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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Knee Pain, Dull Pain From Calf Muscles To Toes, Knee Cap Dislodged, Clicking Sounds. Treatment Apart From Exercise?

Hi, I was knocked off my bike cycling to work last September and only got referred to a Physiotherapist in April this year. I only got one appointment because the next available appointment was in 2 months time which is ridiculous but not for this discussion. I have found my knee is bothering me more recently and when I cross my legs while sitting down a dull pain runs down the back of my calf to my toes. Would this be all connected to my original knee injury?? The Physio told me when I hit the car my knee cap knocked itself out of place and has not been sitting properly since hence all the clicking sounds from it. Is there any other advice you can give me beside the exercises the physio gave me??
Sat, 29 Mar 2014
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Orthopaedic Surgeon,  's  Response
Your current symptoms do not sound related to your original injury. Pain that runs down the back of the calf into the toes often makes us consider nerve entrapment in the lower back causing sciatica. There are other possibilities of course but this would be important to consider in the diagnosis.

With regard to your original injury it would be important to have X-Rays of your knee to be sure that you did not fracture your knee cap or the end of the thigh bone when you sustained your injury. Ongoing symptoms because of the injury should be investigated.
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Knee Pain, Dull Pain From Calf Muscles To Toes, Knee Cap Dislodged, Clicking Sounds. Treatment Apart From Exercise?

Your current symptoms do not sound related to your original injury. Pain that runs down the back of the calf into the toes often makes us consider nerve entrapment in the lower back causing sciatica. There are other possibilities of course but this would be important to consider in the diagnosis. With regard to your original injury it would be important to have X-Rays of your knee to be sure that you did not fracture your knee cap or the end of the thigh bone when you sustained your injury. Ongoing symptoms because of the injury should be investigated.