Physical Therapy not helping my knee

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Backstory: im a female, 24 yrs old. 5'7" 136 lbs. Almost a year ago I started running. Anywhere between 1-3 miles 2-4 times per week. this lasted about 3 months. i stopped for one week to take a break and immediately knew something was wrong with my knee. i have constant twinges of pain in the bursa on the inside of my knee that attaches to my lower leg and internal knee pain that i cant pinpoint that happens after ive been walking or standing too long. after many doctors visits, physical therapy, and an mri, they have told me that nothing looks to be wrong with my actual knee(based off the MRI) and that i have bursitis. however- my knee crunches really really loud and this causes terrible pain afterwards. it never used to do this. I also have episodes where my knee pain is so bad i cant walk and its not pain coming from the bursa- its coming from inside the knee itself. my physical therapist told me that my entire knee including the bursa is swollen which leads him to think that theres actually something wrong with my knee. in physical therapy we have been working on strengthening my legs which are already pretty good and my hips and posture which have needed some work but so far nothing is helping. any ideas or advice on what could be going wrong? i feel like ive hit a wall.

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3 Replies

  • Posted

    I'm wondering if it's a sprained or stretched ligament? I sprained both MCL's while running and had similar symptoms. Ligaments can take up to a year to heal. My sympathies, because I hate what I'm going thru!!!!

  • Posted

    Happened to me four times in my 50's (played hockey for decades). Every time, the MRI showed nothing. However, a good orthopedic surgeon should be able to locate the source of your pain from manipulating your knee in various positions and from different angles. "Does this hurt?" No...then it can't be your ACL because if it was, you'd be screaming right now. So, the exam should identify the general area of concern.

    Again, in all my cases, the ortho knew where to look but needed to scope the knee to actually find and fix the problem. Arthroscopy found a torn meniscus (one on each side) and a ripped femoral condyle cartilage (one each side). Four scopes, four successes. Sometimes, they just have to stick the camera in there...

    Meanwhile, try some Voltaren Gel (RX in the US, generic diclofenac elsewhere). Great topical anti-inflammatory but talk to a doc or pharmacist first to check for any med interactions. AsperCream 4% Lidocaine may also help; there are also menthol, capsaicin and lidocaine patches available OTC. You might consider seeing an acupuncturist for possible relief. However, if there is really something torn in there, a scoping will find it and fix it. MRIs are not always definitive for soft tissue injuries.

  • Posted

    I would try purchasing a stem machine and treat my legs everynite then get a hold of your surgeon because it's his responsibility to make your knee is in a good place maybe the prosthetic is loosing or the cement in your knee has crack or maybe the plastic piece used as your meniscus is bad but I would take action immediately instead of suffering best of luck I will be praying for you

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