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Painful knees

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Painful knees

Posted by Sal on February 15, 2003 at 10:42:07:

I am a fairly fit 34 year old, but have always had 'funny' knees. As a child I vaguely remember being taken to an Orthopaedic Surgeon, but my mother tells me the outcome of it was just that I was knock kneed. During my childhood/early teens my left kneecap would often slide out of place if I misplaced my footing or something bumped my knee. The kneecap would slide off to the left and painfully lock. I had to force myself to relax it to allow it to slide back to its rightful position. This has not happened for about 10 years. My knees always creak going up and down stairs or kneeling. HOwever, the problem that bothers me is that often when I have been walking (which I enjoy) or dancing, both knees become very painful down the outer side of each kneecap, and often a soft lump appears on the outer side of the kneecap. This eventually lessens, but the pain can be quite intense and last several days after the activity.

I went to my doctors about it a while back. He didn't really give me a very satisfactory answer and was rather vague. However on another visit to the surgery about something separate I happened to see my past history on the computer and it said "osgood schlatters disease" as the title of my previous visit. He never told me that. However, when I looked it up on the internet it doesn't sound like my symptoms. Just below the knees is fine, but it is the outer sides of my knees where I get the pain/swelling. Is this right? Also, is it correct that someone of my age would develop it out of the blue? Is there any treatment for it? Thanks.



Re: Painful knees (Archive in knees.)

Posted by Walt Stoll on February 16, 2003 at 06:32:47:

In Reply to: Painful knees posted by Sal on February 15, 2003 at 10:42:07:

Hi, Sal.

Computers are wonderful but the old adage "garbage in, garbage out" still holds. There is NO WAY that this is OSD!

In MY opinion, this is a genetic, loose ligaments condition that will need someone knowledgable about the mechanics of the knee with this genetic condition to help you. I would start with a good Chiropractor and Rolfer.

Helping You might recommend prolotherapy for this. I have no experience with that.

In the meantime, to help prevent the damage to the cartilaginous surfaces, due to the increased wear and tear of the misallignment, I would start at least 3, 1000 milligram capsules of omega 3s and glucosamine sulphate, 750 milligrams twice a day.

The soft swelling, whan this happens, is fluid in the knee caused by the injury of the joint not fitting exactly.

Let us know what you learn and how you do.

Walt



Re: Painful knees

Posted by Walt Stoll on February 16, 2003 at 06:34:50:

In Reply to: Painful knees posted by Sal on February 15, 2003 at 10:42:07:

By the way, Sal.

Underwater exercises (at least 3 times a week) would help strengthen the supporting muscles to the knee without causing any of the weight-bearing problems regular exercise causes.

Walt

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Re: Painful knees (Archive in knees.)

Posted by Sal on February 16, 2003 at 16:43:12:

In Reply to: Re: Painful knees (Archive in knees.) posted by Walt Stoll on February 16, 2003 at 06:32:47:

Many thanks for your advice Dr Stoll. I will try out the recommendations you suggested.

It worries me why this condition (the pain on the outer side of the knees/swellings) has only become apparent the last couple of years, and also whether it bodes badly for the future. Am I more likely to get arthritis or other such conditions in years to come because of this? Often when it happens the knees feel very stiff and inflexible, especially when kneeing or rising from kneeling, as if like an old person.

Also, I am a long-term vegan. Is this significant? I guess I probably don't have as much calcium as maybe I ought.

The other question is, should I get my knees X-rayed if you think there maybe some misalignment?

Incidentally, I think this is an excellent site. This is only the first time I have seen it, and not only is there is a lot of useful information in the archives for people to browse, - but to be able to ask a doctor medical questions on-line and have them answered so quickly and helpfully, is brilliant. Especially without any fee being charged. You clearly put a lot of time and care into answering everyone's questions, and I am sure it is appreciated by everyone who uses this site. Thank you.



Re: Painful knees (Archive in knees.)

Posted by Walt Stoll on February 17, 2003 at 07:10:47:

In Reply to: Re: Painful knees (Archive in knees.) posted by Sal on February 16, 2003 at 16:43:12:

Thanks, Sal.

Of course, it would be helpful to know if you have any intra-articular damage. This sounds like a pure ligamentous problem to me but, eventually it would cause joint surface damage and there are other things we can recommend for that.

Walt

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