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Knees, when do you get an MRI?

Old 08-23-2015, 07:35 PM
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Default Knees, when do you get an MRI?

Age 41, been painful for the last year. Pretty hard on them. I'm 3 caps a day on glucosamine, cherry juice helped.

Scale of 1-10...1 being I've got a debilitating headache, and 10 being I need an epidural to function..

I'm about a 3 every morning when I wake up, about a 5 when I lay down at night. Getting to the point where I can't kneel in my right leg anymore without grimacing.

Hate to pay for it, but I'm thinking some cortizone shots would keep me functioning.

Edit to say...I don't feel any bone on bone, so I don't think it's a cartilage issue, they just hurt daily...what say the brain trust?
Old 08-23-2015, 07:48 PM
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First of all, get a regular exam. Preferably by an orthopedic surgeon.
You may only have a meniscal tear causing all your problems. Joint line tenderness during a proper exam is the symptom for a cartilage tear. Mine went in my early 40's.

I lived with the pain for 9 months. Surgeon fix'd it with surgery in 50 minutes. Go see somebody for a proper workup.

Regular films and perhaps MRI if there is suspicion of bone on bone arthritis.
Old 08-23-2015, 07:51 PM
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As stated above.
Old 08-23-2015, 08:15 PM
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Any swelling in your knee joint?

Is your knee painful to press on it? If so, where (front, side, etc.)?
Old 08-23-2015, 08:24 PM
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Cortisone works for a while.....then it don't. I'm dealing with both knees. One is bone on bone ground flat. Needs a replacement. The other went out a couple years ago with a meniscus tear. I just had orthoscopic surgery 3 weeks ago on the second one. I'm coming around now, feels a damn sight better without the crunchy egg shell feeling. See a good ortho doctor and remember ice is you friend.
Old 08-23-2015, 08:49 PM
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I have some swelling in the right knee, but not painful..consistant swelling...getting off it on the weekend drops the swelling, not working.Sides swell.

If I go to an Ortho, what am I looking at $$$ wise?

1000$ buy's a lot of Advil.
Old 08-23-2015, 09:17 PM
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Hello, They will do a x-ray first to tell if it is arthritis, if it is there is several treatments, the best one I have seen is a series of 3 shots one week apart called Ultra Flex. I'm 65 and it has done a great job for my knee, has lasted for ten months so far. Good Luck Jim
Old 08-23-2015, 09:25 PM
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Originally Posted by outerbanxer View Post
I have some swelling in the right knee, but not painful..consistant swelling...getting off it on the weekend drops the swelling, not working.Sides swell.

If I go to an Ortho, what am I looking at $$$ wise?

1000$ buy's a lot of Advil.
I would get the MRI before going to the orthopedic. Otherwise ur first visit will consist of a brief exam and then he will order u an MRI and have you come back for follow up after MRI. Increasing your out of pocket expenses.
Old 08-23-2015, 10:10 PM
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Originally Posted by jdiddy101 View Post
I would get the MRI before going to the orthopedic. Otherwise ur first visit will consist of a brief exam and then he will order u an MRI and have you come back for follow up after MRI. Increasing your out of pocket expenses.
Sounds like a good plan...I can get an Mri for about 250 focusing on the knee...then take it to an ortho...
Old 08-24-2015, 02:26 AM
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Glucosamine SULFATE. only thing that works...
Old 08-24-2015, 05:55 AM
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See a good orthopedist and see what can be done.
Old 08-24-2015, 07:50 AM
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The shots work for some time. Short for some longer for others. I did the cortisone for a number of years. I screwed it up skiing when I was 21. Lots of fluid drained. I nursed it back to health and resumed normal activities. I torn the miniscus in 2006 playing racquet ball. Had orthoscopy. Total failure as far as I'm concerned. I had a knee replacement last year. Took 1.5 years to feel right. Delay a replacement as long as you can. If it becomes bone on bone, then make a decision. A knee replacment is not as good as OEM. I can't kneel on it without a thick cushion. As my surgeon told me, if you go back to running and playing racquet ball you'll be back in 8 years for another. Otherwise you should be good to go for 18 to 20. I'm 65.
Old 08-24-2015, 08:30 AM
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Tore my meniscus in the spring. I've been taking Osteo Bi-Flex everyday, and it feels fine. It is a little stiff at times, but no pain. Doc does not recommend surgery, just PT. I can't run too much, because that aggravates it, but other than that, no issues. I have also had cortisone injections and they work for a while, but can't do them long term, due to damage down the road.
Old 08-24-2015, 08:48 AM
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Originally Posted by jdiddy101 View Post
I would get the MRI before going to the orthopedic. Otherwise ur first visit will consist of a brief exam and then he will order u an MRI and have you come back for follow up after MRI. Increasing your out of pocket expenses.
Doubt you will get a MRI without a referral from an Ortho, just doesn't happen like you think.
Old 08-24-2015, 09:15 AM
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Originally Posted by 2dogs1949 View Post
The shots work for some time. Short for some longer for others. I did the cortisone for a number of years. I screwed it up skiing when I was 21. Lots of fluid drained. I nursed it back to health and resumed normal activities. I torn the miniscus in 2006 playing racquet ball. Had orthoscopy. Total failure as far as I'm concerned. I had a knee replacement last year. Took 1.5 years to feel right. Delay a replacement as long as you can. If it becomes bone on bone, then make a decision. A knee replacment is not as good as OEM. I can't kneel on it without a thick cushion. As my surgeon told me, if you go back to running and playing racquet ball you'll be back in 8 years for another. Otherwise you should be good to go for 18 to 20. I'm 65.
I had both knees replaced (one at a time) and it took about 15 months before I could kneel on them without discomfort. Now the only time I think about them is when someone asks.
Old 08-24-2015, 10:05 AM
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A good ortho will take an X Ray right there in the office. In my case, the shot has worked fine; I have a great ortho who is very pragmatic (same guy who lashed by achilles back together). The cost is whatever your co-pay is. Advil will just allow things to get worse. No one here can give you valid advice on this, someone who knows what they are doing needs to look and see what's wrong with you.
Old 08-24-2015, 10:12 AM
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Are you on a statin? I took a low dose of pravastatin and one of my knees was so bad it was hard to walk and woke me up at night. Quit the statin for a while and took a NSAID and knee feels a LOT better. Went back on the statin and it's back to hurting again.

98% sure it is the cause......took me years of pain to figure it out.
Old 08-24-2015, 10:43 AM
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Originally Posted by Kenner 23 View Post
Doubt you will get a MRI without a referral from an Ortho, just doesn't happen like you think.
Ok let's see how it works then. I am assuming OP has seen his PCP in last year if he is now considering MRI and already knows the cash price for scan. Pain and swelling has lasted longer than 4 weeks with no relief (this alone justifies MR). So why spend the extra few hundred for ortho to order MRI when his primary care can do and visit will be a lot cheaper.
Old 08-24-2015, 10:53 AM
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Originally Posted by jdiddy101 View Post
Ok let's see how it works then. I am assuming OP has seen his PCP in last year if he is now considering MRI and already knows the cash price for scan. Pain and swelling has lasted longer than 4 weeks with no relief (this alone justifies MR). So why spend the extra few hundred for ortho to order MRI when his primary care can do and visit will be a lot cheaper.

Regular practitioner most likely has no clue what he will be looking at.

What does you regular doctor say if you call him and say your having chest pains?
Old 08-24-2015, 11:28 AM
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Originally Posted by jdiddy101 View Post
Ok let's see how it works then. I am assuming OP has seen his PCP in last year if he is now considering MRI and already knows the cash price for scan. Pain and swelling has lasted longer than 4 weeks with no relief (this alone justifies MR). So why spend the extra few hundred for ortho to order MRI when his primary care can do and visit will be a lot cheaper.
PCP will refer to Ortho not MRI center, it's a CYA world.

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