KNEE PAIN… help.?
I have had two identical surgeries to fix my torn miniscus in my knee. It was medial. I went to Physical therapy for the first surgery, and I started to go for my second a few months ago, but it caused more pain, so I didn't go anymore. I heard about a baker's cyst which sounds like my symptoms. Should I go and see another doctor, or do you have any ideas about pain relief?
Baker's cyst is a localized pocket of swelling in the popliteal fossa which can be assymptomatic or symptomatic. In other words, it can be a source of pain or it may be an incidental finding. Since the surgery was only a couple months ago, you may still be having post-operative swelling which could conflict with the diagnosis of a baker's cyst. Presumably, when you had your surgery, it would've been addressed while they were in there if a cyst was present.
After having an arthroscopic meniscal debridement, we must remember that the mechanics of the joint are now altered. There is not as much congruency between joint surfaces as compared to a normal knee. So, incorperating exercises (while important for normal functioning) does have the potential to make the pain worse due to this alteration of mechanics. Follow up with your orthopedist as some other pain control measures may be needed including aggressive anti-inflammation for a short period of time (to break the cycle and allow to do PT without the inflammatory response) or possibly injections such as synvisc to increase the space between joint surfaces. You definetely need to follow up with the doctor who did the surgery…just because things aren't going exactly as well as you hoped, doesn't mean there isn't more he/she can do for you.
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Posted in knee pain relief
January 30th, 2009 at 10:21 am
There is hardly any treatment except surgery with doctors for knee pains. Alternate systems of Medicines help a lot in all painful diseases.
Acupuncture is the best treatment for all pains.
Hot bandage of mud will do good. Take soil from no mans' land.
Bandage of Ayurvedic Medicines or herbal pastes/leaves are also useful.
Heating with pad/lamp also helps.
References :
Shree Swasthyayog; Treatment, TRG. & Research Institute
R.H.19, Jhulelal Society, Sec-2E, Airoli, Navi Mumbai- 400708.INDIA.
January 30th, 2009 at 10:56 am
Baker's cyst is a localized pocket of swelling in the popliteal fossa which can be assymptomatic or symptomatic. In other words, it can be a source of pain or it may be an incidental finding. Since the surgery was only a couple months ago, you may still be having post-operative swelling which could conflict with the diagnosis of a baker's cyst. Presumably, when you had your surgery, it would've been addressed while they were in there if a cyst was present.
After having an arthroscopic meniscal debridement, we must remember that the mechanics of the joint are now altered. There is not as much congruency between joint surfaces as compared to a normal knee. So, incorperating exercises (while important for normal functioning) does have the potential to make the pain worse due to this alteration of mechanics. Follow up with your orthopedist as some other pain control measures may be needed including aggressive anti-inflammation for a short period of time (to break the cycle and allow to do PT without the inflammatory response) or possibly injections such as synvisc to increase the space between joint surfaces. You definetely need to follow up with the doctor who did the surgery…just because things aren't going exactly as well as you hoped, doesn't mean there isn't more he/she can do for you.
References :
PT
January 30th, 2009 at 11:10 am
Physical therapy FORCES muscles
Massage therapy loosens them
See a chiropractor as well
Much pain is from muscles below is an example of what may help (based on headaches).
Begin with a couple swigs of molasses or a couple of bananas daily - magnesium (which regulates many things in the body) and potassium (a needed building block for muscles).
Drink at least 1/2 gallons of water per day. Running a body low on water is like running a car low on oil is the analogy the head of neurology at UCDavis told my husband about 10 years ago.
Now to the cause - muscles - your back, neck shoulders and head have tender spots. They are knots in the fibers of the muscles called trigger points. It makes the muscles tight which makes them press on nerves and other things causing the pain.
The cure - start with a professional massage, you will also want to go back over any place you can get to 6-12 times per session up to 6 times per day rubbing (or lightly scratching on your head) every where that is tender until the knots go away. The place where the skull connects to the spine press up under the edge of the skull (to get to those muscles).
For more information read The Trigger Point Therapy Workbook by Davies. It teaches what to do and where the pain comes from.
References :