? about torn miniscus....
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Extreme Veteran ![]() ![]() ![]() ![]() ![]() ![]() | ![]() I have made a few posts recently about my 'knee' troubles - so bear with me if this is redundant... a brief background: about 4-5 weeks ago I started having pain on the outside of my right knee about 15 mins into a run.....it has progressed to hip and knee pain in both legs. I was diagnosed with ITB syndrome and am into my 4th week of ART/graston, stretching, strengthening, icing, anti-inflammatories. I have not been making any progress...infact it has been generally getting worse. Yesterday I didn't even get 8 mins into a run before I HAD to stop. I was at the chiro yesterday and he said that he wonders if there is something ELSE going on since he usually sees much more improvement by week 4 (doing what I am doing). yesterday my knees (both but right more than left) were very 'clicky'....I could easily 'recreate' a clicking sound/sensation just by bending them a certain way. And they have begun to feel very 'unstable' and will will sort of 'give out' with no warning or reason. They have also been very stiff and just genrally hurt - especially going down stairs. I cannot tell if the pain is related to the ITB or something else. But the chiro mentioned that he thought perhaps I may have a torn miniscus as well and to get a referral from my GP for a specialist. now to my question: Today my knees still feel stiff, still painful (but less so)...but are not nearly as 'clicky' today. If I have a torn miniscus I would assume that the symptoms would be more contant rather than somewhat transient, NO? Any insight? thanks! |
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Veteran ![]() ![]() ![]() ![]() ![]() ![]() | ![]() You should get to a ortho doc to get this checked out, preferrably one who works on athletes. With that said the knee anatomy is very complicated and the issues you describe could be any number of things. There are several ways the meniscus could be torn or damaged and it's common to have the clicking come and go depending on the type of tear you may have. I'm not a doc, but did go through an ACL replacement last year along with a meniscus repair so I'm purely speaking from my own experience and from what I found while researching my own injury.
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Extreme Veteran![]() ![]() ![]() ![]() | ![]() I tore the miniscus twice on my left knee (both times over trained), but they never clicked and the pain was more on the outside of my knee. Have you seen a (sports) orthopeadic yet? It was only after a MRI was my tear revealed. |
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Expert![]() ![]() ![]() ![]() ![]() ![]() | ![]() People want to be helpful, and that's great, but I don't think it makes sense for us to try to diagnose your problem online. You need to see an ortho, and he or she will probably have you undergo an MRI. That should reveal your problem, which could be any number of things. Suffice it to say that clicking (even intermittent) and pain on stairs and stiffness not directly attributable to very intense activity are all signs that ... you need to see an ortho. I think that the best advice that is reasonable to give at this point is to find a good ortho, and one who is sensitive to athletes' concerns. Some of them will assume, unless you tell them otherwise, that your only goal is to be able to get from the car to the front door without falling down. Make it clear what your goals are. |
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Extreme Veteran ![]() ![]() ![]() ![]() ![]() ![]() | ![]() thanks for the input. I am definitely not expecting a 'diagnosis' online....but there is a lot to learned from other peoples' similar experience/knowledge. I was able to get squeezed in with my GP on Friday morning...and I will be asking for a referral for an Ortho - there is a good Sports Med Clinic at UBC hospital (5 mins from my house). I have no idea how long I will have to wait to get an appointment or MRI though (I have had 3 MRI's in the past for suspected MS - each time ruled out - and I had to wait months for those).....that's potentially a LONG time to sit and wonder what the actual diagnosis for my knee issues so I thought I would ask here in the meantime to help 'prepare' myself for potentially that diagnosis. I will definitely let the docs know my goals - to race again next year!!! I am about to miss my second race this year because of these injuries and it SUCKS! |
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Expert![]() ![]() ![]() ![]() ![]() ![]() | ![]() couch potato no more - 2008-08-06 1:33 PM thanks for the input. I am definitely not expecting a 'diagnosis' online....but there is a lot to learned from other peoples' similar experience/knowledge. I was able to get squeezed in with my GP on Friday morning...and I will be asking for a referral for an Ortho - there is a good Sports Med Clinic at UBC hospital (5 mins from my house). I have no idea how long I will have to wait to get an appointment or MRI though (I have had 3 MRI's in the past for suspected MS - each time ruled out - and I had to wait months for those).....that's potentially a LONG time to sit and wonder what the actual diagnosis for my knee issues so I thought I would ask here in the meantime to help 'prepare' myself for potentially that diagnosis. I will definitely let the docs know my goals - to race again next year!!! I am about to miss my second race this year because of these injuries and it SUCKS! I hear ya. I've been coming back from multiple knee surgeries for a LONG time now. Only in the past month have I approached anything even remotely like what used to be normal for me. It's a long road. You have to think of the whole thing as yet another challenge. Best of luck. Sometimes the sports docs can get you in to MRI quicker. I hope so for your sake. |
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Expert ![]() ![]() ![]() ![]() ![]() ![]() | ![]() mdickson68 - 2008-08-06 10:37 AM couch potato no more - 2008-08-06 1:33 PM thanks for the input. I am definitely not expecting a 'diagnosis' online....but there is a lot to learned from other peoples' similar experience/knowledge. I was able to get squeezed in with my GP on Friday morning...and I will be asking for a referral for an Ortho - there is a good Sports Med Clinic at UBC hospital (5 mins from my house). I have no idea how long I will have to wait to get an appointment or MRI though (I have had 3 MRI's in the past for suspected MS - each time ruled out - and I had to wait months for those).....that's potentially a LONG time to sit and wonder what the actual diagnosis for my knee issues so I thought I would ask here in the meantime to help 'prepare' myself for potentially that diagnosis. I will definitely let the docs know my goals - to race again next year!!! I am about to miss my second race this year because of these injuries and it SUCKS! I hear ya. I've been coming back from multiple knee surgeries for a LONG time now. Only in the past month have I approached anything even remotely like what used to be normal for me. It's a long road. You have to think of the whole thing as yet another challenge. Best of luck. Sometimes the sports docs can get you in to MRI quicker. I hope so for your sake. Mike nailed it on the head. I've had two knee surgeries, most recently a ACL replacement, MCL and meniscus repair. That was in 2006 and it has taken me this long to even start to get back to where I was. My biking is almost there, swimming issues are really with endurance. My running totally sucks, but the times are coming down slowly. It's hard work and takes a lot more time than expected, but it will be worth it. The one other positive for me is that I'm in grad school to become an Orthopedic PA so at least I can talk to my patients from actual experience! |
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Extreme Veteran ![]() ![]() ![]() ![]() ![]() | ![]() Depending on the severity of the meniscus tear, it can click/grind/lock, etc. And you have one attached to your tibia on the inside and outside of your knee. Its actually more common to tear the medial one. Its a cushion between your femur and tibia, so if you had a tear, then it can kinda fold up on itself or stick up. I'm a PT, and our tests to diagnose them in the clinic try to recreate the click or locking. ITB syndrome is a pain to get rid of if you're running a lot. However, have you ever had your leg length checked out. If you have any difference in leg length, that can cause all kinds of problems. No offense to chiro's, but they are spine specialists, and not knee specialists. You should find a good local Physical Therapist who can do a full scale runner's evaluation on you and see what they find. You would be suprised that a little bit of glute weakness can contribute to overpronation when you run and cause ITB symptoms or knee pain. Just my two cents. |
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Champion ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() | ![]() I had to do an mri to see if I had a torn miniscus but turns out it was a tight knee with muscle imbalances. Only way they can tell is the mri. I hope everything goes well with you. |
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Expert ![]() ![]() ![]() ![]() ![]() ![]() | ![]() I'm responding having not read any other responses, so keep that in mind. I have a lot of experience with a torn meniscus, have had it twice, once right now as a matter of fact, same knee both times. First time I tore it, I felt it when it happened. I was sprinting and it hurt like h*ll. Couldn't put weight on that leg the next day. This time, I don't recall any trauma, but a recent MRI confirmed another tear. How I know I had a tear is that my knee would 'give out' and lock in a bent position. Trying to straighten it was extremely painful. Eventually whatever is in the way moves and I can straighten it. This can take anywhere from a couple hours to more than a day. My experience with a torn meniscus is that is actually NOT constantly painful or uncomfortable. The discomfort and pain associated with this particular trauma is separate from the clickiness or crunchiness you experience. I have that as well, and that is attributed to chondromalacia patella, which is a wearing away of the cartilage within the knee. The crunchiness or clicking is actually loose cartilage in the knee. The only way to diagnose a torn meniscus is with an MRI. You may know this already, but for a knee MRI you either just go halfway into a large MRI machine, or they may just use an extremity MRI machine. In the meantime, the treatment for these problems is: icing of your knee after exercise, do not bend your knee beyond 90 degrees in a weight-bearing position, take an Aleve a couple times a day to help with minor swelling (this should be a short-term treatment, by the way, only until you see the doc) and an overall higher awareness of the position of your knee, especially when bearing weight. Hope this all helps and your knee feels better whatever the diagnosis. |