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451 Views 3 Replies Latest reply: May 18, 2014 5:15 PM by Damien Howell
adamhaug Rookie 2 posts since
May 17, 2014
Currently Being Moderated

May 17, 2014 1:32 AM

Knee pain

I recently increased my number of workouts per week and I am experiencing pain. I am 25 years old, and I'm in good shape. For the last 2-3 years I have been running on average 1-2 times a week. Last summer I increased this to 2-3 times a week, without experiencing any discomfort or sideeffects. This March however, I decided to step it up, and started running/working out 5 times a week. I run about 3 miles on treadmill each session. For the first month or so, everything was fine. I then started to feel pain in my legs. I figured this was just my body adjusting to the increased amount of pressure I put on it, so I kept going. A couple of weeks later a started feeling pain on the backside of my left knee. I figured the same thing, that it was probably my body adjusting, and kept going. A couple of weeks or so later it got worse, and I started limping down stairs. I kept running another week, to see if it got better, but it didn't. During this last week the first part of the run I would limp a little until my leg got warm, and then I would run normally. After the workout things would feel better, but then it would get worse the day after. Any idea what this could be?

 

I've cut down on the running and started doing other cardio exercises instead which has helped.

 

Any input would be greatly appreciated.

  • Damien Howell Legend 312 posts since
    Feb 27, 2008
    Currently Being Moderated
    1. May 17, 2014 9:22 AM (in response to adamhaug)
    Knee pain

    The fact that the knee pain is just on the left is an important clue.

    Do you have a history of previous broken bones in legs or back?  Do you have a history of previous traumatic sprain, strain or dislocation in legs or back?  Did you wear correct shoes of braces as a child?  Do you know if both your feet are the same size?  Do you know if both your legs are the same length?  Have you every been acused of scoliosis? A yes answer to any of these questions, can provide some direction to solving a repetivie use injury. 

    Damien Howell PT, DPT, OCS

    www.damienhowellpt.com

  • Damien Howell Legend 312 posts since
    Feb 27, 2008
    Currently Being Moderated
    3. May 18, 2014 5:15 PM (in response to adamhaug)
    Knee pain

    The first thing I think when I see a discolored ankle like in the picuture hyperlink is there was an ankle sprain.  However, swelling goes down hill, so discoloration in the ankle could be from an injury up the leg.  There are many possibilities to explain the discoloration in the ankle.  There appears to be a strong temporal relationship between the ankle discoloration and the current knee pain.  Pain in the back of the knee raises suspcion that the injured knee has a tendancy to hyper-extend. If the injured knee hyper-extends more than the uninjured knee avoid habitual postures and position which involve hyper-extension of the knee (standing, feet on foot stool without back of knee supported), and avoid hyper-extension of knee when walking and running. If you did sprain your ankle in April, there may be limited dorsiflexion of the ankle, and this is often compensated for with hyper-extension of the knee.  If there is limited dorsiflexion of the ankle, you will need to intervene to re-establish normal dorsiflexion of the ankle. You may need to consult with a healthcare professional to help sort the problem out.

    Damien Howell PT, DPT, OCS

    www.damienhowellpt.com

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