I am a 45 yo very fit woman. My right knee remains quite swollen (size of baseball) for the past 8 months after 2 arthroscopic surgeries (1st -meniscus tears June 2011; 2nd one - lateral release of knee cap 12/11 -- which was questionable if needed but orthopedist was trying to figure out why the swelling didn't go down after the first surgery).
My knee continues to be quite swollen, even as it was prior to any surgery. My orthopedist has run numerous labs on the synovial fluid and no disease process has been found whatsoever. Anti-flammatories (pharmaceutical and enzyme) have not helped at all. The swelling also has not been helped by physical therapy, exercise, ice, elevating the leg, compression hosiery or shoe orthotics. All tried faithfully for the past 8 months.
Now I am wondering if there is some structural problem going on beyond that of the swollen knee causing limping. What is happening is that now my pelvis feels as if both twisted side to side, as well as torqued front to back! Symptoms besides the swelling are: I have pain that goes from the outside of my right hip across the back of the leg down to the back of the right inner knee. When I walk it feels like my right thigh is sort of swaying side to side and not stable. There is also fatigue in my right lower calf and achillies. I have pain in the area of my ishial tuberosities on both sides which I feel strongly upon rising from a chair and when bending over. There also is fatigue and pain in the area of the left psoas muscle. And, pain in both hips when rising from a seated position. If that isn't enough, there is pain and and severe tension in my right shoulder between the area of the spine and the scapula. I feel that my gait is off and my body seems both twisted and torked. Socks ride down in my shoe only on the right side. There are more symptoms but these are the ones that are daily now.
By the way, after the last surgery in December 2011, there was no swelling at all in my knee UNTIL I began to be weight bearing and walking without crutches. My surgeon and physical therapist do not have any answers as to the reason for the ongoing swelling. It sure is causing major problems with daily living and fitness activity.
Can you please offer some suggestions on what might be going on? Does this sound structural? Can a knee be chronically swollen from structural problems? Also any other thoughts as to possibilities you may have. Many thanks in advance.
Asked by lelle - 4 answers - 5 years 12 weeks ago