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Runners Knee
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by GREGDOGG on February 13, 2002
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At the beginning of last season I was having a pain in my knee and visited a orthopedist to see what the problem was. They did x rays and an MRI. The Doctor said that they didn't find anything. I continued to train with the hope of completing my first half ironman. That didn't happen. As the season went on my knee got weaker and weaker. i would say that at its worst it was half as strong as the right. It would constantly lock up when laying down and hurt to walk up stairs. Around September I stopped running and did not run for over three months. I did some plyometrics and rode the bike. The knee feels better, but not 100%. I just started doing short runs, and am nervous about the pain coming back and ruining another season I guess I have rambled enough,
My qestions are. Does this sound like "runners knee" I don't know where to turn if a doctor could not find anything wrong. Any suggestions on prevention, etc.
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RE: Runners Knee
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by brian on February 14, 2002
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I would find a PCP who runs, then get a referral to a PT clinic associated w/ a sports med group. Many, not all, ortho's are also surgeons and they see primarily 2 types of knee problems. Older adults who need arthoplasty or ACL/meniscus tears. Or I would find a ortho or a PA who is also a runner. In my career I have talked with over 20 ortho providers and the runers seem to have a better grasp on what could be going on. Have your PCP refer you to a running ortho. Bottom line fine a provider and PT who run. They say they treat everyone the same but from yrs of experience I have seen first hand runners treating runners with a bit more purpose. Good luck.
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RE: Runners Knee
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Anonymous post on February 20, 2002
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Hello,
I ran in college and am now an ortho PA. If your knee feels like it's "locking" on you it could be a number of things including a meniscal tear, which you've already ruled out with the MRI. You could have some inflammation of the cartilage on the underside of your patella which could cause popping and a "sticking" feeling (chondromalacia). Your patella may not be "tracking" the way it's intended to, which can cause problems and is diagnosed with a sunrise view x-ray (which you've probably had). The most common knee problem, and what most people refer to as "runner's knee" is simply patellar tendonitis. This is self-limiting, meaning, you've got to rest it until it get's better, if it creeps back, rest it, it's an ugly thing to tell an endurance athlete to rest, but often it's the best and ONLY cure. Get a strong anti-inflammatory (vioxx/celebrex), ice religiously, stretch religiously (way more than you think you should), strengthen the muscles around your knee, and eventually, hopefully, it will get better.
The conditions I mentioned above are only a few, and probably the most common, but they are not all, and ultimately, you've got to find a doctor who knows about running type injuries, and that you're comfortable with and get him to treat you.
Alot of the runners we treat, are just really mad that they're injured and can't run and fail to realize the simple maintenance things that keep you running are being neglected i.e. stretching, icing.
Good Luck
ron
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