Walking is so painful!

Welcome Forums Fat Pad Walking is so painful!

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    • #1507
      Claire
      Keymaster

      So many of my patients with fat pad problems report walking and standing as incredibly painful. It makes fat pad problems very debilitating. I’d love patients to have a voice here.What are your experiences? Any top tips for other patients?

    • #1539
      Amy Pugh
      Participant

      Hi Claire
      I have just stumbles across your very informative website. I am hoping you can advise me what the best approach is to try and get rid of the a lateral fat pad hard swelling I have under my knee following arthroscopy on 4th Jan this year for a partial meniscectomy.
      I am a professional horse rider, we breed and produce horses for jumping and eventing as well as dressage so it is more than just gentle riding and there is lots of walking around in between looking after the horses. This is also my home and livelihood. I am now in a worse position than before the surgery and struggle to walk around for any length of time, even to do basic house chores.
      Not only my career but my life feels like its slipping away over the past 3 months- I was so hopeful that the partial meniscectomy would relive my pain and get me back compete at a higher level. I have done loads of icing, physio and spend a good portion of the time resting so have lot a fair bit of muscle. I had an MRI on Friday and yesterday my consultant/surgeon looked at it to confirm the hard swelling was not normal and injected it with a steroid to try and settle the inflammation down. I feel like the lump is pretty hard so i’m sceptical if the steroid injection will work.
      I have been told to take it quite easy for 7 days to let it work. What is your experience with steroid injections for getting rid of fat pad hard swellings? Is there anything else you suggest I can be doing? Sorry about the long post, I’m just desperate to get my life back, especially as we are trying to start a family…

    • #1625
      Kay
      Participant

      I have just found this website. Have been suffering for fat pad impingement for a while now and was wondering if your steroid injection worked.

      • #1628
        Claire
        Keymaster

        In my experience of 100 people with steroid into their fat pad, 60 will be no different, 20 improved and 20 worse. The ones who are worse are often very sensitive to start and have an element of what we would call neuropathic pain. I think many don’t respond as the driver isn’t addressed, eg biomechanics, weakness etc.
        I wish you a speedy recovery.

    • #1630
      Kay
      Participant

      I thought that a steroid injection probably wasn’t going to be the answer to my fat pad problems as an MRI scan has shown I have tracking issues. Have been working with a physio on knee strengthening exercises but sometimes wonder if they are aggravating the very sensitive area just below my knee cap on the medial side. Walking too far definitely aggravates this area which is depressing as I love walking. Next thing I’m going to try is a stationary bike, just so I can keep my knees moving without weight bearing. I’m also going to use the ice massage more regularly than before to see if that helps.

    • #1648
      aepiscopo
      Participant

      Walking is painful. Sitting is painful. Standing is painful. It’s all painful. I’ve had this for 5 months now and my ortho told me to just take a bunch of NSAIDS and it would go away. That has not been the case, and my standard of living has suffered significantly. I had patellar tendinopathy prior to this injury. I had been rehabbing with Jill Cook and Ebonie Rio’s methodology, then I rode a bike for a warm up instead of my usual walk, and two days later my fat pad swelled and hurt. I’ve been taking around 1600 mgs of NSAIDS daily, taping, and icing, but have not experienced significant improvement. I have also tried quad isometric movements to strengthen the quads, but that just makes my knee pain worse. What can I do? I want a cortisone shot to settle the pain enough to rehab a few weeks, but don’t even know where to begin with that. I don’t observe any patellar tracking issues to correct. I also don’t want a surgery to remove the fat pad but I am not experiencing improvement and I need to be able to walk.

      • #1662
        Claire
        Keymaster

        So sorry it’s such a problem. Breaking the cycle is key. Steroid injections sometimes help but not always. Measures such as tape, ice and a slight heel lift can be useful. Best of luck with it.

    • #1652
      Kay
      Participant

      I can sympathise completely, aepiscopo. I have had impingement for nearly 5 months too with symptoms that can vary daily and even hourly. Have tried most things such as taping, rest, icing and have now resorted to using a walking stick! When things seem to be improving, they can suddenly get much worse again. I’m not sure what I can do to improve the situation as I am already getting regular physio to strengthen the muscles around my knee which have become very weak due to the pain and swelling.

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