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goughy

Stuffed knee again.... should I get a look inside?

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So I've stuffed my right knee again playing indoor netball. It's the 4th time in about 8 years it's had some sort of injury, usually I just go to physio to work on it. My physio this time (first time he's seen me for this knee) asked if I've ever had it scanned, and while he's working on it I get the feeling from him that he's only working on it cause I want him to. Last few appointments he's either given me a partial refund, or last time he applied a pensioner discount to my fee; cause he's felt it wasn't fair to charge me the normal fee for the work he did. Last time he even asked if I wanted some more work on my back to make up a full appointment.

 

The guys I ride with (mostly doctors of various sorts) said I need to get it looked at and done and said they will make it all happen if i want. Both knees have had issues since at least my mid 20's, but I've injured them both (left once, right 4 times) since taking up running and tri 8 years ago.

 

I know the physio hasn't nutted down what's happened. In the past I've had a tracking issue, and something like 3 strains (cartilege strains I think....). It's been 4 weeks now and while the pain has gone, it's still 'uncomfortable' I guess you'd say, and I can tell it's not right with some uncomfortable loud cracking (as opposed to it's usual soft squeaky cracking) and light soreness in everyday life. It was very swollen for the first 2 weeks I guess, though that's gone down.

 

OK, I guess I'm just trying to talk myself into going to the extra trouble of a specialist.

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OK, I guess I'm just trying to talk myself into going to the extra trouble of a specialist.

 

Head to the GP.

Tell them about your netball incident and the fact it isn't really improving.

Get them to refer you for an MRI.

My fiancee was informed if she could have pointed out a single incident that hurt her knee, she could have claimed more on medicare for her MRI.

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You need a diagnosis, which you haven't had. A thorough history taking and examination should give that to you. I would see someone who can provide this.

 

If the diagnosis is elusive, MRI may be an option, but bear in mind the interpretation of the MRI is important (e.g it may show 4 things, only one of which is contributing to your symptoms).

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Not sure Indoor Netball is the best sport to be playing if you've got an ongoing dodgy knee issue... :-)

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Probably more so was not playing the second week after it was swollen from the first!

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you can get the MRI bulk billed if your doc suspects an acute meniscal tear.....

Edited by Cat Lady

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What's worse, is it was on my daughters mixed team, made up of her other 13 and 14 year old friends, who are playing in an adults league. So it looked even worse! But, full team fee has to be paid regardless if everyone is there or not, and since I end up paying the short fall figured I might as well play. Was such a good idea....

 

Saw doc today, scans booked, specialist booked, and my mate had gone to see him first thing this morning so they were waiting for me to call them.

 

Funny system the govt requires to get it bulk billed. She has a check sheet there she runs through. But, they have to do an xray first, and if the xray shows nothing then they can request the MRI. She said the xray never ever shows anything, but they have to request it first. What a waste of money! But that's govt systems for you. The xray and the mri are getting done at the same time - the place said that's normal for this sort of thing. So the xray won't even get looked at before the mri is done.

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When my physio suspected meniscal tear, both my doc and then the referred specialist said mri's are useless. About 50/50 false positives and false negatives.

 

I had an mri last year which diagnosed lateral colateral ligament tear. Specialist and physio and outcome called bullshit.

 

Mensical tear (undiagnosed with mri) yes.

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Massive problem in musculoskeletal care these days with over-reliance on MRI findings. It's only getting worse too with practitioners losing their clinical assessment skills.

 

Operations for meniscus recently been show to be associated with early onset osteo-arthitis.

 

The more we know about many orthopaedic operations (esp. knee and lower back surgery) the more it's being shown that it's often better not to do it.

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Oh feeling much better now!! ;)

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Operations for meniscus recently been show to be associated with early onset osteo-arthitis.

 

The more we know about many orthopaedic operations (esp. knee and lower back surgery) the more it's being shown that it's often better not to do it.

What's the alternative though?

A tear isn't going to heal itself is it?

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What's the alternative though?

A tear isn't going to heal itself is it?

A small tear can, especially in the outer meniscus.

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Stay clear of all things that will hamper your goal to get to Port. Yes....this may be boring, but just remember the goal ahead - Ironman!

 

You know you want it!!!

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What's the alternative though?

A tear isn't going to heal itself is it?

 

 

That's the type of thinking that is very natural and understandable when you view an MRI and what drives this reliance on them from both sides.

 

Over 50% of 50 year olds will show meniscus tears and disc bulges on MRIs.

 

I reckon musculoskeletal car was better before the invention of MRIs. Not nearly as profitable but patients had better lives/outcomes.

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Stay clear of all things that will hamper your goal to get to Port. Yes....this may be boring, but just remember the goal ahead - Ironman!

 

You know you want it!!!

That's exactly what my thinking is with getting this sorted! 4 times I've had this knee treated for problems, but it's had them more than that. A couple of times I've just let it rest and sort itself out. I'm barely running and walking atm, and it's affecting my cycling too. Swimming, meh, who would know. It's not really painful atm, but I know it's not stable and worse than other times.

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I reckon musculoskeletal car was better before the invention of MRIs. Not nearly as profitable but patients had better lives/outcomes.

 

It's interesting to me at the moment because Future Mrs Tyno had a scope for a meniscus tear recently.

She couldn't run without pain.

It was a triangle type tear.

At the moment, she's still in recovery, but has mentioned she notices knee pain in the chilly weather.

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Â

It's interesting to me at the moment because Future Mrs Tyno had a scope for a meniscus tear recently.

She couldn't run without pain.

It was a triangle type tear.

At the moment, she's still in recovery, but has mentioned she notices knee pain in the chilly weather.

I've had 3 scopes for tears the first at age 15 for a tiny tear that probably should have been left alone. Surgeons love to cut and they're never going to suggest a different option. .

 

Did my second tear age 16 but left it alone for 20 years with only minor issues until the swelling etc became too regular. . Id avoid surgery as long as possible and enjoy being able to predict the coming rain. .

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My knees have been useless for predicting rain. But about every bone in my wife's body has that covered.

Edited by goughy

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I swear you'd have to be a doctor to be able to work out anything on these images!

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That's what I just said to my sister (a radiographer).

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What's worse, is it was on my daughters mixed team, made up of her other 13 and 14 year old friends, who are playing in an adults league. Â So it looked even worse! Â But, full team fee has to be paid regardless if everyone is there or not, and since I end up paying the short fall figured I might as well play. Â Was such a good idea.....

So the man-bun was to fit in?

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