General Discussion Triathlon Talk » Knee Problems Rss Feed  
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2008-08-03 7:04 PM

Subject: Knee Problems

Evening all

My left knee is giving me problems.  I have read and tried to figure out what to due.  Well I need a real sports knee type doctor.  My Doctor would just tell me to relax and take some pills.  I am in the Lapeer/Flint Michigan area.

Joe



2008-08-03 8:20 PM
in reply to: #1579026

Expert
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Southeast
Subject: RE: Knee Problems

I can't help you with a recommendation, but I can't emphasize enough (based on my own experience) the importance of finding a really good sports orthopedist, preferably one who has worked with endurance athletes.  And then be very clear with that person what your goals are, and that you are willing to work your A$$ off to meet those goals (assuming that you really are, because when these guys hear 'work' they will/should take you seriously!).

Most surgeons that deal with professional athletes will also take 'normal' patients, although most insurance plans will require that you get a REFERENCE from your primary care physician, which leads me to...

If your doctor will just say 'ease off and forget about it' even when you tell him or her that you have higher hopes than just being able to get to the toilet at night on your own steam, then you need a new doctor, one who will take your ambitions as an athlete seriously, and who will make the effort to find an appropriate specialist for you to see.  These people exist, but you will have to ask around.

You might get lucky and get a helpful reply here, but I think you will have a better chance of success by trying to find out who in your area serves local professional athletes.  The telephone is probably the way to go here.

Another option would be to visit the web site of the American Academy of Orthopaedic surgeons  and search for doctors in your area.  Get the list, and then do some further research on the individuals that turn up.

2008-08-04 7:07 AM
in reply to: #1579026

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Master
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Chapel Hill, NC
Subject: RE: Knee Problems
I can't tell how long you have been running. If you are new to it, you may be trying to do too much too fast.

Here's my take on pain:

Repetitive motion pain is from moving your body too much, too fast and/or the wrong way. Think of pain as a gift to figure out what you are doing wrong.

Too much, Too fast? Are you following the 10% rule to only increase your mileage OR your intensity by only 10% per week (NOT BOTH!) ? Are you giving yourself recovery weeks every third week?

Have you looked at your running technique? Heel striking puts alot of strain on your joints. Try Pose method of running, or Chi. (six of one, half dozen of the other, but I prefer Pose). Both of those methods encourage a midfoot landing with your weight under your hips.

When I first started running, I had a lot of pain in my hip. Getting past the 4 mile mark was very painful. I had to build slowly - two steps forward, one step back. I had to look at my running form. It took about 18 months to finally figure it all out, but now I can run alot more than 4 miles, and without pain.

It takes along time for joints to get strong, much longer than muscles and lungs. Your muscles and lungs may feel like they can go forever, but your joints aren't yet ready, so give them time.

I agree that you need to find a good ortho who will respect your desire to fix the pain so you can keep running. Most doctors will say "If running hurts you, then just stop!". Unacceptable.

Alot of folks have to have knee surgery to fix damaged cartilage. Hope that's not your case. Even if it is, you can run after that. I have a good friend who has had both knees done, and runs as far and as fast as ever!

Well, good luck! Carol
2008-08-04 7:49 AM
in reply to: #1579026

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Veteran
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South Carolina
Subject: RE: Knee Problems
I had some knee pain last summer, and my bike shop guy told me to stop "pushing too hard of a gear." My bike shop guy should be a doctor, because this advice completely "cured" the problem. Now I try to spin an easier gear, keeping my cadence high.

Can't say enough good about the sports medicine people. Find out who works with triathletes in your area, and go see them.
2008-08-04 2:43 PM
in reply to: #1579026

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Regular
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Columbia, SC
Subject: RE: Knee Problems
Press your doctor for a referral to a Sports Dr. and Possibly a soft tissue guy.

It'll cost money, see both and go from there. I needed a sports Dr. to diagnose my leg blowup correctly and then the ART man was able to work his magic. I'd probably still be on crutches had I gone with the old school PT methods.

Maybe it's just me, but I like multiple opinions when it comes to performance related injuries.
2008-08-04 3:08 PM
in reply to: #1579026

Member
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25
Oldsmar, FL
Subject: RE: Knee Problems

check your health care plan before making any trips to your traditional doc .... if you're in an HMO that is not an open access plan, yeah, you'll need a referral

if you're in a PPO or a POS, check your network and go right to a specialist

 

thanks to the poster above who mentioned not going so hard in the high gears ... thought I was working my legs well but I am noticing that little strain from time to time



2008-08-04 4:08 PM
in reply to: #1579026

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Madison, MS
Subject: RE: Knee Problems

"Knee pain" is a bit vague as  there are a few things that could be causing the issue. An irritated IT band will cause pain on the outside of the knee. "Runner's" knee is usually felt under the patella. "Jumper's" knee (which I get) is sort of between the two. All require ensuring your shoes are in good shape, that you are following a moderate plan to ramp up your mileage, and doing some hip/knee stabilization exercises. You can find a lot of information online about easy, everyday exercises that will help (assuming that's what's causing the pain).

Backing off for a little bit may also be a good idea. If things are getting very irritated, you want any inflamation and tearing to adequately heal before moving on in your training.

2008-08-04 7:39 PM
in reply to: #1581097

Subject: RE: Knee Problems

Thanks for all the answers,  Yes I was stupid and was running about 6 weeks ago.  I was pretty solid at 50 minutes, including about 4 warming up.  I was pretty solid at this, with 5 miles.  So it was a good night and I carnked out 1h 17 minutes and a little over 7 miles. It started about mile 6, but hey I can run though it, bad choice. 

So after tht I ws lucky to get a 6 maybe 7 minute slow run, like maybe a half or 3/4 mile.  Now I have slowly got up to yesterdasy race. 

I thought it was IT band by reading things here.  It starts on my outside and every time I come down it feels like the whole side and front of my knee are cramming together.  Today I am fine, a little sore on stairs this morning, but that is just race sorness.

It was stupid to jump up in distance and time instead of ramping up.......But it was a cool feeling hitting a new distance for me.  I will call my Doctor in the morning and start with her.  Next race is September 20th.

Joe

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