What is your opinion about my knee pain after 12 years of surgery?

Hello,

Welcome to icliniq.com.

Here are a few suggestions. I suggest an anti-inflammatory tablet like Voveran 75 mg (Diclofenac) twice a day after meals. Consult your doctor, discuss with him or her, and take the medicine with consent. For swelling use a compression bandage and ice the area for 20 minutes at a time. Avoid squatting, lunges, and stairs till the pain subsides. Also, you need a good manual therapist to assess you for hamstring tightness, and quad weakness, including VMO (vastus medialis oblique - thigh muscle) and gluteal weakness. Try the above out for at least 10 days followed by three to four weeks of physiotherapy to get complete relief.

Thank you.

Hi,

Welcome back to icliniq.com.

The reasons for the above measures to fail are as follows.

1. Wrong diagnosis- In case of a wrong diagnosis, you need an arthroscopic diagnostic procedure after MRI, especially if that too fails to reveal the cause.
2. Poor understanding of the need for effort on the side of the patient or the physiotherapist in order to sort out the muscle imbalances. This is the most common cause. In case of a poor understanding of the condition, no arthroscopy is needed.
3. Structural damage to articular cartilage. If there is any structural damage, then lavage and debridement should be done, but with limited success.

Thank you.