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I am a 59 year old male, 6'4" & 300 pounds at present. Over the past year I did lose 70 pounds on the orthos advise after 2 complete scopes were done that did nothing.
My issues came after a rear end car accident on the interstate where in typical rush our fashion you go from 55 to stop every ½ mile and the car behind me did not see the stopped traffic.
A total of 12 days in the hospital 6 in a surgical unit then the balance in the hospitals rehab unit & the only took me since it was a bilateral one knee would have been shipped out to a rehab center.
I have done extremely well post op & the Surgeon and PT kicked me loose after 6 weeks I have full flex to the point the doctor does not want me to bend them that far and full extension. I can sit cross legged in bed or my chair.
Phantom pain still happens, certain movements cause pain, standing & climbing stairs still hurt.
Am I expecting too much at this point in my recovery, both Dr. & PT says I have exceeded the normal goals. I can ride my bike 1 mile a day pretty much pain free.
When do they really no longer hurt???View Thread
At my post-operative follow-up appointment with the surgeon yesterday, I was told that I would need to observe these precautions for the rest of my life! I was shocked -- I'll never be able to bend over to tie a shoe on this side? To cut my toenails? Is my surgeon being overly cautious? If not, do any of you fellow hip-replacement patients have tips on how to best deal with these limitations?View Thread
anyone from there who can direct me to the right surgeon?
thanksView Thread
Will try to give the short version. After accident the ER doctors shot me full of morphine and dimaral handed my mom a bunch of scrips then security put me in the car still screaming in pain. After first visit with Ortho he gave me a reference card for assistance with medical expense (I dont have insurance). 5 wks, an MRI, 2 falls while at home and several angry calls from my mom I finally get scheduled for surgery which lasted over 6 hours (he said the break was worse than he first thought). I spent 6 days in the hospital and released with a post op appt in 2 wks. The repair required 2 plates and 2 pins, I did my time on the crutches and walker, I followed up with my PT and I can walk independently now (I was honestly beginning to think I never would).
I will be a year post op tomorrow and have concerns about the recovery that when I've asked him the ortho doesn't exactly answer as much as he appeases me or side steps them. For one the small pins (I was told they're usually removed) are very visible on either side just below my patella (a good razor will cut BAD if I'm not careful)......when I ask the Dr told me it just looks that way because I have a nice thin leg. My PT even told me that was crazy. The scar is bad enough but these pins make it look deformed. Other issues include almost constant pain, a limp that is very noticeable also limiting walking and most outdoor activity, I trip, stumble and fall if I have to walk on anything other than a hard smooth surface, I can't carry my 6 yr old who weighs 42lbs I guess we really do lift with our knees. These are just some of the issues. I also have questions I can't get answered like is one of the pins holding the plates suppose to go through the Fibula, through the plate, through the Tibia and then out the other side enough its visible on my x-rays?
I wouldn't wish this injury on my worst enemy. The isolation of being stuck home alone for months, being unable to care for my 2 children and home, the confinement, the pain that almost never stops, the limitations I face now, the new walk that looks alot like Fred G Sanford.....and so much more keep me wondering if I just need to deal with it or if I should have another Dr take a look at it.View Thread
i hate she's having so much trouble bc no way after this will she have the other one done She called the Dr over the weekend and never got a call back and then again today called, they called and said they woud ask the Dr about more pain meds and would call backnaround noom...2:30,rolls around and no call so we call back and they say she may need to come in, transfer to see when to come on amd had to leave a msg, still no call back today! I have a hard time watching them treat a 66 yo woman in pain like this
Is it fairly normal for pretty severe pain at a week out?? what can i do to help her? im taking care of everything, im doing everything for her. Any advice is appreciated!!
JohnathanView Thread
Is this type of Meniscus tear can be heal / cure without surgery ?
MRI Report for Left Knee
IMPRESSION : Complex but predominately oblique undersurface type tear involving the posterior horn of the medical meniscus extending towards its junction with the meniscal body. There is some associated reactive or stress-related subchondral bone marrow edema seen along the periphery of the medial femoral condyle.
Comment:
Multiple MRI examination of the left knee was performed. Comparison is made with plain radiographs.
There is small joint effusion and a small Baker's cyst.
Lateral meniscus demonstrates no evidence of tear. There is a complex but predominantly oblique undersurface tear involving the posterior horn of the medial meniscus extending towards its junction with the meniscal body. There is subchondral bone marrow edema seen along the peripheral aspect of the medial femoral condyle which may be reactive to the adjacent medial meniscal tear or may reflect some stress-related marrow edema. No discrete subchondral stress/insufficiency type fracture line is seen at this time.
The anterior posterior cruciate ligament, medial collateral ligament, iliotibial band, fibular collateral ligament, biceps femoris, popliteus, and extensor mechanism remain intact.
No discrete medial, lateral, or patellofemoral compartment articular cartilage defect is seen.
View Thread
As far back as I can remember I've had left knee pain (no problems with the right knee). Current diagnosis is DJD (degenerative joint disease). As an adolescent I had Osgood-Schlatter Disease but that was the only thing affecting both knees. In 1984 and 1988 I had two arthroscopic knee surgeries. The first helped a little but the second, where they drilled into the bone and I had to keep weight off of it for 6 weeks in order to build back pseudo-cartilage (whatever you call this scar tissue) really helped. This lasted for 22 years. I still had osteoarthritis all this time but it was tolerable. In 9/2010 the arthritis was too much so I had another arthroscopic knee surgery. Again, they drilled into the bone hoping to achieve the same results of the previous surgery but the arthritis pain in my medial compartment wasn't much better.
In 4/2011 I had a robot-assisted unicompartmental knee replacement (medial). After recovery I noticed the arthritis was a lot better but now I have painful clicking with the lateral joint compartment (possibly knee cap - not 100% sure) and the lateral muscle on the upper outside of the knee feels painful/fatigued all the time. In fact, when I walk it feels like the knee is going in and out of joint — a bone passing bone feeling which causes me to limp. I went back to my surgeon and they did an x-ray, CT scan and MRI but the surgeon said they didn't show anything abnormal. At least, the artificial component has not moved or loosened. All the surgeon could say was, "the scans look fine" and there's nothing else they can do.
After a year of pain and having trouble walking I finally convinced them to refer me to the pain clinic. At my first appointment my doctor, an Anesthesiologist, pushes on my knee (something the surgeon never did which I find surprising) and recommends a medial unloader knee brace. This really helps. I am able to walk further with less pain but it's still not great. I still have a lot of pain even when I am at rest - located at the top of the medial compartment and where that lateral fatigued muscle attaches to the bone. I can point right to these specific places but, as I said, the surgeon claims nothing is wrong.
My surgeon says I am too young for them to consider a total knee replacement at this time. My options are either arthroscopy or arthrotomy (unsure for what purpose; as far as I know there was no talk about implanting any cartilage cells or anything). I asked for a second opinion but it was within the same department and the surgeon they set me up with didn't do this type of surgery (only performed arthroscopic surgeries; no replacements). They could only offer the possibility of another arthroscopic surgery to look around. I then requested a third opinion, this time "out of network" but my insurance company denied it. I am in the process of writing an appeal now. There is no infection that I'm aware of. I am on Meloxicam (NSAID) for the inflammation and some medicine for the pain. In all honesty I don't want more pills to cover up the pain. I want to fix this so I can get my life back. It's now been 18 months of pain!
I understand there can be complications with any surgery but it feels to me like my surgeon knows something is wrong but isn't willing to admit it. Why wouldn't he push on the joint or suggest the brace? Can you offer any suggestions to the cause of my problem or possible solution? I personally believe the joint is not lined up properly and a total knee replacement would be my best option at this point. Thanks in advance for any advice or opinions you can provide.View Thread
2nd artificial hip joint failure. Chose (due to my age) not to undergo a third procedure. At first, 2 orthepedists were not willing to do a 3rd attempt. Later, by checking X-rays and reviewing my health history, they were ready to do a 3rd procedure. And then......I opted not to. I use a walking cane and the hip pain hardly ever abates.View Thread
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