General fitness, health and nutrition · Public discussion

Re: Knee Pain - Bad Doc!?

Started by sarah · · Last activity · 2 posts · 436 views

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General fitness, health and nutrition
Published
15 November 2005
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16 November 2005
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sarah
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  1. trish said:

    Hi

    Fraggle, are you still out there? How is the knee pain? Found this
    website while searching about mine...


    [-]

    Quoted message said:

    This year we went to Skye and walked up the Quirang.. on the way down -
    agony - this type of pain I'd never had before with my 'old' knackered
    knees! Right knee had mega bad pain on the outside, as it were, felt
    like someone sticking a screwdriver in the side and twisting, trying to
    pull the insides out...came down slowly, walking with my right foot
    twisted to the side, taking small steps, then gave up and slid down on
    my butt!

    As soon as I reached flat ground I was fine... didnt do much more steep
    walking that holiday so didnt have any more trouble, knee was fine even
    on relativle slopey ground...


    [-]

    Quoted message said:

    Since then though, my knee was bad for about 3 weeks - stairs, ramps
    etc all brought the pain on. I went to the docs who send me for physio
    - did first one on friday (knee had started feeling better by then)
    physio said I must build up quadriceps and knee muscles, and that my
    back/core was weak too. did a bit of cycling etc - all fine.. then 3
    hours later I wlaked downa ramp in the car park and OUCH! - now my knee
    hurts pretty much all the time - always downhill, though still never
    uphill, and a lot of the time on the flat too now!!! still fine to
    drive though.

    going back again to physio on friday, will ask about this IBT thing,
    and scar tissue, and maybe the wisdom of cycling as an excercise while
    Im still so sore... will also buy some poles for next year (Skye in
    may06) and try some low gradient walks to build up mucles - but its
    SOOOO sore right now, should I lay off completely for a few weeks ?

    Yes. And see a good sports masseur, too, regularly, to improve
    circulation in the leg. Both of us have similar problems to you, his
    started less specific and he had an arthroscopy in June (recommended by
    a joint specialist) which made little/no difference. By sheer chance the
    sports masseur I chose turned out to be a cross-country runner/cyclist
    who is able to discuss knees with us in detail. 'A bit of cycling' and
    stuff (like the physio's massage of his knee) is nowhere near enough;
    there's no quick fix :-( For core strength, start doing Pilates and
    stick with it. Three years of it has sorted my bad back and allowed me
    to start to feel what's wrong with my gait myself. Each of us spends
    three hours/week or more at a gym, which includes (in total) at least an
    hour and a half of careful work on the treadmill, plus other exercise.
    You might need to increase your flexibility/the length of some muscles
    and associated bits to improve your leg action, too. Lots of stretches,
    although Pilates will improve flexibility as well.

    we spent a week in Torridon last month and found that walking with two
    poles helps a great deal, but it's slower and doesn't solve the problem
    by itself: you have to find out what you're doing wrong and (probably)
    invest a lot of time and energy in learning to do it better. Even then
    downhill can still hurt. We didn't even think of trying for summits this
    time, but maybe next year...

    regards
    sarah

    --
    Think of it as evolution in action.

  2. trish said:

    thanks sarah - good luck to the both of you! Im just amazed that when I
    had the "original" knackered knees I never had this problem (and I was
    just as unfit and did (a bit of) walking then... it seems that since
    the lateral releases, my right knee has gone 'wrong'... I never run or
    cycle or anything normally, so I guess I must have hurt it by climbing
    up + down the Quirang that time..
    Its killing me on the flat now, theres a bad sharp/crampy pain at the
    top of the side of my shin t'boot now...
    I wonder if ITBS should be so painful on the flat as well (down is
    still worse though) so perhaps its not that... I dont know... however
    a sports masseur sounds like a good idea, and I must admit Im a little
    dismayed at the amount of work this sounds like its going to take to
    rectify the problem! oh well!!!
    Ive just joined the company gym, so when i can walk a bit better, I'll
    have to start using it i guess!

    Go easy to start with, take advice from the physio and the masseur and
    do some research online yourself, too. Knee problems are complex and
    there are a lot of different opinions about how to treat them; we've now
    concluded that many people opt for surgery in hope of a quick fix when
    no such thing may be possible. His knee is still far worse than mine and
    sometimes hurts (like yours?) after a day spent walking or climbing
    stairs at work; the sports masseur advised him to build strength in
    various upper leg muscles using specific exercises to support the knee
    and improve his leg action.

    My problem (I think) is that by the time I'm coming downhill, my upper
    leg muscles are tired. So I'm not lifting my entire leg from the hip to
    clear obstacles/place my foot for the next step, I'm relying a lot on
    twisting at the knee/ankle to get my foot around those obstacles. The
    light bulb went on when I noticed that the pain went away completely on
    the flat, when I started walking properly again. So I went 100 yards
    back up the hill and came down again trying different leg positions to
    find out what hurt more/less and discovered that if I paid attention to
    lifting my leg more from the hip and then planting it firmly, heel
    first, my knee was greatly eased. It's not easy to do this coming down a
    mountainside, though! I too am doing more leg exercises and we're both
    doing stretches to release muscles shortened by too much time spent at
    desks during the week. We've both walked for pleasure for many years
    without noticing many problems, I guess time and accumulated damage just
    caught up with us.

    Good luck, Trish.
    sarah

    --
    Think of it as evolution in action.

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