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VMO / OA Knee issue

 Poster: A snowHead
Poster: A snowHead
I have something odd going on with my knee, local surgeon in Leicester suggested it was Osteoarthritis so recommended an Ossur brace which made no difference.
The sports doctor that fitted the brace suggested i had a weak VMO, so i started some strength exercises that have helped and the pain lessened, the VMO has also stopped being sore.

My new issue is immense pain just where the patella tendon attached to the bottom of the kneecap, so much so i can hardly hold any weight. I was standing still moved off and it knocked me off me off my feet, i get a lot of pain straightening my leg and with some side force.

All very concerning.

Can anyone recommend a specialist knee surgeon in Leicester?
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
If the pain is at the distal pole if the patella ( where the tendon originated) and you got a bit better with some strength work to quads then is may be patella or patella tendon. That’s more likely if the pain is brought in on by squat/ getting up from a seated position/ stairs.

Some patella problem are,at least in part, caused by the patella being worn.

A scan here is more useful for what is doesn’t show.

It may be worth seeing a decent knee physio first. As that would usually be my goto for both arthritis and patella pain and patella tendon pain.
Jonathan Bell
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Thanks Jonathan.

What is stranger within 2 hours the pain had completely gone, it went from excruciating with no ability to weight bear to nothing and moving around freely. I was stood talking to an employee at their desk and turned to my left to step off and bang i was on the floor.

My normal pain is inside of kneecap during extension and under load. This pain has subsided considerably following exercise and strengthening of the VMO/Quads, previously my left VMO was very sore to prod, this has subsided, it was explained to me that it was constantly fatigued, this would explain why the pain in my knee would increase as i walked further. The pain steadily increased last year following a back injury that stopped me training my legs.

When its all pieced together it's pretty clear I lost muscle mass in my legs, and due to varus loading of the knee on my wobbly legs everything started kicking off.

I'm seeing a physio on Tuesday as a followup to the exercises i've been doing and i've also requested a second opinion that AXA have agreed to.
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Quote:

What is stranger within 2 hours the pain had completely gone, it went from excruciating with no ability to weight bear to nothing and moving around freely. I was stood talking to an employee at their desk and turned to my left to step off and bang i was on the floor.

That sounds like classic OE with a bit of bony stuff floating about. I've had several in the past year just like that. It's like being shot - Bang, your down.
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
I've had a MRI and there was no floaty bits, i had mild inflammation of the femur towards the area where the VMO inserts. Sports doctor i saw suggested that the inflammation maybe from the kneecap not tracking correctly due to weak VMO.

The Ossur brace fitted to alleviate the pain in my knee did nothing, the exercises have helped tremendously.


BTW i'm 41.
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@drewclarke, I have a similar situation with VMO and tracking patella, this was diagnosed at arthroscopy in 2003! Some of mine was due to excessive pronation so now have insoles in all my shoes, ski boots and slippers, physio exersizes which I still do and also use a roller on the IT bands which made a big improvement.
Perhaps ask your physio or a decent podiatrist to assess your lower leg biomechanics. What works for one doesn't always work for everybody. This was just my experience. snowHead
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
Thanks Linds do you have valgus or varus loading? I have flat feet but "functioning arches" apparently.
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