It’s about time I updated you all on this knee injury! Since my last Injury Chronicles Post, there’s been quite a lot of development, and not all of it good I’m afraid. As you know, there was two things going on with my troublesome knee, so here’s a little recap.
The problem with my knee was two-fold, I was suffering from an impingement of the fat pad under the knee cap, and, to quote, ‘quite a lot of fissuring’ to the cartilage behind my knee cap. The fat pad impingement was a vicious circle where the tissue was getting swollen, and then catching on the knee cap whenever I bent my knee. The more it caught, the more is swelled, and the more it swelled, the more it caught…nightmare! The cartilage damage was due to over-use and exacerbated by some over-zealous yoga.
So I last reported that I’d had a steroid injection in my knee to provide a big dose of anti-inflammatory hydro-cortisone and hopefully ease the pain. A few weeks later and I could see improvement in one aspect of the issue, the impingement, but the improvement stopped there. I’ve been working hard on my physiotherapy exercises to improve the muscular connections around the knee, and to prevent tension around my hip from pulling in the knee-cap, but to cut a long story short, it’s not gotten much better.
Back to the consultant I went to talk about what to do next. As my pain has only improved by 20/30% and it should have improved by 60/70%, surgical intervention was recommended. Being that this is private health care (extremely grateful I took out Vitality Health Insurance at the beginning of this year), it’s now all happening very quickly and I’m in for surgery tomorrow!
I’ll be having an arthroscopy at the King Edward VII – Sister Agnes hospital in Central London. An arthroscopy is a fairly non-invasive, keyhole procedure where two incisions are made in the knee, one for a tiny camera, and the other for the instruments required to carry out repairs. In my case, these repairs will likely be the removal of any damaged cartilage and smoothing of the surface underneath my knee cap in order to restore the smooth tracking of the knee. It’ll be performed under general anaesthetic (I’ll be asleep) and if al goes to plan I’ll be in and out on the same day.
Pros: There’s an 80% chance that this procedure will alleviate the pain in my knee completely and I’ll be back up and running in 6-8 weeks. It’s a minimal procedure with small scarring and I should be able to weight bear very soon after the operation.
Cons / Risks: With any knee surgery where cartilage is removed, the risk of developing arthritis increases, and I am already at high risk due to my bone demineralisation. I talked through this with my consultant and the potential development of arthritis would be after 10-15 years…which I’m not worried about.
Post surgery I’ll need to rest completely for 7-10 days, and then start gentle rehabilitation and exercise. In terms of teaching, apart from the occasional PT client, I’ll be out until the end of September…! But it’ll all be worth it to be pain free and able to train again!!
Has anyone undergone similar? When I speak to people, I’m surprised at the amount of people who’ve had something similar or knows someone who has.