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Vastus Medialis Obliquus atrophy

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Triathlon
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4 August 2005
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  1. Hi

    I suffer from pretty sore knees and find walking up stairs etc very
    difficult at times because of the pain. I'm almost certain that the
    problem is atrophy of my VMOs (particularly in the left leg) causing
    incorrect patellar tracking (you can hear the clicking from across the
    room).

    Any tips on how I can try to rehab these hard to hit muscles? I was
    thinking of investing in an EMS machine to try to shock them back into
    action - literally!

    One thing that I have found that helps so far is to construct a small
    step and repeatedly step up it, increasing the height as pain allows.

    LGF

  2. <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:

    Hi

    I suffer from pretty sore knees and find walking up stairs etc very
    difficult at times because of the pain. I'm almost certain that the
    problem is atrophy of my VMOs (particularly in the left leg) causing
    incorrect patellar tracking (you can hear the clicking from across the
    room).

    Any tips on how I can try to rehab these hard to hit muscles? I was
    thinking of investing in an EMS machine to try to shock them back into
    action - literally!

    One thing that I have found that helps so far is to construct a small
    step and repeatedly step up it, increasing the height as pain allows.

    Please see a physical therapist or orthopedist.

    In the meantime, if riding a bicycle causes you no discomfort, you might
    try that as it will probably help strengthen the muscles in the area.

    -S-
    http://www.kbnj.com

  3. Unfortunately, riding a bike causes me a lot of discomfort, and I think
    riding with my injury has contributed to my problems. The VMO is a
    tricky muscle to work as it doesn't seem to move anything. As far as I
    can tell its job is to maintain patellar tracking. Once it has wasted
    it is difficult to get it firing at the right time to control the
    patella. This not only leads to all the noises, pain and swelling ( I
    have Baker's Cysts in both knees), but will lead to chondromalacia
    patella and arthritis if I'm not careful.

    Living in the UK you can't just see a therapist, only a GP. I am on a
    waiting list.

  4. Quoted message said:

    Unfortunately, riding a bike causes me a lot of discomfort, and I
    think riding with my injury has contributed to my problems. The VMO
    is a tricky muscle to work as it doesn't seem to move anything. As
    far as I can tell its job is to maintain patellar tracking. Once it
    has wasted it is difficult to get it firing at the right time to
    control the patella. This not only leads to all the noises, pain and
    swelling ( I have Baker's Cysts in both knees), but will lead to
    chondromalacia patella and arthritis if I'm not careful.

    Living in the UK you can't just see a therapist, only a GP. I am on a
    waiting list.

    £50 at most will get you an appointment with a PT, if you're a student less.

    Ask a local sports team which one they recommend.

    Peter

  5. <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:


    Unfortunately, riding a bike causes me a lot of discomfort, and I
    think
    riding with my injury has contributed to my problems. The VMO is a
    tricky muscle to work as it doesn't seem to move anything. As far as I
    can tell its job is to maintain patellar tracking. Once it has wasted
    it is difficult to get it firing at the right time to control the
    patella. This not only leads to all the noises, pain and swelling ( I
    have Baker's Cysts in both knees), but will lead to chondromalacia
    patella and arthritis if I'm not careful.

    Living in the UK you can't just see a therapist, only a GP. I am on a
    waiting list.

    You might want to Google "chondromaltia patella" and see if that fits
    your symptoms. It's the fancy name for "runner's knee" and the classic
    therapy for that is simply sitting on a table or firm chair, raising
    your leg to horizontal with the knee locked, and doing partial lowering
    and raising to locked again. After a while, a light weight can be
    used - I used a few soup cans in a gym bag.

    I'm no doctor and I don't know if this will work for you.

    Try also taking an anti-inflammatory like Naproxen or ibuprofen (don't
    know what they're called over there).

    -S-
    http://www.kbnj.com

  6. Steve Freides said:

    You might want to Google "chondromaltia patella" and see if that fits
    your symptoms. It's the fancy name for "runner's knee" and the classic
    therapy for that is simply sitting on a table or firm chair, raising
    your leg to horizontal with the knee locked, and doing partial lowering
    and raising to locked again. After a while, a light weight can be
    used - I used a few soup cans in a gym bag.

    Chondromalacia patella.

    Not a spelling flame, exactly; you suggested he google. This'll work.

  7. "T" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Steve Freides said:

    You might want to Google "chondromaltia patella" and see if that fits
    your symptoms. It's the fancy name for "runner's knee" and the
    classic therapy for that is simply sitting on a table or firm chair,
    raising your leg to horizontal with the knee locked, and doing
    partial lowering and raising to locked again. After a while, a light
    weight can be used - I used a few soup cans in a gym bag.

    Chondromalacia patella.

    Not a spelling flame, exactly; you suggested he google. This'll work.

    I am always glad to have my spelling corrected - thank you.

    -S-
    http://www.kbnj.com

  8. Quoted message said:

    Living in the UK you can't just see a therapist, only a GP. I am on a
    waiting list.

    People have come to depend and expect too much from the NHS in my
    opinion. I pay to see an excellent local Sports physio for most
    injuries before trying to see my GP and then going to a specialist.

    I see Martin Mitchell at the Luton Regional Sports Centre, he charges
    around £25. if you are based in the North London, Hertforshire region
    then we have a number of recommendations from athletes on this page:
    http://www.tri-force.org/sports_physios.html

  9. The root cause of my problem is my back. I ruptured L5-S1, which among
    other things caused me to lose feeling in my legs - left for over two
    years from mid-thigh downwards, right mostly just down the inside,
    hence the atrophy. As for NHS treatment, mine consisted of a mixture of
    Voltarol and Tramadol. I do know what physios/chiropractors etc cost.
    I've spent over 6k in the last 4 years on them.

    Thanks for the link.

    LGF

  10. Quoted message said:

    Hi

    I suffer from pretty sore knees and find walking up stairs etc very
    difficult at times because of the pain. I'm almost certain that the
    problem is atrophy of my VMOs (particularly in the left leg) causing
    incorrect patellar tracking (you can hear the clicking from across the
    room).

    Any tips on how I can try to rehab these hard to hit muscles? I was
    thinking of investing in an EMS machine to try to shock them back into
    action - literally!

    One thing that I have found that helps so far is to construct a small
    step and repeatedly step up it, increasing the height as pain allows.

    LGF

    Try investing in a medical consult first. You've got long term pain and
    muscle atrophy, that's not something to muck around with.

    Ari

    --
    spammage trappage: replace fishies_ with yahoo

    I'm going to die rather sooner than I'd like. I tried to protect my
    neighbours from crime, and became the victim of it. Complications in
    hospital following this resulted in a serious illness. I now need a bone
    marrow transplant. Many people around the world are waiting for a marrow
    transplant, too. Please volunteer to be a marrow donor:
    http://www.abmdr.org.au/
    http://www.marrow.org/

  11. Quoted message said:

    problem is atrophy of my VMOs (particularly in the left leg)

    Atrophy of the VMO usually occurs secondary to an insult to the knee

    Quoted message said:

    Any tips on how I can try to rehab these hard to hit muscles?

    Lie on you back with straight legs. Externally rotate the leg, i.e. angle
    your foot outwards and then lift you heel 10cm off the floor. Repeat x500
    per day.

    Quoted message said:

    I was thinking of investing in an EMS machine to try to shock them back
    into
    action - literally!

    Don't.

    Quoted message said:

    One thing that I have found that helps so far is to construct a small
    step and repeatedly step up it, increasing the height as pain allows.

    Actually, that might make it worse if you're not careful, but if it's
    helping, keep at it.

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