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Knee injury


stardancer

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Hi

My daughter injured her knee last april 'cartlidge damage'she has had physio and a sports therapist since may'the shaking stopped 'then she started back at ballet in december'after knocking it on the stairs'her knee buckled'she cannot climb the stairs 'the shaking came back.

Her sports therapist said she needed it operating on asap'but today her orthopedic surgeon says time will heal'and knee surgery will not help cartlidge damage and she may need to live with the shaking and not walking 'any advice 

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Define ' shaking' in this context  ...   providing advice on injury   remotely is fraught   enough  as it  is but  without a clear understanding of the  symptoms and signs  it;s near impossible.

The Surgeon is  probably correct  in that  Invasive procedures for cartliage issues can do more harm than good. 
 

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Hi my lovely 

Every time she bends or does squarts /stretching/walking"her bad leg uncontrollably starts shaking'sitting is the only time it stops'her mri said her knee took a knock leaving cartlidge damage 'so straightening 'bending and climbing will be difficult 'but after 3 months of physio 'whom is his wife)she should be back to ballet last july'if by chance she is one in a million it does not work he will operate 'but he cannot remember saying this even though he wrote to my doctor 'recommending this.

Her sports therapist recommends a procedure of washing the knee out or stem surgery 'but the surgeon is having none of it

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Hello Stardancer,

 

I'm sorry to hear that your DD is injured.  It is not possible for Forum members to provide advice about an injury.  

 

All I could suggest is that if you are getting conflicting advice would it be possible to ask for a second opinion?

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I do a class at a big open studio in London. One of the things the teacher says at the beginning of the class is "If anything hurts, stop doing it and call me over." 

 

I'd say that's excellent basic advice: stop doing anything other than everyday movement if it hurts! (so no squats or stretches) and get further medical advice. A good sports or dance physiotherapist is a godsend. 

Edited by Kate_N
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Hi

My daughter has a excellent sports therapist 'who recommended my daughter have an operation 'after Four sessions a week since may'he thinks it is flooting cartlidge.

He sees my daughter go through pain and hard work since may and has become part of our family 'when the orthopedic surgeon has no idea.

I have asked for another referral today 'and mothers instinct is telling me something is wrong

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I will give you the same advice as I would anyone who isn't happy with the medical care they/ their child is having - get another opinion.

Of course the difficulty when you have multiple opinions and they say different things is that they could all be right. There is not necessarily one correct course of treatment with all other opinions being "wrong". It's quite possible that more than one option could be effective. But when you get conflicting opinions as you are doing, getting a fresh pair of eyes can be helpful.

Personally, I would tend to fully explore all less invasive treatments before surgery in a young person, unless there was a strong body of expert opinion recommending it, so I would definitely be looking for at least one, maybe more additional opinions.                     

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The thinking regarding knee surgery for cartilage injuries has changed in recent years. Arthroscopy surgery is now NOT recommended unless the persons knee is constantly locking or giving way. If there's no locking/giving way, the recommended course of action is strengthening the knee and hip and careful monitoring while the inflammation is allowed a chance to settle down. Therefore the surgeon is most likely keeping in line with current advice. But like other posters have said - seek a second opinion if you're that concerned.

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Thanks pups mum 

An operation is not my first option' either'after my dd had her mri the consultant said that she was very lucky'as her injury would need 3 months physio 'then slowly back to ballet in july last year 'with full range for september'her sports therapist said the same'back she went in july 'then collapsed so more physio 'then Sept "her legs buckled 'so more strength training massage'rest good diet.

December came back to ballet 'and now her leg shakes more now she finds it difficult to walk and limps'she cannot straighten it'she still goes to the gym but cannot jump run or skip'and walk properly'she is in pain most days 'and feeling very sad'we have tried everything'so it is either sit it out and pray for a miracle'or surgery. 

We are also limited to where we go as her knee buckles most days'today was really bad after strength training her knee gave way down the stairs 'and she fell down' leading to a trip to casulty 'just bruised but probably mentaly battered more

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11 hours ago, Mummy twinkle toes said:

Emphasise to him the level your Dd is working at in regards to ballet.

Hugs and kisses to you both xx

 

 

If a child has a cartilage injury so serious that she can no longer walk up stairs and which threatens to hinder her mobility for the rest of her life, I think where she's 'at' in terms of ballet is somewhat redundant and not the issue. The focus is on enabling her to live as mobile and pain free a life as possible, it's serious. Ballet is the least of 'stardancer's concerns I'm sure, she's a parent first, not a 'ballet mummy', as well it should be.

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35 minutes ago, proballetdancer said:

 

 

If a child has a cartilage injury so serious that she can no longer walk up stairs and which threatens to hinder her mobility for the rest of her life, I think where she's 'at' in terms of ballet is somewhat redundant and not the issue. The focus is on enabling her to live as mobile and pain free a life as possible, it's serious. Ballet is the least of 'stardancer's concerns I'm sure, she's a parent first, not a 'ballet mummy', as well it should be.

 

I absolutely agree re. the injury, but let's not berate people for being kind or having good intentions.  :)

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2 hours ago, Anna C said:

 

I absolutely agree re. the injury, but let's not berate people for being kind or having good intentions.  :)

 

 

Anna, if a surgeon is presented with a child with an injury so severe she can no longer walk normally, without pain, a limp or the leg failing entirely, where some form of permanent disability could be a likelihood and the mother makes an issue about her child's ballet career he's going to think the mother either callous to the point of abusive or crazy.

 

I have no problem with good intentions and kindness, but like the mother whose daughter had been abused, undergone counselling and was prone to depressive episodes, insisting that all the daughter needed was better technique, sometimes ballet has to be put aside. Children's health physical and mental is paramount.

Edited by proballetdancer
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I hope you get the answers and treatment required. Speaking from similar experience, my knee buckled when walking, stairs were avoid as much as possible etc My knee consultant, who was specialist in sporting injuries and who my Physio had recommended  ( I use to run long distance, marathons,) wanted to avoid surgery because it’s 50/50 as to whether it works or how long for suggest a personal trainer and to work on core strength. Sounds odd I know, especially as I had good core strength BUT a year later I ran a marathon. It was hard work and at times seemed crazy, touch wood 5 yrs on my knee is as good as ever. I would never have thought of seeing a personal trainer but I am so glad I did.

Goid luck  

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23 minutes ago, bangorballetboy said:

I make a request that posters remain civil to one another. 

 

I’m not sure that that sort of response followed by closing the thread when a particular poster exploits the rules to be rude is really going to work.

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1 hour ago, Fiz said:

How judgemental are you! You don’t know either of the mothers or their dds yet you presume to trash them!

 

I wasn't 'trashing' stardancer at all, indeed she liked my post. I was commenting on the fact that she's clearly a mother who's deeply concerned about her daughter's future and welfare and for her ballet is not the issue, her daughter leading a pain free, healthy fully functioning life is. I was commenting on this case that perhaps telling her to inform her surgeon, whose own concerns will mirror hers, about her daughter's ballet level isn't the issue.

 

Likewise, I won't rehash that previous thread, but I absolutely stand by everything I said. A child's health and future is vastly more important than ballet. End of.

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Stardancer, I asked upthread how old your dd was - the reason being that possibly the best thing she needs is a year completely off dance, to give everything a chance to settle down and begin to heal. After that, then the slow process of physio-supervised strengthening/rehab, and beginning dance again once she is given the go-ahead from the surgeon. This may be really difficult if she is vocationally-minded and will soon be thinking of auditioning, but it may be the best option in the long run.

 

There is no easy answer, but some injuries take a very long time to get over, if at all. There may be the sad possibility that the damage is such that she may not be able to return to dance at all.

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1 hour ago, Colman said:

 

I’m not sure that that sort of response followed by closing the thread when a particular poster exploits the rules to be rude is really going to work.

 

Sadly, sometimes we're not left with any choice but to follow that plan of action, Colman. 

 

Let's hope that everyone can remember the forum rules of being respectful to other posters. 

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28 minutes ago, taxi4ballet said:

Stardancer, I asked upthread how old your dd was - the reason being that possibly the best thing she needs is a year completely off dance, to give everything a chance to settle down and begin to heal. After that, then the slow process of physio-supervised strengthening/rehab, and beginning dance again once she is given the go-ahead from the surgeon. This may be really difficult if she is vocationally-minded and will soon be thinking of auditioning, but it may be the best option in the long run.

 

There is no easy answer, but some injuries take a very long time to get over, if at all. There may be the sad possibility that the damage is such that she may not be able to return to dance at all.

 

Thank you for taking the thread back on track, taxi. 

 

Stardancer, please do let us know how the appointment goes, won't you.  It sounds as if your daughter is in an awful amount of pain, and I hope the Consultant understands just how bad things have become.  Sending best wishes for a constructive appointment.

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Thank you everyone for taking the time to reply.

The same orthopedic surgeon we had seen last may'suggested that my dd had an operation if by August last year there was no improvement. 

It never entered my head  surgery 'as i thought 'physio  would do the trick'time and patience 'physio did not work'so we moved on to a sports therapist 'which my dd is still seeing 'he said today how sad and angry that my dd has to be put through this 'and if he had the money he would pay for her to have the surgery .

So between my mum and me 'selling a few stuff 'and taken on extra work between us 'we can at least pay for the mri next week.

Also her sports therapist suggested fundraising too.

I will keep you posted when my dd gets her results.

And to mummy twinkle toes'we miss you so much 'you and your beautiful dd

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Pro ballet dancer please take time before you reply. I am a health professional and know the people concerned. I was not suggesting they do not get the help they need. However, when treatment is being offered it is helpful to know what people do. Risks and benefits can be properly assessed and treatment tailored to the individual.

Stardancer miss you too xx

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Just now, Mummy twinkle toes said:

 However, when treatment is being offered it is helpful to know what people do. Risks and benefits can be properly assessed and treatment tailored to the individual.

Definitely. The best plan for any injured dancer is to try and see medical professionals who have an understanding of dance. GPs and hospital doctors will have experience of sports injuries, but few of them will have any knowledge of dance at all.

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  • 2 months later...

Hi everyone 

An update on my dds injury,what a nightmare my poor dd has been through, to be told there was nothing wrong on her recent mri/xra.

The orthopaedic surgeon decided she will.have to live with her limitations of not walking,and get on with life,and no operation needed, just psychological unstable, by three surgeon,s three physios, one radiologist, and ten doctors,and her dance teacher,and so called friends,have just left her alone,no get well or any thought,which is very sad, what has happened to human kindness.

So I decided to max my credit card,and to book a top surgeon, who found out my dds knee is not in the socket, leaving cartlidge damage/fluid,and if it had not been treated soon,it would of turned to many problems including being in a wheelchair. 

He is going to operate soon,privately, and he is kindly going to fund this through a trust.

We are lucky to have found him,but in the mean time I am in the process of medical negligence.

I hope no parent or child will ever go through what my dd has been through, and still is,the saddest part for my dd will always be,out of site out of mindxxxxxx

 

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