First off, the treatment protocol seems reasonable. That being said an X-ray doesn't show much. An x-ray does not meet the "standard of care" criterion, circa 2016. You absolutely positively need an MRI. Based on what that says, get a second (or a third) opinion.
hi...Sorry to hear about your ongoing knee problem...
If the kneecap has been completely dislocated out of its groove, the first step is to return the kneecap to its proper place. This process is called reduction. Sometimes, reduction happens spontaneously. Other times, your doctor will have to apply gentle force to push the kneecap back in place.
A dislocation often damages the underside of the kneecap and the end of the thighbone, which can lead to additional pain and arthritis. Arthroscopic surgery can correct this condition.
If the kneecap is only partially dislocated, your doctor may recommend nonsurgical treatments, such as exercises and braces. Exercises will help strengthen the muscles in your thigh so that the kneecap stays aligned.
Research has proven that surgeons who typically perform more than 25 surgeries a year have lower complications rates.
Thank you for the reply. I'm more than positive that the kneecap was completely dislocated, but did move back into place on its own. Within the first two days, I had an xray done that showed continued displacement, but I beleive that it is healing normally. I kept the knee braced and completely straight for a full 6 weeks. I have been doing physical therapy for 5 weeks now. My knee still only has about 95 degree range of motion. There is an audible crunching noise when my knee extends from a bent position. My orthopedic specialist has prescribed continued physical therapy. I have not had an MRI to assess damages. If PT shows significant progress, do you think a second opinion and/or MRI is necessary?
Thank you for the reply. I'm more than positive that the kneecap was completely dislocated, but did move back into place on its own. Within the first two days, I had an xray done that showed continued displacement, but I beleive that it is healing normally. I kept the knee braced and completely straight for a full 6 weeks. I have been doing physical therapy for 5 weeks now. My knee still only has about 95 degree range of motion. There is an audible crunching noise when my knee extends from a bent position. My orthopedic specialist has prescribed continued physical therapy. I have not had an MRI to assess damages. If PT shows significant progress, do you think a second opinion and/or MRI is necessary?