![]() As the cartilage wears away, bones rub together more closely, leading to pain and inflammation. Osteoarthritis (OA), which is a wearing away of the articular cartilage that serves to cushion joints, is the most common joint problem in the United States, especially with age. Overuse and underlying chronic degenerative conditions are the most common causes. Swelling that arrives later or is a chronic problem is generally caused by excess synovial fluid (the lubricant in joints) in the knee, much like too much oil in a car. Acute swelling can also occur outside of the knee joint, but within the prepatellar bursa, a fluid-filled sac that sits on top of the kneecap, as the result of a blow to the front of the knee. Other possible acute injuries include meniscus tears and patellar dislocations or fractures. Ligament injuries can range in severity from sprains involving some stretching, to partial tears, to complete disruptions. Ligaments (especially the ACL) are most commonly damaged in acute sports injuries involving knee effusion. For example, you twist your knee trail running, trip and land on your patella (kneecap) while running on concrete, or hit the outside of your knee on the ground during a bike crash. Although the majority of triathlon-related injuries tend to be chronic, acute knee injuries can still happen. Pain is often immediate, and results in an inability to bear weight through the knee. A pop or crack may occur, and instability may be present. Chances are that a specific injury occurred, usually involving twisting or cutting, hyperextension, or a direct blow to the knee. Basically, something has been torn or broken. It is a sign of bleeding within the knee, or hemarthrosis, which is suspicious of serious structural damage. Swelling that occurs soon after an activity (within about four hours) is much more serious than swelling that shows up, say, the next day. RELATED: An Injury Guide For Triathletes Acute (short term) swelling of the knee To figure out why it’s swollen, it’s important to consider if the swelling occurred acutely, or if it is a more chronic, longer-term issue. So, if knee swelling is present, further investigation is warranted. On a more acute basis, increased knee swelling after running has not been seen in many studies. Swollen knees with running should not be considered normal-despite warnings about running being “bad for the knees,” studies of both club-level runners and recreational runners have shown that running is not detrimental to the knees on a long-term basis. Yet even if not reimbursed I am grateful for this test.Heading out the door? Read this article on the new Outside+ app available now on iOS devices for members!Ī swollen knee can be concerning, and may warrant a trip to the doctor. I am appealing to Medicare to reimburse me for this blood test expense based upon my doctors "letter of necessity" because of my allergic history. I have a file with the exact name of this implant if interested I ill look it up. Last year a class action lawsuit was filed as many have learned the bone cement won't adhere to the implant, moisture builds up between the ceramic coating and bone cement and the implant comes loose from the bone.I figure I am better off accepting the limitations I have now rather than risk rejection. I did the homework on the "Gold" implant (called this as the ceramic is gold in color). No problem as he could put in a ceramic coated implant so no metal would contact me and was ready to proceed. He said there would not be one metal implant I could use although not allergic to titanium, even titanium has traces of other metals I would react to. My blood test came back showing allergies to 5 metals, the bone cement was safe. He ordered a blood tes stating this was more accurate than the Patch Test and I was told I must pay $600 up front as Medicare doesn't pay for this test. ![]() I have known I react to nickle all my life. ![]() In my Patch Test Panel's I never have the metal panels run. I have multiple adhesive allergies but was never tested for the adhesive in bone cement. I have Allergic Contact Dermatitis, ACD, and Patch Testing showed about 7 allergies out of 80 sites. He told me he hadn't had issues with rejection, but I am an allergic person and would rather proceed cautiously. Why I can't have a knee replacement- My ortho was ready to proceed with my knee replacement this spring but I insisted upon metal allergy and bone cement allergy testing first. Could you be allergic to the implant? If allergic I imagine there would be inflamation in the area and do not know if that would show up in an xray.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |