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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Knee Even After Taking Suplasyn Injections?

I'm a 44 year old female. Fell skiing 2 years ago. MCL gr 2+-3 tear, ACL complete tear, LCL sprain, Tibial Plateau Fracture. Did extensive physio and had ACL reconstruction 1.5 years ago. Meniscus tear last year, arthroscopy to trim meniscus. Still suffer with loud, crunchy knee daily, trouble walking without a limp, and being on my feet for a long time, or up/down stairs. Asked for another MRI, results show cyst at tibial tunnel, bone marrow edema at tibial tunnel, tiny radial tear at lateral meniscus, severe patellofemoral chrondopathy, trace of joint effusion. Saw surgeon again, he recommended Celebrex which I had been taking for 10 months already, so have now tried Suplasyn injections, 5 weeks ago. Not much change in pain relief. Need advice where to go from here please?
Mon, 16 May 2016
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Physical Therapist or Physiotherapist,  's  Response
hi,

thank you for providing the brief history of you.

As you had fall and ACL reconstruction and MCL debridement is done, the knee joint needs more and accurate sports rehabilitation. First and foremost is to reduce the inflammation and pain. Achieve full ROM of the knee joint. Strengthen the hip muscles and the quadriceps + hamstring. Go for adductors and abdctors Strengthening.

Later stages go for balance board training and that will induce joint proprioception activation. also perform reverse walking

Regarding chondropathy and cyst don't worry much. once the knee joint is stabilized you should regain proper anatomy soon.

In my clinical practice we make rehabilitation of the knee taking to sports therapy and majority responds well as here we need to avoid knee injury more. So we Strengthen both sides uniformly.

Regards
Jay Indravadan Patel
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What Causes Severe Pain In Knee Even After Taking Suplasyn Injections?

hi, thank you for providing the brief history of you. As you had fall and ACL reconstruction and MCL debridement is done, the knee joint needs more and accurate sports rehabilitation. First and foremost is to reduce the inflammation and pain. Achieve full ROM of the knee joint. Strengthen the hip muscles and the quadriceps + hamstring. Go for adductors and abdctors Strengthening. Later stages go for balance board training and that will induce joint proprioception activation. also perform reverse walking Regarding chondropathy and cyst don t worry much. once the knee joint is stabilized you should regain proper anatomy soon. In my clinical practice we make rehabilitation of the knee taking to sports therapy and majority responds well as here we need to avoid knee injury more. So we Strengthen both sides uniformly. Regards Jay Indravadan Patel