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Author Topic: Total rest seems baffling to me...  (Read 120 times)

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Offline kawi_girl

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Total rest seems baffling to me...
« on: January 27, 2020, 01:54:56 AM »
Hello! I have been suffering from PFP for over a year now, started in the right knee and in the last month the left has joined the party.  My story is on the general page. (Over a year and frustrated)

What I don稚 I understand, is this total rest idea. All your other muscles get weak, and it doesn稚 address the maltracking issue at all, which I would think just returns once you start moving again.

I have been wondering about orthotics lately.

Anyone had success with total rest first? Or orthotics?

Offline Vickster

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Re: Total rest seems baffling to me...
« Reply #1 on: January 27, 2020, 08:20:00 AM »
Orthotics could help if you require them, ie if your feet have some sort of deformity to correct. Get gait and feet assessed by a podiatrist  :)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
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Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline SuspectDevice

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Re: Total rest seems baffling to me...
« Reply #2 on: January 27, 2020, 11:19:02 PM »
I'm of the opinion that the mal-tracking thing is over-diagnosed by maybe 80% or more.  And the muscle strengthening they get you to do to fix this non-existent problem just inflames the knees more.

Total rest is almost impossible if you have responsibilities, unless you can afford to do what Richard Bedard did and really jump off the mouse wheel for 12mths.  And even then, total rest is not what he did.

I never did total rest, but had to stop all the things I loved exercise-wise except easy flat walking and swimming without kicking.  But these were enough to keep some leg strength & aerobic fitness until things settled enough to get back into gym strength work, and even then I avoided quad work but focused on hips/hammies/glutes/stomach/lower back/calves.

I'm of the opinion my PFS was brought on by putting too much stress on my knees (triathlon), when all the supporting muscles were not strong enough....and I had a coach who prescribed strength work, but only really for the core, not the other important leg muscles.  So my quads became too strong relative to the other muscles = too much knee stress.
L Medial menisectomy 2012
PFPS both knees 2012-2017
Pre-CRPS diagnosed 2014 (I think this was crap)
2017 - 90+% cured via Dr Dye's research
2018 - MTB crash, busted collarbone & ribs - easy compared to knees!
2020 - ride 3x/week, swim 2x/week, gym 2x/week, aiming to get back to short triathlons

Offline kawi_girl

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Re: Total rest seems baffling to me...
« Reply #3 on: January 28, 2020, 12:37:48 AM »
I'm of the opinion that the mal-tracking thing is over-diagnosed by maybe 80% or more.  And the muscle strengthening they get you to do to fix this non-existent problem just inflames the knees more.

Total rest is almost impossible if you have responsibilities, unless you can afford to do what Richard Bedard did and really jump off the mouse wheel for 12mths.  And even then, total rest is not what he did.

I never did total rest, but had to stop all the things I loved exercise-wise except easy flat walking and swimming without kicking.  But these were enough to keep some leg strength & aerobic fitness until things settled enough to get back into gym strength work, and even then I avoided quad work but focused on hips/hammies/glutes/stomach/lower back/calves.

I'm of the opinion my PFS was brought on by putting too much stress on my knees (triathlon), when all the supporting muscles were not strong enough....and I had a coach who prescribed strength work, but only really for the core, not the other important leg muscles.  So my quads became too strong relative to the other muscles = too much knee stress.

That makes more sense, thank you. I知 still trying to go to work, and I知 on and off my feet for that. So I guess total rest is trying to do only work and nothing else (which is what I知 doing currently due to pain)
I am seeing a new PT on Friday at a clinic with plenty of experience-I am sure that I値l be their most cynical patient! I知 willing to put in the work if it makes sense to me-heck, even if it doesn稚 at first as I知 desperate.
I have heard that the whole mal-tracking theory is bogus and that your kneecap is meant to be able to move around very freely. The pain makes no sense at all.

Offline SuspectDevice

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Re: Total rest seems baffling to me...
« Reply #4 on: February 06, 2020, 07:56:35 PM »
I'm of the opinion that the mal-tracking thing is over-diagnosed by maybe 80% or more.  And the muscle strengthening they get you to do to fix this non-existent problem just inflames the knees more.

Total rest is almost impossible if you have responsibilities, unless you can afford to do what Richard Bedard did and really jump off the mouse wheel for 12mths.  And even then, total rest is not what he did.

I never did total rest, but had to stop all the things I loved exercise-wise except easy flat walking and swimming without kicking.  But these were enough to keep some leg strength & aerobic fitness until things settled enough to get back into gym strength work, and even then I avoided quad work but focused on hips/hammies/glutes/stomach/lower back/calves.

I'm of the opinion my PFS was brought on by putting too much stress on my knees (triathlon), when all the supporting muscles were not strong enough....and I had a coach who prescribed strength work, but only really for the core, not the other important leg muscles.  So my quads became too strong relative to the other muscles = too much knee stress.

That makes more sense, thank you. I知 still trying to go to work, and I知 on and off my feet for that. So I guess total rest is trying to do only work and nothing else (which is what I知 doing currently due to pain)
I am seeing a new PT on Friday at a clinic with plenty of experience-I am sure that I値l be their most cynical patient! I知 willing to put in the work if it makes sense to me-heck, even if it doesn稚 at first as I知 desperate.
I have heard that the whole mal-tracking theory is bogus and that your kneecap is meant to be able to move around very freely. The pain makes no sense at all.

Sadly, for many of us, the only certainty is that there is no certainty to solving chronic knee pain.  It is a long road of trial and error, but keep the faith as you can get massive improvements, and some like Richard Bedard get full recovery.
I'd not claim full recovery for myself, but I'm a lot lot better than 5 yrs ago, though I doubt I'll ever return to doing Ironman/Half Ironman triathlon training/racing.....and I'm not sure I want to even if I could, it was such an all-consuming past-time I now realise.
L Medial menisectomy 2012
PFPS both knees 2012-2017
Pre-CRPS diagnosed 2014 (I think this was crap)
2017 - 90+% cured via Dr Dye's research
2018 - MTB crash, busted collarbone & ribs - easy compared to knees!
2020 - ride 3x/week, swim 2x/week, gym 2x/week, aiming to get back to short triathlons