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2339 Views 9 Replies Latest reply: Mar 2, 2011 4:46 AM by runrchick79 RSS
runrchick79 Amateur 14 posts since
Feb 19, 2011
Currently Being Moderated

Feb 26, 2011 3:37 PM

chondromalacia (knee)

I was told by my orthopedic this is what I have going on in my knee right now & is what caused some fluid build up. He says it's treatable and I will run again. Just wondering if anyone else has had this before or is going through this. Any stories?

 

Thanks.

  • Damien Howell Legend 293 posts since
    Feb 27, 2008
    Currently Being Moderated
    1. Feb 27, 2011 4:44 AM (in response to runrchick79)
    Re: chondromalacia (knee)

    Take a look at short article Knee Pain: Treatment Based on Indivual Evidence.

    Damien Howell PT, DPT, OCS - www.damienhowellpt.com

  • grid-rider Legend 235 posts since
    Sep 5, 2009
    Currently Being Moderated
    2. Feb 27, 2011 8:36 AM (in response to runrchick79)
    Re: chondromalacia (knee)

    Two weeks ago I jumped on a spin cycle that didnt fit me and put the entire load on my knees. Then ran a 5mile and 10 mile race.......STUPID......My knees are "hot" all the time now

    It may have started with tight ITB and weak VMO but now I might have to cancel a March Half Marathon.( I'm hoping it's just PFPS)

  • JamesJohnsonLMT Legend 1,046 posts since
    Aug 23, 2009
    Currently Being Moderated
    3. Feb 27, 2011 9:35 AM (in response to runrchick79)
    Re: chondromalacia (knee)

    I trust the ortho's prognosis for your "runner's knee," but you need   further direction to make  sure it comes true. I've had other knee   problems than that, but the  same rules apply, to discover and modify   the cause of this injury before  aggravating it again. It's not all   about the knee.

     

    You should consult with a  physical  therapist (well versed in sports work) about the  possible causes for  this injury, which  probably involves more than  simple overuse. There  is no doubt an  imbalance in the tension of your  quads and/or pelvic  musculature involved. As Damien often points  out, the amount of sitting  and way you  sit can be to blame. Everything  from your hip rotators to  glutes to flexors (including TFL), and tight  hamstrings (extensors)  needs to be addressed.

     

    Make sure the focus is wide enough  to include the big  picture. If you are prepared with the  proper  assessment and appropriate  exercises during your down-time, you  will  have a better chance of  hitting the ground running, so to speak,   during your successful (and  hopefully shortened) recovery.

  • JTrempe Amateur 17 posts since
    Jul 17, 2010
    Currently Being Moderated
    5. Feb 27, 2011 4:34 PM (in response to runrchick79)
    Re: chondromalacia (knee)

    Hi,

     

    I am a physical therapist.  Chondromalacia Patella (CMP) is a common yet treatable knee condition.  I would definitely make sure you are treating the entire lower extremity as foot biomechanics and hip strength can play a large role in effictively treating this condition.  Deinitely do not do any activity (including running) that causes pain.  This is not a 'push through it' injury.

     

    For more information about the treatment of CMP you can visit the link below:

     

    http://www.joint-pain-solutions.com/knee-cap-pain.html

     

    Good luck,

     

    ~JTrempe PT, ATC

  • JamesJohnsonLMT Legend 1,046 posts since
    Aug 23, 2009
    Currently Being Moderated
    8. Mar 1, 2011 10:06 AM (in response to runrchick79)
    Re: chondromalacia (knee)

    Fitted with the stabilizing bar, the Urban Rebounder takes care of the stability issue that might otherwise contraindicate a   trampoline. I've used mini-tramps for knee rehab for over 10 years,  and  still recommend them to any who ask, because studies show cartilage    improvement after the challenge of a moderate course of impact    exercise, as opposed to rest or non-impact exercise. This is where the    trampoline has an advantage over ellipticals and other non-impact  cardio.

    http://www.sciencedaily.com/releases/2007/09/070928092134.htm

     

    I'd   also look into stability issues of the foot before transitioning to   pavement, especially since your report indicates the kneecap is tracking   normally. As JTrempe suggested, the way the foot hits the  ground controls torsion to the knee  from below. I found my knee pain  went away after modifying my shoe to  compensate for a short first  metatarsal a couple years ago, on the advice of a podiatrist. I did not   have chondromalacia, but  stability of the foot-plant is  critical to all knee problems, including  the one I had. However, since  your knee appears to be more of a  condition than a simple injury, a  rheumatologist should probably enter  into the picture before the PT  gets too far along. Their specific training in hormonal contributions to pre-arthritic conditions can be a valuable resource for your doctor.

    http://brighamandwomens.staywellsolutionsonline.com/Library/Encyclopedia/85,P00043

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