Meniscus, Knee Pain

[title size=”1″ content_align=”left” style_type=”single” sep_color=”” class=”” id=””]Question[/title][testimonials design=”classic” backgroundcolor=”” textcolor=”” class=”” id=””][testimonial name=”” avatar=”male” image=”” image_border_radius=”” company=”” link=”” target=”_self”]Hi. I fell back in July 2, 2008, and it was a small room in a bathroom and, I fell underneath my right knee, and I hit my back and my neck. I didn’t feel the pain in my back and my neck initially. The knee was popped, and they told me I had a torn meniscus. I’ve had 3 surgeries to repair it. Now they tell me I hardly have anything there. It’s bone on bone, but I have severe pain radiating around my neck, around my shoulder around the scapula area rather, and then I have this pain from the Lumbosacral area, down to my knee. I thought it might be sciatica[/testimonial][/testimonials][separator style_type=”none” top_margin=”” bottom_margin=”20″ sep_color=”” icon=”” width=”” class=”” id=””][title size=”1″ content_align=”left” style_type=”single” sep_color=”” class=”” id=””]Answer[/title][testimonials design=”classic” backgroundcolor=”” textcolor=”” class=”” id=””][testimonial name=”” avatar=”male” image=”” image_border_radius=”” company=”” link=”” target=”_self”]Well there are a couple things that can happen. The portion of the knee that actually experiences pain is the membrane that surrounds the bone. When that goes away, you really can’t experience much pain at all. So bone on bone really doesn’t mean, doesn’t mean a heck of a lot in terms of what’s causing pain.

Now, if you end up with inflammation within the joint, that’s a very different matter. So, the way you would sort that out would be to put a needle into the joint, draw off the fluid and see if there’s any pus in there. Hopefully there isn’t anything there that looks like chronic inflammation, or blood. There may be fluid, but usually there isn’t, so what you start doing is looking to other areas that cause these sorts of symptoms.

Generally speaking, you can almost always find it behind the knee, and this is where the surgical interventions really don’t seem to pay lot of attention, mostly because there isn’t any surgery to be done there.

So, the first thing I would have you do would be to look behind the knee to see if you damaged what’s called the tibial plateau, or posterior tibial plateau. More than likely that’s where your knee pain is coming from. The shoulder, it gets a little bit more interesting, so if you came down and either struck your head, or struck your shoulder, you can throw your shoulder forward, and develop pain in the anterior portion of the shoulder joint. That can give you pain right where your bra strap goes across the back.

I would be looking where the pectoralis minor runs across to the humerus. To the coronoid process of the shoulder, and when that happens, it’ll cause pain in the shoulder, back behind the shoulder blade, and down to usually the thumb, index, and middle finger. If there’s going to be any radiation of pain whatsoever, you would think, “well gee, this must be a disc in my neck,” but usually not.

Most people run around with a disc protrusion, or disc herniation, and they have no symptoms at all. Why? Because a disc can herniate and there’s almost 11 to 12 millimeters of space between where that disc herniates in the walls. I mean, it takes a big, big herniation to cause any pain at all.[/testimonial][/testimonials]

David S Klein, MD

David S. Klein, MD, FACA, FACPM was born in Washington, DC, and was raised in Chevy Chase, Maryland. He completed his undergraduate education at the University of Maryland with degrees in Chemistry and Psychology.

Medical School was completed at the University of Maryland at Baltimore, followed by Internship in General Surgery at the University of North Carolina and Residency in Anesthesiology at the Duke University, Durham, North Carolina. Dr Klein has been practicing medicine since 1983, concentrating in Pain Medicine, Minimally Invasive Medicine and Surgery, and Neuroendocrinology. Earning Board Certification in Anesthesiology, Dr. Klein was elected Fellow in the American College of Anesthesiology, and he was elected Fellow in the American College of Pain Medicine. He is currently an adjunct Associate Professor at the University of Central Florida, School of Medicine.

He has focused his private practice on treating patients with hormone imbalance issues, nutritional deficiency related medical problems as well as pain related issues and impairment. With a highly-complex, CLIA licensed laboratory in-house, he has been able to provide rapid-turn around analysis efficiently and cost-effectively.
Lecturing extensively nationally as well as internationally, Dr. Klein has authored many articles on topics relating to pain, injury and nutritionally modulated illness. His radio show, “Pain Free Living,” received top ratings during the 6 years it was on the air. Currently practicing in Longwood, Florida, Dr. Klein practices entirely in the office setting.

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