Medical Forum / Diseases and Disorders / Arthritis / December 2007
kness are so bad--advice?support?
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MZB - 24 Oct 2007 18:36 GMT I'm frustrated and seeking some advice/support
About 8 years ago, my knees both started hurting quite badly after I overdid some treadmill work and jogging. It has never been the same since.
Until recently, its been mostly the right knee acting up. Anyway, an MRI a few years ago showed a torn meniscus and x-rays showed arthritis. After a year with relatively minor problems things suddenly got bad in August. I went to see the orthopedic surgeon a few weeks ago. The news was not good. He says the x-rays and my type of symptoms point to some kind of inflammatory arthritis as the main cause of my pain (and it's bad in both knees). He said eventually we can do a scope when the bad days outnumber the good days but he didn't think the scope would be all that great (but it would probably help a bit). Apparently it won't really arrest the disease. Down the road, we are looking at TKR. He'd like to wait as long as possible; I am a 61 yr.old male.
Since then (really in the last week) both knees have gotten much worse. Walking is very painful and even not walking still hurts (feels like razor blades are in my knees). I'm going to give it another month (in the past this problem has waxed and waned but each time the waxing hurts more and the waning is not as good as the previous time). I'm a college prof. and if things don't improve, I'll schedule the scope for mid-December. Right now it really feels different and I suspect it might not get better. The pain is just greater and more intense and the inability to walk is terrible. I'm trying the tylenol stuff and if that doesn't work better it looks like NSAIDS (OTC ibuprofin) but I fear the side effects from the NSAID..
I really don't know what to ask, but it is frustrating. Have any of you had the scope clean out surgery and did it help? Any suggestions?
MZB
Harvey R. Stone - 24 Oct 2007 22:37 GMT See a Rheumatologist. This talk about inflam.arth. is serious business in knowing what to do and what to take and how active you should be. Harv
> I'm frustrated and seeking some advice/support > [quoted text clipped - 29 lines] > > MZB MZB - 25 Oct 2007 02:46 GMT That's a good idea. I will look into that ASAP
Mel
> See a Rheumatologist. This talk about inflam.arth. is serious business > in knowing what to do and what to take and how active you should be. [quoted text clipped - 34 lines] >> >> MZB Hawki63@sbcglobal.net - 31 Oct 2007 18:36 GMT > See a Rheumatologist. This talk about inflam.arth. is serious business > in knowing what to do and what to take and how active you should be. [quoted text clipped - 17 lines] >> disease. Down the road, we are looking at TKR. He'd like to wait as long >> as possible; I am a 61 yr.old male. whoa!! talking about a total knee replacement....when your MRI showed a meniscus tear??
sorta overkill
firstly...the meniscus is essentially cartilage...NOT ligament or tendon....cartilage has very little blood supply...thus are unable to undergo the normal healing process
you did not mention when that MRI was...other than "recently"...
you should likely NOT be doing any treadmill or jogging ...as that only makes it worse...and yes..inflammation CAN follow an injury like meniscus
is there a reason you hesitate to have the meniscus "fixed" by arthroscopy??
have had it done..it is not a difficult procedure..is done (usually) at an outpatient surgicenter...as you need general anesthesia...the recovery is not bad...you "walk off" the table after surgery on crutches...no cast etc...you can "weight bear" on the knee...obviously no exercise....
you may need a second opinion...first the torn meniscus needs to be fixed...usually they take it out via the scope...but whilst in the joint with the scope...the doc can look around for other signs of inflammatory process...
more likely you have "osteoarthitis" complicated by a torn meniscus...osteo is essentially "wear and tear arthritis" due to aging and excercise...it is NOT an inflammatory process...tho NSAIDS used for pain control will or should help the pain of the joint...
your knees are probably the most likely joints to suffer wear and tear...
but jumping the gun to total knee replacement does not seem to be the way to go...
my humble opinion only (me with a relatively destroyed right knee due to head on collision 31 years ago..have no kneecap...and have an orthopod I see often and trust implicitly...had scope meniscus repair 2 years ago...yes..solved that problem...and was easy recovery..and yes..do have osteoarthritis...at age 63 with my injury history...have to take it easy...
good luck
>> Since then (really in the last week) both knees have gotten much worse. >> Walking is very painful and even not walking still hurts (feels like [quoted text clipped - 12 lines] >> >> MZB Harvey R. Stone - 01 Nov 2007 14:10 GMT Well said Hawk. Harv
>> See a Rheumatologist. This talk about inflam.arth. is serious business >> in knowing what to do and what to take and how active you should be. [quoted text clipped - 80 lines] >>> >>> MZB ironjustice - 29 Oct 2007 21:33 GMT >>On Oct 24, 10:36 am, "MZB" <m...@noway.prudigy.net> wrote: About 8 years ago, my knees both started hurting quite badly after I overdid some treadmill work and jogging. It has never been the same since. << Now imagine this .. When you bend or slam a joint .. blood is released .. and when and IF you DID tear the ligament .. blood was spilled.
Sooo .. when it bled .. below is what happened .. same as hemophiliacs .. they bleed into their joints but they do it into EVERY joint .. because .. ? .. they bleed where there is trauma .. and they fail to quit .. bleeding ..
Sooo .. the iron from the blood that spills into the joint is what is causing the destruction .. -----------------------------------------------------
Diagnosis of haemophilic synovitis
http://tinyurl.com/2vat5s
N. J. GODDARD and H. MANN Department of Orthopaedics, Royal Free Hospital, London, UK N. J. Goddard, Department of Orthopaedics, Royal Free Hospital, London, UK. Tel.: +44 207 794 0500; fax: +44 207 806 4068; e-mail: njgoddardf...@aol.com
Abstract Summary. The pathophysiology of haemophilic synovitis is complex and not as well understood on a molecular level as we have thought. The repeated bleeding episodes and synovial hypertrophy occurring within the joint. Iron and other red-cell debris are phagocytized, and hydrolytic enzymes are produced leading to the destruction of articular cartilage is a simplistic model. However, how iron stimulates this destructive cascade remains speculative and poorly understood. Diagnostic options include radiographic examination using horizontal beam technique, which may reveal a fat blood fluid level, and computed tomography scanning or magnetic resonance imaging.
This link will give a bit more information ..
http://groups.google.ca/groups/search?hl=en&qt_s=1&q=iron+and+arthritis
>>On Oct 24, 10:36 am, "MZB" <m...@noway.prudigy.net> wrote: I'm a college prof. and if things don't improve, I'll schedule the scope for mid-December. Right now it really feels different and I suspect it might not get better. <<
They've shown the fatty acid content of a mammals body is .. changed .. according to the fatty acids it ingests. They've shown it takes about three months of fatty acid ingestion .. PROPER fatty acid ingestion to GET the body to ACTUALLY .. be .. those fatty acids ..
IF you see what I mean.
Now they have shown the joints are surrounded by a fatty acid a .. specific fatty acid which is found primarily in plant material but can be downgraded TO this fatty acid if one ingests fatty acids of animal source.
Plant versus animal / fish .. fatty acids ..
Again if you see what I mean. SOURCES of .. these short-chain fatty acids. Blood based oil / versus / plant oil.
They have shown this fatty acid to be TARGETED by .. iron .
This iron which is released by the blood spills in the knee.
They have taken to using drugs in cancer patients for actual regrowth of bone . proving the ABILITY to .. regrow bone .. IS .. there.
Coincidentally when one gets down to the .. nutrichemistry of the whole deal .. The vegetarian diet will cause the body to absorb more calcium .. taking care of THEIR calcium in chemotherapy induced bone regrowth .. The vegetarian diet will supply the fatty acids .. which contain the phosphates .. taking care of THEIR phosphates in chemotherapy induced bone regrowth .. The vegetarian diet will CHANGE the fatty acid content of the body allowing the body to AGAIN be saturated WITH the fatty acids which are **supposed** to be found in your .. knees. I forgot the vitamin E. The vitamin E will be taken care of by the vegetarian diet due to its' lack of oxidation which destroys vitamin E .. taking care of THEIR vitamin E in chemotherapy induced bone regrowth .
Sooo .. that pretty much covers the **regrowth** OF the bone. http://tinyurl.com/yt7lrk
You may have to have an oil massage everyday .. or .. you can eat a few grams a day.
<<snip>> This study shows that topically applied oil can be absorbed in neonates and is probably available for nutritional purposes. <<snip>> <<snip>> Fatty acid profiles showed significant rise in EFAs (linolenic acid and arachidonic acid) in safflower oil group and saturated fats in coconut oil group <<snip>>
http://www.indianpediatrics.net/oct2005/oct-998-1005.htm
Indian Pediatrics 2005; 42:998-1005 Transcutaneous Absorption of Topically Massaged Oil in Neonates
>> On Oct 24, 10:36 am, "MZB" <m...@noway.prudigy.net> wrote: The pain is just greater and more intense and the inability to walk is terrible. <<
Make you want to .. scream .. eh ..
Those same fatty acids are showing anti-inflammatory properties ..
You HAVE to distinguish between the fatty acids though. Short chain fatty acids from **plants** is what you want to ramp up with.
>>On Oct 24, 10:36 am, "MZB" <m...@noway.prudigy.net> wrote: trying the tylenol stuff and if that doesn't work better it looks like NSAIDS (OTC ibuprofin) but I fear the side effects from the NSAID..<< Quite a few of these guys are on a lot harder stuff than that ..
Most likely those guys without .. healthcare ..
Got to change your diet and by Christmas .. you'll be a new man ..
If not .. scrape the knees .. that IS what they .. do ..
But keep the bleeding INTO the knee .. to .. a **minimum** after all that IS what caused it in the first place.
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
california_chief - 30 Oct 2007 05:26 GMT pussy tom wrote:
> Sooo .. the iron from the blood that spills into the joint is what is > causing the destruction .. Ohhhhh, someone must have done that to your brain when you were very young.
For sure, there's been some destruction up there, numbnutz.
... I sat here for some time looking at your response ... to MZB, trying to decide what the hell you are on.
ironjustice - 31 Oct 2007 23:20 GMT On Oct 29, 9:27 pm, "california_chief" <Fire_Chief@Jamacha_Junction_FD.ca.us> wrote: I sat here for some time looking at your response <<
If there is EVER .. **anything** you don't understand .. there .. chief .. you just have to .. ask ..
OK .. ?
Great ..
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
ironjustice - 31 Oct 2007 05:03 GMT >> On Oct 29, 1:33 pm, ironjustice <teamtan...@hotmail.com> wrote: But keep the bleeding INTO the knee .. to .. a **minimum** after all that IS what caused it in the first place. << Looks like this doctor .. didn't keep the bleeding to a minimum .. ?
"deposits of metallic particles"
Br J Dermatol. 2007 Nov;157(5):1074-6. Epub 2007 Sep 13.Links Extensive skin pigmentation caused by deposits of metallic particles following total elbow arthroplasty: metallosis or not?Asahina A, Fujita H, Fukuda S, Kai H, Yamamoto M, Hattori N, Mori T. Department of Dermatology, Sagamihara National Hospital, 18-1 Sakuradai, Sagamihara 228-8522, Japan.
PMID: 17854377 [PubMed - in process]
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
> >>On Oct 24, 10:36 am, "MZB" <m...@noway.prudigy.net> wrote: About 8 years ago, my knees both started hurting quite badly after I overdid some treadmill work and jogging. It has never been the same since. << > [quoted text clipped - 142 lines] > > DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk ironjustice - 08 Nov 2007 00:22 GMT >> On Oct 29, 12:33 pm, ironjustice <teamtan...@hotmail.com> wrote: Now they have shown the joints are surrounded by a fatty acid << Lack Of Critical Lubricant Causes Wear In Joints, First-Ever Study Finds Main Category: Arthritis News Article Date: 07 Nov 2007 - 1:00 PST
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>> rate this article Mice that don't produce lubricin, a thin film of protein found in the cartilage of joints, showed early wear and higher friction in their joints, a new study led by Brown University researchers shows.
This link between increased friction and early wear in joints is a first; no other team of scientists has proven this association before. The finding, published in Arthritis & Rheumatism, sheds important light on how joints work. The discovery also suggests that lubricin, or a close cousin, could be injected directly into hips, knees or other joints inflamed from arthritis or injury -- a preventive treatment that could reduce the need for painful and costly joint replacement surgery.
In an editorial that accompanies the journal article, orthopedics researchers from Rush University Medical Center in Chicago call the research an "important contribution to the field" and note that the use of biomolecules like lubricin to prevent joint wear "could have a substantial clinical impact, if successful."
Gregory Jay, M.D, a Rhode Island Hospital emergency physician and an associate professor of emergency medicine and engineering at Brown, led the research. For 20 years, Jay has studied lubricin's role as a "boundary lubricant" by reducing friction between opposing layers of cartilage inside joints. In this new work, Jay and his colleagues set out to answer the next question: Does reducing friction actually prevent wear, or surface damage, in joints?
To find out, Jay and his team studied cartilage from the knees of mice that don't produce lubricin. Directly after birth, the cartilage was smooth. But in as little as two weeks, researchers found, the cartilage began to show signs of wear. Under an electron microscope, scientists could see that the collagen fibers that cartilage is composed of were breaking up, giving the surface a rough, frayed appearance. This damage is called wear, an early sign of joint disease or injury.
Jay and his team then took the work a step further. To better understand how lubricin works, they tried to see the structure of the film. So they put a tiny bit of the protein under an atomic force microscope. At the nanoscale, the molecule appeared as a mesh -- row upon row of interlocking fibers -- that could repel a microscope probe. This repulsion, created with water and electrical charges, shows how lubricin acts as a buffer, keeping opposing layers of cartilage apart.
"We demonstrated that lubricin reduces both friction and wear and also showed how, on a molecular level, it does this work in the body," Jay said. "What's exciting are the clinical implications. Arthritis and sports injuries damage the joints of thousands of people in the United States and millions of people worldwide each year. Our aim is to make a treatment that can actually prevent wear in the joints."
Through Rhode Island Hospital, Jay has filed two patents on the protein and its sequences and, in 2004, helped form Tribologics, a biotech company formed out of Rhode Island Hospital. The Massaschusetts-based business is developing an injection treatment for inflamed joints that contains lubricin.
---------------------------- Article adapted by Medical News Today from original press release. ----------------------------
Members of the research team included Jahn Torres, a former Brown graduate student in engineering; David Rhee, a former graduate student at Case Western Reserve University; Heikki Helminen, M.D., and Mika Hytinnen, M.D., from the University of Kuopio in Finland; Chung-Ja Cha, a research assistant at Rhode Island Hospital; Khaled Elsaid, a postdoctoral research fellow at Rhode Island Hospital; Kyung-Suk Kim, a professor of engineering at Brown; and Yajun Cui, M.D., and Matthew Warman, M.D., of Boston Children's Hospital and Harvard Medical School.
The National Institute of Arthritis and Musculoskelatal and Skin Diseases funded the work, along with the Academy of Finland, the McCutchen Foundation, the Howard Hughes Medical Institute and the Burroughs Wellcome Fund.
Source: Wendy Lawton Brown University
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
> >>On Oct 24, 10:36 am, "MZB" <m...@noway.prudigy.net> wrote: About 8 years ago, my knees both started hurting quite badly after I overdid some treadmill work and jogging. It has never been the same since. << > [quoted text clipped - 142 lines] > > DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk ironjustice - 08 Nov 2007 19:05 GMT On Oct 29, 12:33 pm, ironjustice <teamtan...@hotmail.com> wrote:Now they have shown the joints are surrounded by a fatty acid <<
Lack Of Critical Lubricant Causes Wear In Joints, First-Ever Study Finds Main Category: Arthritis News Article Date: 07 Nov 2007 - 1:00 PST
Mice that don't produce lubricin, a thin film of protein found in the cartilage of joints, showed early wear and higher friction in their joints, a new study led by Brown University researchers shows.
This link between increased friction and early wear in joints is a first; no other team of scientists has proven this association before. The finding, published in Arthritis & Rheumatism, sheds important light on how joints work. The discovery also suggests that lubricin, or a close cousin, could be injected directly into hips, knees or other joints inflamed from arthritis or injury -- a preventive treatment that could reduce the need for painful and costly joint replacement surgery.
In an editorial that accompanies the journal article, orthopedics researchers from Rush University Medical Center in Chicago call the research an "important contribution to the field" and note that the use of biomolecules like lubricin to prevent joint wear "could have a substantial clinical impact, if successful."
Gregory Jay, M.D, a Rhode Island Hospital emergency physician and an associate professor of emergency medicine and engineering at Brown, led the research. For 20 years, Jay has studied lubricin's role as a "boundary lubricant" by reducing friction between opposing layers of cartilage inside joints. In this new work, Jay and his colleagues set out to answer the next question: Does reducing friction actually prevent wear, or surface damage, in joints?
To find out, Jay and his team studied cartilage from the knees of mice that don't produce lubricin. Directly after birth, the cartilage was smooth. But in as little as two weeks, researchers found, the cartilage began to show signs of wear. Under an electron microscope, scientists could see that the collagen fibers that cartilage is composed of were breaking up, giving the surface a rough, frayed appearance. This damage is called wear, an early sign of joint disease or injury.
Jay and his team then took the work a step further. To better understand how lubricin works, they tried to see the structure of the film. So they put a tiny bit of the protein under an atomic force microscope. At the nanoscale, the molecule appeared as a mesh -- row upon row of interlocking fibers -- that could repel a microscope probe. This repulsion, created with water and electrical charges, shows how lubricin acts as a buffer, keeping opposing layers of cartilage apart.
"We demonstrated that lubricin reduces both friction and wear and also showed how, on a molecular level, it does this work in the body," Jay said. "What's exciting are the clinical implications. Arthritis and sports injuries damage the joints of thousands of people in the United States and millions of people worldwide each year. Our aim is to make a treatment that can actually prevent wear in the joints."
Through Rhode Island Hospital, Jay has filed two patents on the protein and its sequences and, in 2004, helped form Tribologics, a biotech company formed out of Rhode Island Hospital. The Massaschusetts-based business is developing an injection treatment for inflamed joints that contains lubricin.
Members of the research team included Jahn Torres, a former Brown graduate student in engineering; David Rhee, a former graduate student at Case Western Reserve University; Heikki Helminen, M.D., and Mika Hytinnen, M.D., from the University of Kuopio in Finland; Chung-Ja Cha, a research assistant at Rhode Island Hospital; Khaled Elsaid, a postdoctoral research fellow at Rhode Island Hospital; Kyung-Suk Kim, a professor of engineering at Brown; and Yajun Cui, M.D., and Matthew Warman, M.D., of Boston Children's Hospital and Harvard Medical School.
The National Institute of Arthritis and Musculoskelatal and Skin Diseases funded the work, along with the Academy of Finland, the McCutchen Foundation, the Howard Hughes Medical Institute and the Burroughs Wellcome Fund.
Source: Wendy Lawton Brown University
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
> >>On Oct 24, 10:36 am, "MZB" <m...@noway.prudigy.net> wrote: About 8 years ago, my knees both started hurting quite badly after I overdid some treadmill work and jogging. It has never been the same since. << > [quoted text clipped - 142 lines] > > DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk Harvey R. Stone - 09 Nov 2007 16:32 GMT Thanks Tom,,,, that was of some value in an arthritis newsgroup and good information. What has got into you???? Harv
> On Oct 29, 12:33 pm, ironjustice <teamtan...@hotmail.com> wrote:Now > they have shown the joints are surrounded by a fatty acid << [quoted text clipped - 244 lines] >> >> DEAD PEOPLE WALKINGhttp://tinyurl.com/zk9fk ironjustice - 09 Nov 2007 20:06 GMT On Nov 9, 8:32 am, "Harvey R. Stone" <hrst...@swbell.net> wrote:that was of some value in an arthritis newsgroup and good information. <<
Like .. YOU .. would .. know .. ?
Like HOW do you .. figure .. you would KNOW .. whether a post .. I .. post .. **is** .. worthy .. ?
You got some .. learning .. do ya .. ?
That's in between acid trips and counselling to commit .. crime .. ?
Stay off my posts ..
You have nothing to offer ..
Don't be ACTING like you .. do ..
Who loves ya. Tom
Jesus Was A Vegetarian! http://jesuswasavegetarian.7h.com
Man Is A Herbivore! http://tinyurl.com/a3cc3
DEAD PEOPLE WALKING http://tinyurl.com/zk9fk
> Harv > [quoted text clipped - 230 lines] > > - Show quoted text - california_chief - 09 Nov 2007 22:39 GMT pussy wrote:
> Stay off my posts .. You want anyone to stay off your posts, get the HELL out of these newsgroups and use a private blog.
Anything posted in here is PUBLIC and you DO NOT own it.
> You have nothing to offer .. You're looking in a mirror again. All these years you have NEVER had anything of value to offer.
... Self-Esteem, n. -- Self-generated hot air numbnutz uses to fuel himself.
J. O'Connor - 10 Nov 2007 00:01 GMT Please don't spend your valuable time with this troll, California chief.
He occasionally forgets to take his medicine and goes over the edge. His poor mother has to then discipline him and in an orgy of rage, he then comes here to seeking attention.
IMHO, his tag lines explain his predicament.
John
===============================
> pussy wrote: > [quoted text clipped - 13 lines] > ... Self-Esteem, n. -- Self-generated hot air numbnutz uses to fuel > himself. PeterH5000@gmail.com - 10 Nov 2007 03:26 GMT > I'm frustrated and seeking some advice/support > [quoted text clipped - 28 lines] > > MZB I've heard about a new product on the market called "Supple". It's distributor is Supple Bodies and there's a review of their claims at http://supplearthritisrelief.trueblue-review.com Hope this helps.
Harvey R. Stone - 10 Nov 2007 14:08 GMT >> I'm frustrated and seeking some advice/support >> [quoted text clipped - 43 lines] > http://suppew.com > Hope this helps. Your pocket??? This is an advertisement and by charter,,, you can not do that here without being reported to your ISPs.
Paul T. Holland - 12 Nov 2007 23:49 GMT heard about? rule number one: spammers lie
you are a fool if you think we haven't read it before - but gollee gee shucks, that's right, you're a spammer, so you 'are' a fool...
your site Created on: 16-Oct-07
Registrant: Halpin, Peter peterh5000@gmail.com P O Box 255 RUNDLE MALL, South Australia 5000 Australia 61403090457 Fax -- 61881216120
aka PeterH5000@hotmail.com which is the addy used for your stock option book scam site... been running that trash since - Created on: 08-Apr-07 - now you opt for med scam...tsk tsk..
your page is nothing but an affiliate [15-20% commission] push for the juice/chond. product really run by
Apatow, Peter M. PMA@CITECAPITAL.COM
50 Beebe Road
East Haddam, CT 06423
US
860-873-9091
he launched his affiliate operation in oct. '2007
oh and bye the bye spammer? your product is worth this much: "This product is not intended to diagnose, treat, cure or prevent any disease."
and, they are in violation of fda marketing rules: Dockets Entered On March 27, 2007 30-Day Structure Function Claim Notification Letters Dietary Supple Beverages, LLC Vol #: 174
typical spammer trash
Hawki63@sbcglobal.net - 22 Nov 2007 01:22 GMT > I'm frustrated and seeking some advice/support > [quoted text clipped - 27 lines] > I really don't know what to ask, but it is frustrating. Have any of you > had the scope clean out surgery and did it help? Any suggestions? you may want to search out my other reply to Miko on this topic..
my nickname is "bad knee"....mainly since major auto crash 31 years ago..no seat belt..and right leg was literally destroyed..patella shattered and picked out ...both femur and tibia where they meet at the knee were majorly fractured..as well as right ankle which was fractured in 5 places...etc..
problem with knees..in my h.o. is that "osteo arthritis" comes with age in most of us..affecting firstly the knee..then the hips...so previous injuries as in my case only make it worse
3 years ago I had a torn meniscus...ortho feels likely related to "degeneration" of a very compromised joint..plus 30 years of arthritis...
arthroscopic repair of meniscus..was..literally..a piece of cake..had it as an outpatient..under general anesthesia..ortho did do some "clean out" of the joint...
bottom line....the arthritis is still there..always will be...my pain comes and goes...stairs are a bitch..esp down...but the pain related to the meniscus tear is gone...
in my case a total knee replacement might not work...as I have no kneecap..and if you search out the surgical sites...one has to wonder how a TKR would work with my screwed up joint...
I am about your age...unfortunately cannot take NSAIDS...so I "baby" my knees
also am a nurse...and am not too keen on knee replacement either....seems like pretty major duty surgery...pain may be less...but not sure if mobility is enhanced...
good luck...hopefully you have an excellent ortho who is not in love with surgery...my guy tries to avoid cutting unless he can promise good results...
email me if you have any other ??
rosie
> MZB barbie.gee - 23 Nov 2007 18:23 GMT > in my case a total knee replacement might not work...as I have no > kneecap..and if you search out the surgical sites...one has to wonder how a > TKR would work with my screwed up joint... I was under the impression that some TKR's include a kneecap replacement? no?
Hawki63@sbcglobal.net - 23 Nov 2007 19:42 GMT >> in my case a total knee replacement might not work...as I have no >> kneecap..and if you search out the surgical sites...one has to wonder how >> a TKR would work with my screwed up joint... > > I was under the impression that some TKR's include a kneecap replacement? > no? haven't been able to locate such a replacement.. will go back to google
every photo and diagram shown show the replacement going under the existing patella...
Paul T. Holland - 24 Nov 2007 00:52 GMT http://www.freepatentsonline.com/20030088315.html http://www.springerlink.com/content/3la27wleghxr0mau/ http://www.kneehippain.com/patient/pain/arthritis.html
> >> in my case a total knee replacement might not work...as I have no > >> kneecap..and if you search out the surgical sites...one has to wonder how [quoted text clipped - 7 lines] > every photo and diagram shown show the replacement going under the existing > patella... Hawki63@sbcglobal.net - 24 Nov 2007 10:39 GMT > http://www.freepatentsonline.com/20030088315.html > http://www.springerlink.com/content/3la27wleghxr0mau/ > http://www.kneehippain.com/patient/pain/arthritis.html interesting...and might be feasible if the original shattering of patella had not occurred over 31 years ago...surgeons then described "picking out the pieces"
my ortho says NOW it would not work...most of the sites you so nicely gave me refer to "removing existing patella" etc...which means all the soft structures are intact at the time...
my knee is a mess
my ortho says he very very rarely attempts removal of patella...
>> >> in my case a total knee replacement might not work...as I have no >> >> kneecap..and if you search out the surgical sites...one has to wonder [quoted text clipped - 10 lines] >> existing >> patella... Paul T. Holland - 26 Nov 2007 22:57 GMT shoot - shoulda remembered that yours occurred way back!
actually, i agree with your guy - patella replacement doesn't have all that high a high percentage for durability, not to mention scarring of soft tissues/lig/ten
welp - just have to wait for them to be able to grow us new parts!
other than the jigsaw knee - how's tricks?
be well
paul
> > http://www.freepatentsonline.com/20030088315.html > > http://www.springerlink.com/content/3la27wleghxr0mau/ [quoted text clipped - 26 lines] > >> existing > >> patella... Hawki63@sbcglobal.net - 27 Nov 2007 09:08 GMT > shoot - shoulda remembered that yours occurred way back! > [quoted text clipped - 5 lines] > > other than the jigsaw knee - how's tricks? ahhh...can't complain...too much....
did tear the quad tendon (bad knee) this summer...just a small tear tho...so we waited for "nature to take its course and it seems to have healed"...avoid ortho surgery as much as possible...
still holding out on the opposite ankle's posterior tibial tendon which has degenerated...cannot be repaired..so only Rx is "tendon transplant"...yikes..talk about a year or more of rehab etc...
not to mention the ongoing headaches...
yeah...not bad,,considering..
rb
> be well > [quoted text clipped - 33 lines] >> >> existing >> >> patella... Paul T. Holland - 04 Dec 2007 23:56 GMT well shucks rosie - you've had more than your share this year - how's about you get somebody else to tackle the next thing?
got to agree with you tho, i'm at the point of doing whatever just to try to avoid another surgery - been there done that way too often
nothing working for the headaches these days?
> > shoot - shoulda remembered that yours occurred way back! > > [quoted text clipped - 59 lines] > >> >> existing > >> >> patella... BlackHawk 96 - 09 Dec 2007 01:56 GMT >I'm frustrated and seeking some advice/support > [quoted text clipped - 26 lines] >I really don't know what to ask, but it is frustrating. Have any of you had >the scope clean out surgery and did it help? Any suggestions? Have you tried an anti-inflammatory diet? Sincerely, BlackHawk
>MZB
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