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Doctor insights on: Knee Popping After Patella Surgery

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My knee cap is dislocated n will not stop popping n snapping I saw a specailist about it how long will I have to waite for surgery to be booked?

My knee cap is dislocated n will not stop popping n snapping I saw a specailist about it how long will I have to waite for surgery to be booked?

Patella Dislocation: The patella dislocates laterally towards the outside of the knee in people with malalignments of the patella and patella tendon. Kicking, explosive and cutting sports increase the risk. Weakness of the vastus medialis muscle that tracks the patella in the midline is a factor. The cracking is called crepitus and is a sign of arthritis in the knee cap. Patella realignment is not a surgical emergency ...Read more

Dr. John Michalski
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Patella (Definition)

Patella is a thick piece of bone, more commonly known ...Read more


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had patella repair surgery patella now sits higher my knee is deformed when sitting. I hear a rubbing noise during extension Do I need surgery again?

had patella repair surgery patella now sits higher my knee is deformed when sitting. I hear a rubbing noise during extension Do I need surgery again?

Most likely no: Your condition is known as patella alta! It does increase the joint forces in certain positions and activities. You may eventually need surgery If you have sufficient pain and discomfort. But not as a rule! ...Read more

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If I still have popping and catching after knee chondroplasty of the patella is that normal? Still pain and swelling also

If I still have popping and catching after knee chondroplasty of the patella is that normal? Still pain and swelling also

Popping id ok: Pain and swelling depends on how far put from your surgery you are. Call your surgeon with your concerns. ...Read more

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I had knee weakness for a 1 'n half month, no pain, sometimes popping, some swelling below the patella. Recently gotten slightly worse, any advice?

I had knee weakness for a 1 'n half month, no pain, sometimes popping, some swelling below the patella. Recently gotten slightly worse, any advice?

See below: If you're not have any history Of trauma fever weight-loss chills, night sweats other joint problems and others symptoms such as flulike symptoms a trial of a supervised physical therapy regimen who specializes in orthopedic musculoskeletal skeletal injuries for a few weeks to a month with icing after your exercise and short courses of anti-inflammatory medication with food if not medically contraindicated. If you don't get better and you weeks to a month I would go see an orthopedic surgeongood luck thank you ...Read more

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How do you break up scar tissue in your knee? I never had surgery just a minor tear in patella.

How do you break up scar tissue in your knee? I never had surgery just a minor tear in patella.

Vitamin E Oil: Scar massage with vitamin E oil or cream can help to reduce scars on the skin. Scarring within the knee itself will respond to range of motion exercises and stretching. ...Read more

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I have opposite knee pain after having meniscus removal and patella surgery in other knee. Why?

I have opposite knee pain after having meniscus removal and patella surgery in other knee. Why?

Common: Surgery on one knee can cause a change in leg length changing your gait or can simply alter gait by changing knee function. The 'good' knee often takes the brunt of these changes & starts to hurt. A good physician might be able to determine the exact dysfunction (ex. Short leg syndrome;nerve inflammation) & provide a heel lift, osteopathic manipulation, neuroprolotherapy or other recommendation ...Read more

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Opposite knee pain after having meniscus removal and patella surgery in other knee, what to do?

Opposite knee pain after having meniscus removal and patella surgery in other knee, what to do?

See Surgeon: Because your gait has changed the stresses on your other knee have also changed. Talk to your Orthopedic Surgeon. Physical Therapy may be in order. ...Read more

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I'm having knee surgery to level my knee cap wit my patella is it okay to smoke weed one week before surgery?

I'm having knee surgery to level my knee cap wit my patella is it okay to smoke weed one week before surgery?

It is not going to: Have any particular impact on your surgery, although cigarette smoking will. An anesthesiologist will interview you prior to your surgery about your anesthesia risks, and I always recommend that people be honest in that evaluation. ...Read more

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What is causing patella subluxation? I have surgery 5 weeks ago and was just walking and my knee popped and shifted to the left I can't straighten?

What is causing patella subluxation? I have surgery 5 weeks ago and was just walking and my knee popped and shifted to the left I can't straighten?

I don't know what-: -shifting to the left means, but patellar subluxation is due to mal-alignment either muscular, boney or both. You did not tell us what surgery you had. A little more in the way of specifics will help you get an answer. ...Read more

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Chondromalacia patella for around 4 months, physical therapy did not help, some options to help the knee get better without surgery?

Chondromalacia patella for around 4 months, physical therapy did not help, some options to help the knee get better without surgery?

Consider Surgery: Conservative management of Chondromalacia patella includes icing, taping, bracing, and exercise to stabilize your patella. If PT with exercise and icing/taping did not help, an Orthopaedic Surgeon can evaluate you for patella alta or baja, put a camera into your knee to look for a plica, remove damaged cartilage, and give an expert opinion of your biomechanical foot/knee/patellar alignment. ...Read more

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How would I know if I tore my ACL again? Had patella tendon graft put in knee, I just worked out and it's now swollen had surgery May 15, 2014

How would I know if I tore my ACL again? Had patella tendon graft put in knee, I just worked out and it's now swollen had surgery May 15, 2014

Let me try to help: To know for sure two ways, physical exam and MRI for the knee. Some times the physical exam alone could do it. ...Read more

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Could a knee replacement surgery treat patellofemoral syndrome or chondromalacia patella?

Could a knee replacement surgery treat patellofemoral syndrome or chondromalacia patella?

Sometimes: Patellofemoral syndrome is often successfully treated with aggressive, committed physical therapy aimed at strengthening the inside portion of your quadricep muscle. Damage of the smooth articular cartilage on the undersurface of the knee cap is called chondromalacia patella. If this damage is severe enough, then either a partial or total knee replacement may be indicated. ...Read more

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Can a knee replacement surgery help treat patellofemoral syndrome or chondromalacia patella?

Can a knee replacement surgery help treat patellofemoral syndrome or chondromalacia patella?

Yes, but: Knee replacement should be reserved (in my non-orthopedic) opinion for severe knee disease-not the 2 conditions you mentioned. ...Read more

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Could it happen that a knee replacement surgery treat patellofemoral syndrome or chondromalacia patella?

Last resort treatmen: Running causes high forces in this portion of the joint. So does arising from a chair, going up/down stairs. Treatment consists of activity modification, ice, anti-inflammatory meds and therapy aimed at flexibility and strengthening, especially of your core. Doubt knee replacement would be needed unless other compartments of knee also arthritic. Patellofemoral replacement as a last resort. ...Read more

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Difference B/T chondromalacia patella or OA? Knee feels sore, gets hot, swollen below the K-cap, crackling/popping noises when move. Rare pain on Kcap

Difference B/T chondromalacia patella or OA? Knee feels sore, gets hot, swollen below the K-cap, crackling/popping noises when move. Rare pain on Kcap

Noises in the knee: It is rare for a person in their 20s to have OA, most of what u describe with popping, cracking with movement as well as swelling below knee cap is from chondromalacia of the patella. You should see a knee specialist. Many times some simple things can be instituted to help ...Read more

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Knee surgery 3/2012 & 8/2013 for dislocated patella doc moved & had 2 c new doc. He twisted, pulled, etc. Serious pain now. Possible dislocation again?

Knee surgery 3/2012 & 8/2013 for dislocated patella doc moved & had 2 c new doc. He twisted, pulled, etc. Serious pain now. Possible dislocation again?

Possibly: The patella is supposed to track the straightening of the knee and depends on the strength of the quadriceps and the quality of the cartilage on the underside to do its job. After surgery, the capsule of the knee can be very tight and painful. Seek referral to a physical therapist to reduce the pain and improve the knee function. Painful movement of the patella can occur without "injury", . ...Read more

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Quads not firing and knee swollen and I have a limp 4 months after fractured patella, no surgery needed just cast.

Quads not firing and knee swollen and I have a limp 4 months after fractured patella, no surgery needed just cast.

Quads not firing: Does that me you cannot extend you leg? Kick your foot straight out in front of you from the hip with a leg straight and hold it up?

Patellar fractures may be associated with patellar tendon rupture and if you had this your knee would feel less stable and swell and you would not be able to extend your leg.
...Read more

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Could knees popping out of joint, post bilateral partial knee replacements for grade 4 patella chondromalacia in feb, cause a torn meniscus?

Could knees popping out of joint, post bilateral partial knee replacements for grade 4 patella chondromalacia in feb, cause a torn meniscus?

Depends: If your kneecap is popping in and out, this is a problem with the surgery and likely will not cause a meniscus tear. But if your knee itself is subluxating/popping out (rare), this certainly could cause a meniscus tear. ...Read more

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I had knee arthroscopic surgery removal of scar tissue under the patella. Did a squat in pt and felt a painful pop in the back of knee. Help explain?

Bakers cyst?: Pain in the back of the knee after arthroscopic surgery can be quite a few things but a common cause is a Baker's Cyst. This is excess swelling in the back (posterior) part of the knee that can occur after surgery. A deep squat can cause the cyst to rupture creating the sensation of a pop. It can cause calf pain. See your medical provider to rule out blood clots and other issues first. ...Read more

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Patella dislocation meniscus extruded past tibia. Swelling- large effusion mrii. Knee gave out while walking. Need for surgery? Pops clicks

Patella dislocation meniscus extruded past tibia. Swelling- large effusion mrii. Knee gave out while walking. Need for surgery? Pops clicks

Depends: Your need for surgery will depend on the stability and/or damage under your knee cap. If this is your first patella dislocation vs the latest ofmor, that could change things as well. The effusion or fluid in the knee is just a symptom of the dislocation. Its really the patella that needs to be evaluated. ...Read more

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Can your tibia bone feel unstable? What are the symptoms? I had knee surgery for ACL trim and mensicus trim and scar tissue under the patella. Help

Can your tibia bone feel unstable? What are the symptoms? I had knee surgery for ACL trim and mensicus trim and scar tissue under the patella. Help

Yes: Yes, you can definitely have some degree of instability in your knee/tibia, particularly if you have an "acl deficient" knee. I would not hesitate to discuss directly with your surgeon. ...Read more

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How often is a knee replacement needed after non-displaced patella fracture, no surgery in 45 yr old otherwise healthy female?

How often is a knee replacement needed after non-displaced patella fracture, no surgery in 45 yr old otherwise healthy female?

Hopefully once: The typically longevity of a knee replacement is about 15-20 years
Not sure if you had a nondisplaced fracture if that s what you need
Id try some other treatments first
you want to hold off on a replacement until you're older
if possible ...Read more

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When a orthopedic surgeon does surgery do they look under the patella? What causes locking and giving way of the knee joint? Could this be meniscus

When a orthopedic surgeon does surgery do they look under the patella? What causes locking and giving way of the knee joint? Could this be meniscus

Yes: In an arthroscopic knee surgery the undersurface if the patella is routinely checked as are the medial and lateral meniscus, the anterior and posterior cruciate ligaments, and the articular surfaces of the femur and tibia. ...Read more

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My femoral nerve was damaged during surgery. During physical therapy I tore my patella now I have shooting pain down my right leg starting at my knee

My femoral nerve was damaged during surgery. During physical therapy I tore my patella now I have shooting pain down my right leg starting at my knee

See your orthopod: If you tore your patellar tendon, this should be fixed, even if you have a femoral nerve palsy. See an orthopedic surgeon for evaluation and treatment sooner rather than later. ...Read more

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MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and Grade II Chondromalacia patella with trace knee effusion. Surgery?

MRI Diagnosis of Horizontal undersurface tear posterior horn medial meniscus and Grade II Chondromalacia patella with trace knee effusion. Surgery?

Obviously you have -: -symptoms, so if the trouble is locking, giving way, the findings indicate a mechanical problem in the knee. You need to follow the advice of your orthopedic surgeon who is familiar with your case, especially if you have treated with him/her for a while. The surgery is only driven by your symptoms. The thing to remember is there is no orth prob so severe that it can't be made worse by surgery. ...Read more

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What causes burning pain in the knee, lower leg after having arthroscopic knee surgery 1 week ago? Is this normal? Scar tissue removal under patella?

What causes burning pain in the knee, lower leg after having arthroscopic knee surgery 1 week ago? Is this normal? Scar tissue removal under patella?

Scar tissue: It is possible that after having the arthroscopic surgery burning discomfort could be as a result of them having placed a steroid medication in your knee after your surgery. It could also be at the sites where the portals were created causing some burning in the skin during the healing process. ...Read more

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I had ACL reconstruction both knees- 2005 Left and 2009 right. Both are torn again 100%. Doctor suggests new surgeries by taking tendons from patella.

I had ACL reconstruction both knees- 2005 Left and 2009 right. Both are torn again 100%. Doctor suggests new surgeries by taking tendons from patella.

ACL tears: Its unfortunate that both are once again torn. You need the ACL for joint stability otherwise you will have to wear a knee stabilizer. I think repeat surgery is a reasonable option. You will have to be extremely careful once this is done. ...Read more

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Is snapping and popping in the joint normal after having cartilage removed under the kneecap? I just had arthroscopic knee surgery. Some are painful

Is snapping and popping in the joint normal after having cartilage removed under the kneecap? I just had arthroscopic knee surgery. Some are painful

The surgery was to-: -smooth the ragged portions of the cartilage under the patellar surface, but it can never be as good as new. Give it time to settle down, in 6-8 weeks you will have a better idea as to if it helped or not. ...Read more

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Is it imperative to get surgery to repair a shattered knee cap immediately?

Is it imperative to get surgery to repair a shattered knee cap immediately?

Yes: The kneecap or patella is very important for appropriate knee motion. If its a serious fracture in multiple pieces, then I would seriously consider surgery.

It generally will heal much better if the pieces are put back together! Its much more complicated but the final result is very important--poor healing will lead to even worse arthritis and more problems down the road. ...Read more

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My knee cap has went out of place twice now, but I don't want surgery. What can I do?

My knee cap has went out of place twice now, but I don't want surgery. What can I do?

Physical therapy.: An aggressive physical therapy program, geared towards strengthening the muscles that control the tracking of the kneecap, is the best thing you can do, if you're trying to avoid surgery. ...Read more

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What do you suggest if my knee cap has went out of place twice now, but I don't want surgery?

What do you suggest if my knee cap has went out of place twice now, but I don't want surgery?

Patella Dislocation: Working out your Vastus Medialis as part of your quadriceps muscles is the most important thing! As long as you can mke that knee cap track better medial on your femur bone, the risk for dislocation goes way down., Always workout both legs, as evidence shows that your 'hurt' leg will get better faster that way. All the best!! ...Read more