Knee problem - do I need a new one?
Knee problem - do I need a new one?
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Discussion

Blue Oval84

Original Poster:

5,394 posts

190 months

Thursday 14th March 2013
quotequote all
Hope someone can give me a pointer here with a knee problem I'm having.

I'm 28, in good health, have been doing treadmill and cross trainer in the gym for about 6 - 8 months.

Whilst on holiday recently I did a lot of walking, probably 6 hours at a time across the city. A day or two after my return my left knee started aching, it's noticeably worse when going up or down stairs or an incline.

It cleared up after a couple of days, I even managed some time on a treadmill. Then, fast forward a few days and it started hurting again yesterday, got really bad at points and I had to start using the lift at work etc.

Today it was bad again, but then this evening it cleared up of it's own accord. Sitting here on the sofa I just felt a barely perceptible "shift" of something in my knee and the ache returned immediately. I've got a weird feeling to the right hand side of the knee cap and it's aching to walk again.

Any ideas which bit's faulty? Can I get a new one at Halfords or something?

I have a funny feeling that this could be a right pain to get diagnosed frown

GrumpyTwig

3,354 posts

186 months

Thursday 14th March 2013
quotequote all
A phhysio would be first port of call imho, sadly when I had my bad knee it was the last port of call and it wasted a lot of time.

It's never gone away completely but mostly because I'm a lazy mofo.

Blue Oval84

Original Poster:

5,394 posts

190 months

Thursday 14th March 2013
quotequote all
Awesome point! We have free physio treatment available at work, I'll refer myself first thing tomorrow! Thanks for the timely reminder smile

mph1977

12,467 posts

197 months

Thursday 14th March 2013
quotequote all
Physio Ax first

actual joint replacement at your age - highly unlikely and even if you were heading that way they'd want to leave it as long as possible due to the life span of the prothesis

Blue Oval84

Original Poster:

5,394 posts

190 months

Thursday 14th March 2013
quotequote all
Don't worry, I was only kidding about the new one as my gran has just undergone that op.

I would however like to avoid having a load of knee problems that stop my cardio in it's tracks just as it was getting going frown

InertialTooth45

2,111 posts

216 months

Friday 15th March 2013
quotequote all
Make sure you're front foot striking on the treadmill and not heal striking. That will help it not come back in the future.

Magic919

14,455 posts

230 months

Friday 15th March 2013
quotequote all
InertialTooth45 said:
Make sure you're front foot striking on the treadmill and not heal striking.
Surely heal (sic) striking would make it better.

Blue Oval84

Original Poster:

5,394 posts

190 months

Friday 15th March 2013
quotequote all
Now that all sounds technical, I've just been running naturally, I guess I probably hit the heel part of my foot first...

Put in my Occ Health Physio referral today so hopefully I'll get to see one next week.

Today has been a mixed day, mostly pretty much ok, but this evening it's flared back up again, the discomfort really is either on or off, it doesn't fade or reappear gradually at all.

InertialTooth45

2,111 posts

216 months

Saturday 16th March 2013
quotequote all
Magic919 said:
Surely heal (sic) striking would make it better.
No... If you're landing on your your leg is going to be straight. So all the landing force will go straight into your boney heal and be transmitted straight up the leg into the knee wher there is no shock absorbtion.

Land in you forefoot and you go the movement of your arch, ankle and whole calf muscle and tendons to spring and absorb the shock. It's how the leg evolved for us to be able to run, we're runner not walkers. Everyone shifted to heal striking when the shoe manufacturers decided by putting padding under the heel so we could land on it for a bigger stride. Unsurprisingly injury rates have risen phenomenally since then.

Watch slow motion videos of elite athletes, they're all forward on their toes.

It's a controversial subject so feel free to do your research but I've spent years looking into it.

Check out the minimalist running thread or more information on it.

coffee

Sway

35,036 posts

223 months

Saturday 16th March 2013
quotequote all
On a related note, and sorry for the hijack, but a few years ago I broke my kneecap into six pieces...

After the initial recovery after cast, it's been fine, but recently if I jump or run my kneecap noticeably shifts up and down, making a 'thock' noise...

Doing leg raise weights gives a very graunchy sound.

Any advice? I work all over the place during the week, so trying to organise physio will be an absolute nightmare without me taking time off work (very difficult as I'm currently working in Zurich for a few months during the week).

Magic919

14,455 posts

230 months

Saturday 16th March 2013
quotequote all
InertialTooth45 said:
Magic919 said:
Surely heal (sic) striking would make it better.
No... If you're landing on your your leg is going to be straight. So all the landing force will go straight into your boney heal and be transmitted straight up the leg into the knee wher there is no shock absorbtion.

Land in you forefoot and you go the movement of your arch, ankle and whole calf muscle and tendons to spring and absorb the shock. It's how the leg evolved for us to be able to run, we're runner not walkers. Everyone shifted to heal striking when the shoe manufacturers decided by putting padding under the heel so we could land on it for a bigger stride. Unsurprisingly injury rates have risen phenomenally since then.

Watch slow motion videos of elite athletes, they're all forward on their toes.

It's a controversial subject so feel free to do your research but I've spent years looking into it.

Check out the minimalist running thread or more information on it.

coffee
Look the word heal up in a dictionary. Then you will understand. Then look for heel.

a boardman

1,316 posts

229 months

Saturday 16th March 2013
quotequote all
I.t band cause.problems at side of knee.

But get it checked first to confirm.

get a foam roller and roll from hip to knee.
will hurt a lot but you need to well work it then do some stretching.

i have been suffering from it marathon training.

InertialTooth45

2,111 posts

216 months

Saturday 16th March 2013
quotequote all
Magic919 said:
InertialTooth45 said:
Magic919 said:
Surely heal (sic) striking would make it better.
No... If you're landing on your your leg is going to be straight. So all the landing force will go straight into your boney heal and be transmitted straight up the leg into the knee wher there is no shock absorbtion.

Land in you forefoot and you go the movement of your arch, ankle and whole calf muscle and tendons to spring and absorb the shock. It's how the leg evolved for us to be able to run, we're runner not walkers. Everyone shifted to heal striking when the shoe manufacturers decided by putting padding under the heel so we could land on it for a bigger stride. Unsurprisingly injury rates have risen phenomenally since then.

Watch slow motion videos of elite athletes, they're all forward on their toes.

It's a controversial subject so feel free to do your research but I've spent years looking into it.

Check out the minimalist running thread or more information on it.

coffee
Look the word heal up in a dictionary. Then you will understand. Then look for heel.
Whoops. Woosh parrot for one please! laugh

Blue Oval84

Original Poster:

5,394 posts

190 months

Sunday 24th March 2013
quotequote all
Things haven't improved very much I'm afraid to say. I went to the doctors earlier this week who told me to leave it another month before coming back to see him. frown

I have a physio appointment at work on 2nd April which will hopefully give me some pointers. My friend has suggested it may be a lower back problem, manifesting itself through my knee, and funnily enough, I have had a bit of a slight twinge in it for a while but nothing that has caused much trouble.

I'll probably wait until I've seen the physio at work, but what are people's opinions on seeing a Chiropractor? I like the idea that they may be able to take a bit of a hollistic approach, looking at back and knees as a whole, but don't know whether they are worth the money. Anyone any experience?

Wacky Racer

41,246 posts

276 months

Sunday 24th March 2013
quotequote all
1. Book an MRI Scan...(on the NHS)

2. Google Arthroscopy.

Not saying that's what's needed but it worked for me...simple 20 minute keyhole operation to clear out torn tissue, can't even see a mark.

Blue Oval84

Original Poster:

5,394 posts

190 months

Sunday 24th March 2013
quotequote all
NHS for scans is definitely on my to do list, unfortunately the Dr wouldn't entertain the idea until it's been painful for at least 7-8 weeks. frown

mph1977

12,467 posts

197 months

Sunday 24th March 2013
quotequote all
Blue Oval84 said:
NHS for scans is definitely on my to do list, unfortunately the Dr wouldn't entertain the idea until it's been painful for at least 7-8 weeks. frown
imaging answers a clinical question and the question is what is the clinical question to be answered ?


NickHKent

305 posts

195 months

Sunday 24th March 2013
quotequote all
I'm in the same boat. Knee is sore after running or walking quickly in leather soled shoes, clicks like mad going up and down stairs- I'm pretty sure that regularly playing football on unforgiving 3g pitches hasn't helped things.

Anyway, went to the GP who referred me for an x-ray which didn't show anything (only shows bone, not tissue), then got referred to the NHS physio for 6 or 7 sessions who didn't know what was wrong with it but still felt it acceptable to offer me cortisone injections which I declined.

I then got referred to an NHS knee specialist who told me the minute that my arse hit the chair that my knee is fine and this is all in my head.

The NHS will do anything they can to not send you for a scan due to the cost.

I'm now investigating going private.

Wacky Racer

41,246 posts

276 months

Sunday 24th March 2013
quotequote all
NickHKent said:
I'm now investigating going private.
Just persevere with the NHS, you may have to wait a few weeks but they will give you an MRI eventually.

I think you might need to be a bit more assertive with the specialist.

Mojooo

13,291 posts

209 months

Monday 25th March 2013
quotequote all
I paid for a private MRI scan (but I knew my knee was fked as I had history) and I paid a surgeon to tell me the result. The MRI was about 200 and surgeon time about 160.

I would go and see a sports physio as well just to get a basic diagnosis.