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no1mad 05-23-14 02:26 PM

Is there a Doctor in the house?
 
First let me assure you that I plan on seeing my Primary Care ASAP (but he is taking vacation next week- contemplating paying for the new patient fee if I can find someone else who can hopefully get me in Tuesday).

The problem is my left knee. I've noticed that it has been sore the last couple of weeks, but nothing of great concern... until yesterday. I started out yesterday in minor discomfort (w/minor limp), but still went for a 3 mile walk. Last night, it decided that it doesn't want to bend without considerable pain.

I can put weight on it. I'd put it at a 3 on the pain meter while standing, goes up to 7 getting in and out of a chair, 8.75 when making the transition from standing to laying down and then back up, and a throbbing 5 while in bed. I'm also experiencing minor nausea (which I attribute to the pain).

I decided not to go on my usual walk today, but did walk up to the store. I typically cover the distance to the store in about 6 minutes- it took me 30 just to make it home :(.

What really sucks is that we are supposed to go car shopping tomorrow and the thought of crawling into and out of a bunch of sedans makes me cringe...

rumrunn6 05-23-14 02:40 PM

wow, sounds like something for sure. elevate and ice. put a little pillow under it. see a doc for sure. get an xray and an mri maybe? good luck!

definitely stay off it!

ahsposo 05-23-14 02:45 PM

Could it be your meniscus?

http://www.evanekman.com/articles/meniscus.jpg

skijor 05-23-14 05:04 PM

Arthritis, baker's cyst, or clot...hopefully not that last one.

jsharr 05-23-14 05:17 PM

plica or meniscus would be my guestimates. Arthroscopic surgery may be needed.

no1mad 05-23-14 05:43 PM

Quote:

Originally Posted by jsharr (Post 16786204)
plica or meniscus would be my guestimates. Arthroscopic surgery may be needed.

Sounds expen$ive, so let's hope not (but you're probably right).

Soonest I could get in to see anyone is Thursday. Dunno if I can hold out that long, so I may break down and head for an Urgent Care tomorrow. So long as I keep the leg straight, avoid trying to rotate it or flex my foot, it is tolerable.

I think that I will wrap my knee up and see if that helps any. It tried to buckle on me twice already and if felt like it was trying to bend in the opposite direction of the way it is supposed to.

ETA: Make that keeping the leg stiff and in a neutral position. I just stood on my right leg and attempted to swing my left like a pendulum front to back and side to side and the leg didn't like that one bit.

Rowan 05-23-14 07:02 PM

You would be very difficult for any real doctor to diagnose over the interwebz.

As with many others on these forums who complain of knee pain, you don't actually give any clue as to where in the knee your issue is. Outside, inside, front, back, right inside the joint itself? The treatment can be different for each one, as can the cause.

Rest, Icing and Elevation (Compression might not be in order) would be a starting point until you can see a real doctor.

spdntrxi 05-23-14 07:05 PM

agree with Rowen.. do you have full ROM.. swelling.??. take a picture of your knees in a mirror after the walk.

Tom Stormcrowe 05-23-14 07:23 PM

What JSharr said, ........or tendinitis. Any instability in the knee, or swelling, or fluid buildup behind the patella? Wait, I saw the instability post. Try an Ace wrap in a figure 8 pattern tomorrow, and if where you are going has those electric mart carts, use one. Other than that and get to a Dr, RICE therapy would be appropriate (Rest, Ice, Compress, Elevate).

spdntrxi 05-23-14 07:34 PM

buckling is not good... that's usually a ligament.. be careful.. when ligaments fail the meniscus could be next.

DBA 05-23-14 07:34 PM

Synovitis - Wikipedia, the free encyclopedia
"Synovitis is the medical term for inflammation of the synovial membrane. This membrane lines joints which possess cavities, known as synovial joints. The condition is usually painful, particularly when the joint is moved. The joint usually swells due to synovial fluidcollection."

no1mad 05-23-14 08:48 PM

-Swelling: There is some (verified by my wife last night), but I wouldn't be able to tell you to what degree.
-"texture": As compared to the right one, when I feel it when bent, it is shaped more like a bent arm at the elbow (if that makes sense- more boney?). When standing, it feels like it is concave.
-Localizing: It feels like it maybe bone on bone grinding, but there is some discomfort when I flex the muscles without really moving the knee. More discomfort coming from the upper leg than the lower leg though.

Regardless of what the issue eventually is proven to be, I'm clueless as to how it may have happened- no strenuous exercise, no traumatic injury.

Rowan 05-23-14 08:52 PM

Quote:

Originally Posted by no1mad (Post 16786744)
-Swelling: There is some (verified by my wife last night), but I wouldn't be able to tell you to what degree.
-"texture": As compared to the right one, when I feel it when bent, it is shaped more like a bent arm at the elbow (if that makes sense- more boney?). When standing, it feels like it is concave.
-Localizing: It feels like it maybe bone on bone grinding, but there is some discomfort when I flex the muscles without really moving the knee. More discomfort coming from the upper leg than the lower leg though.

Regardless of what the issue eventually is proven to be, I'm clueless as to how it may have happened- no strenuous exercise, no traumatic injury.

But where? At the front, or on one of the sides, or at the back? There are a whole set of separate issues that give separate symptoms.

no1mad 05-23-14 09:57 PM

Quote:

Originally Posted by Rowan (Post 16786753)
But where? At the front, or on one of the sides, or at the back? There are a whole set of separate issues that give separate symptoms.

Just checked while prone and leg propped on pillow with ice pack. When I flex the upper leg, the pain is towards the front side and some towards the side, no pain on the back side. Varies a bit depending on how the angle of the hips.

Machka 05-24-14 02:53 AM

Quote:

Originally Posted by no1mad (Post 16786903)
Just checked while prone and leg propped on pillow with ice pack. When I flex the upper leg, the pain is towards the front side and some towards the side, no pain on the back side. Varies a bit depending on how the angle of the hips.

Can you take a photo and point at the place where you're experiencing the most pain?


But meanwhile ... possibly patellofemoral syndrome or chondromalacia
CYCLING PERFORMANCE TIPS -

Have you been riding in tights recently? Or jeans?

no1mad 05-24-14 10:19 PM

Wife talked me out of the Urgent Care visit- they would've maybe taken an x-ray or two and probably wrote a scrip for happy pills and told me to go see my PCP. Someone suggested that I consider seeing a Chiropractor and that doesn't sound like a half bad idea. S/he could check out the knee and if it is beyond their scope, then I can go the PCP to Specialist route.

I've seen a Chiropractor in the past for soft tissue injuries from a couple of car wrecks, plus I have Scoliosis and I haven't been adjusted in quite some time, so it won't be like a total waste of money.

rumrunn6 05-27-14 08:04 AM

I heard that chiropractors are pretty good about knowing when it's not their realm and referring you back to a PCP. good luck. you got crutches?

spdntrxi 05-27-14 08:13 AM

Quote:

Originally Posted by no1mad (Post 16789209)
Wife talked me out of the Urgent Care visit- they would've maybe taken an x-ray or two and probably wrote a scrip for happy pills and told me to go see my PCP. Someone suggested that I consider seeing a Chiropractor and that doesn't sound like a half bad idea. S/he could check out the knee and if it is beyond their scope, then I can go the PCP to Specialist route.

I've seen a Chiropractor in the past for soft tissue injuries from a couple of car wrecks, plus I have Scoliosis and I haven't been adjusted in quite some time, so it won't be like a total waste of money.

If your insurance will allow it.. go straight to a sports guy ( surgeon )... probably send you to get an MRI and then those need to be read.. Even that will take a few days.

phoebeisis 05-27-14 08:41 AM

1)Infection
2)trauma- -overuse injuries are considered trauma
3)Crystals

The above are the 3 things that we were told to keep in mind when a patient presented with Mono-arthritis-meaning a single joint with 1)pain 2)swelling 3)maybe redness 4) maybe warm
If they had no trauma history-and trauma can mean over use-- be careful-infection and crystals(usually gout) can cause joint pain redness and systemic symptoms signs- Overuse injuries-which are trauma- very very common here-best bet always

The nausea is mild curve ball-maybe you are taking pain meds-NSAID-they can cause nausea- or opiates from old prescription-they can also cause nausea
and as you say pain can cause nausea in some folks-but it does raise level of suspicion of something other than chronic over use injury-


In any case- if you have a temperature -or it gets RED,not just swollen, but RED- or the nausea gets worse -time to hit the ER

You aren't taking hydrochlorothiazide-HCT- common HBP med?? it can raise uric acid levels- raises gout risk a little-common oldster med


Just keep an eye out for redness a temperature nausea or generally "feeling bad"
Overuse injury-in this population are many many times more common than the other things-but the other things- infection and gout require quick treatment

Sportpilot 05-27-14 09:15 AM

Not to hijack the thread...this may be of use to the OP. I had my left knee scoped two weeks ago for a partial tear in my lateral meniscus. I've not ridden in a few years, but when the docs let me, I want to ride for rehab. What can I expect getting my knee back into riding shape? Do I risk further injury? Any thoughts would be appreciated, best of luck to the OP! Thanks!

CbadRider 05-27-14 09:37 AM

Quote:

Originally Posted by Sportpilot (Post 16795199)
Not to hijack the thread...this may be of use to the OP. I had my left knee scoped two weeks ago for a partial tear in my lateral meniscus. I've not ridden in a few years, but when the docs let me, I want to ride for rehab. What can I expect getting my knee back into riding shape? Do I risk further injury? Any thoughts would be appreciated, best of luck to the OP! Thanks!

You should start a thread in the Training & Nutrition forum. Several people with knee issues have posted in there.

no1mad 05-28-14 04:43 PM

Update
 
Just got back from the Chiropractor's office. Not the one I'm used to dealing with, but someone a lot closer to home. Her best guess is that I just have a bad sprain. Told me to RICE it, stay off of it, and come back in a week to see if the swelling has gone down any. Also brought home one of those deep tissue stimulator/electro-therapy thingamajigs.

rumrunn6 05-29-14 08:02 AM

never heard of a sprained knee but I'm not a sports doctor.

when I had a tron meniscus I had a lot of swelling which eventually subsided but not the discomfort and inability to perform certain actions. doctors prescribed rest and ibuprofen for weeks and weeks before doing an MRI which showed the tear and they scheduled surgery. stick with it Pal but don't be so sure the 1st diagnosis is the final result. the knee is wicked important and takes a lot of stress. recovery is often slower than we would like.

jsharr 05-29-14 08:43 AM

All this talk of knees made me think of this.


no1mad 05-29-14 10:44 AM

Quote:

Originally Posted by rumrunn6 (Post 16801974)
never heard of a sprained knee but I'm not a sports doctor.

when I had a tron meniscus I had a lot of swelling which eventually subsided but not the discomfort and inability to perform certain actions. doctors prescribed rest and ibuprofen for weeks and weeks before doing an MRI which showed the tear and they scheduled surgery. stick with it Pal but don't be so sure the 1st diagnosis is the final result. the knee is wicked important and takes a lot of stress. recovery is often slower than we would like.

This was my thinking last night as well- that I will end up needing to be sliced and diced anyway.


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