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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?
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)
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.
The orthropedic I see is a sports medicine one & they have their own physical therapy office, so if I need PT, then it will be done by the same group of doctors. The doctor I'm seeing is about the best one in town for sports related injuries.
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:
~JTrempe PT, ATC
Thank you for the information.
My ortho recommends euflexxa injections-what do you (or anyone) know about these? Is it worth it? He said if I want to continue at my level of activity, they would be a good idea. He also suggusted that I cut back on my running some (which I hate to do, but I'm being good and listening). He told me to do low impact forms of excerise.
He did say that my knee itself is in great alignment, it's just the cartilidge behind the kneecap that's flaking off. And there is a touch of arthritis in the knee.
I have a month to decide if I want to go through with the injections-he did cortizone in my knee & you have to wait at least a month between cortizone and these euflexxa injections. I'm just trying to decide do I go ahead and try them now or just try to cut back on the high impact for a while and see how my knee responds before jumping into injections. They are rather pricey and I will have to pay for these out of pocket so I really need to determine are they worth it or not.
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.
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.