So last week I updated you with my knee injury and the potential treatment I’d need. After a little more assessment and a closer look at my scans, my course of treatment has been decided!
Just a reminder of the injury in a little more detail, I’ve got two things going on. The first is chrondal patella damage (cartilage damage behind the knee) and the other is fairly significant fat pad impingement. It’s been decided that while physiotherapy will help, I’ve actually got good alignment and it’s only a problem if I’m not concentrating during movement, so I’m doing physio exercises with my eyes shut to help this…! The next step is steroid injections in the knee, which I started today.
Using cortisone, a highly powerful anti-inflammatory treatment for soft tissue injuries, injections offer fast-acting pain relief that comes from a reduction in internal swelling in joints, tendons and bursa. I’ve had them before in a hip injury and found them to be pretty successful.
The advantages of steroid injections include a faster reaction time and minimal discomfort associated with the treatment. Also, the side-effects that occur when taking a steroid orally are significantly reduced. Although if the injections are continued for the long-term, similar side-effects of weight gain, excessive bruising or acne can be reported, but this is rare. The steroids take up to 48 hours to take effect, so initially, after the anaesthetic wears off, the pain be the same, or even worse for a couple of days.
Do the injections hurt? Well in my experience, the local anaesthetic injection will always be the worst part! Years ago when I had injections in my hip, the anaesthetic hadn’t quite taken effect (a result of my hypermobility apparently) so that was far more painful!! My injection today was a combination of both the steroid and the anaesthetic. This meant that the area wasn’t so numb (bad), but there was only one injection to deal with (good). Having my knee cap pushed over and fluid injected underneath is wasn’t exactly comfortable, and walking around with a numb knee is really odd, but it’s done now.
I’ve got to rest for the remainder of today, take it easy a couple of days, then I can get back to physio and hope the pain eases, or goes altogether! I’ll keep you posted with the progress!