> Appreciate your expert input on this case/MRI:
>
> 29 yo company ballet dancer/instructor w/ yrs of R knee pain and swelling since HS with hx possible immune disorder like chronic Lyme? with medial knee pain with stairs and grand plié
>
> Last 10+ yrs, intermittent severe pain on the outside of right knee alleviated by applying pressure to lateral knee/distal femur, doing a grand plié reproduces the general pain. When knee pain flares, she feels like it pops out or bows compared to the other side. ? ITB.
>
> But more recently, experiencing a more severe pain in the lateral knee that radiates and aches down lower leg to her foot, pain is distinctly different than tight muscle soreness and does not improve with massage. When it flares up pain is intense and feels she needs to go to hospital. The last time it flared unable to walk for 3 days.She has tried several different pain relievers but nothing helps anymore.
>
> Other relevant hx includes hx of Lyme disease. Treated with 1 month course of medication in 2011 and again in 2013. ?prednisone but not 100% sure. also given 2 week prednisone course in December 2021 to treat chickenpox contracted after receiving the Covid vaccine even though pt had her varicella vaccinations. She has been told she has psoriasis and has 1 area on her right knee present for yrs. + hospitalized for kidney stones 3x and takes calcium and magnesium supplements.
>
> Thoughts on diagnosis, cause, course? please let me know if more images would be useful.
>
> Thank you!
>
>
>
>
>
> Cindy J. Chang M.D., FACSM, FAMSSM
> UCSF Clinical Professor
> Fellowship Program Director, Primary Care Sports Medicine
> Depts. of Orthopaedics and Family & Community Medicine
> Past President, American Medical Society for Sports Medicine
> Chief Medical Officer, National Women’s Soccer League
> Team Physician, US Rowing
> Team Physician, UC-Berkeley
>
> Preferred gender pronouns-she/her/hers
>
> “A successful team is a group of many hands but of one mind”–Bill Bethel
>
>
>> On Thu, Oct 6, 2022 at 3:03 AM hilary umans <hilary.umans@gmail.com> wrote:
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>>
>> There are 2 issues that require attention.
>>
>> 1. I recently received another of many, many complaints over the years regarding some people using “Reply All” rather than “Reply” to respond only to the individual who posts a case. There are some among us who prefer to see every single comment and thought that anyone might have, but (based on an unscientific tally of email complaints) that is NOT a majority opinion. Quite the opposite. People have unsubscribed because of this particular practice and have commented that some user’s comments have been “out of control” and even “condescending in tone”. Many simply unsubscribe or filter OCAD to Spam because of the volume of emails that are mostly inflated by this practice by very few among us. This is why there is an actual policy that specifies we all hit “Reply” and not “Reply All”….so that the volume of daily posts is reduced, and there is some appropriate filter (at the discretion of the person who summarizes the comments they receive) before the summary reaches the group.
>> (see attachment, which we ALL receive when we join the forum)
>>
>> 2. We all just now received a promotion for an Online Course for World Arthritis Day. Based on the # it is clear that it has been broadly promoted on social media platforms that I presume most of you participate in. We are a comparatively small forum, but certainly a high value, appropriate target audience. (Organizations pay for promotions to high value, targeted groups such as us)… Had permission been requested, we certainly would have approved promoting this event to the group, but it is NOT OKAY to promote anything without seeking approval first. It is not difficult to imagine abuse. And once we all start promoting our own projects and interests without permission or oversight this forum becomes diluted for its original purpose. Respectfully, don’t post any promotions to this listserv without requesting permission from the administrators.
>>
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>>
>> Hilary
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