Meniscal healing with modern injectable

Gordon (62) has done brilliantly from a simple steroid and hyaluronic combined injection (C1ngal).

Gordon is very fit and active gentleman, and enjoys trekking and sailing. He sustained a tear to the medial meniscus of his right knee which we can see on the MRI scan in the video below. You can see that he has got a bit of fluid in the back of the knee, the joint surfaces are a little bit disrupted - but it is essentially very early wear and it is a fairly stable tear. It has got a flat component and I did think there was a possibility that we might need to debride that. But in March 2018 we tried an injection of combined hyaluronic acid and steroid (C1ngal), and now in September it's great to see that Gordon's had the busiest summer that he has had in years in terms of his trekking and his sailing. He is completely pain free and that's over 6 months down the line. This is a good example of how someone can respond to simple injection therapy with a problem that really doesn't need to be addressed with surgery (which is how often it traditionally was).

Testimonial from patient

I have had problems with my right knee on and off since an injury in Rugby training in my late teens, compounded with a similar incident in my 30’s whilst windsurfing. Lately I had suffered whilst trekking in Uttarakhand, India last year and this year in Laos. Particularly when going downhill. So, it wasn’t stopping me doing things, but it was getting more painful and tiresome, especially in the early part of the day ( before my breakfast painkillers and anti-inflammatories took effect !) Like many chaps I had procrastinated going for consultation but was prompted to as it had become so uncomfortable, coupled with some serious ‘encouragement’ from my wife. I researched through others in ‘meds’ and Professor Wilson’s reputation came very high.

Honestly, I did not have high expectations. Having resisted this kind of intervention all my life, I was sceptical but approached it with realism and hope. Perhaps my defence mechanism against disappointment !

I have been delighted. It has enabled me to pursue my activities pain free (Sailing/Biking/Tennis/Walking/ Trekking ). The next big test will be the approaching Alpine Ski season !

My advice to others with similar problems is "Keep as ‘strong fit’ as you can to enable you to pursue your sports. Get good advice when you need it and make an informed choice from the various courses of action open to you. Manage your expectations – this treatment may not work for everyone. Work hard at your rehab."

I think my notes above testify I have been delighted.
I now realise my other knee is not quite as good as I thought it was !

Gordon

Patient

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