Knee pain

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nafod
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Knee pain

Post by nafod » Thu Feb 16, 2017 3:45 pm

I got it. To the point that it is interfering with life, to include my sleep. Bummer. Hurts to bend it beyond 90, stiffens up at night. Doesn't lock up or click (too much - both knees do some). Doctor's appointment Monday of next week.

So no immediate incident that has led to it, just a gradual getting old. Never had an acute episode before, no sprains, strains, tears (that I know of). but in the last two weeks it has rapidly gone way south. I ski usually 3-4 times a week for 2-3 hours per. Feels better skiing than walking, but now hurts too much.

The one thing I am curious about is that my tibia below the knee on the inside of the leg, for about 4 inches, is sore and tender to the touch. I am thinking generic inflammation, although there's a bursitis that can cause pain there? Any thoughts before I see the quack? My googling on bursitis
Each of your knees has 11 bursae. While any of these bursae can become inflamed, knee bursitis most commonly occurs over the kneecap or on the inner side of your knee below the joint.
Hope that's it.
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Re: Knee pain

Post by Blaidd Drwg » Thu Feb 16, 2017 5:40 pm

I have a lot of history in this area. At this point the most useful thing I can say is, knee pain is a cunt in that it "refers" all over the place. So damage to thea meniscus can refer to the back of the knee or the quad or the side..it;s trixy to pain as a guide...so pay attention to it of course, but don;t be surprised if it moves around.

For sure see a specialist, get the imaging done and do the PT. I'd put money on a psoas/hamstring dysfunction being part of the mix,
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Re: Knee pain

Post by Boris » Fri Feb 17, 2017 3:49 am

Blaidd Drwg wrote:I'd put money on a psoas/hamstring dysfunction being part of the mix,
I would have said this and hips, and it's my stock answer for knees. "The hips make a bad neighbor". I hope you get things sorted out.

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Re: Knee pain

Post by powerlifter54 » Fri Feb 17, 2017 12:49 pm

For a very long time I had issues with my left knee and IT band. Exams, 800 Motrin, massage. But after a series of right leg groin injuries, my left leg was my stronger leg. in past year left hip went from annoying to non functioning. Turns out the left hip acetabulum was congenitally malformed, which let the head of the femur float laterally and press the great6er trochanter against the bursa and IT band, which led to both the IT and left knee issues, which were localized at the IT insertion.

Bottom line is the knee can be impacted by a lot of things. And sometimes more than just one. Guaranteed you have some wear on the knee, but you have to avoid letting a doc jump on some arthritis and blaming it just on that. As BD said, hamstring is an issue. I would investigate adductors and hips and even the psoas. And get yourself some very good knee sleeves. I gave out a couple sets at Christmas and my non serious training friends rolled their eyes. They are extremely thankful now.

Do it.
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Re: Knee pain

Post by Beer Jew » Fri Feb 17, 2017 1:11 pm

There's a guy in a university hospital near to me who's doing research on regrowing cartilage using stem cells. I'm trying to get him to "research" whether he can grow back the meniscus in both my knees.

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Re: Knee pain

Post by nafod » Fri Feb 17, 2017 1:39 pm

Thanks all. I'll keep the systems perspective for sure.

Not skiing and doing martial arts is helping already.
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Re: Knee pain

Post by Shafpocalypse Now » Fri Feb 17, 2017 2:36 pm

Acutely, SMR above the around the knee, quad, IT band, hamstring, and upper calf, can provide a bit of relief, as can compression via voodoo band.

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Re: Knee pain

Post by aussie luke » Fri Feb 17, 2017 4:03 pm

Foam rolling my quads is an instant knee fix for me.

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Re: Knee pain

Post by Shafpocalypse Now » Mon Feb 20, 2017 6:38 pm

couch stretch style quad and hip stretch might be worth trying if you can tolerate the position.

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Re: Knee pain

Post by nafod » Mon Feb 20, 2017 6:46 pm

I can tolerate it on one side, but not with the bad knee on the couch (too folded up at the moment).

Went mountain biking this weekend for a couple of hours, zero pain so that was good. Off to see the doc in an hour or so.

Edit: so doc felt MRI was in order, but also it wasn't slam-dunk meniscus, based on manipulating the joint and my symptoms. Gave me an order for a Lyme Disease antibody test to take to the center when I get the MRI.
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Re: Knee pain

Post by nafod » Fri Mar 10, 2017 7:30 pm

Had the MRI, torn cartilage it is. Will visit orthopod next week.

Skied all day yesterday, and stiff today, but not as bad as it thought it would be. Two week layoff helped.
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Re: Knee pain

Post by Blaidd Drwg » Sat Mar 11, 2017 3:46 am

you going to scope it or ride it out a while?
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Re: Knee pain

Post by nafod » Sat Mar 11, 2017 5:11 am

TBD. I'm in education mode at the moment. But I've essentially been riding it out for a while, and now it is interfering with life. Not sure what noninvasive therapies are available. We'll see what the doc recommends.
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Re: Knee pain

Post by Cayenne » Sat Mar 11, 2017 12:48 pm

FWIW, I found high rep standing terminal knee extensions, with resistance bands, mixing in with a step up, to be close to magic manna for my knee, over time. Good luck Nafod!

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Re: Knee pain

Post by nafod » Thu Mar 16, 2017 4:12 pm

So I scheduled a partial meniscus repair a couple of weeks out. Skied hard on Wednesday in the fresh snow, and it is seriously swollen. Not getting better on its own.

As an oh by the way, I mentioned my shoulder has reduced range of motion. He manipulated it, said it is about frozen, xrayed it, and I found out I have grade 4 arthritis. Ignorance was bliss?
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Re: Knee pain

Post by Blaidd Drwg » Thu Mar 16, 2017 4:33 pm

nafod wrote:So I scheduled a partial meniscus repair a couple of weeks out. Skied hard on Wednesday in the fresh snow, and it is seriously swollen. Not getting better on its own.

As an oh by the way, I mentioned my shoulder has reduced range of motion. He manipulated it, said it is about frozen, xrayed it, and I found out I have grade 4 arthritis. Ignorance was bliss?

Do your PT.....save the drugs. Use them after PT. Get a stim unit and work the other leg as well. Do your PT....did I mention doing the PT?
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Re: Knee pain

Post by nafod » Thu Mar 16, 2017 4:53 pm

powerlifter54 wrote:And get yourself some very good knee sleeves. I gave out a couple sets at Christmas and my non serious training friends rolled their eyes. They are extremely thankful now.

Do it.
I'm getting some. Heard this advice from too many people.
Do your PT.....save the drugs. Use them after PT. Get a stim unit and work the other leg as well. Do your PT....did I mention doing the PT?
Roger that. I'm timing the surgery for the mud season, so as soon as the ground is dry I can get back to MTBiking.

I credit the bodyweight exercising and high general level of activity for why my new-found grade 4 shoulder arthritis is kept at bay. I find vigorous kayak paddling with big strokes to be one of the best loosen upperers for it.
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Re: Knee pain

Post by Blaidd Drwg » Thu Mar 16, 2017 5:13 pm

Kayaking may be one of the best press/bench assistance moves,
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Re: Knee pain

Post by Herv100 » Thu Mar 16, 2017 6:34 pm

Don't do anything like skiing that will make the tear bigger. Or they'll have to take more cartilage out and you'll have less to last you the rest of your life.
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Re: Knee pain

Post by nafod » Thu Mar 16, 2017 6:47 pm

Herv100 wrote:Don't do anything like skiing that will make the tear bigger. Or they'll have to take more cartilage out and you'll have less to last you the rest of your life.
Yeah...If you ever want to hear lots of stories of knee issues and dealing with them, ride a chairlift.
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Re: Knee pain

Post by Herv100 » Thu Mar 16, 2017 11:16 pm

To clarify I meant until after the surgery. Then do whatever you want
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Re: Knee pain

Post by nafod » Fri Mar 17, 2017 12:42 pm

Herv100 wrote:To clarify I meant until after the surgery. Then do whatever you want
Thanks, last ski patrol shift this weekend. Guess I'll be hanging out at the bottom.
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Re: Knee pain

Post by nafod » Tue Mar 28, 2017 5:30 pm

Well, got the knee done this morning. Afterwards, the doctor was like, "Yeah, there was some torn cartilage, but holy shit the arthritis". Not his exact words, but it is what I heard. More verbose with the wife, telling her it was really bad. No more deadlifts, squats, lunges, running...that sort of thing. Actions that put pressure towards the front of the knee. Like my shoulder, there has not really been pain involved worth speaking of, or maybe I just lump it in with all of the aging pain. Go figure.

Maybe it explains the pain at the top of the tibia?
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Re: Knee pain

Post by DrDonkeyLove » Wed Mar 29, 2017 12:53 pm

nafod wrote:Well, got the knee done this morning. Afterwards, the doctor was like, "Yeah, there was some torn cartilage, but holy shit the arthritis". Not his exact words, but it is what I heard. More verbose with the wife, telling her it was really bad. No more deadlifts, squats, lunges, running...that sort of thing. Actions that put pressure towards the front of the knee. Like my shoulder, there has not really been pain involved worth speaking of, or maybe I just lump it in with all of the aging pain. Go figure.

Maybe it explains the pain at the top of the tibia?
Seems like getting older is all about workarounds. Good luck.
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Re: Knee pain

Post by Mickey O'neil » Tue Apr 04, 2017 4:34 pm

Damn, that sucks. If I may ask, how old are you, nafod?
nafod wrote:Well, got the knee done this morning. Afterwards, the doctor was like, "Yeah, there was some torn cartilage, but holy shit the arthritis". Not his exact words, but it is what I heard. More verbose with the wife, telling her it was really bad. No more deadlifts, squats, lunges, running...that sort of thing. Actions that put pressure towards the front of the knee. Like my shoulder, there has not really been pain involved worth speaking of, or maybe I just lump it in with all of the aging pain. Go figure.

Maybe it explains the pain at the top of the tibia?

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