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Knee Pain

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badmongoIconKnee Pain02-05-2013 @ 09:00 
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has experience of quad imbalance
Member 3676, 427 posts
Started getting accute knee pain about 3 months ago now. It hurts whenever i put pressure on my knees when bent (squatting, even getting out of car or chair), it also hurts when my knees are bent for a while ie when sitting, driving etc.

I havnt been able to squat for weeks and am now limited to doing leg extensions and curls

Ive been seing the doctor, and have had a knee xray which came back fine. Now been refered for physio which starts on the 8th may

Ive been given Naprosyn for the pain in the meantime. It seem to take some of the pain away sometimes but my knees feel worse when it wears off. They have also got progressively worse in the last week.

Should i stop using the Naprosyn? Is there anything i can do in the meantime before i see the physio?
richieallenIcon...02-05-2013 @ 09:34 
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Member 1381, 1240 posts
SQ 280, BP 165, DL 317.5
762.5 kgs @ 105kgs UnEq
could be a problem with patella although im sure the doc would have picked up on it...I would probably leave leg ext out though as this may be doin more harm than good. I started to do a few knee rehab exercises.(loads on youtube).

but the main thing was rest really, or take enough pain killers that you can still squat. I found that it hurt through the first few sets then stopped..

its a common injury on this site so im sure others will get involved..thats if it is you patella.
JonA81Icon...02-05-2013 @ 09:41 
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Member 2216, 2243 posts
Do you have a decent pair of knee sleeves? The compression and warmth really help, I don't get nearly so many twinges since getting a pair of 7mm jobbies.
badmongoIcon...02-05-2013 @ 09:43 
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has experience of quad imbalance
Member 3676, 427 posts
Post Edited: 02.05.2013 @ 09:44 AM by badmongo
Thanks, to add - the pain runs from the patella up into the very lower part of the quads
Ive been doing the extensions as is i was told that it could be due to weak quads:hams as i was doing a lot of squatting deep and not direct quad work, could this be the case? Either was if rest is better then ill leave them for now

Got some 7mm Rehbands, they help in day to day activities but squatting is still too painfull in them
Funky_monkeyIcon...02-05-2013 @ 09:43 
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SQ 190, BP 137.5, DL 225
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I've had the same problem, and was offered an x-ray. This shows NO signs of ACL/Meniscus damage. I told her this and she referred me on to have an MRI, which showed extensive meniscal wear and tear (degenerative meniscus) and a tear in the meniscal horn too. I told her so.....

I'd lay off the Naproxen if it's worse after - you'll just be masking the pain and won't be limping when you should. This is your body's natural way of utilising the affected leg less when going up/down stairs etc. This is good.

I have the same problems if I try to squat, get out of a chair and walk up and down stairs, mainly due to the degeneration/lack of meniscus.

I've just gotten back from the physio, and exercises used are to increase the endurance of the VMO (teardrop quad).

Lying down, slowly bend the leg back until your heel is almost touching your bum, then extend. Do 3-4 sets of 10 reps. This is more boring than difficult.

Sitting on the edge of a bed or something (chair is too low), fully extend the leg and hold for a slow count of 5 (this burns like hell) then bring it back down slowly - 10 seconds or so. Do 3-5 sets of 5 without contracting the crap out of your quads at the top (a mistake I was doing).

Ask for an MRI as an x-ray will not show anything, and the possibility of ultrasound to reduce inflammation - ultrasound is heaven (I could walk up and down stairs properly for 4 days Grin)

NO SQUATS or running. My quads have also shrunk but I know it would be a lot worse if I carried on squatting through the pain.

Cycling is also good for VMO endurance - I'm just too lazy to do more than 3mins at a time.
WaterfieIdIcon...02-05-2013 @ 09:46 
Member 4114, 355 posts
Post Edited: 02.05.2013 @ 09:46 AM by WaterfieId
Damn that sucks. Good luck with the physio.

In the mean time I found this video insightful, I found it via allthingsgym yesterday.

http://www.8weeksout.com/2013/04/10/joint-mechanics-the-knee/

It more or less has a physio walk through how the knee should function and some light exercises to try and fix problems. They're doing a video series joint by joint at the moment.

Voodoo flossing (get a bike inner tube, cut it in half) the joint might be decent for pain relief too.
davycummingsIcon...02-05-2013 @ 09:47 
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he's got betty davis eyes
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SQ 250, BP 186, DL 291
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It is quite possibe the doc will have no idea what it is, hence the referral to physio. Be very careful with how competent your physio is, i have ended up with surgery in the past due to bad advice from poorly informed physios.

I would ditch the leg extensions, they, and other open chain exercises (foot not planted) are generally left until further along in a rehab process.

Its difficult to offer advice without a diagnosis.

Hopefully you will get a half decent physio, if they dont seem particularly knowledgable then push to see someone else. Another option, if you have a little spare cash is book a private consultation with a knee specialist. It will prob cost about £150-200 but they can then refer you back on to the NHS for treatment, often saving months of messing around with people that dont know what they are talking about. This would always be my procedure for myself in future
badmongoIcon...02-05-2013 @ 09:48 
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has experience of quad imbalance
Member 3676, 427 posts
Funky_monkey said:I've had the same problem, and was offered an x-ray. This shows NO signs of ACL/Meniscus damage. I told her this and she referred me on to have an MRI, which showed extensive meniscal wear and tear (degenerative meniscus) and a tear in the meniscal horn too. I told her so.....

I'd lay off the Naproxen if it's worse after - you'll just be masking the pain and won't be limping when you should. This is your body's natural way of utilising the affected leg less when going up/down stairs etc. This is good.

I have the same problems if I try to squat, get out of a chair and walk up and down stairs, mainly due to the degeneration/lack of meniscus.

I've just gotten back from the physio, and exercises used are to increase the endurance of the VMO (teardrop quad).

Lying down, slowly bend the leg back until your heel is almost touching your bum, then extend. Do 3-4 sets of 10 reps. This is more boring than difficult.

Sitting on the edge of a bed or something (chair is too low), fully extend the leg and hold for a slow count of 5 (this burns like hell) then bring it back down slowly - 10 seconds or so. Do 3-5 sets of 5 without contracting the crap out of your quads at the top (a mistake I was doing).

Ask for an MRI as an x-ray will not show anything, and the possibility of ultrasound to reduce inflammation - ultrasound is heaven (I could walk up and down stairs properly for 4 days Grin)

NO SQUATS or running. My quads have also shrunk but I know it would be a lot worse if I carried on squatting through the pain.

Cycling is also good for VMO endurance - I'm just too lazy to do more than 3mins at a time.


Will try some of these, I havnt had an MRI, would it be worth pushing for one? Also im 25 so not sure what that would mean with regards to wear and tear expected?
rob0210Icon...02-05-2013 @ 10:21 
Member 1723, 821 posts
SQ 280, BP 200, DL 330
810.0 kgs @ 110kgs UnEq
Sounds similar to knee pain I had about a month ago. I had very sharp pain along the patella border on the inside of my knee when getting past 90 degrees in a squat.

I stuck with anti inflammatories for about a week and loads of foam rolling on my IT bands. Also some other stuff from here http://www.sportsinjuryclinic.net/sport-injuries/knee-pain/pat...

I agree with what some of the others have said, definitely push for an MRI so you can confirm/rule out any meniscal issues.
MarkIcon...02-05-2013 @ 11:06 
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Member 2171, 1612 posts
foam roll your quads, it band, hams, hips, glutes and calves.
do TKE's
do band x walks

also.... squat. nice and deep. even body weight ones where you hold it at the bottom, stretch it out.
FazcIcon...02-05-2013 @ 11:40 
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Sports an extremely muscular arse.
Member 38, 6253 posts
Do you have a video of your squat form?
badmongoIcon...02-05-2013 @ 12:01 
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has experience of quad imbalance
Member 3676, 427 posts
Fazc said:Do you have a video of your squat form?


No but i can try and get one. Just need the knee to hold up for one rep!
ThingIcon...02-05-2013 @ 12:06 
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a large fingered spastic that demolishes plant
Member 89, 31706 posts
SQ 260, BP 220, DL 290
770.0 kgs @ 142kgs UnEq
JonA81 said:Do you have a decent pair of knee sleeves? The compression and warmth really help, I don't get nearly so many twinges since getting a pair of 7mm jobbies.


7mm Jobbies - this made me laugh a lot
IrishMarcIcon...02-05-2013 @ 12:13 
no really Irish
Member 1196, 5908 posts
SQ 312, BP 230, DL 320
862.0 kgs @ 114kgs UnEq
Thing said:
7mm Jobbies - this made me laugh a lot


Those rehands are 60 fecking quid! A good meal for 7mm jobbies 3-5 quid.
ThingIcon...02-05-2013 @ 12:17 
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a large fingered spastic that demolishes plant
Member 89, 31706 posts
SQ 260, BP 220, DL 290
770.0 kgs @ 142kgs UnEq
IrishMarc said:
Those rehands are 60 fecking quid! A good meal for 7mm jobbies 3-5 quid.


lol

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