Any doctors on this forum? Can you read this MRI report please

[Liaqat Hussain]

I had some issues with my knee so decided to get an MRI done and just got this report.

Can any of the docs on this forum please read and tell me what it says.

Thanks

 

[Baloch_1]

:( Oyeeee...I think you are going to have a mini stroke...

Have milk with turmeric.

 

[perfect janwer]

budy,,,,,please visit a good orthopadic surgeon,,,,,but i don't think it will be a big problem,,,,,reduction of meniscus and mild edema it can be treated with simple surgery....

 

[Surgeon]

Judging by your age=29 years, I assume that its an acute injury. Depending upon your life style and how much it is being affected by injury..... you might be kept under observation with knee brace for few months or you might have to undergo a minor repair surgery. Consult some Orthopedic surgeon.

 

[Ahud1]

arthroscopy kerwa lu agar ziada masla hey werna physio sey thiek hu jaey ga twist hu gaya tha ?

 

[intekhab]

Need some more info mate....like your age and sporting activities....by large it's not looking that bad....take care

 

[mnalam49]

Arey bhai apko Ulcer lagta hai ziada sey ziada doodh peo ta keh demagh taza rahey aur ulcer jai

 

[Liaqat Hussain]

Need some more info mate....like your age and sporting activities....by large it's not looking that bad....take care

Age is 33
This is a very old injury(7 years) but recently i started lifting weights so decided to get it fixed.

Doing leg press made my knee worst

 

[Liaqat Hussain]

budy,,,,,please visit a good orthopadic surgeon,,,,,but i don't think it will be a big problem,,,,,reduction of meniscus and mild edema it can be treated with simple surgery....

I'm seeing an ortho next week.

Couldnt wait until then so decided to ask you guys

 

[Liaqat Hussain]

:( Oyeeee...I think you are going to have a mini stroke... Have milk with turmeric.

Excuse me?

 

[Liaqat Hussain]

Judging by your age=29 years, I assume that its an acute injury. Depending upon your life style and how much it is being affected by injury..... you might be kept under observation with knee brace for few months or you might have to undergo a minor repair surgery. Consult some Orthopedic surgeon.

Acute, yes

Dont remember exactly what happened but i didnt bother about the injury back then.

I'm looking to make an active life style and cardio is a must part of it. Can't do that without fixing this.

Will be seeing an ortho next week or i will actually see a few of them to get several opinions

 

[jaanmark]

before you pay the fee ask what is mean dame doctor shame on such doctor who can explain what is they do and what the result is in simple word,

Reman malik get Doctor degree same as nawaz and zaradri and very soon altaf also get it

he is waiting for just Pakistani id and passport ,

Altaf has since 1992 teaport which is hold by local police

 

[intekhab]

Age is 33
This is a very old injury(7 years) but recently i started lifting weights so decided to get it fixed.

Doing leg press made my knee worst

Injury??? It looks like a pulp with fluid inside....how you got injured....was there a scar or it was just bruised?

 

[Liaqat Hussain]

Injury??? It looks like a pulp with fluid inside....how you got injured....was there a scar or it was just bruised?

Intekhab bhai i dont remember how i got this as it was a long time ago.
There was no scar or bruise as far i remember.

How do we usually get pulp or fluid inside?

If its constantly there for past 7 years what is the usual treatment?

 

[intekhab]

Intekhab bhai i dont remember how i got this as it was a long time ago.
There was no scar or bruise as far i remember.

How do we usually get pulp or fluid inside?

If its constantly there for past 7 years what is the usual treatment?

when does that hurt you ...walk or run?while gettin up...sitting down or is it constant?

 

[cityofsaints]

Reading your MRI report it appears that your knee menisci (the cushion between your knee joint) is being reduced in size. This could be a result of weight lifting or your lifestyle activities. Just because you do not have proper cushioning between your joints there is a rough movement when you strain your knees (cardio or weight lifting). Edema is also proving this phenomenon unless you had an injury.
All meniscal tears do not require surgery. It should first be treated with rest, conservative strategy. However, it also depends upon the patients lifestyle. I would not go for surgery if I can treat it conservately Posture change, rest etc. Check this youttube link, it may answer your question

https://www.youtube.com/watch?v=PWAm027JtjQ

 

[Liaqat Hussain]

Reading your MRI report it appears that your knee menisci (the cushion between your knee joint) is being reduced in size. This could be a result of weight lifting or your lifestyle activities. Just because you do not have proper cushioning between your joints there is a rough movement when you strain your knees (cardio or weight lifting). Edema is also proving this phenomenon unless you had an injury. All meniscal tears do not require surgery. It should first be treated with rest, conservative strategy. However, it also depends upon the patients lifestyle. I would not go for surgery if I can treat it conservately Posture change, rest etc. Check this youttube link, it may answer your question https://www.youtube.com/watch?v=PWAm027JtjQ

Thank you DR for writing in such details

You mentioned tear in your post but the MRI doesn't suggest that, only infection in there?

 

[IMKKK]

I'm seeing an ortho next week.

Couldnt wait until then so decided to ask you guys

before you go to ortho please visit 'Sialkot' there is some factories selling
godday,gittay........lol

 

[cityofsaints]

Thank you DR for writing in such details

You mentioned tear in your post but the MRI doesn't suggest that, only infection in there?

It does not suggest infection as edema is not significant. But you should keep an eye on your knee. As there can be a case of infection if it is acute (happened just recently). If your joint is swollen, red, warm and you feel feverish then see a doctor as missed infection in joint can lead to joint fusion.

But the way you described it, it does not look an infected joint.

Your case is most probably a result of meniscal (cushion) reduction. Your joint is not cushioned well. It is like friction, if there is more friction then there will be more inflammation and hence more fluid (edema). example: rub your hand on smooth surface and rub your hand on rough surface- you will get injury/inflammation on your hand.

I wish you all the best.

P.S I used the word "tear" for "regular wear and tear of life". Yours report said "attrition" --- in your case it suggests -- meniscus depth (cushion thickness) is less.

 

[Night_Hawk]

@123456 Please Read the following article.

[h=1]Knee MRI scan
[/h] Bookmark & Share Printer-friendly version



A knee MRI (magnetic resonance imaging) scan uses energy from strong magnets to create pictures of the knee joint and muscles and tissues.
An MRI does not use radiation (x-rays). Single MRI images are called slices. The images can be stored on a computer or printed on film. One exam produces many images.

[h=2]How the Test is Performed[/h]You will wear a hospital gown or clothes without metal zippers or snaps (such as sweatpants and a t-shirt). Certain types of metal can cause blurry images.
You will lie on a narrow table that slides into a large tunnel-like scanner.
Some exams use a special dye (contrast). Most of the time, you will get the dye through a vein (IV) in your arm or hand before the test. Sometimes, the dye is given into a joint. The dye helps the radiologist see certain areas more clearly.
During the MRI, the person who operates the machine will watch you from another room. The test most often lasts 30-60 minutes, but may take longer.
[h=2]How to Prepare for the Test[/h]You may be asked not to eat or drink anything for 4 - 6 hours before the scan.
Tell your doctor if you are afraid of close spaces (have claustrophobia). You may be given a medicine to help you feel sleepy and less anxious. Your doctor may suggest an "open" MRI, in which the machine is not as close to the body.
Before the test, tell your health care provider if you have:

• Brain aneurysm clips
• Certain types of artificial heart valves
• Heart defibrillator or pacemaker
• Inner ear (cochlear) implants
• Kidney disease or dialysis (you may not be able to receive contrast)
• Recently placed artificial joints
• Certain types of vascular stents
• Worked with sheet metal in the past (you may need tests to check for metal pieces in your eyes)

Because the MRI contains strong magnets, metal objects are not allowed into the room with the MRI scanner:

• Pens, pocketknives, and eyeglasses may fly across the room.
• Items such as jewelry, watches, credit cards, and hearing aids can be damaged.
• Pins, hairpins, metal zippers, and similar metallic items can distort the images.
• Removable dental work should be taken out just before the scan.

[h=2]How the Test Will Feel[/h]An MRI exam causes no pain.You will need to lie still. Too much movement can blur MRI images and cause errors.
The table may be hard or cold, but you can ask for a blanket or pillow. The machine makes loud thumping and humming noises when turned on. You can wear ear plugs to help block out the noise.
An intercom in the room allows you to speak to someone at any time. Some MRIs have televisions and special headphones to help the time pass.
There is no recovery time, unless you were given a medicine to relax. After an MRI scan, you can return your normal diet, activity, and medicines.
[h=2]Why the Test is Performed[/h]Your doctor may order this test if you have:

• An abnormal result on a knee x-ray or bone scan
• A feeling that your knee is giving away in the knee joint
• Buildup of joint fluid behind the knee (Baker's cyst)
• Fluid collecting in the knee joint
• Infection of the knee joint
• Knee cap injury
• Knee pain with fever
• Knee locking when you walk or moving
• Signs of damage to the knee muscle, cartilage, or ligaments
• Knee pain that does not get better with treatment

You may also have this test to check your progress after knee surgery.
[h=2]Normal Results[/h]A normal result means your knee looks okay.
[h=2]What Abnormal Results Mean[/h]Abnormal results may be due to a sprain or tear of the ligaments in the knee area.
Abnormal results may also be due to:

• Arthritis of the knee
• Avascular necrosis (also called osteonecrosis)
• Bone tumor or cancer
• Broken bone
• Buildup of joint fluid behind the knee (Baker's cyst)
• Infection in the bone (osteomyelitis)
• Inflammation
• Injury of the knee cap

Talk to your health care provider if you have questions or concerns.
[h=2]Risks[/h]MRI contains no radiation. There have been no reported side effects from the magnetic fields and radio waves.

The most common type of contrast (dye) used is gadolinium. It is very safe. Allergic reactions to the substance are rare. However, gadolinium can be harmful to people with kidney problems that need dialysis. If you have kidney problems, please tell your health care provider before the test.
The strong magnetic fields created during an MRI can cause heart pacemakers and other implants to not work as well. It can also cause a piece of metal inside your body to move or shift. For safety reasons, please don't bring anything that contains metal into the scanner room.

[h=2]Considerations[/h]Tests that may be done instead of a knee MRI include:

• CT scan of the knee
• Knee x-ray

[h=2]Alternative Names[/h]MRI - knee
[h=2]References[/h]Wilkinson ID, Paley MNJ. Magnetic resonance imaging: basic principles. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 5.
DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 23.
Grainger RG, Thomsen HS, Morcos SK, Koh DM, Roditi G. Intravascular contrast media for radiology, CT, and MRI. In: Adam A, Dixon AK, eds. Grainger & Allison's Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 2.