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They can't get fluid off my knee!! Options
Anne-P
#1 Posted : Thursday, July 07, 2011 9:04:07 PM Quote
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Joined: 2/14/2011
Posts: 301
Location: South Hampshire
Hi All

Wondering if anyone else has had the same problem. Have just had a consultant (yesterday) 2 Registrars and nurse, with the aid of ultrasound trying to get the fluid off my knee. They couldn't seem to drain it off at all. The dark area they thought was probably the fluid turned out to be the damaged joint. I have to say it was interesting watching on the screen as they put the needle in!!! I saw the needle then the steriod injection going in!! Apparently when it crystallises (which it did) it seems to mean you get more pain after an injection (not a problem for me, as those nerves in my legs don't work anyway!! - making the steriod injections pain free)

My knee seems to have lots of villus (he said and I saw), which is making the surface area much greater under the knee cap, and that is what is causing all the extra build up of fluid.

Apparently the next stage, is to try under ultrasound again in 6 months, or get a surgeon to do keyhole surgery to clear out the joint. I have to talk it over with my consultant on 2nd Sept... giving this a chance to settle down (it is rather bruised!). This is the third steroid injection into the joint in 2 weeks!! This one was using their new toy (the ultra sound machine) - hence I got the consultant whose 'baby' it is - teaching the 2 registrars.

Fortunately the Humira is working on all my other joints.. the knees seem to be the stubborn ones! I am assuming they got damaged with all the inflammation before I got put on the Humira.

Anyone else had the knee 'cleared out'? And did it work for long before it all builds up again... and can I assume the Humira will stop it doing that again?

So I'm back on the crutches...for a few days ..... great fun!! Life is certainly eventful with RA!

Anne x

dorat
#2 Posted : Thursday, July 07, 2011 9:16:30 PM Quote
Rank: Advanced Member


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Joined: 12/3/2009
Posts: 3,157
Location: Huddersfield
Hi Anne,

That is what I am waiting to have done. Apparently the meniscus is torn and frayed , causing my knee to lock and give way, and the surgeon said there will be lots of "debris" to clear away as well!
Obviously I can't answer your question as to how long it lasts, but I figured that for me it was worth doing if it gets rid of the pain and instability, even if only for a short time.
Good luck with making your decision.

Doreen xx
jenni_b
#3 Posted : Thursday, July 07, 2011 9:53:35 PM Quote
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Joined: 12/3/2009
Posts: 2,237
Location: nr Southampton
Same here Anne! Trust us to be awkward!

IM having a debridement and synovectomy in Sept.

I am hoping that this might mean I can straighten my knee.

Jenni xx
how to be a velvet bulldoser
LynW
#4 Posted : Friday, July 08, 2011 8:21:18 PM Quote
Rank: Advanced Member

Groups: Registered

Joined: 12/4/2009
Posts: 2,127
Location: Thornton Cleveleys
Hi Anne

I have had similar problems with my knees over several years. Joint injections close together with poor results and failed aspirations.

I had a debridement and meniscus repair last July. Due to being taken off Enbrel two weeks prior to op. and not being allowed to restart for several weeks I went into 'flare mode' which had a devastating affect on the newly operated on knee and everywhere else for that matter! Things did settle down eventually and my knee started to feel a little better for a while. I've been referred back to the orthopaedic consultant twice since with ongoing problems, knee locking and giving way again but he has discharged me as he doesn't feel the RA is sufficiently well stabilised for me to undergo further surgery. He would prefer me to continue with aspirations and steroid jabs into the knee to keep it 'going' for now.

Like you Anne, I felt the Enbrel was working well on other joints but less so on my knees. Apparently both knees have substantial damage but the movement is still pretty good and I may lose some of this if I go for knee replacement. In my case the answer seems to be more aspirating, injecting and pill popping! Heyho ...Smile ... perhaps once the RA is fully controlled again things will improve!

To all three of you, from my experience (as yuck as it was!) I would still recommend the debridement and cartilage repair as it should give relief from the ongoing pain, locking and other such pleasantries. Jenni with a bit of luck you should be able to straighten your knee much better with the gunge removed. Anne, providing you get back on the Humira quickly (two weeks post op. is recommended) it should help to control the build up of the thickened synovium. Good luck Doreen, hope it's a great success and things improve for you quickly.

Lyn x
My son, Ian, completed the BUPA Great North Run on 15th September running for the National Rheumatoid Arthritis Society (NRAS). You can read his story at http://www.justgiving.com/ianlukewilson

helixhelix
#5 Posted : Sunday, July 10, 2011 12:19:43 PM Quote
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Groups: Registered

Joined: 2/7/2011
Posts: 66
Location: London
I had one knee "cleaned & polished" last year and it was a joy. It didn't cause a flare, and I had a few days discomfort but then the movement was loads better and I could do things like walk up the stairs which I hadn't been able to do without difficulty before. I did make an effort with the physio afterwards which I think helped too. And having the general anaesthetic frightened me into giving up smoking so got a double benefit. Polly
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