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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.
Quote from: SuspectDevice on January 27, 2020, 11:19:02 PMI'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’m still trying to go to work, and I’m 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’m 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’ll be their most cynical patient! I’m willing to put in the work if it makes sense to me-heck, even if it doesn’t at first as I’m 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.
What about custom orthotics combined with the right exercises? I know that orthotics are often not a fix for PFP yet there are some cases that might be the exception. If you do go that route, I’d advise to go to someone who specializes in making these, and takes at least an hour to assess you.
