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Click to view JennerVT's profile Pro 73 posts since
Apr 8, 2008

Apr 17, 2008 5:35 AM

Knee Problems


Hello all,

I just recently started the C25K program, completed W1 just fine, W2D1 I had really tight shin/calf on my right leg at the beginning of the workout and by the end of it was experiencing some pretty good knee pain....I've never had knee pain before so I don't really have a good way of classifying its intensity, but every step was say a 3 or 4 on a 1-10 scale of pain. I ran through it anyway and completed the workout. Next day, knees very sore walking down stairs in particular, could feel small amount of pain even walking. Did not exercise that day in hopes of resting. Yesterday I bought new sneakers since my old ones were very worn out and the pain wasn't as bad as the first day, but still there, and once again this morning my knees are very sore walking down stairs and a little sore walking up stairs. So....my questions are 1) is the knee pain the result of the bad sneakers + tight shin/calf on the first day, or is this a sign of a more chronic problem, 2) should I rest until there is absolutely no pain or just rest a day or so and then run through a little bit of pain again, 3) should I see a doctor and/or get a knee brace at this point or wait until ??? I've never experienced any kind of joint pain in my life so I'm at a loss as to how concerned I should be. I should mention that I'm only 26 but I'm overweight so certainly I'm putting a lot of stress on my knees when I'm running, but I'm very excited about this program and don't want to have to stop. Oh, and I've run in the past few years up to a mile at a time (once in awhile, my motivation tends to ebb and flow) with no joint pain at all.

Many thanks for any advice!

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Click to view dwm082's profile Community Moderator 560 posts since
Dec 14, 2007
1. Apr 24, 2008 6:20 AM in response to: JennerVT
Re: Knee Problems

What you're describing sounds very much like a classic case of "runner's knee". The pain as you're descending stairs is a particularly tell-tale sign. Generally speaking, this is an overuse injury that results from trying to do too much, too fast, too soon.

From what I understand (which isn't much, since I'm not a doctor or anything medical-like), the issue is that the kneecap isn't tracking properly. This is often a function of weak muscles that support the knee and keep the kneecap tracking properly. In particular, people often point to the quadriceps as needing strengthening

In terms of healing/recovery, the formula is RICE: Rest, Ice, Compression, and Elevation. I've run through runner's knee, but I made it a point to take things very slowly. I was slowing down by about 2 minutes/mile while I was trying to get past the knee pain. I've also found that some quad-strengthening exercises have been helpful in keeping runner's knee at bay.

Good luck with your recovery.

Don

Click to view layingaround's profile Rookie 2 posts since
Apr 25, 2008
2. Apr 25, 2008 11:32 AM in response to: JennerVT
Re: Knee Problems

you may have illiotibial band syndrome, ITBS. like the previous poster wrote, the downhill pain is an indicator. and increasing mileage for a newbie could be a cause. i've read ITBS and runner's knee used interchangeably, but i don't know if they are exactly the same. the other person wrote about the quads not properly routing the kneecap, but ITBS is a problem with a tendon or ligament that rubs against your thighbone at the knee. so, if the pain is concentrated at a spot at the side of your knee, consider seeing a doctor. another major cause is legs of uneven lengths, even if it's just a difference of a few centimeters.

anyway, squatting is not recommended for it. and running through it isn't either. i know that myself as i'm dealing with ITBS right now. i've been a runner for years and for some reason it's become an issue for me now. i had it briefly three years back, but i did something weird in a long run, so it wasn't a suprise. this time around, it persisted through one partial week, where i took a few days off after and then into another week, where i stopped for good for 10 days. that was over a month ago and i'm still dealing with it.

i think i had the runner's knee described in the other post. when i first started running, i had pain in the center, at the bottom of the kneecap. that was likely on account of the quads not doing its job. definitely different from ITBS.

hth and good luck