Phil M said:I know this has probably beeen discussed many times before but I need some
advise about dodgy knees.
After my last trek (Langdale Pikes) about 5 or 6 weeks ago my left knee has
been really sore, this is not unusual as it is usually a bit ender for a
couple of days after a good walk but this time is just will not go away.
I've tried resting it, didn't work, I've tried gentle exercise which didn't
seem to help either.
The pain seems to be right in the kneecap area and seems worse when I bend
the knee.
I have since bought a couple of walking poles to try next time I go walking
to see if they can help but at the moment I don't think the knee is up to a
day on the fells.
You'll have to be more precise, though email is not a great diagnosis
mechanism.
One poster suggests chondramalachea (sp.?) patella, aka runner's knee;
roughness at the back of the kneecap. Is the pain very sharp, as if
someone had inserted grains of broken glass at the back of the kneecap?
The suggested cure for that is strengthening of the muscles above the
knee --- a sort of clenching exercise, standing up, where you tighten
the muscles and draw the kneecap upwards.
Could also be jumper's knee --- patellar tendonitis; inflammation of the
tendon that joins the kneecap to the large bone below it. Feel for the
rounded part of the bone where the tendon connects; if jumper's knee
that will be tender most of the time. Rest may cure that.
Ice may help both of the latter. When I was a runner, I had jumper's
knee for six months once; eventually, acupuncture cure it --- or was it
time? I also had acupuncture for runner's knee --- cured in a week or
so, but then runner's knee never stayed around too long.
From speaking to others, more internal injuries due to (e.g.) twists,
or recurrence of footballer's injuries, are difficult to diagnose and cure.
I have a slightly sore and swollen left knee that doesn't really like
mountains. The pain seems internal, so I'm hesitant about seeing anyone
thinking that it will need internal inspection and a long waiting list.
Coincidentally, my last hill walk was in the Langdale Pikes, and I was
lame for a few weeks after --- that after Haystacks the day before. I
wonder do the steps in some of the popular Lakeland walks put extra
pressure on knees?
Walking poles will definitely help a lot.
As others have suggested, a visit to a good sports physiotherapist
should be high on your agenda. An NHS doctor will dismiss anything that
is not life-threatening or completely disabling.
Best regards,
Jon C.