Oww! Knee pain

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Discussion

carreauchompeur

Original Poster:

17,846 posts

204 months

Friday 27th February 2015
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My knees have always been a bit clicky over the years.

I haven't done anything acute to it, bit of cross trainer 2 days ago but nothing mental.

Right knee a bit stiff yesterday. Finished work this morning at 0700 and woke up at 0900 in a lot of pain- hurting in any position, and just gradually seizing up and aching if left straight/bent.

Eventually some iburprofen and ice calmed it down enough to sleep. Back up at 4pm, now it's stiffening up again and is quite hot to touch. No particularly noticeable swelling, most of the pain seems around the front.

What wrong with me?!!

p1stonhead

25,545 posts

167 months

Friday 27th February 2015
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Sounds like you may have a bit of trapped cartilage? Does it feel like it gets trapped in the joint some times?

carreauchompeur

Original Poster:

17,846 posts

204 months

Friday 27th February 2015
quotequote all
Hmm, interesting thought. It does sometimes lock a bit. I've woken up in the middle of the night before but thought it was cramp- it almost feels like the joint goes slightly beyond the normal range of movement and then painfully locks up.

p1stonhead

25,545 posts

167 months

Friday 27th February 2015
quotequote all
carreauchompeur said:
Hmm, interesting thought. It does sometimes lock a bit. I've woken up in the middle of the night before but thought it was cramp- it almost feels like the joint goes slightly beyond the normal range of movement and then painfully locks up.
Sounds exactly what I had. Almost like it goes past the lock stops when fully straight and feels like you are about to collapse?

I'm certain mine was cartilage or something as sometimes I couldn't fully bend it without something getting trapped. X-ray etc found nothing though and it's gone away by itself and I didn't ever really have 'pain' just awkwardness. Was a crappy year though until it totally went away. Sometimes was just walking down the street and the knee caved in painlessly and I almost ended up on the floor.

carreauchompeur

Original Poster:

17,846 posts

204 months

Friday 27th February 2015
quotequote all
Never when I'm standing- generally it happens at night.

Particularly when the fecking cat sleeps on one of my legs and it's in the same position for a while causing me to wake up in agony (promptly launching kitty off!)

TheBALDpuma

5,842 posts

168 months

Friday 27th February 2015
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From having odd knee pains before I know that pain at night can mean something perculiar going on and definately worth a visit to the GP, with the intention of getting referred for a proper scan. All sorts can go wrong with the knee, and on going knee pain can be very debilitating - get to the GP and get it looked at.

As is often the case, 2 seperate MRI scans found nothing wrong with me, and it sorted itself out but still, better to get it checked out.

pushthebutton

1,097 posts

182 months

Friday 27th February 2015
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Get an MRI. Partial tears of the cartlidge can get trapped in the joint and cause it to lock. The longer you leave it the worse it'll eventually be.

Ask me how I know.

carreauchompeur

Original Poster:

17,846 posts

204 months

Friday 27th February 2015
quotequote all
Thanks very much guys, I've previously had mild aches from running but this seems really different, the occasional locking is getting more frequent so I will book an appointment with the quack ASAP smile

The_Doc

4,885 posts

220 months

Saturday 28th February 2015
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pushthebutton said:
Get an MRI. Partial tears of the cartlidge can get trapped in the joint and cause it to lock. The longer you leave it the worse it'll eventually be.

Ask me how I know.
You cannot "get" an MRI, an nor should you, it is not a screening test.

You need to see your GP, or physio who will take a history and/or refer you on to a specialist, who will explore more and use MRI if useful. Bear in mind MRI can miss up to 10% of problems. People think it is the be all and end all, but I often operate without a pre-op MRI. Some knee problems are obvious.


carreauchompeur

Original Poster:

17,846 posts

204 months

Monday 9th March 2015
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Well, went to the GP and despite explaining that I hadn't done anything crazy to it I should do no exercise for the next 6 weeks and come back if it still hurts.

This is clearly not an option! Grr

carreauchompeur

Original Poster:

17,846 posts

204 months

Monday 6th April 2015
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Great, another locking episode overnight last week and I'm on Naproxen for a while. Physio time I think!

The_Doc

4,885 posts

220 months

Monday 6th April 2015
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carreauchompeur said:
Great, another locking episode overnight last week and I'm on Naproxen for a while. Physio time I think!
A reliable history of locking means you need to meet a knee surgeon

IMHO

carreauchompeur

Original Poster:

17,846 posts

204 months

Monday 6th April 2015
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Bad times frown

I have an appointment with a local sports injury clinic for an assessment so I'll see what they say. I am hoping that it's something which might be improved with exercise since it hasn't come about through trauma, however I'll bear your words in mind if that fails...

pushthebutton

1,097 posts

182 months

Monday 6th April 2015
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The_Doc said:
You cannot "get" an MRI, an nor should you, it is not a screening test.
Thanks Doc. I "got" one. ;-)

Good luck with the knee CC

otolith

56,121 posts

204 months

Monday 6th April 2015
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I saw my GP ten years ago (my early thirties) about a bit of noise and discomfort - he did some blood tests, told me I probably didn't have arthritis and that was the end of his investigations. Still have noise, and occasional discomfort or (rarely) knee giving way, I just avoid doing anything to annoy it. Should probably chase it up, I suppose.

The_Doc

4,885 posts

220 months

Thursday 9th April 2015
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pushthebutton said:
The_Doc said:
You cannot "get" an MRI, an nor should you, it is not a screening test.
Thanks Doc. I "got" one. ;-)

Good luck with the knee CC
The problem with "getting" an MRI on your terms is Overuse. A medical professional will have signed the request form, under the IR(M)ER guidelines, and it is this gatekeeping of the service that is so valuable.

Ref: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC344505...
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC415144...
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC321301...


At least 30% of the MRIs that are performed on patients refereed to me have wasted time (patient's) and money (taxpayers') in "getting" an MRI. In my diagnostic pathway I find the MRI adds little, in these cases.

A careful history and examination would be better. MRI is a poor screening test. Coercing a medical professional into signing the request form does you, the MRI scan team, and the NHS budget little overriding benefit in the long term, in my opinion. Yes order an MRI once its diagnostic use is delineated.

None of my comments are meant personally and this is pure discussion on MRI and knee symptoms.

smile

carreauchompeur

Original Poster:

17,846 posts

204 months

Friday 10th April 2015
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I know Internet self-diagnosis is not always a good thing, however I'm the last week or two I've really noticed a lot of tightness around my lower legs, particularly on the right leg, and pain down the side of the knee, along with stiffness snd cracking.

I'm on Naproxen and Paracetamol but having been at work for 17hrs today it's now really bad.

http://www.knee-pain-explained.com/iliotibial-band...

Seems to fit?

carreauchompeur

Original Poster:

17,846 posts

204 months

Saturday 2nd May 2015
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Update:

Because I was starting to need time off work through the pain I managed to get a free referral to a physio. Went for an iniitial consultation and then back for another session yesterday.

Utterly brilliant and I wish I'd have done this years ago. Very experienced older physiotherapist has diagnosed straight away that it's stiffness in my calves and hips that is putting a lot of pressure on my knees, which is exacerbated by by feet over-pronating. Have to now see a podiatrist to get shoe inserts to sort the foot positioning out and have a range of exercises for the legs.

Feeling very positive about a way forward, just need to get training for my cycle ride in July now- once I've had a proper bike fit to sort out all my geometry and clips etc.

Fascinating really, lots of niggles I have all seem to trace to the same causes. Nice to get sorted out and hopefully with some orthotics I might get back running again smile

carreauchompeur

Original Poster:

17,846 posts

204 months

Thursday 16th July 2015
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Further update:

Physios can be a godsend. So many people just put up with aches and pains, as I did, but shouldn't have to. A simple course of corrective exercise and some special insoles and the difference is amazing. A proper fitting of my bike was a really important factor too.

From not sleeping due to pain/locking after a 40 mile ride, this weekend I completed St. Austell to Bristol in aid of Children's Hospice South West (PM me if you want the Justgiving link wink ) About 230 miles in total including getting to the start/finish and I didn't have to push up any hills. Back out yesterday and completed a 36 mile ride in under 2 hours. Touch wood, no pain.

Physio... Works!


threadlock

3,196 posts

254 months

Thursday 16th July 2015
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carreauchompeur said:
Physios can be a godsend. So many people just put up with aches and pains, as I did, but shouldn't have to. A simple course of corrective exercise and some special insoles and the difference is amazing. A proper fitting of my bike was a really important factor too.
Just saw this thread in "What's new".
I'm hopefully going to be referred for physio soon to try and sort out a knee problem that started during a skiing trip last week. Had it assessed by the muscular-skeletal specialist chap a few weeks ago and he said it's almost certainly not tendons, and probably not cartilage. My knee hasn't been locking but three times has felt as though it's going to collapse. Apparently it's a muscular issue: my muscles aren't providing the support as quickly as they need to sometimes when my joint is loaded. Let's see how I get on with physio. I'm heartened to read of your outcome, carreauchompeur. Thanks.