Doctor insights on:
Knee Treatment Option
Knee pain. Knocked, hyperextended n arthritic knees. 56. Too young for knee replacement. Other treatment options?
Meniscus tear: Acute tear of medial meniscus indicates structural disruption of a portion of the spacer Bewtween the two bones of the knee. Many times it creates a mechanical block to the function of the knee such that it should be treated surgically. ...Read more
I've had 'clicky' knees since I was 14, which are often painful. I've been told "you'll grow out of it" — but I haven't. Diangosis ideas? Treatment options?
Patellofemoral pain: The large majority of females with bilateral knee clicking, grinding and popping have patellofemoral syndrome. This is a complex set of symptoms derived from the joint behind the kneecap. Physical therapy is the mainstay of treatment. Some braces provide a benefit. Injections, orthotics and surgery are usually 2nd/3rd line treatments. ...Read more
Just found out my knee fat pad is calcifying, what are the treatment options? I am a professional rugby player and want to be back playing ASAP.
Nothing ASAP: Calcification in this setting is caused by trauma and inflammation that is not allowed to properly heal. Rest and the appropriate stretching and exercise (physical therapy) is the indicated thing when one has knee injuries and pain. Not letting the tissue heal properly leads to scarring, calcification, and deformity. Sounds like you need to learn more about the injuries you have and how to heal. ...Read more
Therapy & Bracing: Patella (kneecap) subluxation or frank dislocation (requiring reduction) can be from trauma (bad luck), underlying soft tissue (muscles) or bony alignment issues (also bad luck!), or a combination of both. Evaluation by an orthopaedic surgeon may be indicated to review the various options that will work best with your knee. X-rays and even an MRI or CT will provide important diagnostic information ...Read more
Multiple: There are many options, including arthroscopic drilling; cartilage harvesting, groth, and then implantation; visco supplementation; braces and osteo roomies to " offload" the area, joint resurfacing, etc. Don't hesitate to see an orthopedic surgeon to discuss which option would be best for you. ...Read more
Dislocated knee: A dislocated knee usually refers to a complete or near complete separation of the tibia relative to the femur (thigh-bone). Depending on the location of the tibia dictates ligament and soft tissue injury. Typically, an x-ray is performed following a careful neurovascular assessment of the limb. The peroneal nerve should be checked along with the distal pulses at the level of the foot. ...Read more
First reduction: Dislocating your knee not just you patella implies injuring 2 to 3 major ligaments in your knee. Trying casting often leads to stiffness. If old and recurrent instability you could try a brace but may need to reconstruct he torn ligaments. ...Read more
I am an active 52 yr old woman who was on my kids pogo stick and landed awkwardly. I have pain on the lower outside of my right knee. Could it be the lcl and what are treatment options?
Knee injury: At your age, it is best to have it checked out if pain persisted. Make sure there is no fracture or effusion which needs immediate attention. You may apply ice to affected area 2-3 times per day and take Ibuprofen as needed for pain. May need physical therapy later if your knee still feels weak. Be careful next time! ...Read more
All depends: On symptoms and activity level extent of damage etc..... ...Read more
I had MRI of my knee and it suggests meniscocapsular disruption. What does this mean and what are the treatment options?
Damaged soft tissues:
The meniscus is the cartilage that keeps the bones from wearing against each other in the knee joint, between the femur (thigh-bone) and the tibia (leg bone) which form the hinge in the knee.
The capsule is the tough envelope that surrounds the knee joint, holding it together. It connects to the meniscus which is where the damage is seen. Time, p. Therapy, limited activity, ; support. See md. ...Read more
22 y.o female, bow-legged from knees down, have knee problems and am curious about treatment options to correct the bow leggedness.
Orthopedic referral: Determine why your legs are bowed and then review treatment options. I have a feeling surgical treatment might be the answer and would have been better done when you were still growing. Review your options and all the best. ...Read more
Neck, shoulder, lower back, knee, ankle pain. Tendonitis that don't recover. Docs can't find structural problem. Chronic pain? Gait? Treatment option?
Sensitivity of germ: Well the doc should have a 'profile' of what the bacteria is and is not sensitive to. That, depending also on you (presence or absence of allergies, kidney function etc) would help determine the best treatment. I would guess your doctors picked Vancomycin, which is one of the best medications for that. I'm also a fan of daptomycin but it's extremely expensive. With a joint infection, treat longer. ...Read more
Could having ligament laxity make the knee more prone to the treatment options for ligament laxity?
?: U don't get treatment 4 lax ligaments if it is not due 2 an injury. Many times it is congenital & global, all joints. No treatment 4 that. ...Read more
Delaminated cartilage in knee from repet kneeling. Mri diagnosed. Workers comp. Mild/moderate pain daily. What are my longterm treatment options?
Daughter has flat feet and causing her a lot of pain on the top of feet and knees what type of dr should she see? What are treatment options?
Flatfeet: A podiatrist or an orthopedic surgeon should be consulted. Treatment options will be recommended by the specialist you see. ...Read more
Suffered a crushed knee joint from accident. Too young for replacement. What's the best option for treatment?I'm not overweight and exercise daily.
Need more info: Sorry to hear about your knee. "Crushed " doesn't sound good but I need more information to give u an answer. It would be best to look @ your x-rays and arthroscopic photos(if u have had your knee 'scoped') @ a minimum to give you your tx. Alternatives. Best of luck! ...Read more
Evaluation: There are many possible causes of painful popping of the knee (chondromalacia patella, meniscal tears, intra-articular loose bodies and instability of the joint secondary to ligamentous injury) and the appropriate treatment will be determined by the diagnosis. A visit to an orthopaedic surgeon should give you an answer. ...Read more
My flat feet and ankles rotate inward causing me to have knocked knees. What're my options for treatment of my misaligned knees? I also have scoliosis
Start with alignment: Excessive pronation is the motion you are describing and it causes poor alignment beginning at the feet creating problems with the knees, hips and lower back. Orthotic devices or braces (AFO) at the feet and ankles can begin to correct alignment which can improve knees, hips and back symptoms. A practitioner trained in biomechanics can provide a detailed exam. ...Read more
Painful cyst in left knee adjacent to posterior horn of medial meniscus. No meniscus tear (confirmed via MRI & arthroscopy). Treatment options?
Most cysts in the back of the knee are due to knee joint causes, which improve as the causes is treated. So my recommendations would be:
1: do nothing except maybe pain meds, for 3 months; if no improvement, then;
2: aspiration (removing fluid) under ultrasonic guidance for fluid/needle biopsy; or;
3: removal of the cyst through the back of the knee, to get tissue for biopsy. ...Read more
Does a high grade partial tear or the medial retinaculum in the knee require surgery or is physical therapy a better option?
Therapy 1st: If u have dislocated your patella and injured the medial patellofemoral ligament(retinaculum) then physical therapy to strengthen the quads is a good first choice. If your patella continues to 'slip' or dislocate despite aggressive vmo strengthening/patellar brace then see a board certified ors. Surgical procedures (including repair/ reconstruction of mpfl) can be discussed. Gl! ...Read more
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
I have anterior knee pain. How to treat this? What should I do? What I shouldn't do? Can I be fully recovered and fit again after treatment? Help me
This can't be diagnosed with the information that is available. A history, physical examination & other studies may be needed to determine cause/causes.
Once accurately assessed a treatment plan can be developed. ...Read more
Different causes: Clicking of the knees can be caused by a number of problems, including patellar chondromalacia, torn meniscal cartilage, arthritis or a loose body in the knee. If there is pain associated with the clicking, an orthopaedic consult may be necessary to assist in evaluation and treatment. ...Read more
Hi iam 27 years old my spin and knee hyadration intervibral disc is loose what food helpfull/?and what's treatment to reaper?
Is one at greater risk of future knee damage if they previously had a partially torn pellar retinuculum and recovered thru pt treatment?
Sort of: The retinaculum will have healed less tight than b4 the subluxation so the probability of another subluxation is higher than b4. ...Read more