1. < Bones, Joints & Muscles

Knee problem

Posted by riri23 @riri23, Dec 18, 2024

Hello 👋..
My friend was part of a car incident and was shot on her right kneel. Her patella was destroyed and the Doctors that performed her surgery had to remove her patella complete. And after surgery there was no recommendation by Doctor for a kneecap replacement. She started physiotherapy a while and stoped. For close to two years now her knee is somewhat tight and she is unable to run, climb a stair, bend or walk properly but rather she limps while walking. What can be done to enable her be able to do all the things listed above again. Someone help me please 🙏..

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laughlin1947 | @laughlin1947 | Mar 2 3:57pm
In reply to @kayraymat "I had knee pain & was afraid I might need a knee replacement but it turned..." + (show)
@kayraymat

I had knee pain & was afraid I might need a knee replacement
but it turned out to be BURSITIS. Even after physical therapy & taking
Tylenol for arthritis there does not seem to be much improvement.
Any suggestions would be appreciated. K

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Bursitis is commonly treated with epidural cortisone injections. Surgery is not typically an option unless cysts are involved. My wife has chronic bursitis in each hip, she requires periodic injections/epidurals.

REPLY
gravity3 | @gravity3 | Mar 3 7:36am
In reply to @dlydailyhope "@riri23 I’m not sure what else she has tried and how old she is but it..." + (show)
@dlydailyhope

@riri23
I’m not sure what else she has tried and how old she is but it is important to take care of mental health with therapy and possibly antidepressants. She also may benefit from pain management center, occupational and physical therapy guidance on how best to deal with pain and options for treatment (medications, steroid/cortisone shots/bracing and wraps/stretches/tools to use for daily activities, navigating stairs). She should have her spine/hip alignment checked to see if something could help avoid any further issues that could make walking/mobility more difficult. I’m not sure if a chiropractor and/or massage therapist could help release any areas in her spine/hip/thigh that have locked or tightened up. Heat and ice may help with some symptoms plus topical Voltaren gel or nerve pain creams (like lidocaine, CBD or capsaicin). She may be depressed from all of this and could benefit from help supporting and advocating for her if she is willing to receive help.

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Because of all of the trauma she has endured I,too, would recommend psychotherapy with a professional who has extensive training in treating PTSD and a range of clinical tools to use in treatment. Bessel von de kolk is one of the premier experts in PTSD and it's treatment. She may want to read some of his material.
Besselvanderkolk.com

REPLY
bumstead | @bumstead | Mar 3 10:36am
In reply to @laughlin1947 "You will need an MRI on each knee to be able to identify what else beyond..." + (show)
@laughlin1947

You will need an MRI on each knee to be able to identify what else beyond the bone on bone issue might be causing you pain in the knee that did not have the TKR. So your knees ache, but you do not have direct identifiable pain? Soreness would in my humble non-doctor opinion now can be managed by NSAIDs, i.e. ibuprofen (400 mg) and Tylenol (500 mg). 3 times a day. Perhaps Naproxen would prove to be better than ibuprofen because the web says it is strongest in terms of pain relief. You must have swelling in each knee, you should be doing at-home PT, mainly flexing of your legs for several minutes a day. That, in addition to getting your quadriceps strong thru exercise at a gym (weighted leg presses). What definitively does your doctor say when the opinion is that "he won't help you"? Is your doctor an orthopedic specialist?

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I had an MRI on my operative leg with no issues. I have a coiled brain aneurysm and cannot take blood thinners like Naproxen, etc. and cannot lift more than 25 lbs. Started with a PT in January for 12 sessions but my knees got worse (I worry that is how it all started...with exercise) I can live with the soreness, but I want to walk correctly. I tend to bend forward when I walk...it's like I can't bend my knee all the way...like they are both stiff...even the one that had TKR. I see a new orthopedic surgeon in May as I am a snowbird. I was hoping to be able to walk correctly by then.

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