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Offline Viking

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Here is a new one
« on: September 03, 2004, 04:42:11 PM »
Hi Guys,

I am new here but what an excellent site.

Could anyone shine some light on the following:

I have been round running around 12-15 miles per week for quite a while - I have never had any knee problems before (I am 25 years old, not overweigt etc).
However one week I decided to do a little more and completed a run almost everyday including a hill run but had no problems.  To culminate the week I decided on a slightly longer run than I usually do in one go - I did a 6 mile road run, not too fast but it did include some inclines and declines.

During the run I did not experience any twisting, pain or popping.  When I finished the run I had alittle cramp in my calfs but nothing on the knees.

2 days later the knees started to ache - nothing major but enough to make them "not feel right" and a few hours after that my tendon below the knees swelled - again nothing major it was not severe - fine I thought a bit of Plattella Tendonitus.  I applied the RICE principle. The ache developed into minor pain on the days that followed and the tendon remained swollen for around 3 weeks.

One of the problems is that on my left knee I have a slight warm feeling just below my knee cap and to the right.

Also If I sit on a chair with my feet touching the floor so that my knee is bent 90deg, if I push on the boney bit just below the Vastus Medialus (this is only on the left hand side)it feels tender but does not really hurt - again it dosnt feel right.  Also both knees feel achey at times but I would not describe it as pain.  Again if I sit on a chair with my feet flat on the floor so that my legs are bent at 90deg and push down I get a pain below my right knee cap.

If I straighten both legs I have no pain, it does not hurt to walk however if I ascend / descend stairs I can feel very very slight discomfort and it feels like they could start to hurt at any minute if that makes sense!!! - the discomfort is felt just below the knee cap and more so on the right.

I can cycle with no pain.

I have a constant warm feeling at various points all over my knee.

Both knees generally feel weak and I have rested them for a month now.  I know this seems nowhere near as severe as some threads on here but I would like to nip this in the bud before it gets serious.

I would appreciate any help - surely a months rest would have solved this problem ???
« Last Edit: September 03, 2004, 05:44:47 PM by Viking »

Offline Nettan

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Re: Here is a new one
« Reply #1 on: September 03, 2004, 06:09:41 PM »
Hey !!

Maybe you have some inflammation in it and need antiinflammatory meds to get ride of it. Together with this my advice would be to strenghten the muscles around the joints (look at the gym site). But remember I'm no doc just one of all out here with kneeproblems.

Hugs nettan  ::)
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 Linds

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Re: Here is a new one
« Reply #2 on: September 03, 2004, 06:30:39 PM »
hello and welcome :)  Wish you didn't need to be here. It sounds like you might have a little PFS and/or Chondromalacia.  You might want to visit a physiotherapist, they can give you an idea of what can be done to help you get back to your active lifestyle. And any good physiotherapist worth their salt will send you to a ORthopedic specialist if they feel physio may not help.
Didn't you know running on roads is bad for you??? Sorry I used to be a competitive runner when I was younger, i'm only 24 but my knees are much older than that.
Read up on PFS (patella Femoral Syndrome) and Chondromalacia Patella and see if it sounds like what you are experiencing.

Goodluck
Linds
1997 Scope RK
2002 LR RK
2002 Scope and hematoma evac RK
2004 LR LK
May 06 Fall from Horse, partial ACL tear and meniscus injury, Tibial plateau injury
2007 Scope, Plica Excision and Debride LK
2009/2010- Possibly Ankylosing Spondylitis?

Offline BuffettBarbie

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Re: Here is a new one
« Reply #3 on: September 03, 2004, 06:37:57 PM »
PFS seems to happen to us runners.  Why?  I have no idea.  Keep icing, elevating, and take 800 mg of Motrin 3 times a day (with food).  If it doesn't get better, go straight to an ortho.  You definitely don't want a GP misdiagnosing you.

Good luck!

Chris  :)
Lateral Release- Left Knee (Feb 2001)
Lateral Release- Right Knee (April 2001)
Fulkerson's TTO, Lateral Release, & Scope- Right Knee (20 Aug 2004)

Offline Viking

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Re: Here is a new one
« Reply #4 on: September 03, 2004, 10:32:59 PM »
Thanks very much guys.

I am off to my GP a week Monday - I will get him to refer me to an OS for proper diagnosis straight away.

My course of action until then is:
1) No Running at all.
2) RICE
3) Strengthen the Quads - straight leg lifts etc.
4) Stretch my entire leg complex and glutes at least 3 x per day.
5) Ibuprofin - I tolerate this really well.



Offline Heather M.

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Re: Here is a new one
« Reply #5 on: September 04, 2004, 01:19:39 AM »
Viking,

Just a suggestion...you may want to hold off on any kind of strengthening, as it is counter to the RICE protocol--the R stands for REST.  So it is customary to RICE and stretch only until the inflammation, pain and swelling calm down.  Even though strengthening the muscles around the knee is the ultimate solution for your problem, you are going to have a tough time resting and getting the knee to calm down if you are strengthening anything...now just doin gstraight leg raises may be okay, but if you find that you can't get the inflammation to calm down, seriously consider complete rest.  When people have really bad patellar tendinitis, which is a common overuse injury seen in runners and others, it is not uncommon to completely immobilize the leg in a cast or a brace.  That shows how important it is to rest everything and let it calm down.

Otherwise, it sounds like you've got a really good plan.  Be careful with the Ibuprophen--take it only with a full meal, because it can be murder on your stomach otherwise.  Also, you may want to see if the GP will prescribe you Celebrex to take instead of advil.  It is a life-saver for me.  I've been through four different Cox 2 inhibitors, and Celebrex works best for me.  Others swear by Bextra, Mobic, etc.

Take care.

Heather

For what it's worth...I had to give up running entirely over 9 years ago.  It was just doing too much damage.
Scope #1: LR, part. menisectomy w/cyst, chondroplasty
#2-#5: Lysis of adhesions/scar tissue, AIR, patellar tendon debridement, infections, MUA, insufflation
#6: IT band release / Z-Plasty, synovectomy, LOA/AIR, chondroplasty
2006 Arthrofibrosis, patella baja
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Offline Viking

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Re: Here is a new one
« Reply #6 on: September 04, 2004, 10:15:48 PM »
Heather,

Thanks for the advice.

Because I did not really know much about knee rehab etc when I first developed my problem, I did nothing with it for around 2.5 weeks apart from  rest - hoping it would just go away - I have to walk alot for my job but that didnt aggrevate it too much.

The swelling seems to have gone and they are just achy now on and around the knee cap and the lower quad towards the outside.

I started my leg lifts only last week.

I have since also added Cod Liver Oil and Glucosamine from GNC, Vitamin C, Calcium and Multi Vits - I will see how these help.

I had a McMurrays test carried out by a private physio and he has ruled out any Meniscus tears which is good.  I suppose it is tendon and ligament problems.

I am going to see my GP a week Monday and hopefully I can put all the speculation to bed and get a firm diagnosis.  I have not run at all now for around a month and it is a little depressing.  

Viking















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