no quad control following arthroscopy
Posted , 19 users are following.
hi there
had a routine right knee arthroscopy under gen anaesthetic in nov 2012. 2 weeks later on removing dressing and stiches, physio noted i was unable to do a straight leg raise. was sent to physio, had lots of tests and 2 years later am still unable to do a striaght leg raise, use stairs properly etc.my knee gives way constantly and as a result i ended up with a stellate patellar fracture and patella baja., after a bad fall 12 months ago..i have been in a leg brace for 6 months and see a physio but there has been no change in my quad. my quad has atrophied and i have no motor power. there is no sensory loss however.
any advice /?/ anything at all???
kind regards
helen
0 likes, 149 replies
leslie22109 kittylamb
Posted
jan_68061 leslie22109
Posted
Oh so your daughter recovered from this. Great for her. I misread. I do clams with black rubber around quads and many other stretches. I try go out more don't want to stay home with cabin fever
kittylamb leslie22109
Posted
and thats great re your daughter
yeah...mine wasnt dealt with quickly enough i think...my quad has completely atrophied and wont even contract with an electrical machine
xx
chrissy12349 kittylamb
Posted
Hi, I am experiencing exactly the same thing and surgeons are baffled with me too. I was extremely fit, no problems with muscles, tendons, ligaments. Had simple right knee arthroscopy to clean my knee joint out, scraping out inflamed plica to be exact in September 2015, after initially hurting it back in January 2013. I was unable to squat or fully bend my knee, and had excrutiating pain at night time while sleeping. After the arthroscopy, I could not walk on right leg after this, struggled for months and months to work out a way to walk without my knee buckling on me. February 2016 surgeon sent me for an mri as my knee had an indent evident and he felt I had a torn patella tendon which was why I could not walk properly and my knee was buckling if my knee had weight on it and bent. I could not do a straight leg lift, walk up and down strairs, could not flex my thigh muscle at all. MRI showed all okay. Quads kept wasting away, all my research showed tendon issues. August 2016, I requested from my GP to send me for a ultrasound on my knee tendons as it was nearly a year now, with severe quad wasting and my surgeon was doing no follow up work to try and work out what was going on. Ultrasound showed patella tendon laxity. Surgeon had me in for surgery November 2016 and did a Tibial Tubercle Transfer to tighten the tendon. Was in a brace for 6 weeks. Started Physio end of January 2017 and was excited I could flex my muscle after a couple of weeks. Could do little amounts of leg lifts a month later, then 3 months later physio exercises started becoming very painful. Physio sent me back to the surgeon, xray was done which showed my patella had dropped further and now had patella baja. Surgeon felt there was nothing else he could do, said to handle the pain as much as I could, stop physio exercises cause the bone was rubbing on bone, and even though I had nothing wrong with cartilage, eventually I would have to go back to him as the cartilage would be diseased and he would then deal with it. I went for 2 other opinions. My new knee surgeon wants to move my patella back up 2.2cm and place another 4 screws in. I asked him wouldn't it then make my patella floppy again by moving it up, he said we will deal with it when the time comes. I wanted my quad muscle to be scanned to see if there is an underlying issue there seeing I've gone backward from the TTT surgery. He doesn't seem to think that would be the issue. I was concerned that after the original simple knee arthroscopy, my knee may have been bent fully while I was still on surgery table to make sure my knee was working properly, and seeing I hadn't been able to bend it for 2 years prior to the surgery, did something happen that snapped something in my thigh to cause constant ongoing problems.
jan_68061 chrissy12349
Posted
I am now 2 years after my surgery. Few months ago I was able to finally do a leg raise. 3 weeks ago I'm able to do quad raise under a roll however still have pain under my knee cap. I'm taking duloxetine and that masks my arthritis pain. I still have stiffness in the knee. My leg is still weak. I'm going to surgeon today too see about the patella pain. Patience and time I'm not sure how long a weak leg takes to recover. It's a long recovery process
kittylamb chrissy12349
Posted
wow thats really interesting!!!
i too have patella baja....and still cant lift my leg at all. not even in the slightest!!1
in a KAFO leg orthotic
all specialists are baffled!!!!
xx
Boeing74 kittylamb
Posted
kittylamb Boeing74
Posted
Boeing74 kittylamb
Posted
kittylamb Boeing74
Posted
i was working for an airline for 20 years before this op!!!
my knee gives way all the time and im in a leg brace!!
Boeing74 kittylamb
Posted
Your leg brace, does that allow you to walk without assistance?
The physical therapists are stumped they don’t understand what is happening. They use the electric stimulation (russian) and nothing happens. Not even a small little twitch. I can’t do any type of quad exercise I try and nothing happens, I can’t even lift my leg high enough to get in a car. So far that’s the only thing they have really tried.
I have a follow up with my surgeron on the 28th and I’m sure we will discuss this then.
kittylamb Boeing74
Posted
i have crutches but only use one
i had a really bad fall once though as the knee keeps giving way....and broke my kneecap...on top of all this!!!
are you in uk?
i would be so interested to hear what happens on 28th and what your surgeon says
Boeing74 kittylamb
Posted
Thankfully my knee can bend and straighten but in the mornings is very painful and stiff. So at least my hamstring is engaging but there is nothing in the quad.
When did they start to worry or question this? I am one month post op today.
jan_68061 Boeing74
Posted
Good Luck it's a long road to recovery. I can do leg raises now. Go on disability watch your mental illness you will isolate yourself in time. In time with hard work your leg raise will happen. Forget Russian for now. Use for pain. Lots of heat before exercises. Good luck
Boeing74 jan_68061
Posted
I’ve noticed my mental health is suffering for sure. I’m not argumentative and angry. It’s hard for me to do anything and that is just taking away any good thinking.
jan_68061 Boeing74
Posted
Is your entire leg weak yet from hip to knee. Also did you have a meniscus tear. Russian tens waste of time. I have lots of experience with this as I have gone through it. Are you limping badly yet. What exactly did surgeon do to you. I'll give you a few pointers.
jan_68061
Posted
jan_68061
Posted
Get voltaran use with ultrasound. You will probably fill with fluid known as per ansine bursitis. You must work on the inflammation fluid that moves around different parts of knee you should be able with light touch felell the sore spots. Believe me you don't need to apply lots of touch bursitis is very painful at worst
Boeing74 jan_68061
Posted
I have very little swelling now.
misfiring Boeing74
Posted
jan_68061 Boeing74
Posted
Next time you see your surgeon ask him if you have any OA in your knee. IF you do your in for the long haul. Lots of inflammation bursitis. If you have OA inside medial like me after meniscus repair you will limp badly. The fluid travels all around. THere is lots to know. You might have a bunch of knots . I'm no thanks sure but first step ask your doctor do you have any OA. I'm sure you do. That's why you quads went weak.
Boeing74 misfiring
Posted
kittylamb Boeing74
Posted
am so fed up...and its so frustrating
keep trying new things and nothing seems to work....and they have no idea why or how this happened!!! x
misfiring kittylamb
Posted
Kittylamb, So the nerve conduction study you had was normal? I'm not sure what you mean by intact but not working. Is the nerve firing as it should?
Boeing74 kittylamb
Posted
Art_lover Boeing74
Posted
Hi. I'm really sorry you're going through this. Did you have a meniscus trim or an actual repair (where they go in and stitch the meniscus inside the knee)? If a repair, from what I understand it's supposed to take much longer to heal and being on crutches is normal for one month or even longer. Is a Harvest when they go in and plant foreign meniscus tissue into the knee? If so, It's possible the combination is just overwhelming your leg/knee. It could easily also be that your quadriceps muscle did shut down due to the surgery and may take a good amount of time to reactivate and get stronger. As you can see on this forum, everyone has their own unique set of issues from their surgery. It's been 2 years since my knee arthroscopy and I am doing better now, but I'm still not walking normal. I may have excessive scar tissue and or swelling, plus weakness in quad. My physiayrist said my Vastus Medialis (a part of the quad muscle) is considerably weaker and I've read that this surgery can cause weakness to that particular part of the quad. I would look up you tube videos on how to especially strengthen the Vastus Medialis muscle more, along with the whole quadricep, glutes, etc.
Do you have a hard concrete feeling that you feel in your knee? That can be swelling inside the knee and is more common from knee replacements, but arthroscopic patients get it too. Studies say that even a small amount of fluid trapped in their can weaken the quads.
Although, I haven't gotten mine yet, my surgeon told me to get an excerise bike to strengthen the quads.
For your mental health, go easy on yourself... pamper yourself. This is the hardest thing ive gone through . To not be able to walk suddenly is a nightmare. My doctors just kept telling me to get physical therapy and it did help so felt, but I knew it wasnt that simple. I felt so alone because doctors weren't giving me concrete answers which made everything worse.
This happens to men as much as women from this surgery. Two men at my church had considerable weakness from their surgery. One got better, but still struggles with some weakness 5 yrs later..the other had a lot of weakness for months but eventually climbed to the top of Mount Shasta! It depends on a lot of factors, so don't blame yourself.
A friend of a friend has had to use a brace for a year, and a woman's daughter that I know only began walking well at the 2 years mark. For first year, I was dragging my leg behind me and literally forgot how to walk, but now I can bring leg forward and it's much better than before, but still somewhat weak. My energy is better now...first year and half was the worst ( year went by both slowly and quickly..).
Really treat yourself... and allow yourself all of the sadness , bewilderment, and anger too. Its normal to feel all of that. Walking is a huge deal. Be well.
kittylamb Boeing74
Posted
this forum is great to see that there are similar cases...as every specialist i see say they have never seen it before!!!!
hope you are doing ok
i know exactly what it is like....you lose your sense of self and independence...and its so frustrating
stay strong
x
kittylamb misfiring
Posted
the nerve is there and has regrown etc but not firing at all
one consultant said it was like having the tv all plugged in but when you go to turn the on/off button on the tv set...nothing happens x
Boeing74 kittylamb
Posted
The good news is I’m finally off all pain pills except tylonal every now and then!
kittylamb Boeing74
Posted
its so good to have people in a similar situation, if you kno what i mean
im so gutted by all thats happened....was working as cabin crew for british aorways for 20 years, a job i adored...and as i say, lost my job due to all this
i just keep hoping for some kind of miracle
xx
Boeing74 kittylamb
Posted
I’ll update on Tuesday after the appointment for sure. I’m not confident they will understand or even know what to do next. The reviews of the surgeon are not the best.
kittylamb Boeing74
Posted
yeah....def give an update.....all info is good
and on the aircraft note....my first flight was on a classic 747....and i was also licensed on 777 and 767.....oh and a dc10 when i started
thought you would like that info being an aircraft buff like myself
what do you do with airlines? h xx
jan_68061 Boeing74
Posted
If your surgeon says you struggling and suggests cortisone shot tell him no thanks. Waste. Just bad side effects. Tell him you'll follow up in 6/8 weeks. Synvisc waste too. Time is your best remedy to healing
Boeing74 kittylamb
Posted
Boeing74 jan_68061
Posted
Boeing74 kittylamb
Posted
kittylamb Boeing74
Posted
thats exactly what they said to me
i tried muscle stim but didnt work for me
and me still seeing physio
we have very similar cases which i know isnt good but at least i dont feel so alone...and unusual or unique as the consultants say!!!
keep in touch x
Boeing74 kittylamb
Posted