Jane’s story

LIFETIME HIP & KNEE

Read on: danhwilliams.com

Read time: 1.5 minutes

#072: Jane’s story

(name changed)

Jane was 69 years’ old when she walked into the clinic room.

I make a point of watching people walk into the room

It tells me a lot..

Jane used the arms of her chair to stand up

And had the subtlest of limps.

Subtle, but it was there.

She told me her story

- Right knee pain

- Mainly on the inside

- Sometimes at the back

- No catching or jamming pain

(that's important- it was 'just an ache')

- Pain on walking, esp. up or down hill.

She thought nothing of it at first.

BUT it had got a bit worse and, now

The pain sometimes woke her at night 🟥

(a red flag for me)

Her knee score was 39/48, so 75-80%

(that’s the Oxford Knee Score, 0 bad - 48 good)

So Jane's pain was not that bad

BUT.. it was NOT getting better.

On examination the inside of her knee was tender

And pushing her kneecap caused her pain.

She had a good range of motion.

Her ligaments were stable..

And moving the hip above was not painful.

(pain coming from the hip can often refer down to the knee)

Plain x-ray films => reduced joint space

On the inside, and under her kneecap.

Consistent with mild osteoarthritis.

So, what to do?

Jump straight to knee replacement?

Well, Jane tentatively asked about that.

I’m very much on the side of ‘let’s try to avoid it’

So, we compared her pain score to others..

Here's the curve from my website www.danhwilliams.com

For other people recovering from knee replacement.

(Blue line)

..with Jane's knee score on top.

Jane's knee score came out better..

Better than people after knee replacement.

(on average)

Jane was not ready for knee replacement.

So, we discussed a plan for her..

The sort of plan I introduce in my mini-course.

(100% discount code on that link)

After 1 year..

Jane was cycling for 15 min each day.

(Despite being unsure about the plan at first)

She described a significant improvement in her knee pain.

No more night pain.

(Great news!)

AND she was now confident managing her pain.

Her score increased to 42/48 (from 39).

And repeat x-ray films showed no deterioration.

Jane continued..

Continued low impact cycling most days

Most days, while listening to the Archers.

And at 2-years..

Her knee score was 44/48 good.

That’s 92% good.

Jane continued to measure her knee pain..

Once or twice a year.

And those results guided Jane.

To seek help when she needed, and not before.

We wanted more people to hear about Jane’s story

So we published it here in the British Medical Journal.

It's a great story so feel free to forward it to anyone..

Anyone with the first twinges of knee pain.

2 things to help..

1. If this newsletter has been forwarded to you (Welcome!). Subscribe at https://www.lifetimehip.com/#subscribe or click the button below.

That's gets you a full discount on my mini-course.

2. The Hip Pain Toolkit course goes deeper. It gives you a set of evidence-based tools and a deep understanding. Copy + paste this subscriber discount into the checkout for 30% off 👇👇

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Click here to learn more about The Hip Pain Toolkit.

Good luck!

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Duchy Hospital
Truro
TR1 3UP
United Kingdom