Dodgy knee help.

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montage

God Almighty
Location
Bethlehem
oh, I would try and climb hill out of the saddle as much as possible, and plenty of ice. Of course spinning helps. Stretches etc.....you shall be fine :evil:

(165miles ride is a no-no I would say..)
 

Will1985

Über Member
Location
South Norfolk
ITB = Iliotibial band.

Physio might have said a patellofemoral disorder...general term for pain of that sort around the knee joint.
 
Ah yes that's it, he said it seems like patellofemoral pain.

Montage, 165 miles is a rare thing, when I go back to Manchester rides are usually about 97 miles max, 110miles is rare there. I will try climb out of the saddle as much as possible, maybe it'll improve my climbing getting used to out of the saddle more.

I think it's with my quads, the left side, or the inside of my thigh is weaker than the outside, or could be the other way around, and causing the knee cap to rub.

I don't think I'll have Iliotibial band syndrome, as from what I see on the internet it says pain usually stops when not doing activity, when with me, pain usually stops when cycling.

The effect of this tape he put on my knee on is wearing off allready, it's looks like it was stretched too much due to movement and my knee is clicking again.

**edit**

I think this tape is called a kneww brace basically, would it be simple for me to put it on? This tape is just an irritation now as it's doing crap all no it's stretched and gone all messed up. I have a bandage if that could help?
 

Fiona N

Veteran
The taping is just a temporary measure to help the knee cap run in a better alignment - until you develop the muscle balance - and prevent further discomfort. It's generally not a good idea to use this sort of taping as a long term measure - it's much better to develop the muscles which do the same thing.
You can visualise what happens in the knee if you think that the quads connect to the top of the knee cap (patella) and there's another set of muscles which connect the knee cap to the front of the shin. When you bend your leg under load as in cycling or running, if the three main bits of the quads are nicely balanced, they pull equally on the patella - to the left, centre and right - and the patella floats above the middle of the joint as it's supposed to do. But if the outer part of the quads gets too strong, you can see that this will have the effect of pulling the patella outwards so that instead of sitting nicely over the joint as it bends, it gets rubbed over the edge of the bone/tendons which causes discomfort and inflammation of the joint. Sometimes this also causes inflammation below the patella as the muscle on the shin gets pulled out of alignment.

ITB syndrome is another type of imbalance mainly due to overtightening and lack of strength in the glutes (G. medius usually, possibly piriformis) which causes other problems but the pain is normally on the outer side of the knee just below the joint where you can feel a bony knob rather than under the patella.
 
Well the tape the physio put on I took off as it was not having an effect, I wanted to try and put it on again, I had a go but I could not get the right effect the physio did, it still clicked when I put the tape on whereas when the physio did it there was no clicking.

I've being trying to exercise that I was given but I don't think I am doing it right, and I find it's causing abit of discomfort in my left knee, I don't know the name of exercise that I described. I've attempted 2 sets of 10 today, I know it wont do anything instantly but if I'd be doing it right surely it'd get harder each time I do a rep and also should ache abit?
 

billflat12

Veteran
Location
cheshire
knee

I had nhs keyhole surgery for my knee as clicking worsened & knee would lock up after exercise, got painful clicking on straightening , was referred by my doctor and had the op within 4weeks, surgeon advised six weeks no sports , but to be honest i bought a road bike an was back in the saddle after 1w as doctor had said that the pain would dictate how much i could do, after a six week checkup i ditched the road bike and got back onto my heavy kona stinky riding local welsh trails like the beast at coed-e brenin , marin trail etc. never been a problem since , personally i would not leave it as long as i did again, recovery depends on overall fitness and the 6weeks is for nhs. regulars who don't exercise. i,m told if you go private you get a video , I only got pic,s


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I just can't believe you willhub, you come on here telling us that you have a knee prob, you've seen specialists and yet you then say its not helping and so do what you want, why the hell are you wasting the time of the doc's etc when its obvious that you are a medical expert cause you know best!

Crap like oh I'll ride easily for 100 odd miles when you say you have been advised to rest and gentle exercise. You get your knee taped up and take it off cause as you said it wasn't doing anything to help, then you say stuff like you don't expect instant results from exercises, so how long did you give the tape to help matters??

Personally I think you are a joke, I hope you knee gets better soon but in reality I know its going to take months and we're all going to have to put up with this thread getting longer and longer cause you aren't able to follow simple advice given to you by those specialists.
 
I just can't believe you HeartAttack, firing insults at me without even reading my posts. Since when have I fired insults at you?

Who has advised me to rest and only gentle exercise? You clearly have more information from my doctors than I do cause no one has told me that at the doctors, please can you give me the details?

I stated that I ASKED the PHYSIO and he even said I could continue normal riding, have I? No, I've cut it down allot... I'm following the physio's advice perfectly well. He never said DO NOT take the tape off, he said it'd fall off in about 3 days; clearly the cycle home from the hospital of 5 miles with high cadence was enough to make the tape only last 2 hours.

The exercise the physio gave me has given me more discomfort in BOTH of my knees, but I'm still continuing doing them, is this not following advice?

About being taped up, I've stated it was doing no good anymore, at first it was I'd have kept it on, then with my bending my leg it started to shrink as it had being stretched, I don't know what it did, if it let the knee cap go back to normal, but it ended up just like a piece of tape on my leg as an ornament because and it was clear because all the clicks and discomfort when sitting came back. It does not take someone qualified to know that a piece of tape on my leg has clearly started to shrink back to its normal width looking at the mark it left where it was, and the clicking that came back. I know this because he said the tape would force my knee cap into a better position and I'd instantly notice less clicking, which I did, that better position was no more when the tape stopped doing its job.

I can follow advice fine thanks. I've followed plenty of advice regarding my knee, IMO, for me, I would find it hard if a doctor or physio told me I had to stop or really tone it down to only gentle rides, because cycling is something I love to do and I enjoy the challenge of getting fitter and faster and the thought if losing all that is very dark and gloomy, yes I know if I went against someone who was qualified to tell me to stop cycling or take it really steady then I'd end up ruining my knee, but I've not gone against any sort of advice like that because I haven't being given any by the doctors or physio. You underestimate me I'm not as daft or stupid as people think I am.
 

lukesdad

Guest
HeartAttack said:
I just can't believe you willhub, you come on here telling us that you have a knee prob, you've seen specialists and yet you then say its not helping and so do what you want, why the hell are you wasting the time of the doc's etc when its obvious that you are a medical expert cause you know best!

Crap like oh I'll ride easily for 100 odd miles when you say you have been advised to rest and gentle exercise. You get your knee taped up and take it off cause as you said it wasn't doing anything to help, then you say stuff like you don't expect instant results from exercises, so how long did you give the tape to help matters??

Personally I think you are a joke, I hope you knee gets better soon but in reality I know its going to take months and we're all going to have to put up with this thread getting longer and longer cause you aren't able to follow simple advice given to you by those specialists.

Seem to remember not long ago He had a post for help with his training plan, he didnt listen then either! He seemed to know best,dont know why he bothered asking.
 
lukesdad said:
Seem to remember not long ago He had a post for help with his training plan, he didnt listen then either! He seemed to know best,dont know why he bothered asking.

What makes you come into a thread and post rubbish without reading properly? I've took plenty of notice in that thread but I've decided I might aswell get a training plan from someone who knows enough to make me a decent one.
 

Bill Gates

Guest
Location
West Sussex
willhub said:
I've took plenty of notice in that thread but I've decided I might aswell get a training plan from someone who knows enough to make me a decent one.

Apologies for the delay, but having just read your last post I felt that a late response was necessary.

You are going to have to pay to get professional advice and to be honest unless you are a top rider there is little to be gained that you can't already get from reading a regular cycling publication. There are some on the internet and you can buy cycling magazines in stores.

The info given out on forums is pretty good as it's genuinely given by riders with many years of experience of training and racing. If you are going to use a coach I would find one who has actually performed at a top level as they will empathise more with your progress towards your goals.
 
There is this guy with a good repuation near me, called Peter Read who I will go to, he charges £20 and he's wrote this "black book" that appears to be very usefull, not so much for me as I don't have a turbo trainer. But it gives good info on intervals, it's a long read, 70ish pages I think.


Also about my knee, I've being given more exercise and some tape and shown how to do it so I can do some DIY on my knee, he said it should take 6 weeks to correct the problem assuming that I do the exercises, he also said that at my age the cartilage should heal. I mentioned cycling again and he said don't stop, just keep what you doing, which at the moment is not much, 45 miles a week. (one ride)

He said he would not recommend me using a splint or whatever you call it as I want to muscles to do the work.
 
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