Suspected meniscus Tear, MRI "no internal joint damage"

Suspected meniscus Tear, MRI "no internal joint damage"

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Art0ir

Original Poster:

9,401 posts

170 months

Tuesday 22nd December 2015
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Had issues with my right knee for nearly a year now.

Haven't been able to drive for almost six months as the pain has worsened. Even a passenger journey in a car has me in agony after 20 minutes from the small movements in the joint.

I had a private consultation with the top knee man in the area and he said cartilage as did my GP.

Paid for an MRI and they've reported back "good news, no sign of damage "

Going to be new year before I see the consultant again, what the hell happens now and what else could it be? I've been resting it for months and the pain continues to grow. Sleep is elusive and I can't work. Any knee experts On PH?

Pathetic Worm

8,851 posts

187 months

Tuesday 22nd December 2015
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Art0ir said:
Had issues with my right knee for nearly a year now.

Haven't been able to drive for almost six months as the pain has worsened. Even a passenger journey in a car has me in agony after 20 minutes from the small movements in the joint.

I had a private consultation with the top knee man in the area and he said cartilage as did my GP.

Paid for an MRI and they've reported back "good news, no sign of damage "

Going to be new year before I see the consultant again, what the hell happens now and what else could it be? I've been resting it for months and the pain continues to grow. Sleep is elusive and I can't work. Any knee experts On PH?
Have you had any physio on it? An MRI scan is never 100% proof that all is well. I found this out the hard, was told my knee was fine, no cartilage damage etc. Turned out I had synovial tear which wasn't seen on the MRI.

I'd imagine you'll consultant will want to do an Arthroscopy if physio is/has been unsuccessful.

The_Doc

4,885 posts

220 months

Wednesday 23rd December 2015
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Art0ir said:
I had a private consultation with the top knee man in the area and he said cartilage as did my GP.

Paid for an MRI and they've reported back "good news, no sign of damage "
MRI is about 90% sensitive (ie picks up 90% of problems) and 95% specific (ie is right about a problem if it is seen) for knee. And that's a 1.5Tesla machine with good protocoling and usually Siemens tech. Older machines are 1.0 Tesla and crapper. Some good machines live on lorries and are hired out to hospitals, some crap machines live in old NHS hospitals because they can't afford to upgrade. People just think a knee MRI is the answer to everything and the same the world over.

So it misses things. The history, or what you tell your man it feels like is equally as useful.

Negative MRI just means you're no further on, although it is nice to know lots of major things aren't wrong.

Talk to a specialist knee surgeon

Red 4

10,744 posts

187 months

Thursday 24th December 2015
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Any other symptoms other than pain, i.e. does your knee feel clammy/ is it tender in a particular place/ does heat/ cold affect it ?.

MRI scans can be inconclusive but, in your case, appear to rule out a mechanical problem.

As the Doc says history is important - what may have caused the problem ?

Could be Complex Regional Pain Syndrome. Could also be something else (sorry).

Art0ir

Original Poster:

9,401 posts

170 months

Thursday 24th December 2015
quotequote all
Sorry only getting to reply now.

Was rear ended on the motorway about 3 years ago. My leg was locked out standing on the brake pedal upon impact and it was sore for a few days after. Fast forward this time a year ago I started in the gym 4 days a week and had some pain squatting.

Laid off the leg work for a month and all was well for a while until it flared back up around April. Around this time I started doing a LOT of driving with work. Got to the stage where 20 mins driving had me stopping for a break.

Around August I stopped driving altogether and the pain hasn't subsided. I had a 90 minute car journey as a passenger for the MRI which had me in agony for 2-3 days.

The machine was a modern Siemens unit, best in the country apparently.


The_Doc

4,885 posts

220 months

Friday 25th December 2015
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Red 4 said:
MRI scans can be inconclusive but, in your case, appear to rule out a mechanical problem.
No.

90% sensitivity approx means it could miss 1 in 10 problems

It rules out only very big things, that's the whole point.

Edited by The_Doc on Tuesday 29th December 11:01

Art0ir

Original Poster:

9,401 posts

170 months

Friday 24th June 2016
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Well finally got an answer... tear where the calf inserts into the back of the knee. Surgery soon fingers crossed.

anonymous-user

54 months

Friday 24th June 2016
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Get yourself a CTI knee brace. Everyone I know who has done this has bought one and has carried on as normal with sports. I only know people with the custom one.