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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain After Knee Surgery

I have had 3 knee surgeries over the last 20 years. First was my acl 20 years ago and the 2 medial meniscus tears. The last was a bucket handle tear and it was 5 months ago. I started getting a big goose egg painfull to the touch under my knee. It is in the same area of my acl scar. I went back to ortho and he said bursitis. I received a cortisone shot and it took several days to go away. 4 months later it is back. I went back to ortho and now he says it s tendinitis and not related to surgery. I am a very flexible 37 yr old. It has gone down after 2 weeks and now swollen and sore?
Thu, 22 Jan 2015
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Physical Therapist or Physiotherapist 's  Response
Hello ! I can understand your situation . Such conditions could get really frustrating to handle ! I would like to ask you a few questions first ,
1. Did you undergo a rehabilitation program after all your surgeries ?
2. Are you doing any sort of exercises currently ?
3. Are there any other symptoms like buckling of the knee etc ?
4. Has the doctor cleared you of damage to the operated structures ?

Pain could come from overloading weak muscles , and thereby the internal structures and not always from some actual tissue damage . Swelling which has recently developed could suggest inflammation around the joint . A physio evaluation could help to know what conservative treatment options are available .
Your physio could help you with reducing the inflammation , thereby reducing the pain , strengthen your muscles , build up proprioceptive function of the joint and thus prevent recurrence. Joint taping , electrical modalities and exercises are generally advocated.

Without trying to give a diagnosis (since I haven't evaluated you ), I would always suggest that a well structured rehabilitation program , concentrating on muscle strength , range of motion of the joint , and thereafter exercises to build up the joint proprioception .
Do get yourself evaluated by a physio as well . Tc.
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Suggest Treatment For Pain After Knee Surgery

Hello ! I can understand your situation . Such conditions could get really frustrating to handle ! I would like to ask you a few questions first , 1. Did you undergo a rehabilitation program after all your surgeries ? 2. Are you doing any sort of exercises currently ? 3. Are there any other symptoms like buckling of the knee etc ? 4. Has the doctor cleared you of damage to the operated structures ? Pain could come from overloading weak muscles , and thereby the internal structures and not always from some actual tissue damage . Swelling which has recently developed could suggest inflammation around the joint . A physio evaluation could help to know what conservative treatment options are available . Your physio could help you with reducing the inflammation , thereby reducing the pain , strengthen your muscles , build up proprioceptive function of the joint and thus prevent recurrence. Joint taping , electrical modalities and exercises are generally advocated. Without trying to give a diagnosis (since I haven t evaluated you ), I would always suggest that a well structured rehabilitation program , concentrating on muscle strength , range of motion of the joint , and thereafter exercises to build up the joint proprioception . Do get yourself evaluated by a physio as well . Tc.