Medical Forum / Diseases and Disorders / Arthritis / August 2006
Fluid in the kneee
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Alya - 14 Aug 2006 07:27 GMT Hello,
First time doing something like this, but I want more opinions before I make any decisions. Im 25 and I have had knee pain for the last 2 years. When I went to the doctor he said I have exxesive fluid in the knee and that I should do Physical Therapy. Well I did PT many times and it never worked. The Pain is increasing by day and most of the time I limp now cause its hurts soo much. I would like to know if there are any ways of how to treat this...with out surgery. Any help would be appreciated.
Alya
spodosaurus - 14 Aug 2006 08:57 GMT > Hello, > [quoted text clipped - 8 lines] > > Alya Two YEARS and you only just recently went to the doctor? Yikes. Okay, first off, what kind of doctor? A general practitioner or a joint specialist like a rheumatologist? Did he give any indication of why you're having fluid buildup in that one joint? Just my first impression, but it sounds like after this much time and with increasing pain and disability you should seek a second opinion from a specialist like a rheumatologist (preferably not an orthopaedic surgeon, they're great when you need surgery, but they always have a surgical solution when there are things that should be tried first). Even then, if you're not getting the answers and understanding you need to make your choices about treatment options, then keep shopping around (third opinion, etc). Are there any predisposing factors to your knee pain? Previous injury, excess bodyweight, occupational stress, excess sporting activity (perhaps without footwear suited to your body), other?
Regards,
Ari
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I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Alya - 15 Aug 2006 16:51 GMT I saw a regular general doctor that really was not much of a help. Would not even send me to a specialist but I had to keep asking for it and he did, to a Orthopedic...which is busy and cannot see me for next 2 month. :(. I never even heard of a doctor "Rhuematologist" .. Since I am not too familiar with that....Can anyone asnwer.. Can my general doctor refer me to Rhuematologist"?? I have basic HMO coverage...and have not been to doctors much so I have no idea what they can and cannot do.
Also to answer some of the other questions...
This knee has been hurting for the last 2 or more year. This started from snowboarding 3yrs ago. I fell too many times on my right knee on the snowboarding...did not break or tore anything ..just stretched something in there, dont know the proper name.
Anyways, since my right knee was in pain and i could not put any pressure on it, I started putting all the stress and pressure on the left knee. I think I put tooooo much stress on the left knee because I remember feeling pain right away, because i was doing a lof ot bike riding....but I didnt think of it as hurting my knee. Since then I have seen the doctors for both knees and all of them told me to do PT and I did, but nothing seem to help. Specialists that I have seen told me that I am fine... Thats why I am here to get other opinions ..hopefully more help then from some speciliast that tell me that I am OK..when lately I am barely walking from pain and cannot bend the knee at all.
alya~
> > Hello, > > [quoted text clipped - 38 lines] > http://www.abmdr.org.au/ > http://www.marrow.org/ Thumper - 15 Aug 2006 19:03 GMT >I saw a regular general doctor that really was not much of a help. >Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 23 lines] >OK..when lately I am barely walking from pain and cannot bend the knee >at all. I think you should give the orthopedist a try. I may have missed something but let me ask, why did you come to an arthritis group? Is there some particular reason why you think arthritis might be involved? Other than backs I would think that knees are right up there with the most injured joints in the body. Have him check you out. You could have a tear in a ligament causing fluid to accumulate. It could be a lot of things but accept the offer to drain the knee. Thumper
>alya~ >> > Hello, [quoted text clipped - 39 lines] >> http://www.abmdr.org.au/ >> http://www.marrow.org/ Alya - 15 Aug 2006 19:25 GMT I was not sure into what group to apply my self, since it was the first time me writing in there. Sorry. How do I redirect my self?
> >I saw a regular general doctor that really was not much of a help. > >Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 76 lines] > >> http://www.abmdr.org.au/ > >> http://www.marrow.org/ Fire Chief - 15 Aug 2006 19:46 GMT > I was not sure into what group to apply my self, since it was the first > time me writing in there. Sorry. How do I redirect my self? Stick around and read awhile.
You may have arthritis, or it could be an injury. And injuries can lead to arthritis.......ask any athlete to whom that has happened.
... 98% of all dead owls don't give a hoot!
Thumper - 15 Aug 2006 22:36 GMT >I was not sure into what group to apply my self, since it was the first >time me writing in there. Sorry. How do I redirect my self? I'm not trying to drive you away. I was just wondering if there was a reason to believe it might be arthritis. One usually doesn't go to a rheumatologist unless they have a reason to suspect arthritis. Fluid on the knee could be from many other things. Thumper
>> >I saw a regular general doctor that really was not much of a help. >> >Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 76 lines] >> >> http://www.abmdr.org.au/ >> >> http://www.marrow.org/ Alya - 16 Aug 2006 02:03 GMT I understand!! I didnt want to apply my problem as arthritis, I Just wrote in here to get help. Im not really sure what exactly the problem is called.... Fluid on the knee is what I have and I would like some suggestions...:) Thank you
> >I was not sure into what group to apply my self, since it was the first > >time me writing in there. Sorry. How do I redirect my self? [quoted text clipped - 85 lines] > >> >> http://www.abmdr.org.au/ > >> >> http://www.marrow.org/ spodosaurus - 16 Aug 2006 09:57 GMT >>I was not sure into what group to apply my self, since it was the first >>time me writing in there. Sorry. How do I redirect my self? > > I'm not trying to drive you away. I was just wondering if there was a > reason to believe it might be arthritis. One usually doesn't go to a > rheumatologist unless they have a reason to suspect arthritis. That is not correct. Arthritis simply means joint inflamation, and rheumatologists deal with a lot of joint problems. The ones requiring surgery they send to a surgeon.
> Fluid > on the knee could be from many other things. [quoted text clipped - 73 lines] >>>>> >>>>>Ari
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I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Thumper - 16 Aug 2006 12:04 GMT >>>I was not sure into what group to apply my self, since it was the first >>>time me writing in there. Sorry. How do I redirect my self? [quoted text clipped - 6 lines] >rheumatologists deal with a lot of joint problems. The ones requiring >surgery they send to a surgeon. If you say so but most knee problems are due to injury. Thumper
>> Fluid >> on the knee could be from many other things. [quoted text clipped - 73 lines] >>>>>> >>>>>>Ari spodosaurus - 16 Aug 2006 19:02 GMT >>>>I was not sure into what group to apply my self, since it was the first >>>>time me writing in there. Sorry. How do I redirect my self? [quoted text clipped - 8 lines] > > If you say so but most knee problems are due to injury. And therefore? Are you saying that chronic inflamation of a joint caused initially by an injury is /not/ arthritis? Well f.ck me dead I'm cured! I'll let my rheumatologist know that my legs and spine are all better now and his services are no longer required. Who would have thought that if you sustain an injury years and years before, and it later results in osteoarthritis, that it isn't /really/ arthritis?
> Thumper > [quoted text clipped - 75 lines] >>>>>>> >>>>>>>Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Thumper - 16 Aug 2006 22:11 GMT >>>>>I was not sure into what group to apply my self, since it was the first >>>>>time me writing in there. Sorry. How do I redirect my self? [quoted text clipped - 15 lines] >if you sustain an injury years and years before, and it later results in >osteoarthritis, that it isn't /really/ arthritis? Do you just want to argue? Torn ligaments, strains etc. happen all the time, particularly as one ages and continues to play sports or run. Why do you think they warn you about doing deep knee bends? The knee is more fragile than you expect.
If you do not already have a history of arthritis and have fluid on the knee, I guarantee that doctors will first want to make sure there is no injury. Thumper
>> Thumper >> [quoted text clipped - 75 lines] >>>>>>>> >>>>>>>>Ari spodosaurus - 17 Aug 2006 05:02 GMT >>>>>>I was not sure into what group to apply my self, since it was the first >>>>>>time me writing in there. Sorry. How do I redirect my self? [quoted text clipped - 17 lines] > > Do you just want to argue? No, I want facts presented here. Your statements have been lacking in this regard.
> Torn ligaments, strains etc. happen all > the time, And that very general statement relates in what way to her not going to see a rheumatologist about chronic joint inflamation with fluid buildup?
> particularly as one ages and continues to play sports or > run. Why do you think they warn you about doing deep knee bends? Who is "they"? And there's nothing wrong with working a healthy knee through a full range of motion, especially if you want it to stay healthy! In terms of the weight training version of deep knee bends, the squat, there is evidence that this is a much better exercise for the knees than using those rehabilitation leg extension machines that "they" probably think are safe.
> The > knee is more fragile than you expect. Having dissected them I very much doubt you have any clue about what I would expect.
> If you do not already have a history of arthritis You have a very narrow definition of what arthritis is.
> and have fluid on > the knee, I guarantee that doctors will first want to make sure there > is no injury. And a rheumatologist could not do this...why? Not only that, but a rheumatologist can assess the other potential causes without wanting to go right in and do a painful and risky arthroscopic procedure to 'have a look see', something surgeons are predisposed to do.
> Thumper > [quoted text clipped - 77 lines] >>>>>>>>> >>>>>>>>>Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Thumper - 17 Aug 2006 05:47 GMT >>>>>>>I was not sure into what group to apply my self, since it was the first >>>>>>>time me writing in there. Sorry. How do I redirect my self? [quoted text clipped - 26 lines] >And that very general statement relates in what way to her not going to >see a rheumatologist about chronic joint inflamation with fluid buildup? Not until you see an orthopedist to see if you have a physical injury like a torn ligament. I see you do just want to argue.
>> particularly as one ages and continues to play sports or >> run. Why do you think they warn you about doing deep knee bends? [quoted text clipped - 11 lines] >Having dissected them I very much doubt you have any clue about what I >would expect. Well I know what I expect. I expect to not read another of your pasts as you seam like an argumentative a.s. Thumper
>> If you do not already have a history of arthritis > [quoted text clipped - 90 lines] >>>>>>>>>> >>>>>>>>>>Ari spodosaurus - 17 Aug 2006 10:49 GMT >>>>>>>>I was not sure into what group to apply my self, since it was the first >>>>>>>>time me writing in there. Sorry. How do I redirect my self? [quoted text clipped - 29 lines] > Not until you see an orthopedist to see if you have a physical injury > like a torn ligament. I see you do just want to argue. I'm not sure where you get your strange ideas about doctors. A rheumatologist is perfectly qualified to order the testing that would show if, and to what extent, a ligament in the knee (say one of the cruciate ligaments) has been damaged. In Australia ordering of certain tests such as MRIs is restricted to specialists, and a rheumatologist is one such specialist.
>>>particularly as one ages and continues to play sports or >>>run. Why do you think they warn you about doing deep knee bends? [quoted text clipped - 14 lines] > Well I know what I expect. I expect to not read another of your pasts > as you seam like an argumentative a.s. So, when you're wrong and have incorrect ideas which you use to chase a newcomer away, you really don't want to learn that you've been wrong. Not the way I choose to live, but if it works for you...
> Thumper > [quoted text clipped - 92 lines] >>>>>>>>>>> >>>>>>>>>>>Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
spodosaurus - 17 Aug 2006 10:49 GMT > I was not sure into what group to apply my self, since it was the first > time me writing in there. Sorry. How do I redirect my self? You're in the right place (as right as any) to ask these questions and get advice as to how you should/might proceed, Alya.
>>>I saw a regular general doctor that really was not much of a help. >>>Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 69 lines] >>>> >>>>Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
ladylove77 - 16 Aug 2006 03:02 GMT Alya, a rheumatologist (RD) is doctor who specializes in the more than 100 kinds of arthritis and related problems. If your regular doctor will, please have him refer you to one so you can know whether or not arthritis is involved. Gwen
>I saw a regular general doctor that really was not much of a help. > Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 67 lines] >> http://www.abmdr.org.au/ >> http://www.marrow.org/ spodosaurus - 17 Aug 2006 11:00 GMT > I saw a regular general doctor that really was not much of a help. > Would not even send me to a specialist but I had to keep asking for it > and he did, to a Orthopedic I'm glad you insisted, that's a good sign! :-) An orthopaedic surgeon is one place you could start - the other is a rheumatologist.
>...which is busy and cannot see me for next > 2 month. :(. I never even heard of a doctor "Rhuematologist" .. > Since I am not too familiar with that....Can anyone asnwer.. A rheumatologist is a specialist in joint problems and is the specialist of choice for arthritis. If surgical repair or exploration is required, a rheumatologist would refer you on to a surgeon. A rheumatologist can order the tests to have a look inside the joint and see what's going on (such as an MRI). He can also drain the excess fluid from the joint and hopefully give your body a chance to put things back in balance.
> Can my > general doctor refer me to Rhuematologist"?? I have basic HMO > coverage I guess that depends on your HMO then :-( Ordinarilly, yes, your GP can refer you on to a rheumatologist.
>...and have not been to doctors much so I have no idea what > they can and cannot do. Sometimes doctors don't really know that, either ;-)
> Also to answer some of the other questions... > > This knee has been hurting for the last 2 or more year. This started > from snowboarding 3yrs ago. I fell too many times on my right knee on > the snowboarding...did not break or tore anything ..just stretched > something in there, dont know the proper name. A cruciate ligament? How bad was the sprain? Were you given a followup appointment?
> Anyways, since my right knee was in pain and i could not put any > pressure on it, I started putting all the stress and pressure on the > left knee. I think I put tooooo much stress on the left knee because I > remember feeling pain right away, because i was doing a lof ot bike > riding....but I didnt think of it as hurting my knee. So for all this time you've been favouring one leg? If you were constantly putting more force through one leg than the other because of an unhealed prior injury, yes, that can cause problems over time.
> Since then I > have seen the doctors for both knees and all of them told me to do PT > and I did, but nothing seem to help. Then it's time to look further.
> Specialists that I have seen told > me that I am fine Which specialists? I thought you were still waiting to see the orthopaedic surgeon. If you're hurting and the doctors say they can't find anything, keep shopping around (as much as your HMO will allow).
>... Thats why I am here to get other opinions > ..hopefully more help then from some speciliast that tell me that I am > OK..when lately I am barely walking from pain and cannot bend the knee > at all. The left knee? Or is it both knees with one being worse than the other?
> alya~ > [quoted text clipped - 29 lines] >> >>Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Nann Bell - 17 Aug 2006 13:31 GMT Alya, is the orthopod you were referred to a specialist in sports medicine? You may not have many options, being in an HMO, but if you can see a sports med orthopod, s/he might zero in on what you did snowboarding more readily. Then again, knee injuries are so common, any competent ortho should be able to work out what's up with any but the oddest of injuries.
Oh, and Ari, in the States any doc can order an MRI, etc. It can be an advantage, helping them to know which place to refer you. (e.g. My neck MRI saved me from seeing a neck specialist, going to PT instead.) And docs and exercise specialists in the States at least are now recommending against *anyone* doing deep knee bends, gentle knee bends yes, but not deep ones as they stress the knee more than they help. Gentle knee bends will build the strength, they you should work on the flexibility in non-weight bearing positions.
 Signature Nann remove the Gator cheer to email me Simply the thing I am shall make me live --- William Shakespeare
spodosaurus - 17 Aug 2006 16:52 GMT > Alya, is the orthopod you were referred to a specialist in sports medicine? > You may not have many options, being in an HMO, but if you can see a sports [quoted text clipped - 10 lines] > strength, they you should work on the flexibility in non-weight bearing > positions. You might want to tune out now. It's okay, really, it's only going to be a rant right down to the signature file.
<RANT class="medicalIgnorance> <p>It's blanket statements like that which make these doctors look like morons to people who actually know a bit about exercise science. I guess it's to be expected, given that so many doctors these days can't answer basic anatomy questions. I've known people who had problems with insurance and were told by their pudgy doctors that they were obese...with visible abs and very broad shoulders: athletes. The doctors were using BMI, which is a quick and easy but totally inaccurate way to estimate body fat percentage. Doctor's also think, and this is from my own experience and from the snickers of people I speak with who also train with weights, that using 'machines' is much safer on the knees than doint squats with heavy weights. The shear forces across the knee joint from those 'safe' leg extension machines have wrecked more knees than properly done squats ever will. The same goes for those leg press machines, but they tend to wreck more backs than knees. Doctors love these 'safe' machines, too. I see people all the time with sore joints who are using itty bitty ranges of motion and using too much weight and they can't figure out why they're sore...using a restricted ROM is safe, right? I also see people who are trying to improve their strength and health accomplish neither of these goals because they've been told not to use heavy weights are work through a full range of motion (not a maximal range of motion, but a full range of motion for a given exercise). As a result, they get no results and the obesity epidemic, and all of the associated complications including joint problems, continues unabated. I'd like to thank the well meaning but ignorant doctors for their assistance in making sure people don't hurt themselves with the end result that they don't improve their health either.</p>
<p>Gentle knee bends will only help people who are recovering from injury, as part of PT, or who are extremely week. For other people, it does SFA. Like those women at the gym using the little pink dumbbells and thinking they're actually doing something with their time...week after week after week. If you want to be able to protect your back, like the doctors tell you to, then you need to do a deep knee bend to pick an object up off the floor. Wait...no...everyone should just use grabbers! A deep knee bend is not the same thing as letting your body drop into a fully flexed knee and hip position then bouncing out of the bottom (like in those 40s and 50s films of people exercising). /That/ isn't great on the knees done over and over again! In the cardio classes I've seen at the gym you do not go bouncing out of 'the hole' as it's known in powerlifting language when doing any sort of squatting motion, it's slow and controlled and designed to improve flexibility and balance. If you want to support your joints, you need to strengthen the supporting muscles and improve the flexibility of those muscles (sometimes this can be accomplished at the same time). A gentle knee bend does very little to promote this except, as I said above, in cases where people are recovering from significant surgery or injury and this actually /is/ work for their muscles.</p> <p>In Alya's case, she needs to get to the bottom of what's happening before returning to /any/ vigorous exercise. But she is the exception, not the rule (as are we all here on this newsgroup). If what you've relayed is accurate regarding a blanket statement made by some doctors about /all/ people then I think I'll choose to be thankful that my doctors don't by into that garbage. I like my doctors and I choose to think that their 'kind' make up at least half of the medical community that stays silent and cares for patients rather than giving out ill conceived advice as blanket statements. Their attitudes are to do as much as you /safely/ can while you can to improve and maintain health and quality of life.</p>
</RANT>
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
Alya - 17 Aug 2006 21:07 GMT Pain occured from snowboarding in right knee, but now its all in the left knee.
> > I saw a regular general doctor that really was not much of a help. > > Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 110 lines] > http://www.abmdr.org.au/ > http://www.marrow.org/ Thumper - 17 Aug 2006 22:24 GMT >Pain occured from snowboarding in right knee, but now its all in the >left knee. As you pointed out, It may be from favoring the right knee. Thumper
>> > I saw a regular general doctor that really was not much of a help. >> > Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 110 lines] >> http://www.abmdr.org.au/ >> http://www.marrow.org/ Alya - 17 Aug 2006 21:09 GMT Pain occured from snowboarding in right knee, but now its all in the left knee.
I have seen specialist about 2yrs ago...regarding my right knee and they have told me that I am fine...and I was not..still not.
> > I saw a regular general doctor that really was not much of a help. > > Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 110 lines] > http://www.abmdr.org.au/ > http://www.marrow.org/ Thumper - 17 Aug 2006 22:25 GMT >Pain occured from snowboarding in right knee, but now its all in the >left knee. > >I have seen specialist about 2yrs ago...regarding my right knee and >they have told me that I am fine...and I was not..still not. What kind of tests were run? Thumper
>> > I saw a regular general doctor that really was not much of a help. >> > Would not even send me to a specialist but I had to keep asking for it [quoted text clipped - 110 lines] >> http://www.abmdr.org.au/ >> http://www.marrow.org/ Cindy - 14 Aug 2006 13:43 GMT Fluid in the knee?...Okay..I had Fluid in the knee and it was swollen to the point I couldn't bend it....The Rhuematologist drew some fluid off the knee for testing and gave me a shot of cortisone...I have psuedogout...And he gave me some meds to help with that...and the shot helped... You didn't say how much fluid... Like Ari said...See a Rheumatologist and get another opinion...He will be able to give you some better answers. Cindy
> Hello, > [quoted text clipped - 8 lines] > > Alya tsedinger@yahoo.com - 14 Aug 2006 21:11 GMT > Hello, > [quoted text clipped - 8 lines] > > Alya About 2 years ago something happened with my knee. It hurt for a few weeks then became very painful, I could hardly walk or stand on it. I saw an ortho surgeon. he took x rays, (which showed some mild arthritis but nothing else), gave me a shot of cortisone, and drew the water off the knee. he rocemmended rest, ice, compression. If that didn't work, he would take it further. it took about 2 mos but everything did get better and I've had no further problems. did you try the above? these simple procedures worked for me, thank god.
Califchief - 15 Aug 2006 20:27 GMT -=> Quoting Alyushka_1980@yahoo.com to All <=-
> I never even heard of a doctor "Rhuematologist" .. > Since I am not too familiar with that....Can anyone asnwer.. > Can my general doctor refer me to Rhuematologist"?? I have > basic HMO coverage...and have not been to doctors much so I > have no idea what they can and cannot do. I failed to mention in my first reply that whether or not your doctor (PCP) can refer you depends on the individual HMO.
I found my current rheumatologist (RD) in January/February 2000 via a referral from my PCP. I had initially selected her because (1) she was a DO, (2) the RD was a member of the same HMO, and (3) my OD - eye doctor - was also a member of the same HMO.
I hope you have a list of ALL doctors within your HMO plan and you will request a referral from your PCP to an RD.
... D‚j… Flu: Being sick and tired of being sick and tired.
adstavis@gmail.com - 17 Aug 2006 17:21 GMT > Hello, > [quoted text clipped - 8 lines] > > Alya Had similar knee problems. Eventually, every step was like fire in the joint. It took finding an orthopedist who did sports medicine to get the problem properly diagnosed (and yes, it took surgery. But it was one of the better decisions of my life). Sports medicine guys expect a higher level of function after healing than someone not oriented to sports.
So don't take the run around from your PCP. Research orthopedists in your health network (can often be done at your ins co's website and cross referencing names with Hospital websites) and find one doing sports medicine and specializes in knees. Go back and insist on a referral to the one you have chosen. It may take a few weeks to get an appointment. But after two years in pain, another few weeks isn't a long time.
Adelle
spodosaurus - 18 Aug 2006 04:18 GMT >>Hello, >> [quoted text clipped - 15 lines] > higher level of function after healing than someone not oriented to > sports. I agree, though sports medicine specialists can be hard to find. My rheumatologist is also a highly regarded sports medicine specialist. For my hips, he sent me for surgery (can't fix dead shattered bone). For other problems, we managed other ways.
Regards,
Ari
 Signature spammage trappage: remove the underscores to reply
I'm going to die rather sooner than I'd like. I tried to protect my neighbours from crime, and became the victim of it. Complications in hospital following this resulted in a serious illness. I now need a bone marrow transplant. Many people around the world are waiting for a marrow transplant, too. Please volunteer to be a marrow donor: http://www.abmdr.org.au/ http://www.marrow.org/
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