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Author Topic: Desparate ! Please help.  (Read 1234 times)

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Offline OneEyedJack

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Desparate ! Please help.
« on: November 21, 2004, 10:09:13 PM »
4 years ago I was a couch potato & a smoker.
Then I took up cycling and loved it I trained and started time trialling to my surprise I wasnt half bad. I was able to cycle 25mph continous for an hour and I was nowhere near completely fit. I increased my training until one day walking down the staris seemed like my upper and lower legs were made of wood grinding on each other. Never having an injury before I thought I would rest it for a couple of weeks and that would be OK... wrong! I have had this problem now for two years on and off and I am no nearer in knowing exactly what the problem is.
I have tried physio, no luck the physio says I have no core muscles and this is the problem ?? I just cant beleive that although I know its all connected.
I have had orthotics which helped but doesnt help when I cycle to any degree.
I have had an MRI scan, the knee deemed structurally sound but a tilted patella.
The NHS cant help, you just cant get anyone interested
which isnt very good after the amount I have paid in over the years.
Last week I cycled 30 miles sat, and 39 sun no problems
this sat 25 miles and the problem came back.
It is not a painfull problem but the swelling is telling me to stop and I know if I carry on it just will get worse.
The right knee is fine just the left is duff. Patellar taping
isnt the solution as I cant do it like the physio and it seems just a work around. Strengthening my VMO, yes I understand that but how much how long, will this really re-align my patella?

The symptoms are the knee swells and there is a dull pain in the top area of the knee.

What should I do?
Any Ideas what the problem is?
Where should I go from here?

This has and continues to have a dramatic effect on my life. I loved my cycling and it is another example in my life of me losing something I loved.

I would be so gratefull of any advice.

Simon :-[

Offline NIFFTYJULIE

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Re: Desparate ! Please help.
« Reply #1 on: November 22, 2004, 02:22:21 PM »
Hi simon Have you ever thought of going for a secound opinion I did when I was getting no where I even paid  to see someone but had the treatment on the NHS.  it was surpriseing at the results I had by just going private for a consultation.
I  know we should'nt have to pay or go for a 2nd opinion but it might be worth thinking about.
Julie
m name is julie and i love animals music and game's and i wouldnt be with out my pc.

Offline OneEyedJack

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Re: Desparate ! Please help.
« Reply #2 on: November 22, 2004, 10:47:42 PM »
I have contacted the chester knee clinic to Mr Bobic.
I had my MRI scans done on the NHS, do you think they would let him have them or do they not send them to a private hospital.

Anyone know.

Offline PattiAnn237

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Re: Desparate ! Please help.
« Reply #3 on: November 22, 2004, 11:34:35 PM »
If your patella is tilted that is most likely the source of your pain, that was my initial diagnosis and after 6 weeks of PT the OS gave me two options, wait and keep up the exercises, or have a Lateral release.  I opted for the LR.  It failed because i acctually had maltracking, but for some people an LR does the trick.  Good luck ~Patti
25 y/o
Left knee- lateral tilt, lateral tracking, arthritis
LR 8/5/04 (failed)
Diagnostic Scope- 5/2/05 (scar tissue removed)
Holding off on TTT till I can get through school!

Offline OneEyedJack

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Re: Desparate ! Please help.
« Reply #4 on: November 23, 2004, 12:06:28 AM »
Hi, PattiAnn.

The Patella is tilted and also maltracks, what are you doing about the problem after the LR failed?
How did the PT advise you to correct the maltracking?
One PT I saw said low weight high reps to make the VMO fire and another one said high weight low reps
to build it up !!
The thing is I have no idea on how long it would take, which way round to do it or wether it will really help.

Thanks for your reply

Offline cgski

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Re: Desparate ! Please help.
« Reply #5 on: November 23, 2004, 01:51:24 AM »
Simon, you can definitely ask to have your mri pics to show your private os. I did this. I called my gp and he fixed it for me - he was absolutely clear that the pics were mine. I collected them from the x ray department of the hospital, took them to the private os - and later returned them to the nhs hosp - where I had my surgery done - but that's another story.  Don't be conned into having to pay for another set!  cgski

Offline oldtimehockey

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Re: Desparate ! Please help.
« Reply #6 on: November 23, 2004, 04:20:12 AM »
Hey there Jack.
I too am an avid cyclist with knee problems.  I have found that changes to seating position, especially on a road/race bike can influence knee pain and swelling.  Have you made any sudden or large changes to the fore/aft seat position or the seat height recently?
Check out Serious Cycling by Edmund Burke for a good guide to seat positioning and lots of other great stuff.

In this same book, there is also mention of cyclists using Glucosamine sulfate to help with knee injury recovery and some discussion on having a bit of float in the clipless pedal system to allow better alignment of the knee/anlke and thus prevent over-use injuries.

before you head to a surgeon, take a good read or contact an athletic therapist specializing in cyclists.  They may have some great suggestions to help overcome your problems without ever seeing a doctor.

If all else fails, buy a new Cervelo time trial bike and go even faster despite your sore knees.

Good Luck

Offline OneEyedJack

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Re: Desparate ! Please help.
« Reply #7 on: November 23, 2004, 09:25:37 AM »
Hi OTH,

Read em all! Your right the book by Burke is great.
I have tried plenty of things on the bike set up, I am going to try moving the seat back a little, the seat height
is okay as per the text's I have read. I am using Nutricol which is a Glucos/Collagen/MSM mix, it sems to help my shoulder but not the knee or not yet.  I do use pedals with float. I think I have tried most things. I work i IT and everything that goes wrong has a reason, I find it very frustrating that no one can give me a definative answer.

The thing that frustrates me is one weekend it is fine the boom it appears :-(

I have no idea how to find an atheltic therapist who specialises in cycling in the UK, do you know any?

Thanks for your thoughts, this has caused me to become depressed, this is another thing I seemed to have loved and lost, although I am not prepared to give up on it yet.

Offline oldtimehockey

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Re: Desparate ! Please help.
« Reply #8 on: November 25, 2004, 06:38:41 AM »
Hi again Jack
I share your frustration.  I was really looking forward to improving as a cyclist in 2004 when I tore ACL and MCL playing hockey.  Since then it has been one setback after another.  Although I did a bit of cycling this summer onthe bad knee, I wasnt really able to apply the force to the pedals to train hard and benefit or improve.  I did gain cardio benefits but little else.

You are most definatey correct, there should be a reason for almost everything.  I hope you find what is causing your problems and are able to overcome them.

I wish you dry roads and tail winds