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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.

Allira Fri 25-Apr-25 15:33:34

gentleshores

janipans

Does your gp give a reason for not referring you?

Just surgery policy I think. They even have a notice in the surgery saying, don't see the GP about anything musculoskeletal - self refer to physio. It was only when things got a lot worse last year I really pushed and they sent me for an MRI scan of both knees. But then still wouldn't refer me! So nobody's even seen the MRI scans!

We can self-refer to physio here but the GP will also see you and send you for a scan or X-ray (even if the orthopaedic surgeons won't!).

Allira Fri 25-Apr-25 15:31:16

I think we X posts there!

I self referred to podiatry last year about my left foot hoping they could make some kind of special shoe - never even got a response!
Again totally unacceptable! Podiatry services here are a bit odd in the way they are run in that, if you don't phone up for another appointment within six months, they will cross you off their list and you have to go back to the GP for a re-referral.

But even orthotic insoles and advice about what shoes are most supportive would help. Try phoning again.

gentleshores Fri 25-Apr-25 15:29:10

janipans

Does your gp give a reason for not referring you?

Just surgery policy I think. They even have a notice in the surgery saying, don't see the GP about anything musculoskeletal - self refer to physio. It was only when things got a lot worse last year I really pushed and they sent me for an MRI scan of both knees. But then still wouldn't refer me! So nobody's even seen the MRI scans!

janipans Fri 25-Apr-25 15:29:00

You could threaten to report your gp to the medical society if he/she has no justification for not helping you.

icanhandthemback Fri 25-Apr-25 15:28:33

At a hydrotherapy pool or even the local swimming pool, they often have equipment to help people in and out of the water. Nowadays it is quite normal to wear a bathing suit under a towel coat from home to pool and then just keep the same things on to go home which saves all the dressing and undressing if you are disabled.

Allira Fri 25-Apr-25 15:27:30

I would say it is absolutely unacceptable to leave a person in this condition. You have a right to decent health and years ahead of you.

I agree, especially if you are in your mid-sixties.

Are you hypermobile? I wondered that too, as I've wondered whether I am as well. Years ago an orthopaedic surgeon told me I had 'long ligaments' and there was nothing he could do with my feet. It is a struggle getting any joined up thinking from the NHS, I think, and waiting lists here are very long but your situation sounds completely unacceptable, gentleshores and you shouldn't have to be struggling like this to get answers.
Your GP sounds negligent. Can you see someone else?

gentleshores Fri 25-Apr-25 15:26:27

Nannyof4mummyof2

Firstly could you request hospital transport for appointment
A random question are you able to get someone to rearrange things to downstairs for sleeping as a temporary measure get a commode or female urine bottle
Maybe request a good pain killers or injections
Do a social services referral for yourself to have a referral for an OT to visit they can speak to your to your GP to move things forward
Make a complaint to the medical body about becoming immobile because of lack of referrals
An OT maybe be able to get info for you or do a request for a stairlift dependant on your financial situation
You could speak to a chiropractor to come and see you at home and get an assessment for you at a cost
Finally I've had similar problems to yourself and have been taking a magnesium complex and have noticed a marked improvement in my pain and mobility levels
As a previous OT for social services it is sad that today it's he who shouts loudest gets heard but keep on fighting as you have and made progress wishing you luck xx

I suppose I'm a bit nervous about complaining to the surgery in case I get treated worse! I already have a stairlift. Normally I can use it to go downstairs and sit in a chair but at the moment can't walk as far as the stairlift due to the foot. I could use a moonboot if it was just one foot but already use one for the other foot (long standing old injury there) so it wouldn;t be safe to walk with two on - very unstable. Just need to keep off it really for a while. I have to be careful about taking supplements due to being on blood thinners. Some can interact. I self referred to podiatry last year about my left foot hoping they could make some kind of special shoe - never even got a response!

janipans Fri 25-Apr-25 15:26:07

Does your gp give a reason for not referring you?

lafergar Fri 25-Apr-25 15:22:33

Mollyb

If you have any money, under £100 go to a private physio who can do laser treatment, ultra sound and even acupuncture, as well as hands on. My knee so improved. Locally NHS physio they don't even touch you just give you a leaflet! Good luck

YES

lafergar Fri 25-Apr-25 15:21:42

I've been in a state of shock over it really for the past year

Not at all acceptable. Please try to get support, there simply must be something , even if you have to pay for it. It's very hard to be assertive when you are worn down and in pain.

gentleshores Fri 25-Apr-25 15:20:41

I have enquired in our area and there isn't anything like aquatherapy .........

gentleshores Fri 25-Apr-25 15:20:11

icanhandthemback

Are you hypermobile? It sounds a bit like the problems with your joints that my children have. If you are, you may need a rheumatologist rather than the musculoskeletal specialist. Similarly you might need a physio who truly understands hypermobility because you need different exercises to build gently up muscle tone gently. As hyper mobility is caused by a collagen problem (taking collagen doesn't help) your muscles would have found it hard not to decondition so it is a problem which just grows and grows. Less muscle strength equals more damage to joints and tissues so you need to rest. Resting causes more deconditioning so when you start to move again you get more issues. It is horrendous until you find someone who truly understands the problems. Gentle swimming or movement in the water can be helpful and it might be worth paying for hydrotherapy.

Not that I am aware of but I do seem to have quite a few joint problems and no arthritis. And what you say makes sense and yes it is a vicious circle.

Someone else suggested aquatherapy to me. I was quite hopeful about the physio when it started in Jan. Asked physio about aquatherapy and she just looked at me as if I'd suggested something weird and said - well can you get in and out of a swimming pool? I said no. And that was that.

Jenton Fri 25-Apr-25 15:16:35

Hi why not try a chiropractor sounds like your body is totally out of synch. Worth a try x

Mollyb Fri 25-Apr-25 15:00:52

If you have any money, under £100 go to a private physio who can do laser treatment, ultra sound and even acupuncture, as well as hands on. My knee so improved. Locally NHS physio they don't even touch you just give you a leaflet! Good luck

Earthmother9 Fri 25-Apr-25 14:59:32

I had a blood clot in the lungs at the start of lockdown and was 5 days in hospital. Since then it has been walking, walking and more walking, if I try any other exercise and I used to love exercise classes, the last one being a Bellydance for Seniors, I can't do any now, but I can walk and that's the best exercise of the lot after a certain age. Now 80 and doing okay.

Jaxjacky Fri 25-Apr-25 14:45:29

Can your other half intercede for you? Make some changes in your house and attend appointments with you to explain how you are all of the time, not just at the appointment?

alastairlyon Fri 25-Apr-25 14:42:50

write a letter of complaint summarising it all and what medical solutions you expect and say at the beginning " i do not wish to make a formal complaint but will have no choice if progress is not made in dealing with my various problems itemised below.

And send it to the practice manager

Nannyof4mummyof2 Fri 25-Apr-25 14:42:09

Firstly could you request hospital transport for appointment
A random question are you able to get someone to rearrange things to downstairs for sleeping as a temporary measure get a commode or female urine bottle
Maybe request a good pain killers or injections
Do a social services referral for yourself to have a referral for an OT to visit they can speak to your to your GP to move things forward
Make a complaint to the medical body about becoming immobile because of lack of referrals
An OT maybe be able to get info for you or do a request for a stairlift dependant on your financial situation
You could speak to a chiropractor to come and see you at home and get an assessment for you at a cost
Finally I've had similar problems to yourself and have been taking a magnesium complex and have noticed a marked improvement in my pain and mobility levels
As a previous OT for social services it is sad that today it's he who shouts loudest gets heard but keep on fighting as you have and made progress wishing you luck xx

rowyn Fri 25-Apr-25 14:41:37

Gosh - how frustrated you must feel.
I wondered if there was an Ombudsman for NHS problems and Googled -- here is an extract from quite a lengthy answer ( and I haven't read most of it!)
Here's an extract
"
The Parliamentary and Health Service Ombudsman makes final decisions on unresolved complaints about the NHS in England. This organisation is independent of the NHS. For more information, call their helpline on 0345 015 4033 or visit the Parliamentary and Health Service Ombudsman website."

It may or may not be helpful, but it's worth a try. If you decide to phone I suggest you prepare a written list of points that clearly explain you main problems beforehand.
Good luck!

Alwaysworrying Fri 25-Apr-25 14:28:27

I really sympathise.
My local hospital is Southampton too.
I was diagnosed with Atrial Fibrillation in 2019 and the only care l have had access to is the private care l have paid for myself, having given up waiting for an NHS appointment and feeling very worried as l know Afib can lead to strokes. And like you l am 'only' 65 it's all rather depressing and l live completely on my own which somehow makes it feel worse.
I suspect though it's not just Southampton health authority.

essjay Fri 25-Apr-25 14:20:43

if you ask for an OT assessment, i hope there is not as long a wait as in our area(cheshire), my sister is still waiting, over 15 months, despite several phone calls.

4allweknow Fri 25-Apr-25 14:02:02

Don't know how the system works where you are but could you contact Social Services as it sounds like you need support at home for basic needs. No one should be left to struggle like you seem to be. Has any GP given you a full and comprehensive explanation why you cannot be referred? Using your age as an excuse is ridiculous.

SueDonim Fri 25-Apr-25 14:01:05

Your post at 13:26, Gentleshores really highlights that no one looking at your condition as a whole. Instead, they’re just patching up (or not) the gaps.

What about contacting PALS? They may have some good advice on how to get the care you need. www.nhs.uk/nhs-services/hospitals/what-is-pals-patient-advice-and-liaison-service/

georgia101 Fri 25-Apr-25 13:59:30

Could you afford to go to a private clinic for just one assessment? Tell them that you're self funding and they should refer you to the NHS for any needed treatment. I know someone who has done this successfully and it speeds up the time waiting to see an NHS specialist and then waiting for treatment. I think it costs around £100.

icanhandthemback Fri 25-Apr-25 13:59:26

Are you hypermobile? It sounds a bit like the problems with your joints that my children have. If you are, you may need a rheumatologist rather than the musculoskeletal specialist. Similarly you might need a physio who truly understands hypermobility because you need different exercises to build gently up muscle tone gently. As hyper mobility is caused by a collagen problem (taking collagen doesn't help) your muscles would have found it hard not to decondition so it is a problem which just grows and grows. Less muscle strength equals more damage to joints and tissues so you need to rest. Resting causes more deconditioning so when you start to move again you get more issues. It is horrendous until you find someone who truly understands the problems. Gentle swimming or movement in the water can be helpful and it might be worth paying for hydrotherapy.