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Fed up with medical things

(146 Posts)
gentleshores Fri 25-Apr-25 01:50:40

Just have to whinge sorry. I know there are people worse off than me, but everything is dropping to bits. I have been one step forwards, two step backwards with my knee problems for the last year. Setback last September and never really go going again with walking after that (I can potter in one room a little bit). Using a wheelchair and mobility scooter now. Had a big push to try and get an orthopaedic referral this year, which meant going via physio as GP wouldn't refer. Physio exercises stopped me walking at all! I had pain after them every time. So I have spent a large part of the time mostly on top of the bed this year. Apart from occasional pottering in one room then resting.

I still have an undiagnosed right rib cage problem. Something goes big time if I bend over - then I can't move at all - takes a few weeks to settle again.

But aside from this I felt quite well in myself.

Physio still wouldn't refer me to Orthopaedics. said they won't do surgery because of your age (it's not arthritis so not eligible for knee replacements). I'm mid sixties - not old! And that I was "deconditioned" - muscles.

Which is really annoying because of course I'm deconditioned because I didn't get to see orthopaedics early enough and can't walk!

Anyway I bit the bullet recently and phoned Southampton NHS cartilage clinic to ask if there was an age limit for stem cell injections (cartilage repair). Spoke to a Consultant's secretary who was very helpful and said it is usually younger patients but there's no age limit as such but it would depend on all kinds of criteria. I told her I can't walk and can't get surgery and she seemed to be quite helpful then and said - ask for a referral and we'll consider you. GP won't refer me.

So my long shot was - keep going to the NHS physio, get them to refer me to Orthopaedics and then get Orthopaedics to refer me to Southampton.

Success! Last week I pushed and said Southampton said to get a referral. Physio gave way and said ok I'll refer you to orthopaedics. But she also gave me two new physio exercises to do.

Well that was a disaster. Any positive success was short-lived. I kept telling her I have this right side rib problem but they said you're only referred for your knees.

This new exercise involved pushing my middle up off the bed. I did what I was told and did it a couple of times while there. Well it felt like my rib cage had dislocated afterwards. I was right back to square one with torn muscles, pain everywhere and couldn't move. So was stuck in bed immobile for a week.

Right over Easter week-end. Then the first time I stood up to get out of bed to go to the loo (I can walk that far, it's next to the bedroom). My right foot was suddenly incredibly painful and I couldn't put it down.

I also have a bad left foot. So that's two knackered knees, a knackered left foot, knackered right rib cage. And now a knackered right foot as well.

Been to A&E for an x ray - possibly a stress fracture but it won't show up straight away so have to go back in a couple of weeks.

That just about finished me off as I can't even stand on it now! Stuck back in bed again getting more muscle wastage. And probably need a commode.

I just really want to get out of the bedroom! I haven't quite worked out how I can do anything without standing on it.

Orthopaedic appointment for knees is next week and I can't even stand to get from a wheelchair to an examination couch!

Anyway I'm not one to feel sorry for myself. And I don't but it's a bit scary not being able to stand and I am fed up of pushing with Dr's and physios just to get something looked at and some help, and fed up of medical things.

I just want to stop pushing for appointments and going to appointments and just have a bit of a life - however minimal that is - and just think about something else!

Oh and I forgot the cystitis. The few days I couldn't get to the loo (before going to A&E - should have gone earlier .......) I was using a "contraption" in the bedroom instead and probably hung on too long - so then got cystitis too.

I could do with something positive happening. I had just bought a small powerchair to use downstairs so I could get around the house and at least feel part of normal life, and so OH didn't have to push me in the wheelchair. And now I can't even get downstairs to it!

But really I just feel demoralised that basically if I hadn't been pushing really hard this year, I just felt thrown on the scrap heap. All I've been getting from GP for three years is - do physio. I think if I'd had surgery at the start I might still be walking.

Marydoll Sun 27-Apr-25 20:38:14

gentleshores

Marydoll

I have had umpteen foot stress fractures. Sometimes I gave been unaware of them, until a scan for something else. I can tolerate high levels ofvpain andcassumed the pain was due to my R.A.
I now have a condition called Freibergs disease, due to them.

I'm really sorry you have this flowers

Thanks, but I'm used to them! My only beef is that I can no longer wear heels (I am very vain) and find orthotics so uncomfortable.

I once returned to school after an RA appointment and being told I had two semi healed stress fractures and had broken one of them again. My colleagues were horrified that I had been walking limping about for months and hadn't realised.
Sometimes, I can actually feel the snap, accompanied by an excruciating pain. After a few days, the pain lessens and I barely notice it.

Sorry for all the typos, I'm very weary today!
I hope your situation can improve Gentleshores, sometimes it feels as if we have been written off!

Allira Sun 27-Apr-25 20:25:58

I couldn't put a moon boot on mine 😃

Actually, five weeks on, I did some gardening today, with a chair handy to hang on to or sit on.

gentleshores Sun 27-Apr-25 19:38:45

Marydoll

I have had umpteen foot stress fractures. Sometimes I gave been unaware of them, until a scan for something else. I can tolerate high levels ofvpain andcassumed the pain was due to my R.A.
I now have a condition called Freibergs disease, due to them.

I'm really sorry you have this flowers

gentleshores Sun 27-Apr-25 19:37:46

Allira

^Anyway can't even "potter" now or stand. I think it's 6 weeks for a stress fracture to heal.^

I'm presuming the fracture I have is a stress fracture and I understand it will take 6-8 weeks to heal. I did have an X-ray.
Mind you, trying to get information from the surgery on what to do, whether or not to weight-bear, is quite difficult.

Exactly. "We don't know if it's a stress fracture for a few weeks until it shows up on x-ray." So what are you supposed to do for those few weeks?! I took to google. Some places say stay off it or you can make it worse. Others say it's ok to walk in a moonboot while it's healing. Which I would do, except I can't because I have to wear a moonboot on my other foot! And it wouldn't be safe to walk in two moonboots - would affect balance and could cause a fall. I am seriously thinking of paying for a private MRI scan to know definitively if it's a stress fracture or not. I did look that up but the next date available was over a month .........by which time I could have a second x ray. I actually forgot a couple of times and got out of bed to go to the loo out of habit. That has showed it is still too painful to walk on and it got worse again. I thought about maybe trying a medical shoe rather than a moonboot.

Marydoll Sun 27-Apr-25 13:47:59

I have had umpteen foot stress fractures. Sometimes I gave been unaware of them, until a scan for something else. I can tolerate high levels ofvpain andcassumed the pain was due to my R.A.
I now have a condition called Freibergs disease, due to them.

Allira Sun 27-Apr-25 13:42:11

Anyway can't even "potter" now or stand. I think it's 6 weeks for a stress fracture to heal.

I'm presuming the fracture I have is a stress fracture and I understand it will take 6-8 weeks to heal. I did have an X-ray.
Mind you, trying to get information from the surgery on what to do, whether or not to weight-bear, is quite difficult.

Mt61 Sat 26-Apr-25 23:36:37

What do they want these GPs for it become bone on bone, the pain is unbelievable. You need this op now not when your life is coming to an end.
My dear M & D offered to pay for mine but the specialist said it wasn’t about the money but that I was too young at 52 😩 anyway getting them done soon 😊

sue421 Sat 26-Apr-25 18:23:50

I am so sorry you are having to go through this. Just keep going, write to MP, but lets hope they can do something. I would write to Keir Starmer, this is really not acceptabole

icanhandthemback Sat 26-Apr-25 16:58:25

We did that for our son with his spinal injury when the physio said he’d just strained it. It turned out he has a prolapsed disc and we got an appointment to the specialist by the physio.

gentleshores Sat 26-Apr-25 15:59:24

I'm contemplating paying for a private MRI scan of my foot just to see if it is a stress fracture or not, so I know if I can still stand on it a little bit ........it doesn't show up on x ray for a few weeks and NHS aren't going to give me an MRI scan. Because I need to be on my feet again (even if I can't walk more than 6 feet!)

gentleshores Sat 26-Apr-25 14:49:21

I held off getting this small powerchair for downstairs for a long time as didn't want to get dependent on it but hadn't been able to get as far as the kitchen for 6 months and it got to the point where I just wanted to get around the house and do my "pottering" in different rooms and feel part of normal life.

Anyway can't even "potter" now or stand. I think it's 6 weeks for a stress fracture to heal.

gentleshores Sat 26-Apr-25 14:47:42

To me it was urgent to get mobile, so I could properly manage my upper limb posture etc. But they don't join the dots there. I kept explaining that but they only look at the knees in isolation. Doing physio isn't the same as walking! I just want to walk and so I want new knees! Or something to repair the cartilage.

gentleshores Sat 26-Apr-25 14:46:02

Mt61

Some GPs are just hopeless- I am lucky my Gp does those injections. If you are having any, keep track of how many-unfortunately I have had too many, my bones are now damaged.
My specialist said I haven’t to have any more.
Also I don’t recommend having any cartilage removed if it can be helped as now I have bone on bone, osteoarthritis ( which I didn’t have before.
We also had a locum Gp covering temporarily, they knocked me off my pain meds & other meds 😩 Shot up to the surgery, was promptly put back on them.
Stick to your guns Gentleshores!

This is why they keep saying they won't do surgery for the cartilage, because it can worsen arthritis (if you have any). But neither will they do knee replacements.

Iam64 - really sorry to hear you have all that. I had a fibromyalgia diagnosis many years ago - in my upper limbs. It is also something I managed very well for a couple of decades without issue - posture and ergonomics etc. It only affected my upper limbs after repetitive strain injury. I actually think it is just repetitive strain injury. But I suspect if anyone sees "fibromyalgia" on my diagnosis, they think it affects everywhere. I didn't have any knee problems at all though! That was an injury after a fall that tore the cartilage, and I managed quite well for a couple of years and kept active (had to as the pandemic was on). I just had a major setback when it tore again but it's like talking to a brick wall.

Mt61 Sat 26-Apr-25 14:29:01

Some GPs are just hopeless- I am lucky my Gp does those injections. If you are having any, keep track of how many-unfortunately I have had too many, my bones are now damaged.
My specialist said I haven’t to have any more.
Also I don’t recommend having any cartilage removed if it can be helped as now I have bone on bone, osteoarthritis ( which I didn’t have before.
We also had a locum Gp covering temporarily, they knocked me off my pain meds & other meds 😩 Shot up to the surgery, was promptly put back on them.
Stick to your guns Gentleshores!

Iam64 Sat 26-Apr-25 14:04:56

I’m in the the same group as marydoll. RA psoriatic arthritis, osteo arthritis, osteo pins, sjogrons syndrome, Reynards, mild copd and permanent atrial fib
I was 25 years managing the inflammatory arthritis and auto immune conditions - negative blood tests throughout and only when inflammatory eye disease struck did my new GP put it all together and refer me to a rheumatology professor
It’s always a surprise how difficult it is to get Auto immune conditions diagnosed and treated

gentleshores Sat 26-Apr-25 13:49:19

Hence I'm back with the NHS route for now because there's only one NHS hospital that does the stem cell treatments.

gentleshores Sat 26-Apr-25 13:48:17

I had another post about that on here when it happened as I didn't even get chance to talk properly or ask about my MRI or stem cell treatment or knee replacements. I think he was about to go on holiday and in a rush. Not the right person anyway. Usually with private appointments they are nice!

gentleshores Sat 26-Apr-25 13:46:35

Thank you all and I am sorry there are so many other ladies having similar issues.

It might be possible to change GP surgery but there is only one other in my area - we're rural. Which is very small and tends to run on locums. I suppose I'm worried it might be no better. At least with the bigger practice I am with there are a few different Dr's to choose from. But unless they can write you a prescription for something or unless it's an urgent "medical" problem (which I think it is and they don't) then they don't seem to be able to do much. Even after my left knee locked and I had paramedics out giving me gas and air, (they told me to ring the GP next day and get an xray), the duty GP just sympathised and said self refer to physio..........

I was indeed supposed to be being referred to the MSK clinic and the GP I've been dealing with said she would refer me. When the referral came through it was just for physio! I said - I thought you were referring me to the MSK clinic and she said I already told you I can't do that, I can only refer you to physio. Which was not true! So obviously that is demoralising as it affects trust.

All I've been told is they're not allowed to refer directly to a Consultant if its musculoskeletal. Frankly I think it's criminal. Either that or GP's have been extremely undermined in their powers by someone from above. But it maybe depends on local health authorities?

I did pay to go and see a private consultant last year and that was a bad experience too. He also just said physio. I think there is a blanket rule that they won't do arthroscopy on anyone over a certain age.

Which is why I'm now pushing for the stem cell injections - if it's not too late.

Mt61 Sat 26-Apr-25 13:03:23

Can you see another GP, or change surgery? Ask to be referred to MSK clinic, they should refer you for MRI scan, or cortisone injections at least.
I am 60- need both knees doing due to an injury in work many years ago.
20 injections later, now having my knee replaced. You need to keep on at your GP. Good luck

Marydoll Sat 26-Apr-25 11:48:22

Sjogren's and R.A are not the same disease.

Sjögren's syndrome and rheumatoid arthritis are not the same, but they are related autoimmune diseases. Sjögren's syndrome is primarily characterized by dry eyes and mouth, while rheumatoid arthritis primarily causes joint inflammation and pain. Sjögren's can also occur alongside rheumatoid arthritis, known as secondary Sjögren's, and both conditions share a common autoimmune nature.

I have both, R.A and secondary Sjogren's, but for many years blood tests showed I was sero negative. However, an R.A diagnosis is not made solely on bloods alone, an R.A consultant will look at other factors.

I am in a similar position to you, Gentleshores. I have been waiting for eighteen months for a referral back to the cystic fibrosis consultant for my deteriorating COPD, as requested by my cardiologist. Getting nowhere.

For the last three months, my GP has palmed me off with medications, which do not work for mouth problems, related to my biologics medication. My dentist took one look the other day and referred me to an oral surgeon for an investigation into suspicious mouth ulcers.

The Health Service is broken, I too am fed up with medical problems and conditions and extreme pain, which I have no control over, however, I will not let them break me.
I am my own advocate and will keep pestering clinicians, until I get the support I need.

Surely there is a reason why your GP won't refer you. Have you asked?

Many on GN are suffering in a similar way and my heart goes out to them.

GoldenAge Sat 26-Apr-25 11:31:27

gentleshores - I am so sorry for you and I agree completely with others who point out the postcode lottery operated by the NHS. If you don't experience this, you never understand how it can happen but it is very much alive. Moving from the centre of London a year ago to the Devon countryside I experienced nothing short of trauma at the variations in provision. Getting a physio appointment in SE London was very long-winded but GPs refer immediately to the hospitals - here in Devon GPs don't 'have the power' to refer directly to orthopaedic departments in hospitals and instead refer to the physio service where one waits two or three months for an appointment and is then required to complete exercises at home, many of which are inappropriate, for well over a year until the physios have exhausted the manual they work from! In the meantime, people are becoming more disabled as they fall prey to repetitive strain injury which prevents normal walking and increases weight - a vicious circle of disability. I do know someone who has had a cartilege donor graft (not in this country). This person was 40 and it was intended to give her 20 years before a knee replacement. She is still recovering from the surgery three months ago and in a great deal of pain but remains hopeful. Good luck.

BazingaGranny Sat 26-Apr-25 09:24:59

Gentleshores, very sorry you are having all these awful problems. Can you change GP practice? Perhaps a new set of eyes would help you.

A friend is a retired medical doctor, and said that the GP’s work to an ‘algorithm’ for some medical conditions, and when he had a problem with his own hand, he circumvented the algorithm, as he knew that physio wouldn’t work for his problem. He went to a private hand surgeon which was immediately successful.

But not everyone can do that, I fully appreciate. I also wonder if you are somehow stuck halfway along the ‘algorithm’ and the GP needs to rethink and complete the treatment and referral pathway/plan and then refer you appropriately?

I have been undiagnosed with a breathing issue for about 15 years. I finally went to a private consultant (cost about £350.00 for an initial consultation) about something else and he immediately spotted what was wrong and I’ve now got NHS treatment for it. I’m astounded that none of the GP’s were able to see what (in retrospect) was obvious.

Another friend changed GPs when she moved 50 miles away and said that until her move she hadn’t appreciated how unhelpful and frankly ignorant her previous GP’s were. Loyalty (misguided) to them had stopped her changing GP’s in her old area. And since her move, she’s had several problems resolved.

Hope you get the real help you need.

🌷🌷🌷

lafergar Sat 26-Apr-25 07:52:25

gentleshores

Pearl30

Hi, sorry I missed out a word. Yes, both knees were replaced because of cartilage problems. They had no arthritis. Over the years they had several operations to flush out floating bits of cartilage which gave short term relief (a few years). Then finally both knees were replaced (not at the same time).

I know at least three other people who have had knee replacements done, only one had arthritis alongside cartilage problems.
All are living good healthy lives and participating in sports.

You see that to me, is logical. If you can't walk because of a knee problem, then regardless of whether it's cartilage or arthritis, you need new knees! But I have been told categorically they will only do knee replacements for arthritis. I'd love to know what area you're in and who did your knee replacements! If you could message me please :-)

I can tell you , my neighbour in her 50's has just had a knee replacement. How ridiculous that you should be treated like this!

sunglow12 Sat 26-Apr-25 07:43:52

Sympathies 🌺

gentleshores Fri 25-Apr-25 23:02:33

Pearl30

Hi, sorry I missed out a word. Yes, both knees were replaced because of cartilage problems. They had no arthritis. Over the years they had several operations to flush out floating bits of cartilage which gave short term relief (a few years). Then finally both knees were replaced (not at the same time).

I know at least three other people who have had knee replacements done, only one had arthritis alongside cartilage problems.
All are living good healthy lives and participating in sports.

You see that to me, is logical. If you can't walk because of a knee problem, then regardless of whether it's cartilage or arthritis, you need new knees! But I have been told categorically they will only do knee replacements for arthritis. I'd love to know what area you're in and who did your knee replacements! If you could message me please :-)