Injured Knee, but what have I gooorn and done?

Injured Knee, but what have I gooorn and done?

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Discussion

hman

Original Poster:

7,487 posts

201 months

Sunday 6th June 2010
quotequote all

So currently my knee is giving me a lot of pain.

The History,

I race enduro moto x, at an event way back in Jan I got caught in a tight right hand ben d in a deep rut and I came off. I rememebr a pain in my knee but nothing agonising so picked up the bike and carried on.

When I got home I looked at my knee brace and it was snapped right across the lower section. My knee was stiff, not swollen but I was having trouble straightening my leg.

The knee had a dull ache in it for a few weeks which gradually went away but left me with difficulty when straightening my leg after sitting down for more than 10-15 mins. There is definite weakness and I have to stretch it out (gingerly as its quite painful). Once its stretched out, no probs, can walk, cycle etc for miles without pain - but heaven help me if i sit down for 10 mins or so as it all starts again.

Still no bruising or swelling, but its not been improving.

Latest developments:

I went out for a fast cycle with a trailer attached (so extra load), upon tackling a steep but short hill (sitting down using the cleats to push/pull) I felt something let go in my knee and a short sharp pain. I completed my journey and felt a little more tender behind and through the middle of the knee.

There are no obvios signs of injury, but now by christ does it hurt if I sit down and stand up again and walking is now painful (to the point of limping liek I have a stone in my shoe). My knee seems to move less smoothly - like its grinding on something.

Am hoping to see the quack tomorrow but would appreciate any help in diagnosing what it is, I have a cycle rally and an enduro in the coming 2 weeks so am concerned that I may have to duck out of them to aid recovery.



My head is telling me cartilidge or tendon injury - but I have no clue as to what these feel like.

grumbledoak

31,839 posts

240 months

Sunday 6th June 2010
quotequote all
You were pretty dumb to go straining it when it was already damaged.

The quack might send you for scans, or more likely just tell you to take it easy. Forget the rally. But, they aren't normally great at sporting injuries. If the advice is just to take it easy I'd try to see a physio.

Edited by grumbledoak on Sunday 6th June 20:35

hman

Original Poster:

7,487 posts

201 months

Sunday 6th June 2010
quotequote all
grumbledoak said:
You were pretty dumb to go straining it when it was already damaged.

The quack might send you for scans, or more likely just tell you to take it easy. Forget the rally. But, they aren't normally great at sporting injuries. If the advice is just to take it easy I'd try to see a physio.

Edited by grumbledoak on Sunday 6th June 20:35
To be honest I didnt think that this short hill/effort was going to be a problem, alas I was wrong...

staceyb

7,107 posts

231 months

Sunday 6th June 2010
quotequote all
Don't bother going to the GP just go straight to a sports physio.

King Herald

23,501 posts

223 months

Tuesday 8th June 2010
quotequote all
Not sure how well heeled you are, but after aching for months with a damaged shoulder I decided to go private and see what was wrong with it. I had a consultation, and ultrasound and an X-ray, and found out exactly what was wrong with it right away. What was possibly more painful than the shoulder, was the bill, around £600.

I've never used one, but I'd guess a physio will waggle your knee about, and guess at what is wrong. An educated guess probably, but still a guess.

All my local GP wanted to do was give me pain killers, just like they always do. She said she could refer me to a physio, but it would take weeks, and he might then simply refer me to a chiro, or to get an injection. Whatever, months would be involved.


hman

Original Poster:

7,487 posts

201 months

Tuesday 8th June 2010
quotequote all
I have private health , think the excess is about £400 though...

deevlash

10,442 posts

244 months

Tuesday 8th June 2010
quotequote all
sounds like youve torn some cartilage, I did the same thing whilst doing judo, they go in with a keyhole op and trim the torn bit off. It could be more though, can you waddle like a duck? you know like this;

if you cant it could be your cruciates that youve done in and theyre a pretty major thing to get fixed. Go see your doctor.

Bill

54,198 posts

262 months

Tuesday 8th June 2010
quotequote all
King Herald said:
I've never used one, but I'd guess a physio will waggle your knee about, and guess at what is wrong. An educated guess probably, but still a guess.
It's a little more scientific than thatsmile

OP, there're no way to diagnose it without giving it a waggle so go and see a physic. wink

dandarez

13,438 posts

290 months

Tuesday 8th June 2010
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The KingHerald one made me smile... 600 notes ...oh dear.

Get yourself off to A&E... just walk in and say it's suddenly got worse.
Might have to wait a while but you'll be in the right place. And your wallet will still be full!

Edit above. 'hobble' in not walk. You probably will hobble anyway.


Edited by dandarez on Tuesday 8th June 23:33

Bill

54,198 posts

262 months

Wednesday 9th June 2010
quotequote all
Unless it's very quiet that's a recipe for a long wait and a quick prod by someone junior with litle prospect for even an xray.

Accident

and

Emergency

remember. Which this isn't.

hman

Original Poster:

7,487 posts

201 months

Wednesday 9th June 2010
quotequote all
Nah, I wont be doing the A&E thing. Stoke Mandeville (which is a specialist sinal injury unit) is normally pretty busy and I doubt I'd get a great reception from them.

Went to the quacks, he's waggled it, pushed pulled it whilst sat on my feet and has declared me race fit! - I really dont feel it.

He reckons that I've got two injuries, one from the moto x the other from cycling and they are probably related to each other.

As he cant find enough clinical evidence to send me in for endoscopies and x-rays he reckons that I should keep active and wait and see if it gets a lot worse. This will then give him reason to start down the more invasive routes.

So for the moment thats what I'll do, just hope it buggers off quickly or shows something more indicative fairly soon.

The weird thing is the soft bit behind my knee feels bigger on the right leg than the left, and I am in pain when I stand on a doubled over bath mat with my right leg whilst my left leg stands on the floor (difference in height between the two would be about 7mm). It sort of burns in the back of the knee. weird.

King Herald

23,501 posts

223 months

Wednesday 9th June 2010
quotequote all
dandarez said:
The KingHerald one made me smile... 600 notes ...oh dear.
Don't laugh, I have full cover medical insurance. biggrin

hman said:
As he cant find enough clinical evidence to send me in for endoscopies and x-rays he reckons that I should keep active and wait and see if it gets a lot worse. This will then give him reason to start down the more invasive routes.
This will give him the excuse to do absolutely nothing for as long as he can. Ten years ago I went to my GP over excruciating lower back pains, whenever I stood still for a while, or walked slowly for a while, such as going shopping wit the wife. I explained that sometimes I had to sit down in the street, as that was the only way I could get the pain to ease for a while.

He examined me and said these immortal words: "Oh, it's only skeleto-muscular pain"

And that was it. shoutnext customer, keep the line moving I have a quota to fill today to earn my NHS crust.

I decided to sort it myself, did some Google research, started to exercise, core muscle strengthening etc, and lose weight, and two weeks later the pain had gone!

doctordr

5,484 posts

174 months

Wednesday 9th June 2010
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Medial meniscus

hman

Original Poster:

7,487 posts

201 months

Wednesday 9th June 2010
quotequote all
Thank you Dr,

So 2 questions,

1, are you a real doctor?
2, if so what should I do about my Medial Mensiscus injury?

deevlash

10,442 posts

244 months

Wednesday 9th June 2010
quotequote all
get it trimmed off

doctordr

5,484 posts

174 months

Thursday 10th June 2010
quotequote all
hman said:
Thank you Dr,

So 2 questions,

1, are you a real doctor?
2, if so what should I do about my Medial Mensiscus injury?
No I am not a real doctor and my opinion of medial meniscus is merely a guess from reading your original post. You will have to see a doctor in real life who can give you the proper examination you require for your knee issue. It is not fact that your issue is medial mesiscus, the symptoms you portray could easily be explained by your anterior cruciate ligament (acl) being wrecked.

The best thing for you to do is rest that knee until you see someone who can give you an xray and get a better idea of what is torn.

I will be brutally honest, you are an idiot for putting strain on your knee that already had a clear issue. You may just have gone from requiring no surgery and just physical therapy to needing a more serious surgery to repair/replace something....

The above insult will answer your question number 2.

doctordr

5,484 posts

174 months

Thursday 10th June 2010
quotequote all
deevlash said:
get it trimmed off
If it is surgery then it will most likely be repaired.



Edited by doctordr on Thursday 10th June 00:11

Dav_s

1,781 posts

199 months

Thursday 10th June 2010
quotequote all
The test the dr did when he sat on your foot and pulled your leg about is to check for ligament damage - ACL in particular.
The fact that he gave you the all clear obviously means nothing - I had all sorts of tests done and it wad only an MRI scan that picked up my snapped ACL.
Might take a while via the NHS, but the only way to find out for certain what you've done to your knee is by having an MRI. (Obviously an x-ray is first on the list, but the most common knee injuries aren't skeletal).

Bill

54,198 posts

262 months

Thursday 10th June 2010
quotequote all
hman said:
The weird thing is the soft bit behind my knee feels bigger on the right leg than the left, and I am in pain when I stand on a doubled over bath mat with my right leg whilst my left leg stands on the floor (difference in height between the two would be about 7mm). It sort of burns in the back of the knee. weird.
Sounds like swelling within the joint, given the injury mechanism I'd suspect ligaments and the ACL is a distinct possibility although you haven't mentioned any giving way which is often present with a rupture.

Go see a physio...

hman

Original Poster:

7,487 posts

201 months

Thursday 10th June 2010
quotequote all
doctordr said:
hman said:
Thank you Dr,

So 2 questions,

1, are you a real doctor?
2, if so what should I do about my Medial Mensiscus injury?
No I am not a real doctor and my opinion of medial meniscus is merely a guess from reading your original post. You will have to see a doctor in real life who can give you the proper examination you require for your knee issue. It is not fact that your issue is medial mesiscus, the symptoms you portray could easily be explained by your anterior cruciate ligament (acl) being wrecked.

The best thing for you to do is rest that knee until you see someone who can give you an xray and get a better idea of what is torn.

I will be brutally honest, you are an idiot for putting strain on your knee that already had a clear issue. You may just have gone from requiring no surgery and just physical therapy to needing a more serious surgery to repair/replace something....

The above insult will answer your question number 2.
Right, so you're not actually a doctor and yet your username is Drdoctor and you are most active on the health forum.

You sir, are the idiot.



Edited by hman on Thursday 10th June 08:49