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Going Backwards

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Simon

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Hi Folks

Since late spring I was having some problems not so much in the knees but the hamstrings. They have always been a bit on the tight side but were getting so tight it was hurting to walk and if I had been sitting to long, I could not stand up straight when I got up. The right knee was a bit stiff. Now I thought most of this was due to the fact my doctor wanted me off the aspirin (we did try a few other NSAIDs and a topical gel which really did not work). When I saw the OS in June for the 1 year check up he was not concerned and said to keep working on stretching the hamstrings. Over the summer, the right knee just kept getting bigger (ice and elevation did nothing) and the hamstrings felt like steel bands. By mid August, I started back on the aspirin though at a low dose for me. Well that didn't help much and the right knee was starting to look as big as it use to look.

As the knee got bigger, it got stiffer and was getting harder to bend. I was doing my exercise (30 minutes on the bike and all my knee exercises as well the upper body ones) and even added 15 minutes on the Nordic in hopes of stretching out the hamstrings. I just kept thinking as soon as the aspirin kicked in, all would be fine. Well after 4 weeks with little change from the aspirin, I made an appointment with the PT (who is really great). I saw the PT today and he really did not like the look of the knee and said I have hamstrings of steel. I have also lost 15 degrees of ROM on the right (down to 105) and 10 on the left. Given then it took 7 months of PT and loads of work to get them to 120 that was a real bummer. I knew I lost some as going down the stairs was more difficult. He said he heard alot of noise under the right kneecap. He asked about if it had been resurfaced. Now that might not have happened as because of the previous surgeries, the OS said that they could not flip the patella and it took them more than 30 minutes to move it out of the way. The PT also said that in some people, the body doesn't like the metal and that could be contributing to the tight hamstrings.

The PT said he would be happier if I would have the OS check it (I was trying to avoid that 2 1/2 hour drive) but in the mean time he would work on the problems and gave me some new exercises.

The OS is on vacation till mid October or so, so I made an appointment with his PA on Wednesday.

Never a dull moment (along with bats in the roof, a woodpecker who likes the cabin better than the trees and mice making a nest in the car air filter and intake hose).

Will keep you posted.

Simon:sigh:
 
Simon
I am sorry to hear about your problems. I have tight hamstrings as well. I always blamed it on running. But now I've had none of that fun.
Good luck and let us know waht the PA says.
You are having way too much fun for one person with the animals by the way!!
judy
 
Oh NO, Simon!!! So sorry you are having such trouble with your tight hamstrings and uncomfortable knee cap!!! I hope the PA gives you promising news! I know how hard you've worked to achieve your ROM and I hope it returns soon!!! Winter's a comin and the thought of you on the ice is scaring me!!! Take care, hon, and please keep us posted!!!Glad you're on top of this!!! Wishing you the BEST!!! Keep us posted!!! ((:0)
 
Don't give up yet, Simon. I'm doing something called Active Release Technique massage to address my scar tissue issues. That may be what you need for your hamstrings and knee joints as well. I know it's helped with the IT band issues I developed during my recovery. I think you should start shopping for a massage therapist who can work on your hamstrings and whatever other parts of your legs need attention. It couldn't hurt to try.
 
Simon, so sorry to hear you are having these problems. I do hope that you can get some good advice from your surgeon when you see him (or the PA). Don't give up!!! Keep bugging these folks to help you out. There have to be things to try.....
 
Simon you !!!!!!! No !!!!!!!!!!!!! Im so sorry but ya you know you should have it checked out you have been to far with this........Please let us know hoe it goes on Wednesday tell him everything......Wow pulling that hamstring ea time has to hurt.......I know hen I walk with my torn calf muscle out!!!!!!!! But I sure hoe everything goes ok and you get your questions answered............(
 
I'm thinking maybe the plastic inserts are a size too big which would stress the hams and make problems with flexion. Just thinking, mind you .....
 
Simon -- sorry to read of your problems a year later --- You've already gotten a lot of good advice and possibilities so I won' add more except to say tight hams are pretty common as people get older especially if they've nev er actively stretched them. Because I've been a runner for years I have always been very careful to stretch before and after exercise (sometimes too much; I've pulled a hammy on occasion stretching BEFORE I'm warmed up so be careful!). But it does sound like you have other issues beyond simply tight hams. Until you get to the surgeon try to stretch carefully or try some massage but the surgeon should have the correct answers. Tough to have that long drive; I guess you live in a rural area -- which is wonderful when everything is going well ----
Good luck,
Stephani
 
Simon,
Let me see if I have this right!! You have Bats in your belfry, a woodpecker is some what like the Raven in a edgar Poe poem (tap tap tapping nevermore) and mice that are trying ever hard to make your car in to their new home. Did I get it all or are you holding out the good stuff from us?? LOL Dang Simon I with all honesty can say that when you get rain it really pours!!!! Kinda like me if it weren't for bad luck I would not have any luck!!
I am really worried about you knee I will be glad when you see the PA tomorrow!! You will let us know right away what he saids won't you???
 
I had a similar problem and discovered bakers cyst. The cyst comes and goes and causes some hamstring issues. FYI 6 months after bkr and have been playing pickleball for 4 months.bm
 
Summer where was/is your cyst. Just wondering i still have the back f my knee problem it hurts so so bad but he said it was the upper calf mule.........But it has been 2 mths now so was just wondering where your pain was........mine is still very painful......
 
Kim,
Prior to my BTKR I had a ruptured Baker's Cyst of my right knee. It was located at the very top of the calf on the inside back right below the bend of the knee.
Baker's Cysts are usually caused by torn meniscus. It was the case with mine. I limped for a long time and once I had my TKR, I have not had any issues with it at all.
Simon, what did you find out today at the OS?
 
Yes thats it, thats where its at excatly.....but i already had my replmt.........I cant imagin it just wont go away.........I mean he said it would take mths but i really didnt think it would but your right its stopping my bend becuz it doesnt hurt as much if I stiff leg it ...........

Yes waiting for you to post Simon.......Thanks Crystal.......
 
Hi Folks

Well I just wasted 6 hours of driving, a tank of gas and a $50.00 copay for nothing (other than knowing there is nothing torn or infected). The PA said the ROM is a little less than it was in June (it seems it was around 105 on the right and 110 on the left at that time) and that the notes in the record said Dr. Bahnson thought that was ok as he did not think I would gain much ROM given the pre op picture. I don't remember him saying that. I said it was up to 120 on both in January so why has it gone down so much even though I have kept up all my exercises as well as bking and he didn't have much of an answer. He said after a year you don't gain much ROM which is not the question I asked. He also did not even bother looking at the hamstrings or checking around the patella where I told him the PT had concerns. He thought some of it might come back if we get the inflammation under control and that is up to my PCP. I told him, I will just go back to my 12 to 14 aspirin a day to see where that goes (I have emailed my PCP).

His bottom line was can I do the things I want to do (like walking etc) then the surgery was successful.

So I will just go back to my PT who does a better job of evaluating things and hope he can work his magic again. I guess I will just try more exercises and hope that works

Simon
 
Simon sorry that was so disappointing. Do you think it would be better if you saw the surgeon?
Pt's are the best though. They really spend time with you and knkow what is going on.
judy
 
Judy

I don't think so as the OS did not say anything in June regarding the ROM and I asked him about the hamstrings as well as the other sore spot (which he said he could inject again).

I think many times with surgeons, once they do there thing and there is no problems they consider things done.

The PT is great and I will just work with him.

Simon
 
Yes PT's are the best. But what if there is a problem?? Why couldn't they at least do a Xray or MRI just to make sure that everything hunky dorky??
 
Wow Simon I cant believe that , if you can walk its a success hummm. I dont think so when it hurts..........Cant imagine why he wouldn't have looked at the hamstring........Geez........So sorry....i hope PT can do something if not i would email him or call or something i dont understand the going backwards......Be careful with your aspirin can you take that much.........Do you have anything else to take a few times just to get rid of the pain.......I pray PT will fix it I think my PT knew more then my first Dr did........Ill keep you in my prayers.............)
 
Simon! So glad you have a good, trusting PT! I can only imagine your frustration! I know you live in a rural arean but if you are not happy with his answer, you can always seek another OS! This is important to YOUR active lifestyle, not to mention your peace of mind!
Also...ALL that aspirin is bound to have averse affects on your stomach lining! There's GOT to be something else you can take to alleviate your pain! Don't give up!!!
 
Thanks all.

Pain is not the main problem (I have a prettygood tolerance for that) it is the stiffness and swelling that makes me nuts. My PT is really good and I will see how that goes along with the increase in aspirin.

Aspirin is the only NSAID that has kept the swelling down for me and I have tried several of them. I seem to have a cast iron stomach as I have taken that high level aspirin for more than 30 years without much problem. I have an on/off anemia problem so the PCP ordered an endoscopy. The GI doc could not believe that I didn't have ulcers and all he saw was a very small area that was a bit inflamed. He prescribed a proton pump drug and told me to get off aspirin. I tried that but I would rather use something that works.

Well the leaves are starting to change and today it has was beautiful outside.

Time will tell
Simon
 
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