unusual knee pain

[vam44]

It would be great for you to communicate your whole xray report. For such a longstanding problem you may need an arthroscopy( depending on the results) to view the internal structures within the knee, there may be some fibrosis around your old ACL repair limiting your knee movement. If this is the case your normal knee exercises will just inflame and aggravate your knee.

Well done to Andy Murray in the Australian Open Tennis

[zanderman1985]

Got my xray and waited a month and got an appointment with a consultant who said that there was no chance it was bone and its probably a cyst - he said it was like a bakers cyst, but only I had one on the inside of my knee as opposed to the back of the knee.

He also said that it was cause one of two ways;
either I put too much strain on the ligaments and it caused the cyst or;
I've damaged the meniscus cartilage (I think thats right) and the fluid seeped through the tear and caused the cyst - this is worse as it entails a longer rehabilitation.

so I'm waiting on an appointment for another scan to confirm it, - an MRI I think - to show more detail.

and Andy Murray still isn't good enough to beat federer!

[physiofixme]

Fantastic that you're making progress with your diagnosis! Hope you get a good outcome in the end. I hope this forum has helped too!!

[zanderman1985]

what I was wondering is, can I go back to nearly full function from this point? its just the consultant made some worrying faces...

and how long roughly would rehabilitation be for a condition such as this?

[roycar]

how do. just read this post with interest. im glad you've managed to get the issue investigated in more detail.

i had my acl repaired last june. uneventful rehab really but got flare ups and swelling when i exercised or stressed the knee a lot. also had painful and imited flexion. i gave it seven months of good rehab but was still happening. went in for a scope to sort the problem and my consultant found a soft tissue growth just anterior to the tibial insertion of my new acl. prob due to laydown of scar tissue/revascularising etc. my surgeon had never seen this before in near a thousand surgeries. whipped it out and not a bother since!

anyway. this doesnt sound a million miles from what your investigations have shown. hopefully its something that can be fixed quite easily also.

also, i could have been going for physio for years and it would have made no difference to this. sometimes a scope is the only option.

[zanderman1985]

Hey there, Just the results from the mri and is not that great, I think, from what the surgoen said, I have a horizontal tear in my cartilege which is creating a valve that once synovial fluid goes down can't come back up and so creates a lump on the other side.

He also said that to fix it he'll have to remove cartilege and that 25 to 30 percent of people, 10 - 15 year later will have knee pain or crunching - he said it was for unknown reasons but I though it was sort of obvious.

has anyone else had this done? and can they post their experiences of having this op?


kind regards
alex

[roycar]

i've not heard of that before. interesting. its great to see that you are getting somewhere with regard getting a solution to your problem.

any surgery that involves your knee cartilage will more than likely speed up the development of osteoarthritis in the knee. to what extent? hard to say. everyones different. after both of my knee surgeries where i had my acl replaced, medial cartilage repaired and lateral cartilage shaved, i've come to accept that i'l have degenerative changes come on me earlier than they would have otherwise. its about weighing up the pro's and cons. for me, i had to have the surgery to be able to function properly without pain and swelling and return to some form of sport. surgical approaches to cartilage are evolving all the time so hopefully when i don have problems down the road it'l be a nice easy job to sort it all out.

[zanderman1985]

Well the surgeon said that he would have to see how bad the inner structures were before doing anything, but he says he'll definately have to remove some cartilage