FOAK: Knees

You're a priest or you work at a Gloryhole... sorry, same thing.

 

Non-destructive testing...

 

Catilage damage? See you doc... Knees, you don't really wannabe
without them... See your doc before it gets worse, don't suffer, as I
did for 6 months, before having the op...

Good luck with it, hopefully it's nothing serious...

 

Its fucked - I'll give you a tenner for it

 

There you go. Slaloming in your sleep.

 

Cane wrote

I get that, particularly in my right knee, it is a proper bugger and
really only shows up when on a bike. If the bike is moving, even just
an inch and my right foot is in contact with the ground it fucking
hurts. "Fair wear and tear," the quack says, "now **** off and let me
get on with treating sick people." Hey ho.

Nope.

 

Yes. It'e very effective at penetrating into the joint.

Wrong. It diffuses through the various body tissues. Take-up into the
blood stream is much slower, thankfully, otherwise the stuff would be
no good whatsoever.

And only a very small proportion of it then reaches the required area.
Indeed, only a small proportion of it even gets into the blood in the
first place - the gut is not an ideal environment for drug uptake.

You are. Very much so. Topical anti-inflammatories are _much_ more
effective for joint problems (talking here about OTC drugs), as they
allow a much higher active dose at the swelling/pain site than could
reasonably (i.e. without risking severe adverse reactions) be attained
via the oral route.

--
_______
..'_/_|_\_'. Ace (brucedotrogers a.t rochedotcom)
\`\ | /`/ GSX-R1000K3 (slightly broken, currently missing)
`\\ | //' BOTAFOT#3, SbS#2, UKRMMA#13, DFV#8, SKA#2, IBB#10
`\|/`
`

 

I recently have/had a similar type of thing, I believed it tobe a loose
piece of crud from the kneecap which I damaged in the '80s. An examination &
x-ray failed to show anything other than some arthritis in the joint.
They all do that Sir.
After a couple of months it disappeared overnight. So I still believe it was
caused by crud which could drift into the joint again at anytime. Of course
this minor agravation is no reason to use a much more expensive scan to id
the problem. Perhaps if I were foreign...

 

Could be a torn cartilege and / or damaged ligaments casued lateral
instability. I have lived with it for twenty odd years after a (its a
football injury) but it seems to betting worse now I no longer sit on
my arse in an office all day but do manual work instead.

 

ACL (Anterior Cruciate Ligament) - a lot of NFL players get that injury
and talk about it in similar terms.

Phil

 

Yes. They put a lot of work in to get the active compound past the skin
barrier. I'd hate to think it was entirely wasted.

Err - in the case of the knee then there is very little between the
skin and the joint. The synovial membrane is pretty much just under the
skin. And very little of it actually gets into the blood - from memory
it diffuses through the intra-cellular fluids.

A lot less gets to the site when you take it orally. It's better for
taking stuff that you want to affect a lot of sites but for specific
sites then a good topical ointment is better.

On UKRM? Perish the thought.

Phil

 

Aha, that'll be it. I was playing wide receiver for the Chicago Bulls
last week.

 

I've use Voltaren and Ibulieve gel (amongst others I can't remember)
and never found them bad on the leaving it sticky front, which is
something I don't like either. So maybe it's just your brands.

--
_______
..'_/_|_\_'. Ace (brucedotrogers a.t rochedotcom)
\`\ | /`/ GSX-R1000K3 (slightly broken, currently missing)
`\\ | //' BOTAFOT#3, SbS#2, UKRMMA#13, DFV#8, SKA#2, IBB#10
`\|/`
`

 

Heh.

So have you seen the doctor yet? I await confirmation of my 'cartilage
damage' diagnosis.

--
_______
..'_/_|_\_'. Ace (brucedotrogers a.t rochedotcom)
\`\ | /`/ GSX-R1000K3 (slightly broken, currently missing)
`\\ | //' BOTAFOT#3, SbS#2, UKRMMA#13, DFV#8, SKA#2, IBB#10
`\|/`
`

 

Oi, you're getting a bit previous son, no one likes a cocky cripple

Actually I've not been to the Docs. GPs tend to treat symptoms rather
than cure things, rather like BMW service centres. I'm sticking with
the old man's suggestions and exercises although my plans to train this
evening have changed as it quite sore this evening. I get pissed off
when I can't train.

My spider senses tell me that in two weeks time I'll saying something
like "Blimey Bruce, turns out it's cartilage damage and I been making
it worse"

 

Google chondromalacia. SWMBO has had to restrict skiing, cycling and
mountain walking after buggering her knees with too much of all three,
and in particular riding an old bike for miles with knackered gears
(before my time).

Steroid injections helped for a while and a few years ago she had an
arthroscopy which helped a bit.

OK she is nearly as long in the tooth as me, but the first symptoms
showed up in her forties.

A potential early warning sign?
--

+-----------------------------------------------------------------+
| Pete Fisher at Home: |
| Voxan Roadster Moto Guzzi Mille GT/Squire RS3 Gilera Nordwest |
| Gilera GFR Moto Morini 2C/375 |
+-----------------------------------------------------------------+

 

Interesting. I had often (for relative values of often, it never kept
me awake at night) wondered whether these gels actually penetrated. I
more-or-less came to the same conclusion as Eiron. It just goes to
show that skin isn't the barrier it seems.

 

Now there's a thing. You're one of these funny old blokes who I've read
plenty of, met once and have a strange respect for.

So I'll check that out.

Cheers Peter

 

It seems that some medical scientists had doubts about the subject:
http://rheumatology.oxfordjournals.org/cgi/content/abstract/38/6/564

Perhaps Cane could do some tests by putting ibuprofen gel on his other knee
instead for a couple of days.

 

Are either of those available as patches. I hate the gels, they
don't absorb and stick around rubbing off on the carpet all night. I
found a while ago that ibuprofen worked wonders on my arthritis(?) in my
feet, but soon realised that it was cutting my stomach up something
chronic[1]. Paracetemol did nothing. Once as a desperate measure I used
combined paracetemol+aspirin tablets. They worked, but it took me a
couple of doses to realise that if para didn't work, it must ne the
aspirin doing the trick. Bingo! And its effects last longer than
ibuprofen (several days at times). But it just doesn't take quite as much
edge off the fire as ibuprofen, and has a reputation for stomach damage
too, so I'd like a clean, non-gut delivery method for IB.

[1] I hate vomiting blood.

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