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?I've posted a few times about the ongoing problems with my left knee. I now feel more confused than ever after yesterday's consultation. This a brief chronology:
2012 Went to GP re. knee pain – referred to musculo-skeletal clinic.
2012 – 2013 Steroid injections (no difference) + physio
November 2013 Arthroscopy & microfracture of left knee (4months off work, pain, unable to bend or kneel or drive) Physio felt kneecap out of alignment – not discussed with consultant
2014 Arthroscopy & microfracture of right knee – success – no problem since
2014-2015 Ongoing appointments & steroid injections left knee, hyaluronic acid injection
2015 Arthroscopy & microfracture of left knee – some improvement
2016 deterioration of left knee again – back to pain levels of 2013. Gradual deterioration ongoing
2016 To musculoskeletal clinic. To physiotherapy.
2017 MRI, stated pes anserinus inflammation, not arthritis, steroid injection given (no difference made)
2017 Physiotherapy, ultrasound given and strapping – no difference.
2018 Saw consultant, Mr R, stated leg/knee out of alignment, talked about osteotomy. MRI + x rays
2018 Telephone consultation with Mr R, no mention of alignment. Stated arthritis and recommend talk to Mr C re. pros and cons of knee cap replacement
2018 Mr C stated knee not showing excessive wear, not suitable for replacement. Said would do arthroscopy to see problem.
?I fell I have two types of pain - one the bone grinding ache that is constantly there. Then also a "hot" pain - like my knee is on fire - this is more on the inside of the knee. I cannot bear for it to be touched. At times when I use pain relief gel to try to get some relief then I have to brace myself to put it on. Consultant felt this was strange as the pain I feel should be inside the knee.
?Now I just don't know. I've agreed to the arthroscopy as can't see there is another option. I felt it was offered as a sop to me. Consultant felt there was not really enough wear and tear to offer a knee cap replacement but this is at odds with the pain I gt on sitting with my knee at right angles. Problems as follows:
Cannot drive more than 30 miles
Driving is an issue – depressing clutch
Struggle when getting up off floor (not elegant!)
Constant aching pain
“Hot” pain at times
Pain impacting on daily life.
Pain killers not have much effect – but try not to take them
Sometimes will take cocodamol, ibuprofen and voltarol gel in order to sleep
Pain will wake at night
Find it difficult to sit with leg at right angles
Will always sit with feet up at home
Impact on working life – do not take time of sick as have decent work ethic – but in constant pain
Cannot bear touch on knee – seems ultra-sensitive
Will stiffen up when sat – find it difficult to get out of chair or car. Will swivel round in car to put both feet down to get out.
?The last two days have been bad. I could cry with the pain and there seems to be no relief and no way out.
?I don't understand how I can have so many differing opinions and no clear answers. I'm not hopeful of this arthroscopy doing anything. How many can you have? If he chops more bits away, surely in the end there'll be nothing left. He did point out the 'fat pad' (?) and said that looked good. Well I do know that bits of that was chopped off in the second procedure so don't understand how it can look good.
?I have booked an appointment with the GP. I am wondering whether to try to talk to the consultant again and go through this chronology. I just don't know. Sat here in pain with no answers.
Does anybody have any advice?
?My mobility is good. I have no back or hip problems. I have no swelling.
?I'm not sure I should be here or in the arthroscopy page - it's more a problem than just arthroscopy I think!
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