annual knee injury!

[sheepiegirl]

Hi

Hoping some nice person will read this and hopefully be able to offer me some advice!

Ok am aware this is a long post so am going to try and put a brief summary in here: hypermobile, over pronating 21 yr female with right knee pain issues(knee gives out). No sign of ligament or bone damage. Has recieved physio treatment (quad strenghtening).

New to this so not too sure what info about myself is displayed so here's a brief summary: 21yo female who likes to keep fit and active through a combination of cycling, skiing, kayaking, gym sessions and swimming. Currently wears customized orthotics to correct over pronation. I know I shouldn't but I do lock my joints out which I put down to being hypermobile. Also have an inwards rotation of my hips.

As can be seen from the title am having the problem with my knee. First occurred almost a year ago whilst playing basketball, twisted to get the ball but my knee gave out under me accompanied by a popping sound. Followed RICE procedure and not surprisingly had significant swelling afterwards (hopefully pic is attached) but as I was working at an activity camp in the countryside didn't get it checked out for 3days after the injury. Hosp x-rayed and told me to rest up for a few days as it was probably a partially torn medial ligament? (always getting lateral and medial wrong way around the one on the inside anyway!) as this was where the pain was. X rays were clear.

After 6 weeks or so decided to see physio 1 as although most of the swelling and pain had gone down (was still taking ibuprofen) but having problems bending and fully extending my knee and my knee giving out on me whilst going downhills etc. Physio after the 'usual' manipulating thought it was more likely that I had overstretched the ligaments so set about giving me exercises to loosen the ligaments.

Physio 2 wasn't too sure what the problem was (maybe a small meniscal tear) but wanted to restore the extension in my leg and strengthen the quads. This sessions lasted about 3 months and all was going great until I reintroduced 'heavy' weight bearing exercise (e.g. running) this then caused the knee to start giving out again and what I can only describe as like a golf ball of fluid moving from the base of the knee joint round to the top via the medial ligament. Afterwards activities such as walking for more than 1 hour a day also caused the above symptoms. Physio 2 recommended going to GP to get a referral to a specialist. Didn't get around to this until about 6-8 wks after as was overseas. eventually did and was told had to go throught NHS physio first.

Physio 3 then set me back on quad strengthening exercises which helped to a certain extent (think anything to help support the knee joint would though) but during in that time didn't try 'heavy' weight bearing exercise and ended up being referred onto an OA knee group! Physio 4 at the OA knee group was as confused as I was as to why I was their as exercises were too basic and couldn't understand why I hadn't recieved an orthopaedic ref.

Few weeks later (coincidentally almost exactly a year after first time) and I'm turning to step up a step (much the same movement as did when playing basketball) and the knee gives out again. Should add the pain was much worse this time (9/10 compared to 8/10 first time). Carted myself off to A+E immediately this time and ended up with my leg in a splint for 3days and still about a week later on crutches. X ray did show a mark on the bone (wasnt told which one) but Doc not sure if this was from birth or as a result of injury unfortunately xrays from a year ago hadn't been put on my records so couldn't be compared.

Currently can weight bear on the 'bad' leg but walking is a problem as can't fully bend the leg upwards (i.e heel to bum) very well or straighten out fully (still slight bend in the knee) also still quite painful if I do too much shuffling around without the aid of crutches.

If you've reached this far, well done and look forward to hearing any ideas you may have

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