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Author Topic: 18 months post injury -- diagnosis: petello-fem pain synd? Chondromalacia?  (Read 1396 times)

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Offline robertjoellewis

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About 18 months ago I ran a half marathon and was very ignorant of how I should have trained more slowly. I trained for about three months starting from a smoker who couldnt run a mile to running 13 miles. My muscles seemed to be ready but evidently my knee was not.
I tried to run a few times after I started having knee pain and could do it (and still can) but the pain is annoying enough to get me to quit. I feel like I may be exacerbating the problem when I run. I stopped running since I have been in Africa for the bulk of the past year.

I am back now, and I know that my knee still poses problems. I am serious about solving the problem. I have gone to two ortho dudes and both told me to do some exercises. One of them did an MRI and the radiologist could see nothing, apparently because of swelling. A "possible tear" was mentioned by the radiologist (whom I never met) but I dont know what that means. (If they ccouldnt see anything why the talk about a possible tear?)

The knee only hurts when ascending or descending stairs, running for more than a mile, or being in a car/plane with no leg room for an extended period. This has been the same for about 18 months. It may be that it's a little better than it was at first.

I am wearing a knee brace everywhere I go now and doing the quad/h-string exercises every day. I am thinking about arthroscopy since the doctor said it might be necessary. But I feel like I am educating this guy when I go into his office with stuff I learned on the Internet.

In any case, I am wondering if anybody has experience similar problems for such an extended period (18 months) after running/training too fast and too hard.

redtoblack

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Re: 18 months post injury -- diagnosis: petello-fem pain synd? Chondromalacia?
« Reply #1 on: December 27, 2006, 08:58:21 PM »
Sorry to hear about the trouble you are having with your knee.  As far as the running goes, it's probably a good idea to take a break from that for now.  You wouldn't want to do any further damage if you do have a meniscus tear.  One bad thing about MRI's is that they don't always show meniscus tears...they sometimes even show a tear when there isn't one.  I recently had surgery to take care of a meniscus tear and when the OS got in there it was much worse than the MRI showed and there was other damage that didn't show up at all.

For now, if I were you, keep up on the PT exercises to keep your leg strong and try to find out what your options are as far as getting your knee scoped goes.  If you have to give up the things you love because of pain, then it's probably worth getting it checked out and taken care of.

Best of luck to you!!

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Offline Quinkin

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Re: 18 months post injury -- diagnosis: petello-fem pain synd? Chondromalacia?
« Reply #2 on: December 29, 2006, 05:21:23 AM »
The answer is yes. I have had bad knee pain problems fo twelve months, bad enough for it to be difficult to walk. I guess the problem has been getting worse over three years. Sounds like you could have a bit of patella femoral pain or chrondomalacia.

I used to get pain on the outside of the knee after sitting for long periods. Using a rolling pin to self massage the ilio tibial band has really helped in this regard. Some off the shelf orthotics have helped with my pronation caused by flat feet. I am taping my knee and trying to build up my vastus medialis obliquus muscle and gluteus medialis muscles which have just about wasted away. I found that a good sports injury massage therapist can loosen up muscle and tendon problems with the knee, and also reliev nerve pain.

My OS and physio advised against surgery. They suggest if I can build up the muscles around my knee the symptoms should settle down. They are settling so VERY slowly. The problem with surgery is that it you'll still have weakened muscles around the knee which could be contributing to knee pain
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Offline Silkncardcrafts

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Re: 18 months post injury -- diagnosis: petello-fem pain synd? Chondromalacia?
« Reply #3 on: December 30, 2006, 09:57:52 AM »
About 18 months ago I ran a half marathon and was very ignorant of how I should have trained more slowly. I trained for about three months starting from a smoker who couldnt run a mile to running 13 miles. My muscles seemed to be ready but evidently my knee was not.
I tried to run a few times after I started having knee pain and could do it (and still can) but the pain is annoying enough to get me to quit. I feel like I may be exacerbating the problem when I run. I stopped running since I have been in Africa for the bulk of the past year.

I am back now, and I know that my knee still poses problems. I am serious about solving the problem. I have gone to two ortho dudes and both told me to do some exercises. One of them did an MRI and the radiologist could see nothing, apparently because of swelling. A "possible tear" was mentioned by the radiologist (whom I never met) but I dont know what that means. (If they ccouldnt see anything why the talk about a possible tear?)

The knee only hurts when ascending or descending stairs, running for more than a mile, or being in a car/plane with no leg room for an extended period. This has been the same for about 18 months. It may be that it's a little better than it was at first.

I am wearing a knee brace everywhere I go now and doing the quad/h-string exercises every day. I am thinking about arthroscopy since the doctor said it might be necessary. But I feel like I am educating this guy when I go into his office with stuff I learned on the Internet.

In any case, I am wondering if anybody has experience similar problems for such an extended period (18 months) after running/training too fast and too hard.

Hi there,

It sounds like you are suffering from patello-femoral problems. I have suffered from patella instability for about 11 years now. Initially I tried conservative treatment which involved taping, gym program and home exercise program together with physiotherapy for about a year. Unfortunately my knee failed to respond to conservative treatment. As a result I had surgery on both knees to resolve my problems, which has made a huge difference.

If you've been trying conservative treatment after 18 months and still having problems I'd definitely consider surgery. The best advice I could give is to go and see a good sports physician that is preferably linked to an elite sporting team. That way they are likely to be at the cutting edge of sports medicine. They would then be able to refer you to the appropriate people, including a good knee surgeon and/or physio. Hopefully they would be able to refer you to someone that specialises in knee surgery, particularly patella problems. A lot of doctors don't really understand patella problems very well. Fortunately I have a really good sports physician that has really close links to a top knee surgeon in Melbourne. It has made all the difference since I started seeing him.                     

The other thing is that it's important to go to a physio that specialises in knee injuries and rehab. A lot of general physios don't understand knee injuries and rehab very well, particularly patello-femoral problems.

I know of some really good sports medicine clinics in Melbourne, Canberra and London, UK that have some great sports physicians. Let me know if you want the details.

Good luck and let us know how you go ! :)
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