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Old Guys ! Arthritis knee - Page 4

post #91 of 113

It's been two months since my Synavisc One injection.  It did not help me.  I can ski for a few hours, and then I start to feel swelling in the back of my knee (Baker's cyst).  Last week the pain persisted for a few days.  My MD is referring me to a PT .  

 

At what point did folks decide on surgery?

post #92 of 113
Quote:
Originally Posted by JaneB View Post
 

It's been two months since my Synavisc One injection.  It did not help me.  I can ski for a few hours, and then I start to feel swelling in the back of my knee (Baker's cyst).  Last week the pain persisted for a few days.  My MD is referring me to a PT .  

 

At what point did folks decide on surgery?

I have arthritis in left knee.  First became an issue about ten years ago.  About 7-8 years ago I got an MRI and had Baker's cyst that was causing the joint to feel unstable.  My issues never required surgery or tons of pain relievers and the most troublesome cyst symptoms seemed to resolve themselves after about 12 months.  Coincidentally, I began a strong regimen of seasonal (April to October) bicycle riding about ten years ago and I always felt it served as a form of PT.  Knee always felt best at the end of bike riding season and weakest before start of next bike riding season.

post #93 of 113

^^ I wish I could bike!  that's been the problem. Not sure what I am going to do.  I think I will go see a different Knee OS. 

 

 

Surgery doesn't seem like an option for me at this point except for a Patellofemural Arthroplasty but the success rate of that seems sketchy.  

 

If anyone has any info on that, (I searched a ton) let me know.  Appreciated.  

post #94 of 113

I thought a quick update was in order since it could relate to others.....

 

So I switched docs in June and went through the whole saga...  The new Dr suggested we try a 2nd round of orthovisc and also included a cortisone injection under the patella,  there are 3 injections, one each week for orthovisc.  On the day of the 2nd injection I met with the Dr.s PA. I explained again about how I was still having pain radiating from the glutes and trocanter area. This time, she took the extra time to investigate this more thoroughly The first dr discounted this and said it was back pain or knee referral pain, the second felt it was also referral from Knee pain). She was able to determine that I had a very inflamed bursa sac just below the Trocanter, she injected the sac with lidocaine and cortisone, within 5 minutes I had an 80% reduction in knee pain.....  So sometimes there is a magic bullet :)

 

So although no one seems to know why this is, its been about a month since the injection and i continue to have the same relief although I do have some increased hip area pain but its manageable. A week after the injection I hiked 6 miles with a 1200' gain and started biking, last week I mtn biked single track for 10 miles with a 1100' of climbing.  Other than sore muscles, I am good.  I also started PT again and have been soley focused on hip rehab.  

 

We'll see where this all leads to but in the meantime, I am enjoying a fairly pain-free existence able to ride and hike, and even sleep.;) 


Edited by Finndog - 7/15/15 at 7:12am
post #95 of 113

That's awesome, Finndog! Soooo much knee pain actually stems from the hip, I have found out! Through my PT sessions, my hip was a major source of focus, not just in strengthening but also manipulating. He'd regularly hit pressure points that would send me through the roof!

 

I'm also out biking regularly, doing lots of climbing (not much choice around here) and feel pretty awesome!

post #96 of 113

Good news!  Weak glutes and tight hip flexors were causing some of my knee pain a few years ago.  Pilates, PT and knee pain gone!  Some docs are too quick to inject.   A thorough physical therapy evaluation by a competent therapist can do wonders. 

post #97 of 113
Quote:
Originally Posted by skier31 View Post
 

Good news!  Weak glutes and tight hip flexors were causing some of my knee pain a few years ago.  Pilates, PT and knee pain gone!  Some docs are too quick to inject.   A thorough physical therapy evaluation by a competent therapist can do wonders. 

 

yeah, they were all too eager to simply accept the Grade IV condromalacia as the root cause despite having had hip surgery on the opposite side....  

post #98 of 113
Quote:
Originally Posted by contesstant View Post
 

That's awesome, Finndog! Soooo much knee pain actually stems from the hip, I have found out! Through my PT sessions, my hip was a major source of focus, not just in strengthening but also manipulating. He'd regularly hit pressure points that would send me through the roof!

 

I'm also out biking regularly, doing lots of climbing (not much choice around here) and feel pretty awesome!

LOL, yeah, here too, but I enjoy climbing.  when I went back to PT, the Therapist apologized for not looking beyond the obvious. He was pretty disappointed in himself.  I have a feeling this wont' be the end of this based on how its feeling and his re-assessment but I'll enjoy the ride..... Literally.  :D

post #99 of 113
Quote:
Originally Posted by skier31 View Post
 

Good news!  Weak glutes and tight hip flexors were causing some of my knee pain a few years ago.  Pilates, PT and knee pain gone!  Some docs are too quick to inject.   A thorough physical therapy evaluation by a competent therapist can do wonders. 

So true. The last two times I've gone to the knee MD, they have said referred pain, you eventually need to replace patellas. Which is completely useless at this point. I only went to the doctor when the pain had changed radically and I was curious as to why, wanted to make sure nothing new was going on. The first time it ended up being not my knee, but my calf; the second time the MD threw out, "Oh, and you have bone spurs in your trochlear groove" at the end of the appt ... and I thought, yeah that's probably the change.  But mostly they want to inject and operate. I have had decent success managing the pain myself, but I will definitely be doctor shopping next time I need to go in. 

post #100 of 113
Quote:
Originally Posted by segbrown View Post
 

So true. The last two times I've gone to the knee MD, they have said referred pain, you eventually need to replace patellas. Which is completely useless at this point. I only went to the doctor when the pain had changed radically and I was curious as to why, wanted to make sure nothing new was going on. The first time it ended up being not my knee, but my calf; the second time the MD threw out, "Oh, and you have bone spurs in your trochlear groove" at the end of the appt ... and I thought, yeah that's probably the change.  But mostly they want to inject and operate. I have had decent success managing the pain myself, but I will definitely be doctor shopping next time I need to go in. 

 

LOL, yeah I know we both have had dr issues and it really goes to show you need to change up dr's when you know that somethings not right and you are not getting the results.  Even going to doctors with stellar reputations isn't always a guarantee they are going to always listen to you.   

post #101 of 113
If I'm skiing this season my right knee is going to need some definite attention. My knees have bothered me since my college sports days and I've had surgery on my left knee twice. I guess my right knee is jealous of all the attention my left knee has had in the past.
post #102 of 113
Quote:
Originally Posted by Coach13 View Post

If I'm skiing this season my right knee is going to need some definite attention. My knees have bothered me since my college sports days and I've had surgery on my left knee twice. I guess my right knee is jealous of all the attention my left knee has had in the past.

 

get to it lad!  Times ticking.......Thumbs Up

post #103 of 113
Quote:
Originally Posted by Finndog View Post

get to it lad!  Times ticking.......icon14.gif

Lol I've got an appointment on Tuesday with a golf buddy who doubles as the family OS. He will get it taken care of.
post #104 of 113

Quick update: knee and hip are still relatively pain-free. I have been doing a ton of Hiking on some very rocky and steeper stuff and biking regularly, (no big deal but did a 38 mile road ride with about 1800' climbing avg of 15 mph last week). I have to keep the hip stretched. As soon as the knee starts to get painful, I stop and stretch; pain almost instantly goes away. Totally doable.  

post #105 of 113

Anybody have a toned-down "get ski ready" fitness program appropriate for those of us with OA?  I looked at some of the online videos with box jumps, etc., and said "No way!"
It hurt just to watch....

 

Jane

post #106 of 113
You can build strong quads with an electro stimulator.

I use a compex , but there are others less expensive.

After an operation on Achilles, I lost a lot of leg muscle, and after 6 weeks of using the compex I added 3 "in thigh circumference.

Just make sure you use a high enough current, it will hurt, but you will have legs stronger than ever.

And I have knee oa, the knee didn't hurt during or after.

Plus strong legs will help with oa symptoms, better knee support.
Edited by rod9301 - 11/30/15 at 9:34am
post #107 of 113
Quote:
Originally Posted by JaneB View Post

Anybody have a toned-down "get ski ready" fitness program appropriate for those of us with OA?  I looked at some of the online videos with box jumps, etc., and said "No way!"

It hurt just to watch....

Jane

Don't ever get to the point where your not ready!
Biking, hiking, XCing and swimming are all part of my active OA lifestyle.
post #108 of 113

I have been dealing with OA in my knees for years.  Lots and lots of biking has my legs in really good shape and does not bother my knees at all.  I stopped box jumping and lunging a long long time ago and my legs are in better shape now.  As mentioned above, it really helps to keep them in decent shape all year.  Getting into biking really helps with that and is way more fun than the gym.  I mostly mountain bike but mix in a road ride every week or so as well.  Wearing knee braces when skiing also helps.  Braces are not needed and will do you no good when cycling.

 

Hiking is more stress on the knees but works different muscles than just biking alone.  I often wear my knee braces for strenuous hikes or scrambles.

post #109 of 113
Quote:
Originally Posted by crank View Post
 

 

Hiking is more stress on the knees but works different muscles than just biking alone.  I often wear my knee braces for strenuous hikes or scrambles.

 

Very true, my wife and I have taken to hiking up Ajax and riding the gondi down.  We like to dance a lot too!

Swimming makes me feel the best and has the least impact.

post #110 of 113
Yes, I know that I should have kept in shape, but I didn't...
post #111 of 113
I did ride a horse, in my (weak) defense.
post #112 of 113

If you rode everyday,  you'd be in better shape.

 

Riding horses hurts my knees, so my horse got kind of fat, exacerbating the problem.

I also get more practice cleaning stalls.

post #113 of 113
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