dtgerb
1 post
Mar 04, 2009
1:10 PM
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I just wanted to post a successful outcome I had today. I had a patient (54 y/o male) come in today with an MRI confirmed meniscal tear and MCL sprain -- about 6 weeks ago. He had a prior surgery to the same knee about 8 years ago that didn't go great, so he is very leary about doing surgery again. He had about 85 degrees of knee flexion and this is also what created the most pain, with TTP to MCL and joint line. He also had right shoulder discomfort and pain due to using a cane for a couple of weeks. Long story short, after doing the opposite arm raise exercise you could see the knee move into flexion so much better and the painful shoulder was much better also. Then did sit to stand on opposite knee. On leaving his rom was 127 degrees. 30 degrees in 30 minutes. Pretty cool. He ate it up and is excited to try more next time to avoid having surgery.
Derek
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Tom Dalonzo-Baker
Guest
Mar 04, 2009
2:42 PM
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Very cool. thanks for the update. This is a prime example of meniscal tears do not typically need surgery. Some insurances have stopped paying for it. I find they respond very quickly with TMR.
Tom
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MaryanninTN
10 posts
Mar 05, 2009
9:19 AM
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Meniscal tears are a dime a dozen nowadays. MCL sprain goes along with certain machanisms of injury. TMR is a perfect way to treat even the craziest meniscal patient that is already rolling down the hall headed to surgery. I would dare say that there is ALWAYS something else going on in another region of the body.
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jen
32 posts
Mar 10, 2009
7:35 AM
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so ive read and heard about the ?-90% pts with hnps being asymptomatic...does anyone know about any research or reviews that discuss any findings about asymptomatic pts with 'imaging confirmed' knee dysfunctions (heard an orthopod mention something about a good % of asymptomatic imaging confird rc tears but i still havent looked it up to check #%) if you HAVE heard about them-let me know-it may get my butt in gear to look up the specific articles....thanks jen
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Tom Dalonzo-Baker
103 posts
Mar 10, 2009
2:37 PM
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I cannot pull up the research, but apparently there are some studies similar to 70% of the population asymptomatic disc herniations that you learned in school - to also have the same presentations for the knee. Kind of makes you wonder if we simply find what we are looking for - however that which is found may have been there for years - asymptomatic and still asymptomatic, yet now that they have pain we will call that the cause. Jen - see now you have me rambling. Seeing you so kindly offered looking up the research if someone could confirm such, I look forward to finding out what the research says. Send it to me and I will post on website.
Tom
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bjones
2 posts
Mar 11, 2009
5:09 AM
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Here's a link to some stuff on HNPs. Decent stuff...essentially no relation to HNPs and pain at all times.
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bjones
3 posts
Mar 11, 2009
5:10 AM
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Whoops forgot to put in the link!
http://www.chirogeek.com/000_MRI-Abnormalities_Asymptomatic-Pats.htm#7
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bjones
4 posts
Mar 11, 2009
5:37 AM
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Here's a link about knees:
http://www.medicexchange.com/Latest/asymptomatic-meniscal-tears-common-in-older-adults.html
I can't make these into "real" hyperlinks...sorry
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bjones
5 posts
Mar 11, 2009
5:40 AM
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On a roll here...interesting article comparing a group that totally batters the knee joints compared to those that lounge...
http://www.ajronline.org/cgi/reprint/157/6/1239.pdf
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jen
40 posts
Apr 02, 2009
5:46 PM
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alright alright-let me hit my weekend so i have time to filter thru articles for some more knee stuff (maybe let me have the next 2 weekends-its soccer season ya know)thanks for the leads jonesy-perhaps i can annoy hank a bit with some more ortho input
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jen
41 posts
Apr 02, 2009
5:46 PM
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alright alright-let me hit my weekend so i have time to filter thru articles for some more knee stuff (maybe let me have the next 2 weekends-its soccer season ya know)thanks for the leads jonesy-perhaps i can annoy hank a bit with some more ortho input
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Trixie
2 posts
Apr 03, 2009
1:23 AM
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just got a meniscal tear that underwent surgery also other knee had previous surgery for same thing 5 years ago
so it would be interesting to read the posts in here and see how TMR works on actual patient
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