Mysterious shin pain

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vickster

Legendary Member
I don't know if anyone might have experienced something similar, but I am having pain in my 'good' right leg about 5cm below my knee, lateral side (left leg is the one that got injured in mid Feb). It aches while sitting (desk job), while lying and is especially bad in the morning. It is also a little twingy while cycling (more so on hills and when I start to tire), and using the rower and recumbent in the gym. There isn't a specific 'sore' spot, and no swelling or pain in the knee.

As documented elsewhere on CC, when knocked off my bike in Feb this year, I developed a massive haematoma over my tibia which got infected and had to have IV antibiotics and surgery to clean it all out. Slowly getting better, waiting for all the scar tissue in the void left by the cleaning out to go. I lost a lot of calf muscle, and I developed some lumbar back pain / sacroiliac joint pain as consequence of the weakness in the leg and probably cycling too much too soon with the weak leg! :whistle:

My left is sore to kneel on (have a couple of meniscus tears and cartilage damage), twist etc, but right now less of a bother than the 'good' right

I'm cycling (probably around 70 miles a week) and in the gym (4-5 times, normally a 3000m row, 20 minutes on recumbent bike, maybe some weights and 15 minutes of leg, arm and back stretching). The physio doesn't think it's down to over training, less issues with strength now (the muscle is slowly coming back in my left calf)

My physio has had a good look at it yesterday, moved the joint, prodded around the patella, done all the various tests for ligament and meniscus, looked at my hip etc and is stumped as the pain doesn't seem to be coming from the knee! She wondered if it might be shin splints, but I can't run, don't walk terribly much, all of my exercise is non weight bearing!

She is contacting the orthopaedic surgeon (who looks after the knee and did the shin surgery) and is thinking an appointment with a rheumatologist might be in order just to rule out possible causes - I just have general soft tissue aches and pains that are nagging and annoying, but not usually bad enough to need medication. I feel broadly fit and well otherwise (not even an autumn cold yet)! We discussed trying a sports massage, and although she thinks it might give some temporary relief it's probably not a solution.

I don't think it's a bike fit issue, although the saddle is maybe a little lower than it might be (from the Retul fit) but I like to have some chance of touching the ground when clipped in as I ride mostly in trafficand it's not specific to any bike from what I can tell

Anybody had anything similar and found a solution?

Thanks for reading
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Ian A

Über Member
I have a similar issue and am hoping to find a solution. I was knocked of my motorbike at low speed in the spring. A few knocks and a graze on my right knee. A week later the graze unsealed (?) and I didn't notice. It got infected but nothing serious like you had. Oral anti-biotic did the trick. I'd cycled 40 hilly miles the day it flared up and functionally everything felt fine. After thay I felt problems in my right shin. I was running the kind kf distances I hadn't previously run before so the bike Ccidenr may be a red herring.Tried rest for a few weeks and no change when I started training again. I did a hilly ironman a few weeks ago and something a little over a half ironman in the French Alpes this summer and my leg/knee seemed fine in that my legs work and I felt a bit of pain towards the end of the run. It felt the best it had in a long time after the ironman but I did walk a good chunk of re run :blush:. A sports masseur in France suggested I may have had hip alignment problems after being knocked off my motorbike but he didn't have much time to investigate as he was working for a race organiser providing free service to athletes. Still flummoxed. I'm waiting to be seen by a private sports masseur who is very highly recommend and I will also go the physio route if it continues. Very confused as I've put my legs through hell on two occations six weeks apart and things are no worse, maybe a little between in fact at the moment.

That's not much help but you're not the only one. I'd like to get to the bottom of it as I'm worried about making things worse or any underlying issues causing it.
 
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vickster

vickster

Legendary Member
Thanks Ian. I definitely need to get to the bottom of it as it's now keeping me awake :angry: I expect to get a response from the physio / surgeon in the next few days. I have private healthcare so once the medics have decided whom I should see, things should move quite quickly

I might yet try a sports massage even if it is temporary as a relatively small outlay, although they won't be able to do much with my left lower leg due to the pain around the wound :sad:
 
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vickster

vickster

Legendary Member
I have received the physio letter to the surgeon. She asked him to see me and have an appointment on the 18th. Bupa have kindly signed off X ray and MRI so plan is to have those in advance of the appointment if the surgeon thinks it necessary

The more I do, the more it hurts...although it is a bit random. I have a nasty feeling I've torn the meniscus - ah well, a matching pair in the two knees :sad:

I went to Amsterdam for work yesterday - it hurt driving to and from the airport, on the plane and traipsing around the behemoth that is Schipol It was niggly at the gym just now too...taking some painkillers bah
 

ColinJ

Puzzle game procrastinator!
At the risk of triggering off another series of behind-the-scenes complaints about me mentioning the subject again [thanks guys - I really appreciated that! :thumbsdown:]... Have you considered DVT? If you have a DVT, the last thing you want to do is have somebody massaging it and breaking off clots which end up in your heart/lungs.

The fact that you were immobilised for some time and underwent surgery are risk factors.
 
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vickster

vickster

Legendary Member
Cheers Colin, but no, I don't think so - the pain is at the side of the leg over the head of the fibula

I was immobilised with surgery 7 months ago now, and wore compression stockings for a couple of weeks after
 

ColinJ

Puzzle game procrastinator!
Cheers Colin, but no, I don't think so - the pain is at the side of the leg over the head of the fibula

I was immobilised with surgery 7 months ago now, and wore compression stockings for a couple of weeks after
I think in my case it took a couple of months to go from initial damage to major problem, but I admit that 7 months would be an awfully long time for a problem to manifest itself!

Well, I hope you find out what it is, that it isn't serious, and that it is easy to sort out.
 
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vickster

vickster

Legendary Member
I obviously did have a clot in my other leg...ooh about the size of a grapefruit xx(xx( but that got evacuated (first attempt while awake :eek:, done properly a few days later under general anaesthetic)!

Hopefully the MRI will show something non serious or nothing! I really don't want more bloody orthopaedic surgery this year (or ever but given the state of my other knee that's unlikely)
 
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vickster

vickster

Legendary Member
I see the orthopaedic surgeon on Saturday, not had any imaging yet as he wants to examine the leg first. It's getting worse, sitting and especially driving seem to piss it off most...Cycling's not great either if I'm honest :sad:. Sigh
 
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vickster

vickster

Legendary Member
Well as suspected by the physio and confirmed by the specialist and X ray, there's something going on in the bone on the head of the fibula, not sure exactly what yet, MRI scan to be done. Hopefully just good old degenerate arthritis (at the ripe old age of 42) . Sigh :sad:

Surgeon was impressed with my muscly cycling legs though! However, I have to cut right back on the riding...could be the power through the legs causing issues with the bones...sheesh :blink:
 
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vickster

vickster

Legendary Member
That's the obvious, but I think it'll be many less miles which will happen as it gets wetter and colder...he looked a tad perturbed when I said i was probably riding 70 miles a week

Today I've done 15 on the SS, weirdly better as I am not tempted t push big gears to move quicker...because there aren't any :laugh:

Treatment probably rest and suck it up, possibly a steroid shot. Depends on what the scan shows
 
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vickster

vickster

Legendary Member
It's the fibula head rather than further down the leg/shin, pain is lateral, about 2cm below the knee. Surgeon didn't suggest it and although discussed with the physio, I don't run etc so seems unlikely

The shadow is right at the top of the fibula (and the pain upon prodding), which googling seems to indicate is quite an uncommon spot for arthritis, well it would be wouldn't it!
 

jarlrmai

Veteran
Pain below the knee could be the patella tendon.

Does the knee swell up after exercise?

The MRI will reveal more, mine is in a weeks time.

I've been going to a sports injury guy who's been doing massage and trigger point releases on my leg my kneed is getting steadily better over the weeks.
 
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