Knee injury

[Huntingwhale]

Lower Body Injury

[NBC]

Could also be a problem with your Pes anserinus. (cue lowbrow CP jokes... now!)

Pes anserinus bursitis (also referred to as anserine or pes anserine bursitis) is an inflammatory condition of the medial knee. Especially common in certain patient populations, it often coexists with other knee disorders Diagnosis of pes anserine bursitis should be considered when there is spontaneous pain inferomedial to the knee joint.

http://emedicine.medscape.com/article/308694-overview

[Buff]

Maybe you have leprosy. Is your leg still attached?

[Cowperson]

I get "tweaks" with the inside knee and outside knee periodically while running.

Basically a combination of overuse and lack of fitness as you're trying to get back in shape. I just dial it back, give it some time and then dial it up again. It goes away. Something to manage.

Cowperson

[HPLovecraft]

I also play squash quite regularly, and I destroyed this same leg a few months back (the gluteal, in particular, due to lunges), and I have a feeling it is related to that overuse and the ITB, due to my own research and the posts in here. I'm going to go to the doc and get it checked. It's fine now, but I know if I took up running again tomorrow, it'd likely just return. It's certainly not so painful as to be completely debilitating, and it doesn't last for weeks at a time (only a few days), but I suppose without proper treatment it might just get worse in the future.

[TheSutterDynasty]

Originally Posted by NBC

Could also be a problem with your Pes anserinus. (cue lowbrow CP jokes... now!)

Wrong side of the knee, and it's more posterior. Plus IT band issues are much more common.

Originally Posted by HPLovecraft

I also play squash quite regularly, and I destroyed this same leg a few months back (the gluteal, in particular, due to lunges), and I have a feeling it is related to that overuse and the ITB, due to my own research and the posts in here. I'm going to go to the doc and get it checked. It's fine now, but I know if I took up running again tomorrow, it'd likely just return. It's certainly not so painful as to be completely debilitating, and it doesn't last for weeks at a time (only a few days), but I suppose without proper treatment it might just get worse in the future.

While I'd never discourage people from seeing their docs, a lot of GPs seem to think they know what's going on within a realm they've had no education in. It's common to have it diagnosed as a "sprain/strain" and given some anti-inflammatories.

The good news is IT band issues are very treatable (and tend to respond quickly), you just need the right exercises.

[macker]

^
Depends how serious the injury is though. Mild injury recovery rate is 100% after 2-4 weeks, average injury 100% after 7-8 weeks, and severe injury can take 9-24 weeks for 100% recovery. Also if you don't let it heal properly it keeps comming back and often sooner and sooner so it can really mess up a running program. Once the source of the problem is found and proper recovery time taken it is usually something that can be managed without needing surgery. Water running is frustratingly boring so not something you want to have happen over and over again while you are letting the injury recover. Worst thing you can do if you have ITBs is run through the pain.

[TheSutterDynasty]

Originally Posted by macker

^
Depends how serious the injury is though. Mild injury recovery rate is 100% after 2-4 weeks, average injury 100% after 7-8 weeks, and severe injury can take 9-24 weeks for 100% recovery. Also if you don't let it heal properly it keeps comming back and often sooner and sooner so it can really mess up a running program. Once the source of the problem is found and proper recovery time taken it is usually something that can be managed without needing surgery. Water running is frustratingly boring so not something you want to have happen over and over again while you are letting the injury recover. Worst thing you can do if you have ITBs is run through the pain.

Not sure what you're referring to really, as IT band issues are overuse / poor biomechanics, not a strain / sprain / meniscal / ligamentous issue. There isn't surgery for IT band friction syndrome - the problem is one of half a dozen possible things related to weak / tight muscles and alignment.

[macker]

There is actually an ITB release surgery
http://www.letsrun.com/forum/flat_re...thread=1728541

Was just pointing out that the time away from running can be significant and it is at times an injury that isn't exactly easy to deal with and takes time.

[TheSutterDynasty]

Originally Posted by macker

There is actually an ITB release surgery
http://www.letsrun.com/forum/flat_re...thread=1728541

Was just pointing out that the time away from running can be significant and it is at times an injury that isn't exactly easy to deal with and takes time.

Interesting, though theoretically there are surgical for all releases, they're really only used in very extreme cases (ie contractures with neurological conditions). And like I said, IT band / knee alignment issues respond very well to conservative treatment.

From my personal experience - and from what I've seen with patients with ITB issues - these issues are very treatable and respond quickly. It doesn't sound like you've had the same experiences, did you have issues yourself?

[macker]

Originally Posted by TheSutterDynasty

Interesting, though theoretically there are surgical for all releases, they're really only used in very extreme cases (ie contractures with neurological conditions). And like I said, IT band / knee alignment issues respond very well to conservative treatment.

From my personal experience - and from what I've seen with patients with ITB issues - these issues are very treatable and respond quickly. It doesn't sound like you've had the same experiences, did you have issues yourself?

I had it off and on for about 5 years and each time I would try different things and every single time it would come back. As mentioned the only way I was able to rid myself from it was by cross training and building up my hips/glutes/vmo/hamstrings from biking. That is my magic bullet and I don't do anything else recommended aside from some basic stretching after runs and a few donkey kicks/leg raises/lunges. Runners don't actually need to hit the gym for quads, hamstrings and calves as they are typically sufficiently built up but need to focus on abs, glutes, abductors etc. as almost all overuse injuries are related to a lack of pelvic stability. I haven't had ITBS in over 3 years and have broken most of my monthly mileage records but it is easy to think back to the frustration of being sidelined and trying all of the remedies. It used to be an semi-annual injury for me

[TheSutterDynasty]

Originally Posted by macker

I had it off and on for about 5 years and each time I would try different things and every single time it would come back. As mentioned the only way I was able to rid myself from it was by cross training and building up my hips/glutes/vmo/hamstrings from biking. That is my magic bullet and I don't do anything else recommended aside from some basic stretching after runs and a few donkey kicks/leg raises/lunges. Runners don't actually need to hit the gym for quads, hamstrings and calves as they are typically sufficiently built up but need to focus on abs, glutes, abductors etc. as almost all overuse injuries are related to a lack of pelvic stability. I haven't had ITBS in over 3 years and have broken most of my monthly mileage records but it is easy to think back to the frustration of being sidelined and trying all of the remedies. It used to be an semi-annual injury for me

Congrats!

Those years of struggles are the reason I suggest an expert opinion.

[macker]

^
Agreed. The best expert in town on this subject.....
http://runninginjuryclinic.com/blog/...ing-exercises/

[JiriHrdina]

You could have tore your patella - with a piece of it breaking off and now blocking your knee joint. You could have also torn some ligaments.

When I tore my knee completely up, I knew something was wrong and I didn't push for an MRI. I went through months of physio and finally my therapist clued in and said she thought there was more wrong than she could just help with. At that point an MRI was ordered with a 6 month wait. I paid for a private MRI that confirmed I would need surgery.

None the less I continued to struggle to re-gain my range of motion after 2 surgeries - in part, I believe, because of this initial delay to get a proper diagnosis.

Long story short - I'm no longer able to play sports because my knee just can't take it. This is the price I pay to have my daily life not impacted - when I tried to play sports after my recover I walked with a limp most of the time because the knee never felt right. Stopping sports at least means that day to day it is relatively normal.

So my advice is twofold
- Stick up for yourself as a patient. PUSH for an MRI.
- Pay for the MRI yourself if you can afford it. You will get answers one way or the other and speed everything else up should you require surgery.

And it is tax deductible.

Hopefully it reveals something not serious that can be treated with physio.

[JiriHrdina]

Originally Posted by fotze

How much is an MRI?

I think I paid 750 but that was years ago

[ThePrince]

Go to the winter club physio clinic, and see Jeff. He's awesome with this sort of stuff and will tell you if it's a major knee problem (torn ACL, etc.) I've injured my knee badly a few times, and I trust him more than anyone (except my surgeon) when it comes to my knee.

[t0rrent98]

I had a similar problem except mines on the inside right knee. It started hurting the next day after I had subbed as goalie for my cousins NCHL team. Everytime I tried going to the butterfly position or bend the right knee inward a certain way it started to hurt as if I had torn something.

Through, now that I've started stretching alot more than I use to and using the foam roller it hasn't hurt since.

[Raekwon]

My guess is just torn meniscus, mine is torn in 3 places and it will "pop" out just sitting at my desk if I position my knee wrong. I got lucky somehow and got my MRI done in 3 days without paying now just the long wait to see a surgeon.

[Minnie]

Originally Posted by Raekwon

My guess is just torn meniscus...

Thinking the same. Mine used to lock up something fierce and it was that same feeling - if someone could just come along and just slam it, things would smarten up. Used to hurt like hell until I could get it to unlock.

That AKIC is pretty awesome. I fell down the stairs a couple of years ago, and of course it was my crap knee that ended up being bent up behind, stretched out like hell. Was very nervous that I'd gorked my ACL repair - not an operation I'm in a hurry to repeat. The docs at AKIC were great.