Author Topic: Need som answers! (Read 1936 times)

tumba · « **Reply #15 on:** October 17, 2012, 12:06:41 AM »

My PT btw told me that he thinks my knee is really strange and says it's not a common problem. He told me to squat down and the vmo fires up super great.

So I can squat quite fine if i dont go to deep but I cant do quad sets cause they get painfull in like to reps. Maybe just avoid doing exercises with straight leg.

My knee idol Quinkin never did that cause his pt said it just irritated the patella femoral joint.

carty · « **Reply #16 on:** October 19, 2012, 10:08:15 AM »

I'm also in the patello-femoral department, but with a major cartilage defect and a bad dysplasia.
Two thing I want to mention:
1. After such a scope it really can take a looong time to be symptom free. I had a scope when I was 18 and it took me like 2 years, alsthough the doctors said 2 weks and I was young and all this. I had pain behind the knee cap for a long time. Only stretching and serious building up of muscles in the gym helped.
People do not tell you this. Also here on the board, I think, are a lot of people with such severe injuries, you can't compare yourself to them. If they say a scope is a piece of cake (which sure is, compare to other stuff), I think they have a different perception of what it healed and what is a good knee than someone like you. They would probably call good what you have.

2. Squatting is really bad. Walking is good, even cycling (first slowly and lightly, later make speed with high frequenzy, never with threading harder). Stull real squats are super bad. One, two, three, okay. But real training with high reps or added weight is a no go. What is a go are mini-squats. Not recommended in a very acute phase, but can start early. You do them with both legs or one-legged or even one-legged on a balance pad and go down just the first 30-40 degrees.
This trains the quads nicely and spares the point of highest pressure of the kneecap. You can build serious muscle that way and balance out the quad, in case you have a not so strong vastus medialis. Additional streight leg deadlifts are good, for you back and knees. If you only train quads and not hammies, you will get the next problem.

Good luck.

Actually what did they do to the inflammed synovium, have they taken it out? Inflammed synovium alone can cause stiffness and pain. Also common, if you have that is a plica (but they should have seen it in the scope), that stopps the patella in tits movement.

tumba · « **Reply #17 on:** October 19, 2012, 10:24:26 AM »

Thanks for the reply. Yes I know and i understand that the severity of the injury doesn't corelate with the pain/dysfunction your having. Especially when it comes to the patella.

I can't really walk that far the legs really unstable, probably cause the quads aren't contracting fully and I know this is common. I have tried wearing a brace but it just compresses the patella wich makes it painfull. Waiting for a cho pat dual action knee strap. The OS cleaned up the inflamed synovium, I have confidence in him and when I met him again he told me that he wouldn't lie to me.

And the PT at the clinic also said that I have a common problem just that mine is quite severe, probably cause the incorrect PT making the imbalance bigger.

I'm currently doing straight leg raises (Haven't really done them before, only a few weeks after my surgery) So I hope and really really really wish to my heart that the physio iv been doing before wasnt doing any good cause I was just further making the imblanace worse and that's why my condition have progressed to this point.

And I won't see any OS again untill my quads/VMO is massive, cause then I know Ive done anything I can.

When this is over, o m g i'm gonna be grateful for life and ive really really learn some lessons about my body and myself. Sounds corny maybe but it's true.

tumba · « **Reply #18 on:** October 19, 2012, 10:27:55 AM »

Squats arent good untill my "PFPS" knee has healed right. Im in the police acadamy and my goal is to be back to sports (Even tho it seems awfully far away at this point) and heavy exercising (which is good for my knees in the future) once it's all fixed up.

carty · « **Reply #19 on:** October 19, 2012, 11:48:27 AM »

hey, check out my post here:
http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=48688.msg571328#msg571328

the exercise there worked miracles for me to get my vastus medialis firering again. In general, I always felt exercising in a closed chain (all kinds of minisquats, walking, biking, balancing, leg press) is more effective and not so rough on the patello-femoral joint that exercises on a open chain, like straigtening the leg against resistence.

tumba · « **Reply #20 on:** October 19, 2012, 01:55:11 PM »

my VMO fires... thats why my former PT things my knee issues are really strange..

carty · « **Reply #21 on:** October 19, 2012, 02:15:15 PM »

Still it maybe not string enough...

I mean I did sports all the time, until after some tarining session the one knee was swollen for no reason, thats how I found out I have OA. So my legs where in pretty damn good shape I thought.

But these special exercises from PT seemd to help. Balancing the medialis and the lateralis even more. When your knee is imperfect, you need do make everything around perfekt, which is balance and strong muscles, but also stretching.

I realized my PT gave me heaps of helpfull exercises. But my OS had written an articel what to do with patello-femoral pain and instability and there I could see how specialist that field is and why there seems to be so few success in that part of the knee (unlike ACL-repair). There is just no space for mistakes.

Huh.. anyway... I agree your problem is strange at least the part, that extrending the knee doens give you reliefe, which it normally does in kneecap pain. Though a scope really needs time to heal, much more than OS are telling you. I hope it will work out for you.

tumba · « **Reply #22 on:** October 22, 2012, 06:14:26 PM »

This catching im having after doing quad sets, straight leg raises or standing up for a while. That should be a result from pain right? If im not misstaken it happend before my surgery aswell. Some sites say that "The patient can have a feeling of the kneecap coming out of the groove but its more often a pain response"

allyd · « **Reply #23 on:** October 22, 2012, 06:58:01 PM »

Quote from: tumba on October 22, 2012, 06:14:26 PM

Some sites say that "The patient can have a feeling of the kneecap coming out of the groove but its more often a pain response"

This statement doesn’t make a lot of sense in my opinion. Do you have pain with the catching? If the answer is Yes, you should investigate with your OS/PT. If the answer is NO, then leave it alone. Joints simply make noise, pop and crack at times. I realize you have pain overall, but if it’s not associated with the catching, don’t overthink it.

Be careful of over-researching your problems as Looking for an answer/diagnosis on the internet can easily mislead you down the wrong path and drive you crazy. You need to be patient with your recovery and follow the advice of your medical professionals. I’d suggest that you not add or try exercises not prescribed to you by the PT you are seeing. If you see something you think may help, discuss with your PT before incorporating. Timing is everything on adding to and escalating a PT program.

tumba · « **Reply #24 on:** October 22, 2012, 07:29:37 PM »

Yeah, well I've had this for along time awecourse im going crazy... :/ anyway im meeting my pt tomorrow, the legpress he told me to try was not good, it hurt as hell afterwards.

allyd · « **Reply #25 on:** October 22, 2012, 08:13:20 PM »

How long is long? From what I’ve gathered of your story – you’ve tried various levels of PT since your scope, none for any length of time, some proven incorrectly, etc. It unfortunately can take months of slowly elevated PT before you’ll see results and get to a strength level you need to be at. And things truly do not change overnight, which is why the process can be discouraging.

If you aren’t satisfied with the results thus far and don’t want to – I’d suggest finding an OS for a second opinion if for no other reason than just to set your mind at ease you are treating correctly (as this seems to be your biggest concern/worry).

And ask very specific questions of your PT – and maybe you do – such as, how much weight is appropriate on the leg press? (it’s easy to do too much too soon on the leg press). And yes, sometimes it’s a trial and error. If what you did try was a no go, less weight, or more work may be needed before you can advance to it.

tumba · « **Reply #26 on:** October 22, 2012, 08:23:19 PM »

Alright thank you.

Yes the psychological effects off "PFPS" are truly something special.

edit: Around 15 months.

tumba · « **Reply #27 on:** November 05, 2012, 09:58:06 AM »

My PT told me to call back to the clinic, he want's another MRI. Thinks theres a joint mouse thats irritating the knee.

Forevergimpy · « **Reply #28 on:** November 05, 2012, 02:33:25 PM »

Good luck on getting a quick MRI and even quicker results.

tumba · « **Reply #29 on:** November 07, 2012, 03:04:20 PM »

Woho got a call today, going there in 2 weeks. Don't think there will be an MRI but finally they understand that alright I need abit more help than PT.

They seem to think that the knee have been overloaded severely and that the inflammation that was triggerd by the injury is the biggest problem...

Hoping for some results.

Author Topic: Need som answers! (Read 1936 times)

tumba

Re: Need som answers!

carty

Re: Need som answers!

tumba

Re: Need som answers!

tumba

Re: Need som answers!

carty

Re: Need som answers!

tumba

Re: Need som answers!

carty

Re: Need som answers!

tumba

Re: Need som answers!

allyd

Re: Need som answers!

tumba

Re: Need som answers!

allyd

Re: Need som answers!

tumba

Re: Need som answers!

tumba

Re: Need som answers!

Forevergimpy

Re: Need som answers!

tumba

Re: Need som answers!