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Medical Forum / Diseases and Disorders / Arthritis / August 2006

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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

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 - 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

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 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

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