Fatty knee pad

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Already have arthritis in both knees and right hip and been having terrible pain in left knee for a few months. Saw GP who thought it was the arthritis playing up, got sent to see physio on Friday. Physio diagnosed fat pad impingement. Told to rest it as much as possible ans use Ice. and it could take months to sort out. Cannot take any more anti inflammatory pain killers as I already take celecoxib, amitryptline and gabapentin for fibromyalgia. In agony with it and not sleeping very well. Been told to see GP to get some sort of opiod painkiller. Apparently it's really hard to treat. Has anyone else had this please and how long did it take to start to get better? What treatment did you have? There doesn't seem to be much on the Internet. Thank you

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  • Posted

    Hi Julie

    Unfortunately I can't help with this but I too have arthritis in full spine, both wrists and both knees. Currently having very painful shoulders which GP thought was rotator cuff tendinitis but ultrasound only spotted some of this in right shoulder but my left is worse. I take opiodes gabapentin oramorph and use lidocaine patches. Sadly I'm getting no relief or sleep. I would go back to GP and ask to see a specialist instead of more meds that may not work. Fingers crossed for you

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  • Posted

    When i had my right knee replaced 12 weeks ago, i had gotten to the point you are describing...no sleep, no relief from pain etc.. My suggestion to you would be to see an orthopeduc dr. There may be an injection that can be done to give you some relief or possibly surgery. I am with you on the opiod use as i too take meds for fibromyalgia. I hope you find some answers soon.
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  • Posted

    Julie, I'm always curious when I hear something new on here. I'd never heard of fat pad impingement, so I googled it. Now I understand better what you are dealing with.

    I found this regarding treatment:

    Treatment of fat pad impingement is not difficult, although it can take a long time to fully recover. Applying ice before and after activities can be helpful. Use an ice bag over the affected area for 15 minutes or an ice cup for eight to 10 minutes. Modifying or limiting positions and activities that increase pain is another key to recovery. Stretching the quadriceps and hip flexor muscles may help to lessen some of the downward pressure the patella applies to the fat pad.


    Anti-inflammatory medicines are also frequently used. Much less often, injections of corticosteroids to reduce inflammation or surgery to trim the fat pad are required. Rarely surgery is required to remove the inflamed portion of the fat pad.

    I was finding a bunch of different articles, but didn't notice the time that it takes for it to heal - it's late and I'm starting to fall asleep. Good luck Julie, I hope you get releif soon.


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  • Posted

    Thank you all for your advice. It's got worse over this past week, so went back to gp this morning and have had cortisone injection in the knee. Hopefully this will help also said to go back to physio too. It's worse when I am on my feet too much. Really hoping the injection will help a bit. Don't really want any more pills if I can help it. Already on maximum paracetamol, gabapentin (neuropathy pain), celecoxib as anti inflammatory and amitryptline. Has anyone else had the cortisone injection before? Just wondered what the outcome was. Thank you

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