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Old 05-23-2006, 01:59 PM   #1
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Possible Bone Cancer?

Hi I was wondering if someone could give me some advice or information about my knees. I am a 30 year old woman and for the past three or four months I have had knee pain and weakness that seems to be getting worse and worse. I had x-rays done which showed Osteopenia. Osteoporosis runs in my family, but not at 30 years old. My doctor said Osteopenia doesn't cause pain, so she referred me to an Orthopedic doctor who I'm seeing next week. I am not overweight and I was active up until my knees started hurting. At first I thought it was arthritis because that runs in my family as well, but the x-ray reports didn't say anything about that. The pain is constant, sometimes I stumble when I walk because my knees give out, and I don't know what to do. I also am very tired a lot of the time now, and I notice that I'm starting to lose weight although I'm not dieting. Does anyone have any ideas or advice? I would really appreciate it. Thank you.

 
Old 05-24-2006, 03:27 AM   #2
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Re: Possible Bone Cancer?

Pipknight,
I went through all the same things with my knees. All the tests and xrays showed no arthritis or damage but yet they hurt all the time. I don't know if it is connected to PD or not, but there are certainly a lot of PD people who have the same problem but do not have cancer. I thought for sure I had arthritis, but no. Personally I just started realizing that my knee pain could be due to the way I walk now. I didn't realize it but I do shuffle at times and don't pick up my feet as much because I am afraid of loosing my balance and falling. Try not to worry, because it just makes your pain a lot worse. Chances are you will not have any cancer in your knees. You might just ask a friend to observe the way you are walking now. Because of the pain your walk may be making that worse. Let us know how you are doing.
Blessings,
Jim

 
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Old 05-25-2006, 10:10 AM   #3
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Re: Possible Bone Cancer?

Hi and thank you for sharing your experiences with me. At least I know I'm not alone.

BB-I also have severe TMJ, so I take MS Contin (morphine) for the pain. I've also taken Vicoden. Neither of those meds even touch the pain in my knees. No one believes me when I say my meds don't help with my knee pain, but it's true. I wish people (especially doctors) would realize that morphine does NOT help with all types of pain. I can't believe the hospital didn't do any further testing. Most likely when the x-ray didn't show anything they labeled you as a junkie and didn't care enough to try other tests. In my opinion x-rays are so limited I can't believe they even bother doing them anymore. They should of done an MRI on your knee. Please let me know what the bone specialist says today. I wish you the best.

Jim-What did your doctor suggest you do?

Last night I was shaving my legs with one foot on the tub floor and the other on the ridge of the tub. The leg on the ridge shook the whole time.

I hope we all get some answers and start to feel better soon.

(((Hugs)))

Amy

 
Old 05-25-2006, 10:57 AM   #4
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Re: Possible Bone Cancer?

To rule out any kind of bone lesions you should get a Bone Scan. It's a simple procedure where you get injected with a radioactive dye (no you won't glow in the dark), then you wait a couple hours for the dye to disperse, then they put you on a table and take the pictures. If there are any abnormalities it will light-up on the scan and then you would usually get other tests like a CAT scan to corollate. But generally bone lesions are metastatic and originate from another source. For example, men with prostate cancer usually are monitored for bone metastesis, because for some reason that is where the prostate cancer likes to travel. Anyway, good luck.

-Derek-

 
Old 05-25-2006, 02:18 PM   #5
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Re: Possible Bone Cancer?

Thank you for the info. I would like to add that bone cancer can be primary and not a secondary cancer than has metastasized from another location in the body. Also for the women, I have heard that Depo Provera has been rumored to cause a significant loss of bone density. Sine I'm only 30 and I used to be on Depo, I wonder now if it caused me to develop Osteopenia at such a young age. Even so, Osteopenia is not supposed to cause pain, so I'm still wondering what else is going on.
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Amy-TMJ, Arthritis, Osteoporosis, Chrondomalacia, and Ovarian Cysts

 
Old 05-26-2006, 12:38 PM   #6
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Re: Possible Bone Cancer?

Colleen,
Thanks for letting me know what your doctor said. I took Vicoden for awhile for my TMJ, and I know how rough on your stomach it can be After awhile I had to switch to a different med because it made me so nauseous that if I didn't eat at regular intervals (even just something small), it would make me throw up. Then it got to the point that if I didn't take it every 4-6 hours (like when I was sleeping at night), when I woke up I would throw up. I would have to get up in the middle of the night to take one even if I wasn't hurting because if not I knew I'd be bent over the toilet in the morning. Also Vicoden has acetominiphen in it, so that along with your Ibuprofen is a lot for your stomach to take. How did he know you had fluid in your knee? I am looking forward to my appt. and at the same time dreading it. I'm glad that hopefully my doctor will be able to give me some answers, but I'm worried that he'll move my legs around a lot and it will be very painful. Just lying on the x-ray table and having the tech move my legs into different positions almost made me cry My appt. is on the 30th (I think, it's the 30th or the 31st), so I'll let you know what I find out and you can tell me how your MRI went. I'll talk to you soon.
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Old 06-02-2006, 12:21 PM   #7
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Re: Possible Bone Cancer?

Colleen,
I'm sorry I haven't gotten back to you until now, I 've just been swamped at work. The orthopedic doctor looked at my x-rays and said that for someone of my age (30), my bones should of showed up much brighter and more dense on the x-rays. He agreed with the radiologist about the osteopenia, and he said that I have some arthritis as well. He moved my legs every which way (ouch), and he felt the back of my knees and said my ACL's were loose. He also told me I have Chondromalacia. Here is the definition of it since I don't know to explain it in my own words: Chondromalacia is due to an irritation of the undersurface of the kneecap. The undersurface of the kneecap, or patella, is covered with a layer of smooth cartilage. This cartilage normally glides effortlessly across the knee during bending of the joint. However, in some individuals, the kneecap tends to rub against one side of the knee joint, and the cartilage surface become irritated, and knee pain is the result. Chondromalacia is due to changes of the deepest layers of cartilage, causing blistering of the surface cartilage. The pattern of cartilage damage seen with chondromalacia is distinct from the degeneration seen in arthritis, and the damage from chondromalacia is thought to be capable of repair, unlike that seen with arthritis.

He wants me to go to physical therapy three times a week for 4 to 5 weeks. I can't go that often because I can't miss that much time off work, but hopefully I can get in at least a couple of times. He also prescribed Naprosyn (anti-inflammatory) 500mgs twice a day. He wants to get an MRI too, so I'll hopefully I'll be able to get an appt. soon.

Hopefully we'll both be feeling better soon.

Amy
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Amy-TMJ, Arthritis, Osteoporosis, Chrondomalacia, and Ovarian Cysts

 
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