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View Full Version : Knee effusion...excruciatingly painful!



dandoon_88
04-08-2008, 01:34 AM
Hi all,

I hope everyone's doing well. I'm been mostly down (healthwise) lately.

The latest thing is that for 2 days I could hardly bend my right knee and on doing so it hurt real bad. When driving and walking became torture, I decided to see a rheumy yesterday. Turns out that I have water on my right knee.
I had a joint fluid aspiration (withdrawal of excess fluid using a needle and a syringe) and he injected cortisone to reduce inflammation.

I still cannot bend my right leg and I literally have to be carried everywhere. Makes me wonder if I can ever live alone one day!

Anyway, the rheumy said it was a result of lupus activity because I haven't been taking my meds regularly in the past couple of weeks. This is the first time I suffer joint inflammation since my diagnosis four years ago though.

Has anyone had a knee effusion (medical term for water on the knee) before? Can you tell me more about your experience? When should I expect to be able to use my knee normally again?

Thanks!! Dina

sits_inthe_corner
04-08-2008, 02:31 AM
:) Hi ya dandoon_88

I'm the queen of fluid on the knee. I've had both knees drained several times. And I've had cortisone shots in both knees twice.

I hope you did everything by the book as far as staying off your legs as much as possible for the first 6 days after the shots. It really is important to let the cortisone stay in the joint and do what it needs to do. The more movement the more you are leaching the cortisone out of the joint.

I know how much discomfort and pain you are in. Rest is the best thing right now. After the six days have past it's important to start moving. I dont care how good you feel...do NOT over do it! Move yes...but dont go running out and start gardening or what ever...go for little GENTLE walks. Did I mention DO NOT OVER DO!

Hopefully the cortisone shots will work for you. Basically the stuff is eating all the crud in your knee joint. My boss had his done one year before I had mine done. He's doing wonderfully ... he's still not having any problems.

As for me...I had about a week after the six day period that was swelling free and pain free.

That was it.

It was done a second time 3 months later...nothing. Misserable.

My family doctor started me on arthrotec 25 and then upped it to arthrotec 75. It's cut my pain and my swelling in half. Which is a blessing.

I know long walk with a cane though I keep them handy for bad days. I wear a Tensor soft sided velcro wrap around knee brace when I'm driving or doing house work. I can only stand to wear for about an hour or so...then it feels just as good to get it off as it did when I first put it on.

I do NOT recommend hindge knee braces. They are supposed to aligne (spelling sorry I am a terrible speller :D) the knee joint. I was fitted by a "specialist" and I just want to beat him with it.

He said to keep wearing it even though it cause me GREAT GREAT amounts of pain and I listened to him cause I figured he knew what he was talking about....He didn't! I almost landed in a wheel chair cause of that idiot and it took me months for my knees to forgive me. They are aslo very expensive.

Any way :lilangel: you may want to try a soft sided knee brace...get the wrap around one so you can put it on and take it off easily and you can adjust the size as needed depending on your swelling. Do not wear it till you have passed your six day mark with the cortisone shot.

Compression socks...you can buy then at the drug store. I'm not talking about the ones you get fitted for. Those are too expensive and not worth the money.

These ones are labeled for diabetics. The come in white and black they are thick soled and stop below the knee. Keep them by your bed and befor you get out of bed in the morning put them on. They help control the swelling through out the day.

Summer is coming and I know I wont want to wear them...I'm a bare foot kinda girl so it's going to drive me nuts. I'm thinking of cutting the feet off a pair and see if I can wear them with my toes sticking out.

If you choose to get a cane. hold the cane in the hand opposit to your sore knee. As you step down on your sore knee weight bare on the cane. It takes some partice to get you rythem going...but that's the best way to walk with a cane. Most people try to use the cane on the same side as their sore knee but it's actually the opposite.

I dont know what climate you are in but here goes another shameless plug for satin pajamas and polar fleece bed sheets oh ya and a body pillow :lol:

How's your wallet book doing? Satin jammies help you turn over easy. Sparing your sore joints from being jarred. It also makes getting out of bed easier.

Body pillow $14 at wal mart. The pillow is a five foot tube, it's great for sleeping on your side with your leg braced over the top of it. I also have arthritis in my rib cage so it helps support my upper body as well.

Polar fleece sheets. $40 for queen size sheets where ever bed sheets are sold. I live in eastern canada...it's still very cold here and makes my joints ache like crazy when I get into a cold cold bed. The polar fleece does not seem to get cold. I slide into a warm comfortable bed. zZZZZzZzZZzzz all night long except for a cat who feels a need to massage my knees for me int he middle of the night. :shock:

One more thing...I'm on a roll...A very Long handled shoe horn...I love mine, and so does my cat...he thinks it's his.

dandoon_88
04-08-2008, 04:15 AM
Hi to you sits_inthe_corner!

That was loads of info and answers to many questions I had thxx soooo much!!
Thanks for all the advice..the doctor who aspirated my knee joint disappeared immediately after it and didn't tell me when to start moving it etc.
But the problem is I start college again next week and will be moving quite a lot. So I think my best option is to buy a cane--brings me one step closer to Dr. House;)--and try that knee brace after the 6 days have passed.
I'm seeing my doc tomorrow anyway and I'm waiting to see what more he has to say. I'm just surprised because I never had any joint inflammation or pain with lupus. But I guess with lupus we get to try everything!
I'll let you know how I'm doing though 6 days sound like a looongg time!
Take care.
P.S. I live in Kuwait and it's summertime here.

dandoon_88
04-08-2008, 04:17 AM
Hi to you sits_inthe_corner!

That was loads of info and answers to many questions I had thxx soooo much!!
Thanks for all the advice..the doctor who aspirated my knee joint disappeared immediately after it and didn't tell me when to start moving it etc.
But the problem is I start college again next week and will be moving quite a lot. So I think my best option is to buy a cane--brings me one step closer to Dr. House;)--and try that knee brace after the 6 days have passed.
I'm seeing my doc tomorrow anyway and I'm waiting to see what more he has to say. I'm just surprised because I never had any joint inflammation or pain with lupus. But I guess with lupus we get to try everything!
I'll let you know how I'm doing though 6 days sound like a looongg time!
Take care.
P.S. I live in Kuwait and it's summertime here.

dandoon_88
04-08-2008, 04:17 AM
Hi to you sits_inthe_corner!

That was loads of info and answers to many questions I had thxx soooo much!!
Thanks for all the advice..the doctor who aspirated my knee joint disappeared immediately after it and didn't tell me when to start moving it etc.
But the problem is I start college again next week and will be moving quite a lot. So I think my best option is to buy a cane--brings me one step closer to Dr. House;)--and try that knee brace after the 6 days have passed.
I'm seeing my doc tomorrow anyway and I'm waiting to see what more he has to say. I'm just surprised because I never had any joint inflammation or pain with lupus. But I guess with lupus we get to try everything!
I'll let you know how I'm doing though 6 days sound like a looongg time!
Take care.
P.S. I live in Kuwait and it's summertime here.

dandoon_88
04-08-2008, 04:21 AM
I'm so sorry guys..my message was posted 3 times; I guess it's because the server was too slow and I clicked the Submit button too many times.
I tried deleting but it wouldn't.
Sorry once more;( shows how impatient I am!

sits_inthe_corner
04-08-2008, 04:56 AM
:lol: No problems dandoon_88

You may want to give the polar fleece sheets a miss then. You are probably quite warm enough :)

The six day waite is for after you have the cortisone shot. You still dont want to go tap dancing after having your knee drained. If you haven't had the cortisone shot yet, by all means wear the knee brace now. Dont worry about keep it on when it starts to annoy you. Listen to your body when it says Enough!

Ice your knee several times a day for no longer than 10 minutes.

It is important to keep moving. (that's aside from the six days of rest after the shot) There is a fine line with joints between moving around too much and not enough.

In order to keep the joints happy they need to move but no heavy weight baring like jogging or steppersize excersizes.

Swimming is good, walking is good. I have a stationary bike that reclines a bit. That's great.