:28 AM
burdle burdle is offline
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Default Re: My knee

I don't have any exercises for my knee. Before the fall the physio would put a big piece of tape across each knee- to sort of keep the kneecap in place ( I think) and that was it. Then I fell and when I go now he does ultra sound on the injured one and tries to help me straighten it.

Can I ask what exercises you had? What did the arthroscopy show. If they suggest one should I just say no as my MRI just showed a lot of swelling.

I don't mind an arthroscopy but not if it means I have to limp for more weeks as the effect on my lower back and my other knee is terrible
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Old 19th May 2014, 12:29 PM
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Default Re: My knee

Hi Burdle

My old man had an op on his knees a few years ago, the consultnt gave him lots of exercises which he still does and he thinks it helps

Next time I see him I will find out what the exercises were and how to do them

Hope that helps a little

Mark
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Old 20th May 2014, 10:26 AM
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Default Re: My knee

I have Rheumatoid Arthritis in my knees and find steroid injections a great help. Maybe these could help you with the awful pain you've been having. I do hope things improve for you soon, XXX
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Old 20th May 2014, 06:15 PM
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Default Re: My knee

Hi Burdle, I'm really sorry you're suffering with your knee. I'm afraid I can't really help but I'm thinking of you
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37 years old, diagnosed with infantile idiopathic scoliosis at 6 months old with curves of 62(T) and 40(L) degrees. Casting and Milwaukee braces until surgery at 10 - ant release/pos fusion T1-T12, halo traction. Post op cast and then TLSO. Further surgery at 18 (ant release/pos fusion extended to L3 to include lumbar curve, costoplasty) and 25 (another costoplasty). Fusion extended to L4 at 33 (XLIF with 4 pedicle screws and two short rods). Pre-op curves: 76(T) and 70(L). Post-op curves: 45(T) and 35(L). Diagnosed with Ehlers-Danlos Syndrome aged 34; scoliosis almost certainly due to this rather than being idiopathic.
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Old 20th May 2014, 09:10 PM
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Default Re: My knee

I had an arthroscopy several year ago after having trouble with my knee. I actually didn't find it too bad - like Els, they didn't find anything fixable (the MRI - in a very old machine - had suggested a meniscal tear, but all there was to find were several deep scratches in it), however, they gave the knee a thorough clean and flush. This actually seemed to help, and they weren't at all surprised that it did, as apparently even then it was known that just doing a rinse out could help. There has recently been a study of this which shows that it seems to help in a lot of cases, I can't remember what the conclusions were as to why.

As far as the limping goes, and whether an arthroscopy would be problematic for that, well, there's no guarantees but I can certainly say that my experience of it wasn't bad. I was sent home with strict care instructions including that I was not to fiddle with the bandages or dressing for 48 hours because the compression was important, but about 5 or 6 hours after the surgery I had to re-bandage my knee myself because the swelling had gone down enough that the bandage fell off! I didn't need to take any painkillers for it, and within something like 3 days I was walking slowly, but pretty much back to normal. I'd have it done again without a moment's hesitation if it was needed (unfortunately, as I have fairly severe patello-femoral arthritis, it's most likely that the next surgery I'll have on it will be a replacement Hey ho!)

I think it could definitely be worth getting assessment for whether you have flat feet, and if so whether you've got valgus knees (ie they bend inward / knock knees), as this would be pretty easy to treat in most cases. If you're hypermobile anywhere, it's a lot more likely that you have this (for reference, the doc I saw with regard to the hypermobility, and who is extremely nice and I'm sure would write to your GP with recommendations for what treatment to pursue, is Dr Jenkinson from RNHRD in Bath - it costs about 200 to see him privately.) However, as you've got several joints playing up now, I'd also suggest seeing if your GP will do blood tests to check for the inflammatory arthropathies, just to rule them out.

One final thing, which may well be irrelevant, do you rush around? I always walked very briskly - I cannot be doing with dithering along and dawdling. However, what I've learned is that when something is playing up, if it's making me limp, I tend to try to be even more brisk to make up for the fact it's taking me longer to get anywhere, but in fact what I need to do is slow the heck down, give myself longer to get to places and concentrate on walking carefully. It can't fully get rid of a limp, obviously, but it can help you not to knot up everywhere from fighting with yourself
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Old 21st May 2014, 06:14 PM
burdle burdle is offline
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Default Re: My knee

Just seen my physio again and he is faxing the consultant as letter asking him to see me again. He thinks my knee should be improving but it isn't as my whole leg from knee to ankle is swollen and the knee hurts badly when I move it - especially if I try to straighten it.

If anything my kneecaps sort of both point outwards. When I stand both my feet point outwards towards 10.0clock if looking at a clock face. I remember my mother waling like this when she had smart shoes on - she had scoliosis too.
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Old 23rd May 2014, 03:56 PM
burdle burdle is offline
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Default Re: My knee

Just seen the knee guy again and he is going to do an arthroscopy because as he says he doesn't know why my knee isn't improving.

I had all the pre-op tests this morning.. My blood pressure is 165/125!!!

A RMO is going to phone me apparently - Maybe it is because of the swelling. I don't normally have high blood pressure. Am worried and not a little scared.
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Old 23rd May 2014, 06:09 PM
Astra_Sam Astra_Sam is offline
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Default Re: My knee

Arthroscopy is hit and miss for some but it's a very good diagnostic procedure all the same. 7 months on I'm in less pain following mine on my left knee. I too went through jumping the hoops of doctors and physios like yourself until a surgeon told me despite my 'clear' scans he wasn't convinced and went in and found a lot more than anticipated. I now have less pain and slightly less swelling from the original issues (fat pad impingement and patella maltracking) but others have since arose that will lead me to further surgery eventually but until then I'm far more comfortable. I was off work 8 weeks in total and being on 2 sticks put a lot of pressure on my back but the result made it worth it. Just be sure to follow their every order with regards to recovery and rehabilitation as it really does affect the results of your surgery where your knees are concerned 😉.

Sam xx
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Old 24th May 2014, 04:57 PM
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Default Re: My knee

Hope you're OK Burdle!
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Old 27th May 2014, 05:15 PM
burdle burdle is offline
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Default Re: My knee

Have just had my blood pressure read again- still consistently around 100 for diastolic- physio took it 175/98 and then 168/109 and then 3 readings over 98 which is a bit better I suppose.

I think that dealing with chronic pain must take its toll.
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