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Hi,
I didn't have any injury. I started a walking routine in the month if August in the steep hilly roads. I did it for a month. the knee pain started in September. It started like burning pain above the kneecap. after a month, i see some swelling above the right kneecap. then i went to an ortho doctor in october. they did an xray and ordered an mri. the first MRI didn't cover the area properly. the area above the kneecap. But the ortho didn't want me to redo the MRI as there was no much issue other than PFPS. She told me to start PT and prescribed voltaren gel for topical application for the swelling. She said it can be done inflammation.
I started PT and it's been 6 weeks. There is no improvement in the symptoms. Its the same. I still have the burning pain above the knee. the swelling is the same too. So, i did contact there doctor and she told me to take MRI for the area which is not covered in the first time.
I did MRI second time to cover that area. doctor told me ti continue the PT. Its been 6 weeks of PT, i really don't see any improvement.
How long does it take for patella subluxation to heal? what to do for the recovery?
My MRI:
first mri:
Findings/conclusion:
1. Anterior compartment: Mild lateral patellar subluxation is present with no patellar tilt. There is developmental prominence of the lateral trochlear ridge. The trochlear groove tibial tubercle distance is within normal measuring 1.4 centimeter. The quadriceps and patellar tendons and retinacula are intact. The patellar tendon is congenitally elongated with high patellar position (patella Alta). There is no evidence of fatty impingement.
2. Fluid collections: No sizable knee joint effusion or popliteal cyst.
3. Ligaments/tendons: The cruciate and collateral ligaments are intact. The popliteus tendon and iliotibial band are intact.
4. Medial meniscus: No tear is identified.
5. Lateral meniscus: No tear is identified.
6. Osseous/articular: No arthropathy, osteochondral defect, stress fracture, or suspicious bone lesion. An incidental small subcortical benign bone lesion is present in the medial tibial metaphysis which may represent an old nonossifying fibroma or bone island.
7. Other: Superficial varices are present in the posterior medial subcutaneous soft tissues.
second MRI:
Markers have been placed over the distal quadriceps tendon and superior patella to indicate
the site of clinical concern. No soft tissue mass, hematoma, or localized inflammatory process is seen
in this region. Specifically, there is no evidence of inflammation involving the pre femoral or quadriceps
fat pads which lie above the patella. The quadriceps tendon appears normal with no evidence of
tendinopathy. There is mild lateral patellar subluxation, a congenitally prominent lateral trochlear ridge,
mild chondromalacia patella, and a developmentally high patellar tendon (patella Alta) which likely serve
as the etiology for the suprapatellar pain, per provided history.
any input is appreciated. how long does it take to heal and recover from this? what to do for this? How many more weeks of PT is needed for this?
It is possible that the pain comes from above the knee. I presume that your MRI was of the knee and not the hip or back area? I am no doctor but my wife went through terrible pains in her knees when her problems were elsewhere.
While I don't know your age, fitness level and previous medical history, 6 weeks of PT seem to be rather long esp. when the MRIs haven't shown anything abnormal and there is no improvement. How often do you go for PT per week, and what kind of things do they do to you there? The main goal of some PT clinics is to suck the maximum $ from your insurance, rather than making you well.
I am 34 years old female. I don't have any prior medical history. I went to PT for 2 times a week for 4 weeks. After that, it is once a week.
The session starts with some massage to the knee area and manual exercises. After that red cord, plunges(spelling?) machines. 30 minutes in the machines. It is for my hip and lower body strengthening.
I am basically not a fitness or sports person. So, I have very weak muscles. Pt helps me in a way to strengthen my hip and quads and lower body.
But no changes in my symptoms. It is still the same.
I don't know if I can trust this PT and proceed further.
While I don't know your age, fitness level and previous medical history, 6 weeks of PT seem to be rather long esp. when the MRIs haven't shown anything abnormal and there is no improvement. How often do you go for PT per week, and what kind of things do they do to you there? The main goal of some PT clinics is to suck the maximum $ from your insurance, rather than making you well.
I am 34 years old female. I don't have any prior medical history. I went to PT for 2 times a week for 4 weeks. After that, it is once a week.
The session starts with some massage to the knee area and manual exercises. After that red cord, plunges(spelling?) machines. 30 minutes in the machines. It is for my hip and lower body strengthening.
I am basically not a fitness or sports person. So, I have very weak muscles. Pt helps me in a way to strengthen my hip and quads and lower body.
But no changes in my symptoms. It is still the same.
I don't know if I can trust this PT and proceed further.
It is possible that the pain comes from above the knee. I presume that your MRI was of the knee and not the hip or back area? I am no doctor but my wife went through terrible pains in her knees when her problems were elsewhere.
Thanks for the reply.
Yes. My MRI is for the knee and the area above the knee. I don't think my problem was else where. Because I have the swelling above the knee and it hurts only there. Burning pain.
Thanks for the reply.
Yes. My MRI is for the knee and the area above the knee. I don't think my problem was else where. Because I have the swelling above the knee and it hurts only there. Burning pain.
They took the CT/MRI of my wife's knee and found nothing. So they treated her with hydrocortisone (which did nothing). then they took the CT/MRI of her spine and found nothing and still treated her knee with hydrocortisone. Finally they took an CT/MRI of her hip and found a tumor in her left femur.
I do not mean to worry you and as I have said: I am not a doctor. All I do know from our experience is that knee pain is not always where we think it is. Most of my wife's knee pain was from below the knee; when the really problem closer to her hip.
Good luck to you and I hope that it is treatable and your pain goes away.
They took the CT/MRI of my wife's knee and found nothing. So they treated her with hydrocortisone (which did nothing). then they took the CT/MRI of her spine and found nothing and still treated her knee with hydrocortisone. Finally they took an CT/MRI of her hip and found a tumor in her left femur.
I do not mean to worry you and as I have said: I am not a doctor. All I do know from our experience is that knee pain is not always where we think it is. Most of my wife's knee pain was from below the knee; when the really problem closer to her hip.
Good luck to you and I hope that it is treatable and your pain goes away.
Thanks for sharing your experience.
What was your wife's symptoms? Pain below the knee? What else?
Thanks for sharing your experience.
What was your wife's symptoms? Pain below the knee? What else?
Sometimes the pain was almost unbearable. The hydrocortisone injections did nothing for her. But, like I said before, I am not a doctor. I guess the only thing I want you to ask your doctor about, if you they do not give you relief or a clear diagnosis, is it possible the pain is coming from someplace else?
Good luck again and I hope that you are quickly over your problems.
Sometimes the pain was almost unbearable. The hydrocortisone injections did nothing for her. But, like I said before, I am not a doctor. I guess the only thing I want you to ask your doctor about, if you they do not give you relief or a clear diagnosis, is it possible the pain is coming from someplace else?
Good luck again and I hope that you are quickly over your problems.
Thanks again.
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