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Saw the Orthopedic doctor

February 16, 2010 2 comments

Finally made it to bring my MRI film to the orthopedic doctor.  Apparently the MRI office didn’t include all of the usual film sheets that this doctor is used to.  He inspected the ones they did provide and pointed out the very small horizontal tear that showed up.  The doctor however was “unimpressed” with the cyst.  He mentioned cysts were common in meniscus tears and he wasn’t concerned. He also explained a horizontal tear is a way I could picture.  It is not like a tear on a piece of paper but it is more like a tear as if you were slicing a bagel.  So to scope it and “trim” the tear would essentially make the meniscus more thin in that area.

He did a bunch of leg twists to see how stable my knee was and to check for any pain.  There was no pain or tenderness.  And there really hasn’t been pain or swelling in the last few weeks.  He said he would not reccommend surgery at this time.

He said to resume normal running activity and monitor the knee.  If it starts to swell again or becomes painful, surgery may be necessary but for now back to the streets 🙂

Maybe it will actually heal.  I am doing some ultrasound on it, also making sure I’m keeping my hamstrings stretched.  I am also applying MSM cream nightly, which is supposed to restore collagen tissue.  Meniscus are composed of some collagen fibers, so it’s worth a try….

The long awaited MRI results are in….

February 7, 2010 3 comments

Drum roll please…….And the winner is……tear of the meniscus.. 😦  A horizontal cleavage tear of the posterior horn of the medial meniscus to be exact.  AND and a special bonus that only 5% of meniscus tears get…a parameniscal cyst (I guess I’m an overachiever).  Awesome right?  Yeah that’s what I thought too, awesome.  Well, I haven’t seen the doctor yet to hear what he thinks but I got the results mailed to me.  I thought they would send the MRI pictures, but they sent a diagnosis in words.  That is probably better since I’ve been studying MRI pictures online for a month now and still have see what the descriptions are talking about.

What is a parameniscal cyst….good question, here is the answer,

Definition: A meniscal cyst is an outpouching of joint fluid caused by a tear within the meniscus. Meniscal cysts are most commonly seen near the lateral meniscus (outside of the knee) and are associated with a specific type of meniscal tear called a horizontal cleavage tear. Meniscal cysts can be drained with a needle in the office, but they will often come back. The reason for the return of the meniscal cyst is that the tear that leads to the cyst must also be treated. The meniscal cysts are usually best treated with arthroscopic treatment of the meniscal tear. The meniscal cyst will usually decompress and less commonly returns.

Meniscal cysts are related to popliteal or Baker’s cysts–however, these types of cysts are located in the back of the knee joint.

Although, my tear was not in the lateral meniscus, but the medial (inner part of knee).  So my original thought of an inflamed bursa sac was incorrect, it was actually the cyst that was bulging out of my knee, I guess.  At least it is much smaller now, 6mm to be exact.

I’m not too worried.  Although not the greatest news, I can handle it.  I will have a doctor visit hopefully sometime next week to get his thoughts on the next step.  Meanwhile I will strengthen my leg muscles as much as possible to help with a speedy rehab (assuming of course, I go under the knife).

I am confident in a quick and full recovery.  Boston Marathon plans will obviously have to be put on hold until next year.

Not mine, but an MRI of cyst and tear

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