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#1046201 - 05/05/10 08:21 AM PT Tendonitis in Right Foot and Bruised Knee in Left Leg
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
My 8 yr old dd has both of these right now. We were finally after 6 months getting rid of the tendonitis and she had a bad playgroup accident, wacking and falling on her knee on her other leg.

The ortho PA (after xrays and manual tests) claims it only a bruise, perhaps a bone bruise. She acted like dd should be walking although it would hurt.

Well dd was having none of that and being who I am (as you know me on this board) I GOTTA listen to her when she tells me it hurts. When she puts weight on that leg, her eyes well up.

So I got a wheelchair for school for a couple days as I didn't want her on crutches favoring the knee which would aggravate the tendonitis on the opposite foot. Are you with me?

Her tendonitis is of the PT tendon which goes from the toes, through your arch, past the achilles, up the calf. It is connected in 5 places. It is/was a big deal. We have been dealing w/it and trying to fix it since October. We were so close.

And now this happens. It has been a week and she says her knee still hurts alot. She is on crutches now for support only and I constantly have to tell her to put equal weight on both feet.

Here's where I really want you opinions/input.

Isn't it odd the ortho doctor (PA) thought she could walk on it and my dd was like no way?

Could it be a deep bone bruise and it does not look swollen coz we did the RICE method for 72 hours?

I know that I am going to make an appt w/an Ortho Doctor and not a PA today, which will be a week or so out, is my guess, do you think it is reasonable if she is still in pain to push for an MRI so I know what we are dealing with?

My dh says it does not matter as its not like they are gonna brace it or treat it different, but I need to know the source and the extent and the probable duration of her pain. I and I think she does too.

Now that I have written all this, perhaps she will wake up and says, feels alot better today. Oh from my mouth to God's ears.

Chronic pain is going after my daughter and it is killing me.

Sadly,

Meon

_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1046226 - 05/05/10 09:37 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
cajunbulldog Offline
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Registered: 08/28/06
Posts: 1214
Loc: Southern USA
Were x-rays done as she could have gotten a stress fracture to the patella. I would get x-rays and have a full ortho workup with doc.I personally would x-ray and exam first.If nothing is found on either then I might push for a mri.Just my two cents.

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#1046433 - 05/05/10 04:20 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: cajunbulldog]
meonlyits Offline
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Registered: 08/23/09
Posts: 2465
They did do xrays and there were no fractures which was good. But I agree she needs a full work up w/an ortho doctor and not just an ortho PA who was who did the first/only exam on the day of the injury after the xrays.

I agree if the ortho doc can not see the reason for the pain, a mri is the necessary next step. I am gonna call and make that appt today.

Thanks for input.
_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1046435 - 05/05/10 04:22 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
BryansFan Offline
Board Addict

Registered: 08/07/07
Posts: 301
My heart is bleeding for you right now. Having a child in continous pain is so hard to deal with. We always want to "make it better" and when we can't, it hurts us, too.

Yes, I would certainly call to see the Dr. The PA might be right, but a second look can never hurt. I would also push for the MRI. If this has been going on since October, it is long enough to warrant further testing. If nothing shows up, well, then at least you know, right?

Another thing is that you are dealing with an 8 year old. I know my 8 year old can be quite dramatic. I don't know if that is the case or not, but, it makes it all the harder to know if you are dealing with a very bad injury or a very small pain threshold.

My son who is now 13 started having knee pain when he was about 11. His knee will actually lock occassionally, too. I have taken him to my ortho doc and she did xrays but just said he would grow out of it. I decided to take him to a pediatric ortho specialists just to see if they had another opionion. They said he has Osgood-Schlatter Disease, which essentially means that his ligaments have not caught up to the bone growth he has had. He also has very loose knee caps and they said he will be in constant struggle to keep his caps in place. They said that he could still play football and do his martial arts (he is a black belt in Tang Soo Do), but we should ice him nightly and watch for continued swelling. Long story short, I felt much better when I had a "name" to put with it and to actually know what he was feeling, since I could research it.

My husband always thinks I "overkill" things and should just listen to the first doc and leave it be, but if I can prevent any injury or help him any sooner, I want that option. Always go with your heart/gut and if you don't get an answer you feel comfortable with, ask another doc.

My best wishes to you! I truly feel for you!!!! hug

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#1046536 - 05/05/10 08:54 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: BryansFan]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
Thank you for your kind words.

I called ortho at Children's Hospital and explained the my dd's pain level did not seem to agree w/the original diagnosis and so I would like to sched an appt w/an ortho doc, not a PA.

That although I had faith in the PA, it had been 8 days since the fall and she still won't put weight on her leg. I told the receptionist that I figured I would have to book way ahead to see a doctor.

I was lucky and there was an opening Monday morning, at the satellite office I know how to get to. So Monday it is.

It was funny the receptionist was a but unsure about it all; like I was coming back too soon. Like I was a mom who had Munchausen by proxy. Oh well, I don't care.

I keep explaining to folks, that I am not only trying to protect her left knee (recent injury) but also her right foot (old almost healed tendonitis).

I made some mistakes on getting her right foot diagnosed correctly and I am not going to that again.

All I do on this board (well not quite, lots of time I go blah blah about me) is give folks advice on how to handle doctors, etc... I simply am not going to leave any stone unturned w/my own daughter.

God Damn It. Just try to stop me. K, now I am ranting. Please don't let that scare anyone who has info on knee injuries or tendonitis. In my mind, the individual stories are very helpful and often make something go click in my mind.

Sympathy or empathy is also always welcome and that's no LOL.
_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1046795 - 05/06/10 09:04 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
BryansFan Offline
Board Addict

Registered: 08/07/07
Posts: 301
Gut feelings in parenting should never be ignored in my opinion. You know your child better than any Dr. ever could and if you feel that something more is going on, then you should take her....no questions asked.

I have gotten the same response from receptionists and even a few doctors in the past in dealing with my kids. I would not consider myself overly protective, even, but if I know something isn't adding up, then I am not going to let someone brush me aside.

I have met many, many a PA that I thought were more compassionate, caring and knowledgeable than the Dr. they worked with, but that doesn't mean that a second opinion isn't warranted in your case.

I am so glad they can get her in on Monday. You will have to let us know how it goes!!!

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#1047272 - 05/07/10 08:51 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: BryansFan]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
Thanks BryansFan, your understanding and support means alot to me. I can tell you completely understand with what you have been through with your son. Do you worry all the time about him? Or just check him when he gets home and act accordingly?

I am in constant worry mode it seems which is really not like me. I am just so afraid for her; it's almost not rational. I was ok w/the tendonitis, although we made some mistakes we were so closing to fixing it. And then she fell and hurt her knee on her other leg falling off a zipline at school. (It is a short, low to the ground zip line.)

Today she has a field trip and there is a bit of snow of the ground. Stairs, wet crutches, and slippery floors make me nervous.

I should just go on the damn trip but I had dental surgery yesterday and my whole head hurts. I have neck issues too so dental stuff really gets me. If I don't rest today, I won't make it through the weekend being a good mom. I do volunteer weekly at the school teaching the advanced reading group and donate lots of stuff to the classroom, so its not like I am some big slacker.

Your post has convinced me that I am going to stop in dd's classroom this am and ask if someone could spot dd on any stairs (she has been using elevator at school) and look out for wet crutches.

DD knows to only use the crutches for support (safer when one foot is down) but I am gonna reiterate that to her teacher this b4 school starts.

I am also gonna write a bullet point one liner summary of what has been going on since October for the doc on the Monday so he can get the big picture in a glance.

I will post and let you know when dd is home safe today after her travels (Puppet Show and US Mint). And definitely again after her Monday visit w/the Ortho Doctor.

Sincerely,

Meon
_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1047282 - 05/07/10 09:28 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
BryansFan Offline
Board Addict

Registered: 08/07/07
Posts: 301
I feel for you with the dental stuff! That chair in combination of keeping the jaw open just sets my neck on fire for days!!! Don't feel bad for missing a trip....you can't do everything everytime. She knows you are their for her and believe me, we always feel that we never do enough when in reality it just isn't so! Relax and take care of you today...which is the best thing to do for her!!

I do try not to bring attention to my son's knee any more than necessary because he tends to focus on it more when I do. I watch him walk after practice though to see how much he favors the other leg, etc. I can usually judge how bad it is based on that and let him tell me when things hurt. He tries not to focus on it, too. He is determined to play football and continue with his martial arts, so he sort of puts the pain on the back burner unless it is really bad. I just hand him his ice pack after dinner and he does his homework with it on. It is hard for me not to ask him about it, but again, the less focus the better since this is an ongoing issue.

Writing things down should really help the Dr. I do this with my PM guy and he likes me to give it to the receptionist when I check in so he has a few minutes to read over it before he sees me. At least he knows what my month was like, etc. Hopefully this new doc will take the time to read. Also, if you write it down ahead of time, you won't forget anything you need to tell the new doc.

Don't let them brush you off! Tell them in a nice, non-crazy smile crazyl, mom way that you believe in your heart something is not right.

Wishing you the best of luck and a fabulous Mother's Day!!! Sounds like you deserve to be treated like a Queen!!! confetti.

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#1047285 - 05/07/10 09:37 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
Khilee Offline
GRAND Pooh-Bah

Registered: 03/02/07
Posts: 1942
Loc: TN
meon, I feel so bad for you having to go through all that you have been through these past few months. I worried like that too, about my kids when they were growing up, I still worry about them when they go on long trips, and now I worry about my Grand kids. It never ends. I know it is kind of excessive but you can't help it. I know I can't. It's probably because I have general anxiety disorder but I take an antidepressant. The best we can do is do our best to keep them safe and hope for the best.

I hope your DD has only minimal damage from her fall.
Khilee

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#1047534 - 05/07/10 09:46 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: Khilee]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
Bryan's Fan, isn't one of the hardest parts of being a mom is staying quiet about stuff w/our children? Khilee, sounds like you have been there too over the years w/your children.

Sometimes backing off if what we need to do. My daughter did make it just fine on the field trip today and she's telling my dh about it right now. My sisters have been emailing me too and that is just what one my sisters said to me - gotta let them go sometimes, even when they are injured. Her daughter crushed her hand (mostly ok) when she was my dd's age.

This am, I also found out that one my closet mom friends was chaperoning my daughters field trip and that made me feel much better. We treat each other daughter's as our own and I know she would watch out for mine.

So I rested alot today and tomorrow dd has a playdate and I will work on my dr. list.

I will let you all know what the doc says on Monday about her bruised knee and foot/ankle tendonitis.

Mother's Day is Sunday. Almost forgot! I am thinking nice big roasted chicken w/some mashed potatoes and salad not cooked by me and some lifetime movies sounds great.

I know, boring, but sometimes that it what we need.

And Khilee, we worry this much about our grandchildren too? Oh my. Gotta start focusing on the love and the joy a bit more I think.

Thanks ladies.

Most sincerely,

Meon
_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1047572 - 05/07/10 11:51 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
SoHoTribeca Offline

GRAND Pooh-Bah

Registered: 05/20/06
Posts: 3514
Originally Posted By: meonlyits

I am in constant worry mode it seems which is really not like me. I am just so afraid for her; it's almost not rational. I was ok w/the tendonitis, although we made some mistakes we were so closing to fixing it. And then she fell and hurt her knee on her other leg falling off a zipline at school. (It is a short, low to the ground zip line.)

Today she has a field trip and there is a bit of snow of the ground. Stairs, wet crutches, and slippery floors make me nervous.

I should just go on the damn trip but I had dental surgery yesterday and my whole head hurts. I have neck issues too so dental stuff really gets me. If I don't rest today, I won't make it through the weekend being a good mom. I do volunteer weekly at the school teaching the advanced reading group and donate lots of stuff to the classroom, so its not like I am some big slacker.

I will post and let you know when dd is home safe today after her travels (Puppet Show and US Mint). And definitely again after her Monday visit w/the Ortho Doctor.


Hi Meon, you are certainly not a big slacker. Children get hurt, you can't be with them all the time. My daughter injured her back seriously at the age of 8 when she and other kids were on swings with their heads in the seat instead of their butts. This was in the playground behind my own building, but I was reading and not watching those antics. She's had back pain since, and is in her mid 30's now with a 3 yr old son. I brought her to M.D.'s also, one who said she had "scoliosis"! I'm not a brain surgeon, but that was ridiculous, especially with the pediatric physicians I used in her early years. It turned out she had slipped and damaged discs, but won't have surgery because she's frightened. It seems the pain got better over the years, because she couldn't even tolerate the pain wearing a normal weight winter coat, so had to wear layers, which is probably better anyway.

I worried through her entire life with me even after she got married at 25 and I grieved for four years, which of course she thinks is nuts. I just couldn't believe she wouldn't be coming "home" anymore and the visits are always way too short, of course - she's married - what else would it be like?

I envy women who remain good friends with their married daughters, but it's rare from what I've seen. They make their own life, but I know how very hard it is wanting them never to feel any kind of pain and how hard it is to let go. I'm better at it now (duh!), but sometimes I miss her so much just hearing her voice on the phone gets me crying.

She and husband are having the same problem with their little son. Already don't want him to grow up. It took an act of congress to start toilet training him and letting him sleep in his own bed. Oh well.
Good for you to go back for the M.D., and not feel uncomfortable with seeing the PA. I'd have done the same. love5

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#1047741 - 05/08/10 10:04 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: SoHoTribeca]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
Soho,

Thank you. Kids do the oddest things don't they. Swinging on their heads, crazy. I am so sorry you and she went through so much pain together. Thank you for sharing. Really it helps me.

I ignored my mom for about a decade. I was so happy to be out of the house and working. I barely called her at all in my 20s.

And now she is gone and I miss her every day. I wish she was hear to help me w/my daughter, but that's what happens when you have your only child at 40 and your mother is old and sick.

Back to something happier. 'An act of congress' to start toilet training and letting him sleep in his own bed.

That's funny Soho. Your do have a good way with words.

Smiles and hearts,

Meon
_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1047947 - 05/08/10 08:14 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
SoHoTribeca Offline

GRAND Pooh-Bah

Registered: 05/20/06
Posts: 3514
Thank you for the kind reply meon. My mom had severe and untreated mental illness, so no one could really have a relationship with her. I gave my daughter what I knew to give her, what I primarily learned from my father. But she needed a "mommy" type and I was a provider and striver. Now her mother in law provides this to a certain extent, mil never worked, good with children. But even they've grown apart, and now my daughter is excelling in work, but remains close to her son, and I suppose her husband, they're still married, thank God.

Life is what it is, I try to fall back on the serenity prayer as much as possible, it's short and makes complete sense.

I hope, (off topic) there is an afterlife and the bible as I've read it, especially the new testament, is the truth. If not, I don't know what the point of many people's lives would be, including my own. It might be time to make some mashed potatos if this is maudlin. thanks4
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FERBLUNJIT, FERMISHT, FERSHLUGINA, FERSHTAY?

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#1048140 - 05/09/10 10:05 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: SoHoTribeca]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
Soho, I personally love mashed potatoes. Hey Nice Guy, this is the thread about my dd's knee and foot. So what's the story behind your knee? Did you crunch it a few times as a youngster? Car accident?
_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1048490 - 05/10/10 08:24 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
So yesterday, I wrote the page and 1/2, 14 bullet points about the PAs she seen, the physical therapy she's had, the 3 x rays and the one mri. She has been restricted from running or jumping, and sometimes PE since OCTOBER. All damn school year.

Makes me want to cry. I have to be strong for her. Why does this break my heart so much?

I knew, I just knew, that as a mom I would care too much. It's one of the reason I did not have a child til I was 40.

I so hope the doctor can put a name on her knee pain today or at least authorizes an MRI.

Trying hard to find the silver lining, her cast on her right foot has only been off since end of March, so maybe this knee incident is giving her foot time to slowly get stronger w/out tons of activity right from the get go.

Gotta stop crying b4 she wakes up.

K, maybe I will get mad instead. My pain in the [censored] husband who has his own problems right now and does let me stay home and not work and is usually a good guy ----

He is always like, she needs more exercise, she needs less snacks, she is gaining weight.

Well barely she is. And maybe he could lift weight or do upper body stuff w/her more. He didn't even want to read my summary, I had to tell him too.

I am almost 100% sure, he trusts me and that is why he does not follow me around 2nd guessing me ALL the time (just about snacks), but it would be nice to have a partner in this trial of her injury.

He was injured a lot of as a boy, and so he is less concerned. He healed, that's why. My injuries lead to pain that never left, that's why I am so freaked out.

It's like trying to get drugs from Doctors, trying to get them to understand your fear of chronic pain for your child as you have it. They think you are neurotic.

So I am not gonna be neurotic today. Oh no, I am gonna put my best calm warrior face on today.

I need another PT script for her foot and an MRI script or at least the promise of one if she is not better in a week. Waiting, waiting, waiting. Hate it.
_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1048971 - 05/11/10 08:56 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
This must be some type of cruel joke. The good news is my dd's tendonitis in her right foot is gone and her foot is strong. The bad news is according to these 2 doctors (one sr, one jr, I suspect), the ONLY way to make her knee better is to walk on it even though it makes her cry to do so.

She walked maybe 15 feet for them and did not cry but you could see the pain in her face. Plus, they corrected her gate as she must walk as if she is pain free.

I am not to measure the improvement in her pain in days, but in weeks.

I grilled them really hard on the MRI and they swore that w/this type of injury an MRI would tell them nothing.

I asked them if they were serious. How was I supposed to inflict such pain upon my daughter, there must be another way.

I cried even.

The younger/jr. doctor was sympathetic (figures). He said that yes it would be hard on both of us but if she did not walk, she would develop other problems, perhaps more serious.

So I agreed that she would use her crutches at school, hobble (w/the best gate possible) at home, and that I would have her off them for in a week.

After we called dh, I took her to Winchells where we ordered and ate big fat donuts. I was shocked that their coffee milk choice was only full fat, guess I shouldn't be. I have been promising that we would stop there on the way back from the ortho office (45 min away) but we never had, so today seemed like a good time.

But I digress which is really my only saving grace these days.

To sum up, I really can't get my brain around this. I am to inflict my lifelong enemy PAIN on the one person I love most in the world to save her from a worst fate.

HOW CAN THIS BE TRUE AND RIGHT?

I am not the woman for this job. I quit.

Edited to add: I researched the best ortho peds doctors in my area (I live by a pretty big city) and guess who popped up? The sr. doc I saw today.



_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1048978 - 05/11/10 09:29 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
MarkhW Offline
Enthusiast

Registered: 04/20/06
Posts: 254
It could indeed be right.

MRIs are over-used and overrated for many problems. That is new thinking based on shocking studies showing that MRIs are often unreliable because they either show what look like bad problems for people with no pain at all and who are fully functioning physically, and then on the other hand MRIs for some folks can look perfect when that person is in terrible pain and can hardly move around. It happens that way pretty often. So, don't worry too much about not having an MRI. (An MRI can be very useful if contemplating surgery though; it gives the surgeon something to look at and evaluate to help plan the operation.)

Next issue is your daughter's pain. Pain can either be considered useful or useless. If useless and if it limits normal healthy daily functioning, then it should be treated.

In your daughter's case, the pain is not entirely usless though. It tells here what her limits need to be as she walks. If her pain was lowered too much by drugs, then she would likely not know her limits and move around enough to cause more damage faster then her knee can properly heal. If she continues to use the knee as much as possible, pain permitting, then she should get the right amount of activity for healing, but not so much activity as to cause further damage. A little tylenol or ibuprofen would probably be ok though unless the doctor recommends otherwise, and icing the joint after using it along with elevation above heart level can help too -- typical first aid type of treatments should be ok.

Note: if you want to give her something for pain, it is generally advisable to avoid aspirin in children due to the risk of Reye's Syndrome (even though she doesn't currently have a virus as far as you know). More info about that: http://www.reyessyndrome.org/aspirin.html


Edited by MarkhW (05/11/10 09:30 AM)

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#1048983 - 05/11/10 09:41 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: MarkhW]
mmyp Offline

GRAND Pooh-Bah

Registered: 02/20/06
Posts: 2482
Loc: neither here nor there
When was the MRI on the knee?
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Best wishes as always


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#1049311 - 05/11/10 11:13 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: mmyp]
SoHoTribeca Offline

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Registered: 05/20/06
Posts: 3514
I think meon said the doc didn't think an MRI would help in this case.
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FERBLUNJIT, FERMISHT, FERSHLUGINA, FERSHTAY?

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#1049317 - 05/11/10 11:22 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
SoHoTribeca Offline

GRAND Pooh-Bah

Registered: 05/20/06
Posts: 3514
I don't quite understand the advice given by this Dr. either. The knee has so many ways of being hurt; being pushed out of place, a muscle being torn, a tendon behind the knee being torn, and I'm not a medical person. These are things I've had told to me by people who had trouble walking and I asked about it. Can your daughter describe step by step how she fell and how her legs looked as she fell, and afterwards, she might have noticed something about what "wacked" her and made her fall, how she landed on her knee, was it a direct hit, knee to ground? Stuff like that. Please don't give into crying and giving up.

Sometimes even a young child like yours can be asked questions that help her to explain exactly what she can remember happening, to help you understand where the pain is coming from.

Some good news here; my daughter called and we're working on a new and better relationship. I'm saying things I guess she understands as a mother now, and she's becoming more self aware of her own feelings, instead of reacting so quickly. I cry much less now too. love5
_________________________
FERBLUNJIT, FERMISHT, FERSHLUGINA, FERSHTAY?

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#1049340 - 05/12/10 12:11 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: SoHoTribeca]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
Soho was right. No MRI on knee. Her knee is so skinny and little they can feel everything and as long as the bones are not fractured (per xrays), and they can move the kneecap around w/out pain - they are comfortable that it is a bone bruise. My dd has amazing recall and we know the exact sequence of events. I am pretty comfortable now that we are doing the right thing, working through the pain, as hard as it will be.

Today she did ok. I let her take her crutches to school, as we had agreed. I told her to bear more weight on her hurt knee. Who the hell knows if she did that or not.

After school in the car w/me, she hobbled into PT after I put my foot down (odd expression) and would not let her use her crutches. She was shocked and pretty miserable, crying by the time we got to waiting room.

The other PT staff saw me explaining to her as she hobbled towards her PT's work space, that it is ok, it is a healing pain. They smiled encouragement. I made sure my dd was the topic of yesterdays staff mtg to make sure this 'work through the pain' was standard of care for bone bruises.

I felt like everyone was pulling for both me and her. Her PT encouraged her to lift her knees and walk heel to toe. When I left her in the room, she had tears in her eyes.

OMG, it was so hard.

But afterwards, I made her walk to the car and then to an hour massage. I need to find pain relief that is non-medicinal as she is not even 10. After the hour, she was walking almost normal. She said the masseuse (not mine) was great.

She was almost happy. Now granted that went away as the evening went on but for a first day it went pretty well.

I sent my sister an email explaining what had happened and she said for me to remember, that I am not causing the pain, I am giving her the strength to bear the pain, in order to heal.

So that is my new mantra.

Soho, I am so glad your dd called you. That is so great that she is a mom too now. If you posted that b4 I missed it. I know I never got the mom thing till I was one. But when my dd was born my mom really only a year or two left of being coherent. Oh well, that is another thread or at least paragraph. This paragraph is about how glad I am that Soho's daughter is getting the mom love thing now and her mom (Soho) is still around to appreciate and soon maybe even help!

I will keep you all up to date on my dd's progress. Pain equals healing. Seems so foreign to so many of us here.

Meon

PS - MMYP, my dd did have an MRI for her PT tendonitis on her other leg several months ago. It what was enable her correct diagnosis of PT tendonitis. It was too long in coming, that MRI. And that is why I grilled the docs this time to make sure they were sure their was no need and it was not an issue of timing or insurance or $.

She has 2 different problems on her 2 different legs. Although the tendonitis problem seems to be fixed. And the docs said its not the type of tendonitis that becomes chronic in young children, so that is good.


Edited by meonlyits (05/12/10 12:16 AM)
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#1049427 - 05/12/10 08:24 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
So today is day two. Hope you all don't mind if I use this as a bit of a log.

I am waiting for her to wake up (it's 6:22am) here. She is never cheery in the morning and expect this one to be particularly bad.

She gonna come out screaming, MOM STOLE MY CRUTCHES. They are in the car.

You know, I hope she does that, it'd be a lot better than refusing to get out bed w/out them or crying.

My dh is home to help, but sometimes he just yells at her. Not sure how much help that is, but beggars can't be choosers.

Meon

PS - I get to go out w/a good friend today so that is nice. We don't manage it to often.
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#1049435 - 05/12/10 09:07 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
mmyp Offline

GRAND Pooh-Bah

Registered: 02/20/06
Posts: 2482
Loc: neither here nor there
Originally Posted By: meonlyits
Soho was right. No MRI on knee. Her knee is so skinny and little they can feel everything and as long as the bones are not fractured (per xrays), and they can move the kneecap around w/out pain - they are comfortable that it is a bone bruise. My dd has amazing recall and we know the exact sequence of events. I am pretty comfortable now that we are doing the right thing, working through the pain, as hard as it will be.

Today she did ok. I let her take her crutches to school, as we had agreed. I told her to bear more weight on her hurt knee. Who the hell knows if she did that or not.

After school in the car w/me, she hobbled into PT after I put my foot down (odd expression) and would not let her use her crutches. She was shocked and pretty miserable, crying by the time we got to waiting room.

The other PT staff saw me explaining to her as she hobbled towards her PT's work space, that it is ok, it is a healing pain. They smiled encouragement. I made sure my dd was the topic of yesterdays staff mtg to make sure this 'work through the pain' was standard of care for bone bruises.

I felt like everyone was pulling for both me and her. Her PT encouraged her to lift her knees and walk heel to toe. When I left her in the room, she had tears in her eyes.

OMG, it was so hard.

But afterwards, I made her walk to the car and then to an hour massage. I need to find pain relief that is non-medicinal as she is not even 10. After the hour, she was walking almost normal. She said the masseuse (not mine) was great.

She was almost happy. Now granted that went away as the evening went on but for a first day it went pretty well.

I sent my sister an email explaining what had happened and she said for me to remember, that I am not causing the pain, I am giving her the strength to bear the pain, in order to heal.

So that is my new mantra.

Soho, I am so glad your dd called you. That is so great that she is a mom too now. If you posted that b4 I missed it. I know I never got the mom thing till I was one. But when my dd was born my mom really only a year or two left of being coherent. Oh well, that is another thread or at least paragraph. This paragraph is about how glad I am that Soho's daughter is getting the mom love thing now and her mom (Soho) is still around to appreciate and soon maybe even help!

I will keep you all up to date on my dd's progress. Pain equals healing. Seems so foreign to so many of us here.

Meon

PS - MMYP, my dd did have an MRI for her PT tendonitis on her other leg several months ago. It what was enable her correct diagnosis of PT tendonitis. It was too long in coming, that MRI. And that is why I grilled the docs this time to make sure they were sure their was no need and it was not an issue of timing or insurance or $.

She has 2 different problems on her 2 different legs. Although the tendonitis problem seems to be fixed. And the docs said its not the type of tendonitis that becomes chronic in young children, so that is good.



Meon, doctors cannot "feel" an undislocated impaction fracture or small greenstick fracture no matter how small your child's limb is.
When I broke my forearm, elbow and wrist the 1st ER doc found elbow fracture. During the following week my arm still hurt like heck and was swelling. It took 5 MD visits of which 3 were at 2 different ERS and three different ortho groups to find I had torn ligaments, muscles in my wrist and forearm. The complex fracture dislocation was finally diagnosed correctly by a Radiologist after an MRI. The surgery I needed if it had been done right after injury may have saved some of the ligaments. It was a month after initial injury that I got surgery on my arm and wrist. Many times the orthopedic doc cannot charge for reading a "film" if a radiologist has already done so.I always insist that a radiologist reads my films. (Actually not films anymore since everything by me is digitized) Long story made short I just had my third surgery on same arm. It can never be "fixed" only lived with. I am not saying this to frighten you or quarterback your childs care or your decisions. If you feel you have not got the answers you need then keep pressing on if time/money allow. I now look for the best ortho doc in a practice for that type of injury. I go to a hand surgeon not a general ortho doc. When I hurt my knee I went to an ortho doc who specializes in knees. Ask any nurses who work in OR or ER or surgical unit in hospital if you know any that you are friends with. They can tell you what they see and give you general guidance as to where to go. I worked in an area where it was against the law to "recommend" a doctor by a nurse so I gave my best recommendations with a wink and a smile as to who to go to and who to avoid to friends who asked.
I also broke my knee 2 winters ago. The Urgent care doc said I didn't break my leg by the xray. I insisted on an mri only to have the radiologist say I had fractured the bone just under the kneecap. Although the leg would have healed either way I was glad that I had insisted because I took better care of it than if it was just a bruise. Soft tissue injuries can and sometimes are more damaging then a simple fracture. There is no reason why a child of 10 cannot have adequate pain relief. Do you give her Ibuprofen or Aleve an hour before therapy? Do you ice and elevate after therapy?

Although there is pain/discomfort when stretching out a ligament, tendon, or muscle after being immobilized it should not cause your child to cry. Perhaps the therapists are pushing too hard, too fast, or too many reps. Range of motion exercises and gentle stretching should be done several times a day after warming up the joint.

I am sure you are a very good mom and I know how hard it is to watch your child suffer.
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#1049473 - 05/12/10 11:18 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
Khilee Offline
GRAND Pooh-Bah

Registered: 03/02/07
Posts: 1942
Loc: TN
Meon, I'm so sorry you didn't get the MRI you were hoping for. It is so heartbreaking watching your children be in such pain. I have three girls and I have been through it. The best you can hope for is that your dds' recovery will not be too long. If you are still concerned about having an MRI, mmyp has given you some good advice.

Have a nice day with your friend today. You deserve it.
Khilee

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#1049608 - 05/12/10 04:42 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
BryansFan Offline
Board Addict

Registered: 08/07/07
Posts: 301
Meon,
Glad to read your update today, but sad to see how much pain you are both in. I know you didn't get that answers you were looking for, but hopefully they were the right answers just the same.

I mentioned my son and his knees in an earlier post and his doc said almost the same thing. Let him do what he can and do not hold him back and let him baby it as it will only cause further damage. There is a fine line, though, because if I let him do too much, it can cause bad effects, too. I just try my hardest to keep cool about it and hand him the ice when he swells. It is very difficult.

Your sister is right. You are not causing the pain and in the long run you are helping the best you can. You are being a great and strong mom!!!

I sure hope your and your daughter agony ends soon.

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#1049614 - 05/12/10 04:46 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: BryansFan]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
Need to think about this some. Thanks for all of the valuable input. Might have to get that 3rd opinion. Go to a peds knee specialist. MMYP, valuable info.

Thanks everyone for taking this journey w/us.

We are elevating and icing. She takes 3 100mgs (1/2 an advil 3 times a day).

I will give it 2 weeks and then go back or go to another doctor who specializes in knees. Her knee looks ok, not swollen or anything. Just a medium bruise where she hit it and where it hurts.
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#1049933 - 05/13/10 08:53 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: mmyp]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
K, folks, I am thinking hard. MMYP, I can't thank you enough for taking the time to share all this very valuable information with me. I read through your post and pulled out what really hit home.

Originally Posted By: mmyp
Meon, doctors cannot "feel" an undislocated impaction fracture or small greenstick fracture no matter how small your child's limb is.

The complex fracture dislocation was finally diagnosed correctly by a Radiologist after an MRI.

I always insist that a radiologist reads my films. (Actually not films anymore since everything by me is digitized)

If you feel you have not got the answers you need then keep pressing on if time/money allow.

When I hurt my knee I went to an ortho doc who specializes in knees.

I also broke my knee 2 winters ago. The Urgent care doc said I didn't break my leg by the xray.

I insisted on an mri only to have the radiologist say I had fractured the bone just under the kneecap.

Although the leg would have healed either way I was glad that I had insisted because I took better care of it than if it was just a bruise.


First let me say my dd is not actively crying but the pain is still great. But we all know how pain scales and how we handle pain means s hit.

I have faith in her therapist and they have a good relationship. She has seen my dd there 2 or 3 times a week for months, is very aware of pain levels, and they always finish w/icing. My dd likes her (she is a cute perky 27ish girl - you guys would like her too). Sorry I digress.

Mmyp, I am gonna call the doctor/surgeons nurse again today and ask HOW they know my dd does not have a complex fracture dislocation w/out an MRI?

I called the nurse yesterday to ask about ultrasound and/or TENS for pain.

Maybe tomorrow I will call about something else, I am gonna make this doctor wish he had just ok'd the damn MRI. I had a feeling I was a case study on how to say no to MRIs for his 'younger/student doctor'

HOWEVER MORE RELEVANT, is I researched knee specialists in the area (live near a city) and came up w/a few that specialize in children's knees. That advice MMYP was brilliant.

Sometimes I am so stupid. W/her foot, it was a podiatrist (foot dr) that finally diagnosed her correctly - why would I not take the same route w/her knee?

I am gonna keep up w/her movement therapy as I don't want her other ligaments to shorten, but I won't push her extra hard till I know for sure.

Damn, I'd write the check out for the stupid MRI today if I could. Out of my HELOC, but so what. To me NOTHING is more important than my dd's health and I have time and $ for that. As much as it takes.

It is my job.

With determination and sadness,

Meon


_________________________
“I exist as I am, that is enough.” Walt Whitman

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#1050206 - 05/13/10 08:54 PM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
Got the knee specialist appnt for a week from Tuesday. Now I gotta go get my dd's xrays and records. Just watch me do that. Gonna call them tomorrow. I plan on picking them up after they have a few days to zerox and copy xray, even though its a 45 min drive.
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“I exist as I am, that is enough.” Walt Whitman

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#1051292 - 05/16/10 09:15 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
meonlyits Offline
GRAND Pooh-Bah

Registered: 08/23/09
Posts: 2465
I called the hospitals where the ortho records are. Got medical records dept and sweet talked the woman who answered. By that I told her my story, how dd's been out of commission for a whole school year, how it's nothing against their doctors, I just think a specialist is the best idea to be extra safe. First I checked w/her to make sure she had time to hear this. I can't stand it when folks launch into some long story when one is too busy to listen.

Anyway she agreed w/my knee specialist approach, she has kids too and would do the same. She told me how to get and mail the form. She told me to send it her attn and she would make sure to get it ready asap for me as I have a week plus b4 the next appnt.

I told her I would come p/u the copies when they were ready coz who can trust the USPS! She laughed and told me she would call me when they were ready and to put that info on the phone.

Folks can be nice. Sending the form priority mail, Monday morning. It will make it stand out more too. Gonna circle her name (only first names allowed) in some bright marker too.

Odd how getting med records can be so hard. Expensive too. I looked at the form and I think it's gonna be like $20 if not more.

Meanwhile DD seems ok. She had a playdate yesterday which went well, but her gate is off still. Doesn't want to bend that knee. I am gonna tell her PT to go slow till I have the MRI and know for sure what's up.

Also, once I have the MRI and know there is not any of those injuries MMYP discussed, I can push dd harder. I am hoping that younger healing equals better healing.

And Bryan's Fan, again just hearing about how you balance your mothering w/your respect of your son's freedom and desires (athletic) has inspired me. You have to do this everyday. So far I am only on a year and hoping it will be a distant memory in another year.
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#1051601 - 05/17/10 08:58 AM Re: PT Tendonitis in Right Foot and Bruised Knee in Left Leg [Re: meonlyits]
BryansFan Offline
Board Addict

Registered: 08/07/07
Posts: 301
It sounds like you are on the right track, Meon and hopefully all will fall in to place before the ortho visit.

It is a catch 22, I guess. I know it would be wonderful news to find out nothing is seriously wrong, but at the same time, if the new ortho doc/MRI do find something, you will at least feel more impowered knowing what to work with.

When I can get online and research a condition, I feel much bettter about tackling it!! The unknown is just plain scary.

I do hope though that it isn't something serious and that she will heal quickly and correctly, with no long term affects.

There is hope that my son will grow out of his problems completely. Actually, it is fairly common, so I am just hoping to see him through the best part of that and not hamper his choices. If he is going to hurt anyway, he may as well be doing something he loves. His Doc is also under the theory that the more physcially active he is the better chance for no long term affects. It is hard though when his knee is swollen and he is limping off the field, not to tell him he can't go back the next day!!! I just bite my tongue, hand over the ice back, check to make sure the swelling isn't at a level the doc would say to "quit" at and keep going!!

Keep us up to date with the process. I really am rooting for you both!!!

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