HELP!! Synovial sac bleeding into the knee joint. Thirteen years ago I had two total knee replacements. Three years ago my right knee began feeling tight and swollen and in a few days the swelling was gone. This continued for seven months. April 2008 I had hemorrhaging into my righ tknee so severe that I thought the knee would explode. The next morning my knee surgeon withdrew blood from the knee. After x-rays and an Angiograph with no bleeder found I had a total right knee rivision done to see what was causing the bleeding. Dr. found that the lining of the synovial sac was all shredded and bleeding. He did a complete synovectomy. He told me a new synovial sac lining would grow and I should have no more problems. Five months later the swelling began again. My Dr. did not know what was causing the problem. The past two months I have had two severe hemmorhages again. After talking with several other Doctors none of them have ever heard of this problem. I am DESPERATE for some help and hope that someone out there has had this same knee problem. Is there a Doctor that has encountered this synovial sac bleeding problem? And if so how did you treat it? I would appreciate any help I can get. My email is: ***@******.***
Let me give you all of the details though long. It may help you in sorting out the problem.
My two total knee replacements in 1997 were very successful.July 2007 my right knee started locking and catching onto something inside of my leg just below my knee. This locking and catching happened only in bed during the night and I would have to work with my knee to un-lock it. A month later a new problem. My right knee would periodically feel tight and swollen and by the next day it was fine. The locking and the swelling did not seem to be related.
As the months past this happened once or twice a month. I would wear my ted hose to give the knee support and help the swelling to go down. There was no rhyme or reason to why or when either the locking or the swelling happened. I tried to connect it to exercise or diet, but could not. A friend who is a Chiropractor suggested I use some of his Herbs etc. He gave me a dry mud that needed to be mixed with distilled water. I was to put the mud on my knee scar and leave it for ten minutes then wipe it off and soak my feet in a liquid mud mixture. I began the treatment April 2, 2008. I do not know if that mud teeatment had any effect on what happened four days lataer but on the morning of April 6, 2008 I had just gotten out of the shower and I felt the swelling come in my right knee again but this time it didn't stop. It felt as if I had a garden hose FILLING my right knee until I thought it was going to burst. The pain was excruciating and the pain lasted for hours before I began to feel some relief. I could not even retain a pain pill because the nausea was so bad. The next morning I met my Ortho Dr. in the emergency room and he withdrew blood from my right knee and sent it to the lab to be cultured (Negative). He also did X-rays. April 10th I had an Angiography done to see if I had a bleeder. I did not. April 29th my Doctor did a Total Right Knee Rivision to see what was causing the bleeding. He said he found that the lininhg of the Synovial Sac was all shredded and bleeding. He scraped out the lining and sent to lab (negative) he checked my prothsesis and all was well though he chose to put in a new plastic insert. He closed my knee. He said that a new synovial sac lining would grow back and that I should not have any more problems. The surgery was as painful as my total knee surgery had been and I had to do the Physical therapy
for two months and continue on my own for several more months to keep scar tissue from forming in my knee. It was a difficult experience. Four months after surgery (Sept. 2008) my knee locking and then stiffness began again. I went back to my Ortho DR. After more XRays he said he did not know what was causing the problem. He suggested I wear a knee brace to bed, which I did but it didn't make any difference. I went to my family Dr. and he did not know the answer. He sent me to another Ortho Dr. who does knee replacements and he did not know the answer. I have done a lot of research on the internet but have not found any help with this problem. Two months ago (May 1st) I attended a graduation that required my climbing many steps several times and that evening my knee filled tight again. It frightened me. I have had to stop walking everyday for exercise for fear my knee will bleed again. In June I wondered about Acupuncture. June 17th I tried it. Seventeen needles of which four were placed in each knee. An infared lamp was placed above my right knee during the treatment. Eighteen hours later (June 18th) I was awakened at 5:30 am with my knee filling as with the force of a garden hose. I quickly wrapped ace bandages around my knee and put ice on it but the filling continued and the pain was excruciating. I thought my knee was going to explode. The pain lasted six hours before it began to ease off. I have to feel that the acupuncture treatment had something to do with the knee bleeding internally again. I have tried uncuccessfully to get into two other doctors because my problem was not due to a sports injury, and perhaps they do not know what the problem is either. I surely am not the only one that has had this problem of bleeding from the synobial sac into the knee jount. There has to be a doctor out there that has had experience with a patient that has had this problem. I would deeply appreciate any help you can give me.
How important is the synovial sac to a titanium prosthesis? Could the synovial sac be completly removed so it cannot bleed and my problem would be solved. ???