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There are many things in clinical practice, such as cortisone, or over the counter anti-inflammatory drugs.They do hide symptoms temporarily, but it is just a mask. On the down side, they also stop your body from healing itself.From your story, it looks like your problem may be an issue of over-use of cartilage, damage from years of intensive sport activities, such as cycling at competitive level. From what I read from your story, there is no evidence of maltracking, there is evidence of clear over-use...Anyway, correcting maltracking is often done in physiotherapy by exercising muscles such as the VMO to compensate the force exerted against the lateral side, not by relaxing muscles... relaxing muscles is something you can do in a hot bath... but I really don't see the point...
When I place the palm of my hand over my kneecap and flex/extend my knee I can tell it is rubbing over the femur really hard. This should be a maltracking issue. Something is so tight.
Have you tried a high quality sports massage to loosen things up or something like dry needling / myofascial release?Does it hurt when you bend or flex?
Quote from: cycling_freak on July 05, 2014, 11:02:57 PMWhen I place the palm of my hand over my kneecap and flex/extend my knee I can tell it is rubbing over the femur really hard. This should be a maltracking issue. Something is so tight.Hold on there... by rubbing hard, from where does the pressure comes from? Vertically? Or Horizontally? Is it to the sides, like pressing laterally? Or in the bottom of the patella against the femur?Can you fully bend your knee all the way until your foot touches the buttock or does it get locked at some point?