Knee Problems archives

Patella-femoral syndrome

Posted by Michele on February 20, 1999 at 23:00:55:

Hi gang.

Wondering if anyone knows anything about patella-femoral syndrome, or tendonitis under the kneecap. I've had 3 surgeries on my knee, the most major one being realignment of my shin bone and cleaning out the shattered pieces of patella. Apparantly, one of the surgeries left me with this p-f syndrome. It has plagued me for years, getting worse and then better on and off. Anyone know of anything to help this? I live in the rainy Northwest now, and it seems to be much worse. Thanks! :)


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Re: Patella-femoral syndrome

Posted by Rob on February 21, 1999 at 00:24:21:

In Reply to: Patella-femoral syndrome posted by Michele on February 20, 1999 at 23:00:55:

Hi Michele - I have had numerous knee surgeries and ended up having a Fulkerson tibial tubercle x-fer due to BAD chondromalacia---it really helped; but it's just a band-aid cure until a knee replacement happens down the road... I have yet to find any magic cure for kneecap problems---whether it be therapy or whatever....I am told a procedure to implant a plastic kneecap (a button) is successful & might be worth checking into...
Very best of luck 2 U - me search goes on also to find the answers..
Rob


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Re: Patella-femoral syndrome

Posted by David Ferguson, D.C. on February 21, 1999 at 10:15:09:

In Reply to: Patella-femoral syndrome posted by Michele on February 20, 1999 at 23:00:55:

I've seen quite a few patients with this problem who have an external rotation of the tibia in relationship to the femur. That causes the patella to "track" off to the side instead of down the middle. Hence, correcting the alignment stops the injury and allows for repair. Find a chiropractor who deals with extremity problems as well as spinal problems and you just might find the answers you're looking for.


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Re: Patella-femoral syndrome

Posted by Walt Stoll on February 21, 1999 at 11:39:13:

In Reply to: Patella-femoral syndrome posted by Michele on February 20, 1999 at 23:00:55:

Dear Michele,

Total body bracing!

Chriropractic (ask doc dave), rolfing and the regular practice of SR would do you a lot of good.

Also, glucosamine sulfate and essential oils would help for a while.

Flexability & under water exercises should be looked into.

Let us know how you do.

Walt


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Re: Patella-femoral syndrome

Posted by Michele on February 21, 1999 at 15:37:00:

In Reply to: Re: Patella-femoral syndrome posted by David Ferguson, D.C. on February 21, 1999 at 10:15:09:

Yes, Dr. Ferguson, this is exactly what I had. My patella would constantly dislocate and pull to the side of my leg. I went to physical therapy for three years before finally having the final option (surgery) to realign these bones. My patella no longer dislocates, but the pain under my kneecap (especially when the leg is bent and weight is on it) is quite severe. I will look around for a chiropractor here--is there a specific title I should be looking for? Also, my PT after the surgery gave me exercises after the surgery to build up my severely atrophied leg as a result of a full leg cast for 4 months. I still can't do some of them (the wall sit comes to mind) without excrutiating pain. It has been 4 years since my surgery. Any suggestions? Should I keep doing this? Thank you!



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Re: Patella-femoral syndrome

Posted by Michele on February 21, 1999 at 15:42:26:

In Reply to: Re: Patella-femoral syndrome posted by Rob on February 21, 1999 at 00:24:21:

Hey Rob,

Thanks for the response! That's the same surgery I had--I couldn't remember the name of it 'til I read your post. Supposedly a knee replacement is in my future as well, but I want that NOT to happen with every bone in my body! I'm with you on the therapies and ultrasound, etc., so far I have not seen any relief. Good luck in your search. I started SR about a month ago, not as regularly as I should be doing it, but I'm going to try to crack down and get my act together. I'll let you know how it goes. And if I ever can save enough money to see a doc. again--a GOOD doc--I'll let you know of anything he/she tells me. Best wishes!



Re: Patella-femoral syndrome

Posted by David Ferguson, D.C. on February 21, 1999 at 18:01:34:

In Reply to: Re: Patella-femoral syndrome posted by Michele on February 21, 1999 at 15:37:00:

Of course I can't really tell you what to do or not do but if something is hurting you to do there is indication that it is doing damage. Until the alingment is fully restored the patella will track incorrectly. Hopefully you can find someone to help you with that, THEN find out how to keep it from rotating anymore(example: while driving, most people sit with their feet pointed out. This puts pressure on the knee and tension toward the misalignment). If things can be kept lined up then some rehabilitation is in order but overuse while the knee is misaligned just adds to the grinding that is already occuring. As I say, this is a usual case and the only way to know if it applies to you is to have someone who knows what they are looking for to look at it. Extremity work was not really taught extensively in chiropractic school until the last 10 or 12 years so finding someone can be difficult depending where you are and how many chiropractors there are around you. If you want me to help you find someone I will be happy to. Just let me know where you are and the names of some towns around you. Large and small.

Glucosamine sulfate. Skilled relaxation. Two things you need to look into.

Best wishes!


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Re: Patella-femoral syndrome

Posted by Michele on February 22, 1999 at 01:47:29:

In Reply to: Re: Patella-femoral syndrome posted by David Ferguson, D.C. on February 21, 1999 at 18:01:34:

Thank you for your response! Structurally my leg is misaligned--the tibia tubercle transfer (or whatever it's called) took care of that. It hasn't dislocated since that surgery 4 years ago. On the other hand, it is often misaligned because of my walking. I have to really concentrate to keep it turned forward. If I don't, it pronates outward. My old physical therapist said that when I got my thigh completely built up that would change. Well, it's built up and I still walk the same. I was going to join a gym next month to try to get it built up even more but it looks like I should see a chiropractor first, huh? I'm the one from Portland, Oregon. You gave me the names of 3 chiropractors earlier for my back problems (which I'm sure stem from my walking pattern and total body bracing). Should I use those? Sorry, I don't have the names of them with me. I also apologize for my long-windedness, but finally I'm in contact with someone who will give me some answers or at least point me in the right direction. I have asked many different doctors about this and they all give different answers--scar tissue, tendonitis, wearing of the underside of my kneecap, etc. It's been a frustrating experience. Thank you so much for all your help.

P.S. Been doing SR for about a month now, and will get Glucosamine Sulfate tomorrow!


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Thanks, Dr. Walt! :) NMI

Posted by Michele on February 22, 1999 at 01:50:06:

In Reply to: Re: Patella-femoral syndrome posted by Walt Stoll on February 21, 1999 at 11:39:13:





Re: Patella-femoral syndrome

Posted by David Ferguson, D.C. on February 22, 1999 at 08:02:03:

In Reply to: Re: Patella-femoral syndrome posted by Michele on February 22, 1999 at 01:47:29:

If the tuberosity has actually been moved then this mixes things up a little. With it in a different place the true lining up of the tibia will create an incorrect tracking of the patella. I will look for some names for you and hopefully they will be able to tell more be actually seeing you and checking out that knee.


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I have been reading the archives on this.....

Posted by Michele on February 22, 1999 at 13:01:41:

In Reply to: Re: Patella-femoral syndrome posted by David Ferguson, D.C. on February 22, 1999 at 08:02:03:

and feel much better equipped to deal with a dr. when I see one. I am going to get answers this time!! My kneecap had broken into 3 pieces one time when it dislocated--they removed the two little pieces and now I read about chondromalacia(spelling?) and wonder if I might have that in the one big piece that is left. There are a lot of rubbing/popping noises when bending. We'll find out! Thanks for your help, Dr. Bob.


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Re: I have been reading the archives on this.....

Posted by David Ferguson, D.C. on February 22, 1999 at 21:33:37:

In Reply to: I have been reading the archives on this..... posted by Michele on February 22, 1999 at 13:01:41:

Dr. Marium Fish 231-0458
Dr. Sandra K. Burns 244-1171
Dr. Dana Sibilla 280-9759

Call and talk to them.


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I wish there were more Dr. Bob's and Walt's in the world.

Posted by Michele on February 23, 1999 at 01:19:24:

In Reply to: Re: I have been reading the archives on this..... posted by David Ferguson, D.C. on February 22, 1999 at 21:33:37:

Thank you so, so much for the numbers. You have no idea how appreciative I am. Best wishes!
Michele


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Should have read Dr. David's, Dr. Bob's and Dr. Walt's - I somehow deleted your name! *NMI*

Posted by Michele on February 23, 1999 at 01:21:34:

In Reply to: I wish there were more Dr. Bob's and Walt's in the world. posted by Michele on February 23, 1999 at 01:19:24:






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