I am contemplating surgery as this has gone on for over 6 months, however l would like to know what you would suggest in this situation? My surgeon has given me a cortisone shot, which definetely helped, but will not give me another. The hoffa’s test is negative, and it is not painful to touch neither does it feel like there is anything lumpy or hard under the skin, so l’m guessing that if there is scarring, there isn’t much of it? The pain is a dull aching sensation both to the lateral aspect and underneath the patella tendon, with occasional sharp pain. The tape allowed me to get on my bike fairly regularly, however since not using it, the symptoms are beginning to return.
PICA SYNDROME RADIOPAEDIA SKIN
This seems to work to a degree when the tape is in place, however my skin has had an allergic reaction to the tape, and so for the past week l have been unable to use it. Things have moved on slightly since l last wrote to you, and l was wondering if you could offer me some advice? I received around 6 weeks of physiotherapy involving ultrasound and taping to relieve the pressure on the fat pad. Which has been about 1.5 yrs due to other injuries!!
PICA SYNDROME RADIOPAEDIA FULL
I want to be able to go back into full sporting form as i was when playing full time and training. I am also taking iibuprofen which is not being very effective. Even now i am not playing hardly any sport but am working more which means i am on my feet and walking around for 8 hour shifts with very little break, although this is not hard work. It has been 2 months since the pain had subsided and have only been back into full action for about a month. work, horseriding and a little sport the pain has come back – as bad as it was. After slowly going back into normal things e.g. By the time I had my appointment, in the meantime i was resting and not doing any sport or any other strenuous activity, the pain had subsided in which the Dr said it should have. After having MRI and I went to see an orthapedic surgeon who specialises in knee sporting injuries. I experienced pain while playing sport and continued to play for a little while through the pain. The pain was made worse by straightening his knee. The problem worsened and he could no longer run for more than 10 minutes.Ĭlinical examination showed pain in the front of the knee at the level below and adjacent to the kneecap. He was able to complete his 1 hour run but would have pain and mild limp over the next 1 to 2 days. The pain was brought on after running for about 10 minutes. He experienced pain in the front of the knee for the past 3 to 4 months. This is an example of a patient whom I treated recently. Two tiny holes on either side of the lower part of the kneecap allows the surgeon to visualise the problem using a camera system and a small motorised shaver to remove the impinging fat pad. This is done using key-hole arthroscopy surgery. This may involve the complete or partial removal of the fat pad itself. If conservative treatment does not work then surgery may be advised. This leads to less stress and impingement on the fat pad. One method involves taping the upper surface of the patella to allow more space for the structures beneath the lower surfaces i.e.
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