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Patellar dislocation rehab - physiotherapy vs surgery?

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Patellar dislocation rehab - physiotherapy vs surgery?

Posted by
Alla Zaltsman on March 18, 2002 at 12:46:58:

Five month after I had a knee cap dislocation, after going through Richards splint, P3 brace and months of physiotherapy I haven't improved much, have limited mobility, limp, my knee is swollen and in pain, I can not elevate my leg. Ultrasound has shown a sagging patellar tendon, a slight patellar tilt downwards,stretched medial co-lateral ligament and a chip of bone in it.
I have been offered an operation - lateral retinacular release, as the only way forward with my rehabilitation.
PLEASE ADVICE:
IS THERE ANY WAY FOR MY KNEE TO IMPROVE BY MEANS OF PHYSIOTHERAPY???
Thank you very much,
Alla



Re: Patellar dislocation rehab - physiotherapy vs surgery?

Posted by Walt Stoll on March 19, 2002 at 10:09:15:

In Reply to: Patellar dislocation rehab - physiotherapy vs surgery? posted by Alla Zaltsman on March 18, 2002 at 12:46:58:

Hi, Alla.

I would at least be seen in consultation by a Rolfer, Hellerworker, and a Chiropractor BEFORE I would do such drastic surgery.

Let us know what you learn.

Walt



Re: Patellar dislocation rehab - physiotherapy vs surgery?

Posted by AZ on March 20, 2002 at 17:11:33:

In Reply to: Re: Patellar dislocation rehab - physiotherapy vs surgery? posted by Walt Stoll on March 19, 2002 at 10:09:15:

Dear Dr. Stoll,

Thank you very much for your reply to my message

Since then, my situation/diagnosis has changed.
Yesterday, I had a consultation with another orthopedic surgeon, who made a diagnosis of a rupture of the quadriceps tendon (vactus medialis obliiquie (VMO) ), and in his view, I need a surgery to repair that. The lateral retinacular release, in his opinion, could also be necessary, which he wants to determine at the time of operation. He plans to operate on my knee next week or a week after. In the mean time, in last few days, my kneeís condition has got worse, it is very painful, I can not practically walk or stand (yesterday, while standing, I have felt a very acute pain at he back of my knee, like if something has snapped (perhaps it is now aggravated with my anxieties). I am not sure what I can do until the surgery. So, I am trying to rest the leg as much as possible and to immobilize the knee.
The latest diagnosis seems to reflect my symptoms (pain, swelling, loss of ability to extend, lift leg against the gravity). And, unless there is not a complete rupture but only a tear, unfortunately, I donít think anything rather than surgery can help. Do you think otherwise?

Thank you very much once again.
I have read through number of messages at you BB: you are doing an incredible job for so many people - Thank you so much!

Alla




Re: Patellar dislocation rehab - physiotherapy vs surgery? (Archive in knee.)

Posted by Walt Stoll on March 21, 2002 at 12:14:43:

In Reply to: Re: Patellar dislocation rehab - physiotherapy vs surgery? posted by AZ on March 20, 2002 at 17:11:33:

Thanks, Alla.

Sounds like you are in good hands. Your new diagnosis changes everything. Why not use crutches till the surgery? You are going to have to use them afterwards anyhow.

You are going to need extensive physical therapy for a long time after the surgery but your doc will tell you about that.

Let us know how you do.

Walt

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