I was diagnosed in June 2011 with osteochondroma. I didnt think anything about it and the pain stopped after taking pain meds for awhile. well as of April 2012 the pain has returned and gotten worse. My knee has been swollen and i was told that I have fluid on my knee. I just recently got insurance (within last 2weeks) so today when I woke up my right leg under my knee cap was hurting major!! and looks like the fluid that was on my knee is now on my leg along with fluid still on my knee. I call the doc and they said that I can come in and "talk" with the doc to see if he can drain it. What if he cant?? my appt with the orthopedic surgeon isnt until July 31st. the pain is bad. i have pain meds but is it okay to wait that long?? is my tumor cancerous?? my knee is huge and when I walk, slightly bend, go up and down stairs it grinds so bad and hurts every time. HELP!!!
You can try having the knee fluid drained, but with all that swelling, you're better off going to the Orthopedic surgeon and have HIM treat you. If it's that painful and your appt. is not until July 31st, CALL HIS OFFICE IN THE MORNING AND TELL THE SEC'Y YOU NEED TO SEE HIM WAY BEFORE THE 31ST!!! If they can't squeeze you in earlier, go to the E.R. of the hospital where he has O.R. privileges, and they might be able to get him to see you much sooner after evaluating you there. I'm sure the E.R. doctor would probably take one look at your swollen knee and call your Orthopedic surgeon right away! MATTER OF FACT, I WOULD INSIST ON THEM CALLING HIM RIGHT AWAY IF I WERE YOU!!! In the meantime, to reduce the pain, try some arthritis painkiller like Aleve and ICE THE KNEE for 20 minutes at a time to bring the swelling down. Also, elevate the knee as MUCH as possible until your surgeon can see you, HOPEFULLY in the E.R. earlier than the 31st! You can also try wearing a heavy duty adjustable brace for when you have to walk a lot. It will give you a bit more support than you have now. Ask your local pharmacist for the best one.
As for the osteocondroma tumor being cancerous, only your surgeon can answer that question by taking a sample of the fluid that he drains and running certain tests. I'm not familiar with this diagnosis.
And by the way, I would try and bypass your regular doctor if his staff is telling you that you can go in and "talk" to him about this condition! Sounds like he wants NOTHING to do with this and you really DO need to be under the care of the Orthopedic surgeon at this point! That's why I'm suggesting you go to the E.R. ASAP!!!
Good luck and keep me posted on what you decide to do and if you can see the Ortho surgeon sooner by going to the E.R.!
Carol (2012 carol)
P.S. I'm in my late 50s and have had both knees replaced in the past year due to severe "end-stage" osteoarthritis. (Right knee - 4/5/11 and left knee 3/23/12). All healed up on both and am walking on two stable prosthetic knees WITHOUT PAIN FOR THE FIRST TIME IN SEVEN YEARS THANKS TO MY WONDERFUL ORTHOPEDIC SURGEON!!! (Replacement was really the only option for me because of the osteoarthritis issue!) So glad I did both and can get on with my life. (That is, AFTER he sends me for pain management for my lumbar spinal issues which were a separate issue from the knees. I've had the spinal problems on and off for years, but they didn't get really painful until after I had the knees done. Granted there IS some connection, but my surgeon feels this lumbar issue has been brewing for a while. He's having his spinal specialist partner in his practice follow me for this. He also has sent me for chiropractic treatment to someone he trusts, and I had the first round of lumbar spinal nerve block injections of cortisone last Friday. Within SIX HOURS, the right side which the pain management doctor did first, felt 100% BETTER! I'm going for the left side nerve block injections next Monday (7/23). Can't wait since I know I'll have a good result with that too! After a ten day wait when the left side is done, I go back to the chiropractor for more treatment. I also go for regular physical therapy on the back because there is a MUSCLE pain component that has to be treated. The other issue connected to all this is that my right sacroiliac nerve keeps "popping" on me and giving me pain. I have to see the spinal surgeon next Thursday (7/26) for him to figure out if I need the nerve block injections in there too. I react very quickly and heal very fast after treatment from all these surgeries and procedures, so I'm not worried. I know that very soon, I'll be relatively pain free in my back. My regular Orthopedic surgeon who did my TKRs says I'm NOT a candidate for spinal fusion surgery though, which is actually a relief! I have the lumbar spinal arthritis, scoliosis, and significant spinal stenosis (compression of the spine), so he said that spinal fusion surgery could actually make my problems WORSE!! (My oldest cousin had 2 or 3 spinal fusion surgeries and two neck fusion surgeries in the past 20 years and they did SQUAT to make her better! Which is why my surgeon thinks this type of surgery would make my spinal problems worse too!! I told him about my cousin, and he picked up on that and I think that's why he feels it's not a smart option for me.) Thus, he's taken that idea off the table completely. I'm glad because, after the TKR surgeries this past year (and endoscopic carpal tunnel release surgery in both hands last October by his hand specialist partner), I think I've had enough surgery for a while!! The TKR surgeries, as you might figure, are MAJOR SURGERIES and take about 3 months to rehab from! (Though I actually rehabbed faster with the left TKR surgery this year.)
Last edited by ldy12; 07-17-2012 at 11:28 PM.
Reason: More advice; more info; spelling correction
Thanks for the advice. I am going to the doctor tomorrow at 730am! and I called the ortho doc and they said that the 31st is the soonest they can see me and that if I have any other problems, questions to refer to my family doctor. so im kinda stuck. i went to the er in June because i had no insurance and they told me that I needed to see a family doctor because it is a chronic condition and that I cant come there for pain meds and blah blah. so thats why I have not been back to the er. I will let you know what goes on tomorrow at the doctors.
Sounds like you're getting the brushoff from the Orthopedic surgeon too! Now that you DO have insurance, maybe it's time to "talk with your feet" and seek out both a new primary doctor AND Orthopedic surgeon! If you are near a major University Medical Center (which you probably are if Jackson, MI is close to a major city), call them and ask for a couple of recommendations each, for a new primary care doctor AND Orthopedic surgeon who might be able to see you sooner than July 31.
I'm not totally surprised at the reaction you got in the E.R. in June, given that you didn't have insurance then. It's a nationwide issue that most uninsured patients use the E.R. for their primary care and to get pain meds. (Which is why the Health Care Reform Act that was just upheld in the Supreme Court is SO CRITICAL for changing the way health care is delivered in this country!) Even given that, since your condition is chronic and you were concerned that it might be life threatening, THEY SHOULD HAVE CALLED YOUR ORTHOPEDIC SURGEON at the time, to either have HIM come see you or one of his partners or an Orthopedic Resident!
I hope you don't get the brushoff at your regular doctor's office tomorrow.
Thanks for definition! I would have looked it up myself yesterday, but we were having severe thunderstorms, and I don't like turning on my computer during them. I have power surge protectors, but even with that, you never can tell, and I'm in no mood to have my computer innards fried because of an electrical storm!!!
Anyhow, I hope krstn1985 has better luck with her primary doctor who she was supposed to see today, I think, and let us know what happened.
I have an osteochondroma in my femur close to my knee as well. They don't usually produce fluid and cause swelling like you are describing. They rarely become malignant so it is good to have it xrayed yearly just to see if it is changing. I am wondering if something else is going on that is causing your knee to swell so badly? If you can't get in to anyone, I would go back to ER, where they can xray it, drain it, send fluid to lab, etc. and call your orthopedic surgeon. By the time you see him the results will be back and your appointment probably more fruitful. You will be relieved of pain and not getting this run-around.
You have a great suggestion for krstn1985 to go to the E.R. now and have them treat her and run tests on the drained fluid from her knee. Since she now has insurance, they might be more willing to treat her AND call her Ortho surgeon or one of his residents to see her in the E.R.
As I noted in my first response to her, she may have torn the cartilage and or her ACL and that's why her knee is so painful and swollen.
I guess we'll have to wait and see what she has to say when she lets us know what happened today.
He gave you a WATER PILL?! For WHAT? Did he say what it was supposed to do for you? Water pills are USUALLY GIVEN TO CARDIAC PATIENTS to reduce their blood pressure in order to prevent strokes and heart attacks! THIS GUY SOUNDS LIKE A REAL QUACK, IF YOU DON'T MIND MY SAYING SO!! How old is this doctor? If he's a really old doctor, he's ''TOTALLY OUT OF TOUCH WITH MODERN MEDICAL PRACTICE and it's time FOR HIM TO RETIRE AND YOU TO GET YOURSELF A NEW PRIMARY CARE DOCTOR!!! If he's fairly fresh out of Med School and has only been practicing a few years, you STILL need to go to someone else. You need a HIGHLY COMPETENT ORTHOPEDIC SURGEON WHO SPECIALIZES IN KNEE ARTHROSCOPIES AND JOINT REPLACEMENTS.
Suggestion for finding more competent doctors: Go to your local Barnes & Noble, and ask at the Customer Service desk for the 2012 edition of the Castle Connelly Top Doctors in the U.S. for your region of the country! Or you can go on their website and look for both internal medicine doctors and Orthopedic Surgeons near Jackson who are named to the Top Doctors list for this year. Each listing will tell you where and when they graduated from Medical School, their specialization, including for Orthopedic surgeons what sub-specialty they are expert in, if they are Board Certified in their type of practice and the year they were last certified (it should be within the past decade because it means they have been to Continuing Medical Education courses as required by most states and hospitals and the Boards that certified them right out of Med School), their hospital affiliations (where they have attending privileges), where they did their Residency and any Fellowships and the years of this training, the address and phone number for their practice, and if they have a faculty appointment at a nearby major medical school.
BUY THIS GUIDE FOR YOUR AREA OF THE COUNTRY! It's only about $34 and well worth it. It is an excellent guide to finding a highly qualified primary doctor and Ortho surgeon if you need a new one of each. (Which I think you DO!) Hope this helps you find better qualified doctors who really care about you!
(My Ortho surgeon has been named to the Top Doctors list, for both the New York Metro area AND the ENTIRE COUNTRY TWELVE YEARS IN A ROW, INCLUDING THIS YEAR!! I just bought the 2012 New York Metro edition the other day.) Keep in mind though, that sometimes, in order to keep a good mix in each specialty of medical practices, the committee that publishes this guide, will sometimes drop one of your doctors one year, but put him or her back the next. This doesn't mean that he or she is a bad doctor, it just means that the doctors named for a particular year are chosen by their peers.) But it really IS an excellent resource for finding good doctors for whatever medical problems you may have.
Keep me posted and let me know if you do get this guide and try and find yourself a new primary doctor and/or Ortho surgeon.