KNEEtalk

The SPECIALIST'S OFFICE => The patello-femoral joint => Topic started by: Colin_M on September 29, 2002, 09:39:57 PM

Title: Patellar tendonitis and climbing
Post by: Colin_M on September 29, 2002, 09:39:57 PM
Hello

I'm new to this bulletin board.

In February this year I was waterfall ice climbing in the French Alps. Towards the end of the trip I noticed pain in my left knee, but of course just ignored it and took some ibruprofen. When I returned I expected it to get better on its own and continued climbing, running, gym work etc. Eventually I sort advice from a physio, and was told I had patella tendonitis as a result of Osgood-Schlatters disease altering the bio mechanics of my knee - I've had a lump on my knee since I was young (I'm know 32). My physio gave me an exercise routine, ultrasound treatment and advised icing etc. Approximately a month ago I went climbing in the alps again. My physio advised me to get some anti inflamm. from my GP, who prescribed Diclofenac sodium. I found these very helpful, but stopped taking them on my return. My problem is as follows -

1) Can anyone advise on problems with taking Diclofenac on a long term basis. I found it very useful, but do not want to become dependent on it.

2) I have now had my knee problem for 7/8 months. It doesn't really appear to be getting better. I am worried that that's it and I will have problems for the rest of my life - this is very depressing and may mean an early end of my climbing etc.

3) I used to enjoy running and circuit training, but have had to severely curtail these. I have always used these activities to help weight control. I now look at my body and feel fat and out of shape.  

Any advice would be appreciated. I have been using a neoprene knee support (with a hole over the kneecap) when exercising or climbing. My physio has warned me about using it, as it may be providing me with a false sense of security. He also suggested that I wear a knee pad whilst rock climbing - I have tried this, but found it a bit impractical. I also found it quite difficult pyschologically (a lot of climbing does need a good mental attitude and belief in yourself).

Many thanks for reading this. I've tried not to whinge too much!

Title: Re: Patellar tendonitis and climbing
Post by: jimoshea on October 04, 2002, 07:43:28 AM
Colin,

I too am new to this board and my problem sounds similar to yours.  

I began running for the first time in my life (I'm 34) in March of this year (2002).  Things were going great.  Was up to 4 miles.  Then over the summer my right knee started hurting.  I'd lay off the running for a week or so and it would feel better.  Then after running just once or twice it would hurt again.  I could actually feel on my knee exactly the place where the pain was focused.  It was on the inside of the knee just below my kneecap.  

I'd cross my leg with my right leg and press on the spot and it would hurt.  While pressing though if I straightened my leg the pain would go away.  Is this a clue?

So I made an appointment with an orthopedic.  After X-rays nothing was found.  So they did an MRI.  They called and said I shouldn't run anymore (is this a standard answer?) and that the inside of my kneecap had irregularities.  They told me to take glucosamine and condrotin (sp?), do leg lifts, and call them in 4 weeks if it didn't feel better.  Does this sound right?

That was about 4 weeks ago and I can't say it's feeling better.  I'm considering a second opinion.  

What about PT?  

I've continued to bicycle without any additional pain.  But even walking can disturb it.

It's not a serious pain.  But I can feel that something isn't quite right.  And I'm afraid to push it with running again.

Thoughts?  Suggestions?   I'd appreciate any feedback I can get.

Thanks -

Jim
Title: Re: Patellar tendonitis and climbing
Post by: Skinnycatz on November 03, 2002, 07:05:22 PM
Hi Jim...

Did you ever get that second opinion?  It sounds like I have almost exactly what you have although my pain started on a spot below the patella but closer to the outside of the knee.  Running only a few minutes aggravates this.  As long as I don't do anything impacting, the pain is managable.  I don't think some Drs. care if we ever run again, it isn't important to them!
After all, are they in very good shape?? LOL

I wasn't running that much either...about 4 miles, 3 times a week.  (BUT I have been doing this for 20 years!) I did step classes or other aerobics classes on the other days.  I don't feel like I can go back to those either because of this knee.  

Hope you have this sorted out now...I would love to hear that you have made progress!

Francine