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Author Topic: Maintaining symmetrical strength during extended knee injury  (Read 1053 times)

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Offline AsWeCit

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Maintaining symmetrical strength during extended knee injury
« on: November 04, 2013, 05:28:26 AM »
A question for those who have been living with severe knee pain for an extended period….

Im 27, and on my 21st month of hypersensitive daily knee pain.  I’ve seen doctors, had injections, do PT, stretch…. Etc. Had little to no luck with any of it.  However I wanted to start this thread to ask advice not so much on how to get better, but to those that have or are suffering similar injuries which have left your limping for over a year, how have you dealt with the pain and the transformation of your body as a result?

I can only stand for about 10 seconds without shooting pain on the outside of my left knee where the cartilage is damaged.  Because of this I put most of my weight on my right leg.  Because of this my right thigh is about twice the size of my left (injured) leg.  This lack of symmetry in my body continues up through my abs and pectorals.  My entire right side of my body is much stronger than my left.  Because of this I have difficultly sitting straight  and have a very difficult time walking straight. 

I am seeking advice on how to adjust this lopsidedness throughout my body.  I do leg raises with the injured leg to attempt to keep some strength in the quad, but it is still mostly jelly.  I cannot do anything close to a squat because and real bend of the knee aggravates the damaged knee cartilage.

So, to those that have had an injured knee for an extended period of time, where no consistent relief occurs, how have you helped keep your strength throughout your body symmetrical?

Thanks in advance for any advice shared.

Offline Nettan

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Re: Maintaining symmetrical strength during extended knee injury
« Reply #1 on: November 04, 2013, 08:44:20 PM »
Maybe it's time to take a look inside that knee with an exploratory scope ?  I had for a long time serious problems with my right knee. Similar to the pain you feel though I'm in wheelchair cause of spinal cord injury and some other issues, but have fallen out of the wheelchair a couple of times and the knee has got hit. We tried the route you mention, but with no relief. Mri didn't show anything. A scope showed a cartilage damage that irritated the knee every time I moved it. Without the scope it wasn't visible, but made so huge problems for me still. After microfracture it took me a good 18 months to get back, mostly due to that I can't do the ordinary PT. But here I am with a fixed knee without pain.
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline AsWeCit

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Re: Maintaining symmetrical strength during extended knee injury
« Reply #2 on: November 04, 2013, 09:03:04 PM »
Thanks for your response, I have had 2 MRI's the 2nd one revealed damage to the knee cartilage.  Cortisone injections did not work, had 3 euflexxia injects which started to work, then one wrong step and their relief completely disappeared.  Here is the story on that if interested...

http://www.kneeguru.co.uk/KNEEtalk/index.php?topic=63033.0

I appreciate any recovery advice, but my main question for this topic is how people have maintained equal strength through their body while living with a lopsided injury.

Offline Vickster

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Re: Maintaining symmetrical strength during extended knee injury
« Reply #3 on: November 04, 2013, 09:18:43 PM »
Have you tried swimming, good for fitness and knee friendly?  You can also walk in the pool etc

Cycling is also pretty good for getting both knees working, just make sure any bike you ride is properly set up to avoid further injury

Find a good sports physio who can work with you on getting strength and balance and most importantly sort your gait out

Good luck :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline AsWeCit

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Re: Maintaining symmetrical strength during extended knee injury
« Reply #4 on: November 05, 2013, 12:34:52 AM »
Thanks for the swimming/cycling tip.  It would be a dream to be able to do either or both, unfortunately both bring about almost instant aggravation.  Any bend of the knee causes jabbing into the injured area.  I tried jumping on a bike 6 months into the injury.  After about 10 pedals my knee was on fire.  The pain was throbbing no stop for the next month. Any biking/squating/swimming at this point are my worst enemies.

Offline Vickster

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Re: Maintaining symmetrical strength during extended knee injury
« Reply #5 on: November 05, 2013, 08:22:47 AM »
Have you tried an exercise bike with no resistance, you'll never be able to spin in that way on a 'proper' bike.  Swimming wise, no frog kick only flutter or use the pool for hydrotherapy with a physio?

You have not said where you are (US?), but maybe you need to seek out a patella specialist and look into a cartilage repair technique (depending on what is available in your country) although these are less successful on the kneecap due to the shearing forces.  Or go back to basics with a sports physio and work on all the leg muscles

Personally, I get good relief from hyaluronic acid, so perhaps try Euflexaa again if you say it worked before until another injury 
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline AsWeCit

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Re: Maintaining symmetrical strength during extended knee injury
« Reply #6 on: November 07, 2013, 02:41:56 AM »
I live in LA.  Any cycling movement regardless of the resistance brings long term aggravation.  With swimming, I dont even kick, just let the legs float (like a mermaid).  It still hurt almost everytime I swim.  The idea of dropping the money for the Euflexaa shots again (I had 3), when one wrong steps brings the same aggravation, and all the relief from the shots disappears. 















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