I think the key reason you want a diagnosis is for validation. You resent that your doctor(s) and physiotherapist(s) don't believe you. You didn't mention parent(s) or family; I hope at least they believe you and are in your corner.
I don't blame you for your anger and frustration towards the medical...
Best answer: I think the key reason you want a diagnosis is for validation. You resent that your doctor(s) and physiotherapist(s) don't believe you. You didn't mention parent(s) or family; I hope at least they believe you and are in your corner.
I don't blame you for your anger and frustration towards the medical people you've encountered so far.
I do believe that you really are in pain and have knee instability. What I don't understand is why the medical personnel don't believe you, because your situation is not unusual. There are many people with knee pain and instability who have nothing that shows up on an MRI or other diagnostic image. Please click this link for an article discussing this very situation:
This won't talk you out of your desire for a diagnosis, I do realize, because you want the adults to understand you're not faking it, which is perfectly reasonable, but this article discusses the same problem from a different angle, namely that having a diagnosis doesn't necessarily lead to a better outcome (pain relief and knee stability) either:
My suggestion is: don't let the skeptics wear you down. My daughter, when she was your age, didn't have this knee issue, but she had more generalized body pain and fatigue that was eventually diagnosed as fibromyalgia. It really bothered her, too, that doctors didn't believe her. Part of the reason they're skeptical is *they didn't have a fix* for her (or you). Eventually (it took many years) my daughter gave up on traditional medicine and made some real progress with alternative treatment and nutritional management and has been able to hold down a full-time job on her feet without needing sick leave. I don't know that that alternative care or nutrition management would help you--maybe not, since your issue is more localized to the knee. But keep trying. Try different treatments. Don't give up on exercise, even if it hurts. Well, let me qualify that, don't do anything that causes a *sharp* surge of pain or makes you feel like you're really right on the edge of the knee giving out. But sometimes a dull ache with exercise is a necessary evil to build up muscle strength. You shouldn't run, but can you walk a block or two, and maybe three or four a month from now? Or can you swim?
Oh I should also say: you won't like this part, but the medical folks are right in my fervent non-professional opinion when they tell you to do the best you can with paracetamol and ibuprofen, not stronger painkillers. I know so many patients (I'm not a doctor, by the way--they don't hang out on Yahoo! Answers) who got so messed up with opiate painkillers with chronic pain like this. Here's the thing about opiates: they work great if you take a lot of them... for about two or three weeks... and it's downhill from there. They make your pain *generally* worse longer-term by changing the way pain sensors function in your body, even in places that don't hurt today, unless you keep taking even more of them (which you can't safely do). They just mask pain short-term, not fix the problem. Even worse, prescription-strength painkillers you up big-time socially. I do understand: you're so sick of this pain that you'd be happy with two or three weeks of pain relief. Just trust that more neutral observers may have it right: longer-term, stronger drugs will only make you feel worse. Stick with paracetamol and ibuprofen, and hope that it takes a bit of the edge off the worst of your pain. I know, not great, but it may be the best you can do until other treatments help your knee without just masking symptoms but actually fixing the knee. Someday medical technology will find a way to completely and quickly (but most importantly, *safely,* without risks for tolerance and addiction) relieve strong-to-severe pain over the long haul. We don't have it right now.
Keep trying. Keep the faith. Be strong enough to realize you can't please the doubters, so you have to please yourself.
I wish you better luck, better care, and pain relief and knee strength soon.
1 week ago