I am not sure any of you are checking this thread- it has been awhile since any one posted. I have been a poster here at 3FC for over a year now. During that time I have had 3 open knee surgeries for my severe kneecap arthritis and a chronically ruptured muscle that since its repair has developed more pain from neuromas. I have ongoing, high levels of pain that require long term narcotic pain medication just to walk- and to stop my kneecap from dislocating. I feel like my life revolves around seeing numerous doctors (7 or 8 orthos last year though only 3 were part of my treatment team). Overall, I have had 5 surgeries on my left knee, 2 on my right- all open surgeries except the very first one I had (though most of my surgeries were multiple procedures and included both arthroscopes and open procedures). My first 3 surgeries were in 1988-9 though 4 of the surgeries have been since 1999 (1 right, 3 left).
One word of warning- I was on anti-imflamatories- I had ot use the newer ones (Vioxx, Mobic) and I nver realized until I went off the VIoxx after 18 months on it that it was causing me to retain water. I was on Mobic for 6 weeks or so and even when I went off that (stomach problems) that I had less swelling withOUT it- for the first time since my surgery last May, I can finally see the bump in the shin that the doctor made to realign my kneecap. Looking back over the past 11 years since I graduated from high school every time I gained a lot of weight was when I was on anti-immflamtories (advil/motrin, orudis, naprosyn, daypro- you name it, I probably was on it)- I could not stay on them longer then a year or so due to stomach distress. Now I am 29 and can longer take anti-imflamatories for more the 10 days- 2 weeks max without irritating my stomach and I am on daily ulcer medication.
I do use a cane or fore arm crutch to walk- without it I would not get very far without higher levels of pain. I also find that it lets others know that I can move fast (and keeps the little old ladies at the stores from running me over with their cart

)I am severely limited in what I can do for exercise- basically using a recumbant exercise bike is my main cardio. I also use a pilates, though I have to modify parts of the routine; my knee exercises, and hand weights for my arm/upper body while I am on the bike. I also use a TENS unit at home for pain, icing, relaxation/meditation to help with pain. I am limited to desk work only, no stairs, no kneeling, no squating. When I asked my phsycial therapist about ever being able to walk for fitness again he told me I was stuborn enough that he knows I could go out and walk/light hike somewear but that he was more worried about me getting back.
I have, in the past year or so, lost nearly 50 pounds even with all the surgeries and rehab. I can't say my pain is any less wiht the weight loss, but I know it can't hurt. I am really frustrated that for so many years my knee problems where ignored- I heard the "you have knee pain because you are overweight" more times then I care to remember when the entire time I had a ruptured muscle that was allowing my kneecap to partially dislocate and wore most of the cartilage off the back of it.
Christine