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Is there a knee doctor in the house?

post #1 of 34
Thread Starter 
Had an awkward fall Saturday (2/26) in Taos. As I tumbled, I felt a slight "tweak" in my knee. I was immediately able to stand back up and ski down the mountain, but I felt a little bit of a bite when I bent that leg.

I thought I'd rest the leg over lunch, pop some tylenol and get back out there in the afternoon. After down a cheeseburger, I decided not to risk it and to go home. It is now Sunday evening...no bruising, no swelling...I can walk fine. The only time I feel pain is if I get in a squat position and my legs are bent between 45 and 90 degrees.

Since there is absolutely zero swelling, I don't want to spend the next couple of days trying to figure out how an MRI fits into my insurance plan. Any advice?:
post #2 of 34
your knees are worth how much????or how much do you use your knees?????
post #3 of 34
yeah, I would try to get a knee diagnosis over the internet.

N O T

E V E R

N O T

W I T H

M Y

K N E E S
post #4 of 34
One can always speculate a diagnosis, but a physical exam is an absolute necessity.
post #5 of 34
Big mistake! The cheeseburger, that is. Haven't you heard that eating meat makes you stupid? Especially ground udder and other unmarketable parts. Now that I've shocked you and hopefully amused you, I will diagnose you, even though I have zero qualifications, other than decades of experience with most of the injuries that can happen to a pair of knees. You likely have a minor sprain of one of the thingamadooies in the knee. Ice the thing several times a day, take some ibuprofen, and take it easy for a few days, and see a doctor as soon as possible. A good physiotherapist can usually evaluate you better than a general practicioner if you want a quick idea of the damage, but doesn't have the tools that a specialist can use. (MRI, etc.) My 2 cents only.
post #6 of 34
Get thee to a physician!!!
post #7 of 34
Quote:
Originally Posted by skidanski
Since there is absolutely zero swelling, I don't want to spend the next couple of days trying to figure out how an MRI fits into my insurance plan. Any advice?:
I stayed in a Holiday Inn Express last night...does that count as expertise?
post #8 of 34
You might as well head to the Dr. But it sounds to be like you might have dinged up your meniscus a lil bit.

Lay on your stomach and bend your knee up to 90's. (like you're doing a hamstring curl) Have someone push on the bottem of your foot like they are driving you lowerl leg perpendicular into the table. Now twist that lower leg in both directions.
How much that hurts will determine how quickly you head to the hospital. While its not the only test for a meniscus, it could show if there is a major problem.

IF it hurts, go now.
If it doesn't hurt and you're a couch potato don't bother going.
If it doesn't hurt and you want to be able to use your knee in the future, go now.

I think you see the general trend....
post #9 of 34
Quote:
Originally Posted by skidanski
Had an awkward fall Saturday (2/26) in Taos. As I tumbled, I felt a slight "tweak" in my knee. I was immediately able to stand back up and ski down the mountain, but I felt a little bit of a bite when I bent that leg.

I thought I'd rest the leg over lunch, pop some tylenol and get back out there in the afternoon. After down a cheeseburger, I decided not to risk it and to go home. It is now Sunday evening...no bruising, no swelling...I can walk fine. The only time I feel pain is if I get in a squat position and my legs are bent between 45 and 90 degrees.

Since there is absolutely zero swelling, I don't want to spend the next couple of days trying to figure out how an MRI fits into my insurance plan. Any advice?:
Here's my advise: it sounds like almost nothing. other than what you've done, plus some rest, all I'd add (to dark horse), is if something hurts, don't do that motion. If it doesn't improve in the next few weeks (or gets worse), then go see a doctor. Otherwise, forget it.

don't listen to these other posts where you go screaming for a specialists for every "slight tweak". most insurers aren't going to let patients determine when they get MRI's or see specialists.
post #10 of 34
OK, I screwed up my knee about 20 years ago. Here's the question you need to answer for yourself.


Do you want to walk, run, ski, or be able to use that knee fully in 20 years?


If you do, see a doc, now.

If you don't, hey its your knee. Just don't bitch about it later.
post #11 of 34
Go see Dr. Samuel Tabet, with New Mexico Orthopedics in Albuquerque, NM. He is on the cutting edge of Orthopedics reconstruction. He re-constructed both of my shoulders, and is excellent with knees also. I was very happy with what he did to both of my shoulders.
post #12 of 34
Quote:
Originally Posted by stevescho
Here's my advise: don't listen to these other posts where you go screaming for a specialists for every "slight tweak". most insurers aren't going to let patients determine when they get MRI's or see specialists.
brilliantly malicious, eedjit.

when you decide to shortchange your athletic future simply because of what your insurer MIGHT reimburse, you're an eedjit.

that's why I called you that wonderful name.

as someone who's suffered ACL sprains and complete tears, as well as meniscal tears, in both knees I can tell you that your advice is dangerous, malicious and just plain misanthropic. please stay away from the keyboard.
post #13 of 34
Go have a doctor take a look at it. He'll decide if you need an MRI or not. In the meantime, avoid anything that makes it hurt (duh).

I'd say the odds are it's not a big deal, but that's an uneducated, uninformed guess. Even if I were better educated, it would still be an uninformed guess.

I'm probably as bad as anybody else about saying, "Well, I'll just leave it alone and it'll probably be okay," but when it comes to knees, you want to play it safe.
post #14 of 34
Darwinism
post #15 of 34
The next cut will likely go deeper,.....and MAY be preventable if properly tended to NOW. There are alot of strands in the knee:
-quads terminating into tendons that PASS the knee and attach to the tibia(shin)
-hams that do similarly
- ligaments that tie bone to bone: as with the infamous ACL, but also not forgetting the patellar CL, the posteriorCL,medialCL,lateralCL....
What you're describing doesn't SOUND typical of a tendon or ligament injury- THOUGH IT MAY WELL BE!
Everyone is an idividual: some swell inordinately to small tears while others may have excruciating pain for a few minutes and think "OK I"m ready to go now..." even though they just had a major or complete tear.
Having said that,what you describe SOUNDS more typical of things like :
-torn cartilage ;and/or torn meniscus; and or bruised bone ends; and/or cracked bone ends.
I'm not a doctor, I do volunteer with the NSP and we see ALOT of knees! I personally have blown both ACLs. What I'm advising you is that the first cut may SEEM like nothing but may be the start of an incremental weakening and you should seriously get it checked. If nothing else ,...just for a Doctor's opinion.
If you'll go to a good orthopedic guy/gal, who routinely sees knees, he/she can PROBABLY manipulate and palpate your knee and determine with 95% accuracy exactly what an MRI would ,in fact, confirm.
Everything in the knee works in unison for an OVERALL stabilization, when the first thing goes, the rest are at a much greater risk!
Make the appointment!!!
post #16 of 34
Thread Starter 
Went to the doctor, got the x-rays. Got a referral to Orthopedics. The Orthopedist odered an MRI. Got the MRI. 8 hours later...We are good-to-go. "A strain". Rest, ice, guzzle anti-inflammatories, don't do anything crazy, and repeat until I feel 100%.

Thanks to a few for the sound advice and vaired opinions. Although it was nothing, I went for peace of mind and now I have it.

My mistake for bringing up knee injuries on this forum. I can see that a lot of people stray from advice and instead find some way to take it personally. For the love of Pete!
post #17 of 34
Ah-hah! My diagnosis confirmed! I'm considering opening a practise now. Hope you are ok soon!
post #18 of 34
Quote:
Originally Posted by skidanski
Went to the doctor, got the x-rays. Got a referral to Orthopedics. The Orthopedist odered an MRI. Got the MRI. ...!
Glad to hear your knee is fine. One of the hardest decisions these days is whether to get an expensive test, and some doctors fail miserably in being objective. Docs who own a lab are much more likely to have tests run. Docs who are with an HMO who gives bonuses for keeping costs down are much less likely. Somewhere the patient should fit into the decision. I'm lucky here in that I ski with my doctors, but I don't know what I'd believe if I were out of town. Probably I'd post something here looking for a referal.

http://www.drmccall.com/eyd/eyd20.html
post #19 of 34
Quote:
Originally Posted by skidanski
Went to the doctor, got the x-rays. Got a referral to Orthopedics. The Orthopedist odered an MRI. Got the MRI. 8 hours later...We are good-to-go. "A strain". Rest, ice, guzzle anti-inflammatories, don't do anything crazy, and repeat until I feel 100%.

Thanks to a few for the sound advice and vaired opinions. Although it was nothing, I went for peace of mind and now I have it.

My mistake for bringing up knee injuries on this forum. I can see that a lot of people stray from advice and instead find some way to take it personally. For the love of Pete!
Naahhh:

I don't take it personally, especially since I was right to begin with. Under not doing anything "crazy", that includes this desire of injured people to "test" their injured parts early during the healing process and cause more damage.

Rest means exactly that - not using it - so no deep knee bends, stairmaster, running a mile, moving furniture, that sort of thing. easy does it.

Doctors aren't likely (and shouldn't) issue referrals or order MRI's for "peace of mind" of the patient, but rather when the medical circumstances warrant it
post #20 of 34
Thread Starter 
Quote:
Originally Posted by stevescho
Naahhh:

I don't take it personally, especially since I was right to begin with. Under not doing anything "crazy", that includes this desire of injured people to "test" their injured parts early during the healing process and cause more damage.

Rest means exactly that - not using it - so no deep knee bends, stairmaster, running a mile, moving furniture, that sort of thing. easy does it.

Doctors aren't likely (and shouldn't) issue referrals or order MRI's for "peace of mind" of the patient, but rather when the medical circumstances warrant it
Wasn't taking your post personally steve. Your post was actually most similar to my original thinking. A few other posts were a little more than "opinionated".

Regardless, taking the advice of some people who originally thought they had nothing to worry about, but later discovered evidence of something more serious after consulting a doctor concerned me. "No swelling" does not necessarily mean "no injury". On the other hand, I was indeed lucky that "no swelling--no bruising" did mean no (serious) injury in my case.

Reading some of the posts and watching "Friday Night Lights" convinced me that a real doctor's avice would give me peace of mind. A definate side benefit that we can all recognize.
post #21 of 34
Thread Starter 
On a side note...

1) Not for nothin' Dark Horse, but if you have not had a green chili cheese burger at Tim's in TSV, you have not lived. But thank you for your advice!

2) Ski with a helmet. I had mine on when I fell and it definately saved me some additional bruising. I also heard a rumor that a 20 year old kid died today in TSV after hitting a tree.
post #22 of 34
Quote:
Originally Posted by newfydog
One of the hardest decisions these days is whether to get an expensive test, and some doctors fail miserably in being objective. Docs who own a lab are much more likely to have tests run. Docs who are with an HMO who gives bonuses for keeping costs down are much less likely. Somewhere the patient should fit into the decision.
+ 1
post #23 of 34
Quote:
Originally Posted by skidanski
Went to the doctor, got the x-rays. Got a referral to Orthopedics. The Orthopedist odered an MRI. Got the MRI. 8 hours later...We are good-to-go. "A strain". Rest, ice, guzzle anti-inflammatories, don't do anything crazy, and repeat until I feel 100%.

Thanks to a few for the sound advice and vaired opinions. Although it was nothing, I went for peace of mind and now I have it.

My mistake for bringing up knee injuries on this forum. I can see that a lot of people stray from advice and instead find some way to take it personally. For the love of Pete!
actually your mistake was doing this:

1) going to a GP instead of an orthopod, so that you pay for 2 docs instead of one.

2) having the GP refer you to an orthopod who talks about "strains," and thus obviously is not athletic nor a sports med serious orthopod. now your 2d doc is wasting your money even more than the first doc did.

3) not knowing enough about how to care for your own athletic injuries, which caused you to do (1) and (2) INSTEAD OF being aware of how to get an appointment DIRECTLY with a serious sports med orthopod, who would not diagnose a "strain" but rather a specific injury.

So you see, you are the one who wasted your own money and time with such nonsense as to try to get a diagnosis over the internet, turned into a self-diagnosis clusterfock went awry with a moronic GP and a non-athlete orthoquack.
post #24 of 34
Thread Starter 
[quote=gonzostrike]actually your mistake was doing this:

blah, blah, blah.

Ahhh good...I was wondering if you were going to give us your opinion. Poor Stevescho thought I was talking about him.

Thanks for the update.
post #25 of 34
no problem.

thanks for keeping us entertained with your unbridled arrogant ignorance.
post #26 of 34
Are you talking to yourself now?

(The arrogant part, anyway).
post #27 of 34
Oooooooooh .....good one.

Kick his ass and take his lunch money during recess.




Wait, kick with the good knee.



: C'mon guys and gals............
post #28 of 34
Quote:
Originally Posted by sjjohnston
Are you talking to yourself now?

(The arrogant part, anyway).
I'm sorry, did you just fart? or was that your voice?
post #29 of 34
Okay, now you must be talking to yourself.

Note: when you sound out the words while reading, what you hear isn't the voice of the person who wrote them.
post #30 of 34
Quote:
Originally Posted by gonzostrike
I'm sorry, did you just fart? or was that your voice?
HAHAHA! Snap! My nine year old nephew couldn't have put it better!
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