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got some bad news.

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Old 12-03-2008, 08:16 PM
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Default RE: got some bad news.

IT was a meniscal cartilage on the front and back of my right knee. I can walk OK heck walking into my hunting sport and even the three mile hikes a month or so ago did not bother it. Two things happen that i think pushed it over the edge of pain to severe pain. Thanksgiving i was making trips up and down the stairs. Then a water pipe started leaking in the kitchen. When i went to get up off the floor i had my knee cap on the floor and pushed up when i should have had my left knee down. That hurt alot. It does not seem as bad as movement as before but the pain is as bad or worst. When i had surgery sometimes my knee would lock up heck sometimes when driving i would need to lift my legs up over to the brake that does not happen as of now.
ORIGINAL: DropTine249

If it is they will not just clean it up again but to remove all of the cartilage which i think means to replace it. I looked online last year when i had knee surgery that is just a delay of a total knee replacement. Or he said it could be arthritis. Then he said lets up it is just arthritis.
Not true....I am NOT an OrthopedicDoctor, but some family members are and I have gone through 2 knee surgeries.

Cartilage is classified in three types, elastic cartilage, hyaline cartilage and fibrocartilage.

There are 2 'types' of cartilage in the knee- Articular(Hyaline) cartilage(cartilage that covers the articulating surfaces of the body)and Meniscal(Fibro-Cartilage) cartilage.

The meniscal cartilage is the "shock absorber" of the knee. The medial meniscusand laterial meniscus sit between the tibal platuea and femoral condyle(middle of the knee).

These shock absorbers both absorb shock and control the mechanics of the knee joint. Tearing of one or both of these can disrupt the mechanics of the knee joint and result in buckling of the joint, leading to tearing of any of the ligaments(Anteriot Crucial. Posterior Crucial. Lateral Collateral. Oblique Popiteal and so on).

Minor tearsin the meniscuscan be repaired or remediated in one of 2 ways- cut out the tear as to not allow a dsruption of the knee mechanics or suture the meniscus, if in an area of adequate blood supply.

Usually, sports meniscal tears are accompanied by a ligament tear, doenst seem to be so, in your case.

Articular cartilage injuries are to the "covering" surfaces of thebone. These are the types or injuries or issues most commonly associated with "althritis" because they are affected by many variables, such as weather, and they are an area of the body responsible for baring wieght. The function of articulal cartilageis to allow for the smooth interaction between two bones in a joint. Thus, if injured it can lead to impairment in the fluidity of joint movement. In addition articular cartilage is extravascular, meaning that it has no direct blood supply. This means that once injured it is extremely slow to heal.

Articular cartilage is subject to injury or aggrivation from hard impacts, extreme wieght baring, the combination of both, and, like meniscal tissue- from a combination injury.

I have experienced an injury to the articular cartilage(osteochondritis dessicans) in my left knee, as well as 2 torn ACLs, torn Medial AND Lateral Meniscus, PCL tear.

Tearing of the meniscus and/or articular cartilage does NOT mean you will eventually need a complete knee replacement. Dont believe all ofwhat you read. I had sub-total medial meniscectomy(removal of most of the medial meniscus) and I read, online, that I woudnt be able to walk without pain, starting only months after surgery. Well, years later, I can run 5, 6, 7, 8 miles with no pain.

Articular Cartilage injuries will likely result in althritis, but that can be controlled.

Proper wieght management, correct diet and RESTING THE KNEE after injury....make the difference. Ice your knee at first sign of any pain. MSM, Glucosomine, Condrotin, Vitamins A/C/E/K, Omega/Fish Oils(DHA, GLA, etc.etc.), full specturm amino acidsand many others all aid in the function of the knee and the healing of limited blood supplied cartilage.(I can give you a full list of the suppliments I took to help heal up). Drinking plenty of water is important.


Anyway. My point is that just because you sustain an injury to any of the cartilage in your knee, doesnt mean that you're going to need a full knee replacement, years later. I've learned A LOT about the knee joint, and I have dealt with 2 severe knee surgeries. Keep a positive mind-set and do everything you can to help yourself. Do your best to continue to drop some pounds, it is perhaps the BEST thing that you can do.

I will tell you this; if you DO have a torn meniscus, right now...You need to be extremely careful as to not further your injuries. A torn meniscus, like stated above, can upset the mechanics of your knee joint, and, cause teh knee to buckle. If that happens, you could be in for a ligament replacement surgery and long recovery. Take it easy until the MRI results are read.

Good luck to you !

If you question what I've wrote, print it out and ask your Doctor to read it.






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