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Last post: Nov 6, 2009 4:46 PM by bellsway RSS
Runnerndn Amateur 38 posts since
Jan 31, 2009
Currently Being Moderated

Nov 6, 2009 9:07 AM

I need some help, please

Ok, a couple of weeks or so ago, i thought i had a knee injury.  Well, i was wrong, I pinpointed the injury to be behind my left knee.  OK, here's the best way i can describe it, just imagine you're standing flat footed looking east, and on your left knee, to the side(North part), and back side(West).  I can run normal, no pain or discomfort for bout 3 to 3.5 miles, but, once my distance increases from 4 miles and more, it starts to bother me, the North West part of my left knee, ugh, then it just feels like my North, NW and WEST side of my left knee is hurting. I've scratched my upcoming marathon for November 22nd, hoping to run/walk just the half now.  Training was going so well, up til bout 3 weeks ago, last weekend i had plan to test it, and run 10 miles, could only make it 7, the pain got to me.  What's so frustrating, is i can stop from the pain, and walk 10 feet, and everything is back to normal, no pain, i walk normal, at a fast pace too, so, it can't be all that serious, especially if i can run 3 or 4 miles to start, with no pain.

 

So, any help/treatments would be deeply appreciated.  A friend recommended i go to a chiropractor or something like that, just can't afford to at the moment.  I'd be grateful now just to finish the half, get my medal, and go from there.  Thanks, happy safe running all.

Stevemustangred Legend 586 posts since
Oct 10, 2007
Currently Being Moderated
1. Nov 6, 2009 10:30 AM in response to: Runnerndn
Re: I need some help, please

I am not a doctor. 

 

First thing I do when my knees hurt is buy new shoes.

 

Ice on the location of the pain is good to reduce swelling, numb the area and encourage healing.

 

I generally take advil for pain during marathons, but you need to make sure you don't drink too much fluid.

 

You should try to see a sports orthopedist or just plain a plain orthopedist.  Someone who specializes with athletes, especially football players, is the best as far as knee problems..  A doctor who is also a runner is great.

 

You don't mention swelling, redness, popping or cracking sounds.  Sounds are bad.  You oviously didn't dislocate the kneecap which is very bad.

 

You don't describe the running conditions when you injured it.  Trails, down hill, up hill, and speed training are all hard on knees.

 

You don't mention your expected marathon time and how often you run marathons.

 

You don't describe the intensity of the pain, but if you are still walking on it the it might not be too bad.

 

Make sure your stride length isn't too long.  Many runners have the mistaken impression that they have to increase stride length in order to run faster.  To run faster you have to move your feet quicker, stride length changes naturally as you get stronger and faster.

 

I think if it hurt bad enough you would see a doctor.  It may not be too bad.

 

I'd run the marathon, but then I'm not very bright.

 

Good Luck





Lies Spectators tell Marathoners:   1) Last Hill!    2) Almost there!  3) You look great!
Stevemustangred Legend 586 posts since
Oct 10, 2007
Currently Being Moderated
3. Nov 6, 2009 12:25 PM in response to: Runnerndn
Re: I need some help, please

You sound similar to me.   I have run a lot more marathons though.  My goal is to finish without injury since I always have one more soon.  My times are 4 hours give or take, 44 years, marathons for nearly 12 years.

 

I've been taking a Glucasomine/Chondrotin combo pill for about two years once a week to try to prevent joint problems.  For while it always seemed like I had a twinge of knee pain after taking one.

 

I wear ASICs Gel Cumulus with "mysole" inserts.  The inserts helped with a vicious bought of PF in both feet that I had for a couple of years following a car accident and the inserts give arch support for my pancake flat size 15 feet.  If I don't have knee trouble I wear my shoes until the soles fall off.  I just through 3 pair away last week that I had worn for over a year and a half with lots of miles and marathons.  I usually cycle 3-4 pairs at a time.  I never usually wear the same pair on consecutive runs.  But I may have a favorite pair for marathons.

 

The constant trail running could be contributing to the problem.  How do you feel when road running?

 

Maybe you should go back the cheapo shoes?

 

Age might be contributing, but what I have read says that runners don't experience joint problems unless they really abused their joints when they were young.  Elite athletes seem to need replacement joints but us slow guys are good until...?

 

I have a hamstring strain that's been bothering for over a year.  Darn thing won't heal and I won't stop running.

 

My advice, forget the PR and take it easy during the marathon.

 

I hope it works out.





Lies Spectators tell Marathoners:   1) Last Hill!    2) Almost there!  3) You look great!
TyKy Amateur 31 posts since
Dec 14, 2007
Currently Being Moderated
4. Nov 6, 2009 1:27 PM in response to: Runnerndn
Re: I need some help, please

I have been only running for only about 2 years, but last year I developed simular knee pain.  I am not a doctor and keep in mind everybody is differant.  I would suggest you see a doctor about it before it gets really bad and keeps you from ALL activity for a long period of time.  Mine got to the point that even at two miles it was hurting.  I had to complete 4 months of physical theropy to fix the problem.  That meant NO RUNNING for me.  UGGG!

 

Before you start thinking injury I would agree with Steve.  First look at the shoes.  It could be something as simple as the arch of the shoe is to far forward or backward for your foot.  Maybe the toe box is to tight or to loose.  Best thing for shoes is to go to a running store and have them help out.   Sporting goods stores like Dicks or Academy don't count.

 

It could also be running the trail instead of the road.  Maybe try sticking to the roads untill your knee feels better than slowly introduce the trails back into it.

 

 

My problem is my outter quad muscle gets to big and "pulls" the knee cap out of alignment.  Then this leads to other problems.  So I check it every couple weeks.  The way to check for this is sit down in a chair, legs shoulder with and knees bent at a 90 degree angle.  Imagine a straight line from the hip down the MIDDLE of the quad and straight into the shin bone.  The middle of the knee cap should be on this "line".  Again please keep in mind everybody is different.  So if both of your knees are a little off I wouldn't worry about it.  But if one is ligned up and the other is off to the side than something might be wrong.

 

Good luck and happy running

bellsway Legend 242 posts since
Jan 28, 2009
Currently Being Moderated
5. Nov 6, 2009 4:46 PM in response to: Runnerndn
Re: I need some help, please

A guess here.  With all your other injuries and sore spots you may be unconsciously favoring them and throwing off your gait causing other tender spots.  My first thought was IT band issues.  They show up on the outside of your knee.  You may want to try rolling with the foam roller on the outside of your leg, both upper and lower leg.  You mention shins having a problem.  If everything is tight along the outside of your leg you need to loosen and stretch over there.  If the shoes are shot that may cause the foot to wobble a bit more and overstretch those muscles.

For the person with the patella femoral syndrome (knee cap to the side), you need to strengthen your vastus medialis muscle.  Google it.  It comes into play in the last 15% of extension meaning when your leg is almost straight.  Sit on the floor with the leg over something like a rolled up thick towel so your leg is bent slightly at the knee.  Pick your foot up off the floor by extending at the knee so you are extending your leg all the way out straight.  Gradually add a little resistance so the muscle get stronger.  Hope both of you can get back to running soon.





Plan your run and then run your plan.

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