Today I saw the rheumatologist, a nice older and very religious Muslim gentleman. Out of respect, I did not shake his hand. Though very business-like, he took the time to carefully look at my x-rays, examine my sad knee, make some suggestions/comments and answer my questions. Of course, I had more questions once I left his office, but that's normal and in fact, I left the office feeling I knew a lot more than when I had entered.
I was suprised to learn that my problem is with the kneecap, which is not tracking properly. He asked me to bend my knee while he tried to hold the kneecap in place, but was unable to do so. This means that even if I got a super-duper, massively expensive knee brace, it would not really do the trick. Ultimately, I will need either to have surgery to reposition my kneecap, or put in a shiny new one.
In the meantime, the doctor thinks I should give visco-supplementation a try. He has suggested a product that has been authorized for use in Canada and in Europe, though not yet in the States. It's called Durolane and it only requires one shot, as compared to several for Synvisc. There's no guarantee that it will work and it could likely be a very painful procedure, but I'm seriously considering it. I have to find out if my husband's insurance will cover the product. The doctor's time is covered by our provincial health care system. We can afford to try it, even if we have to pay out of pocket. I just have to make the decision.
All I want is to be able to hop on the elliptical trainer a few times a week. I'm not asking for too much. It would be awesome.
Has anyone heard of Durolane? Any comments?