Bad knee

Discussion in 'Strength & Conditioning Discussion' started by Niels, Jun 13, 2018.

  1. Niels

    Niels Orange Belt

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    Didn’t know where to post this, but this seemed the best place.

    I’ve been having a sore knee every now and then for a long time now.

    I mostly have it when i’m walking somewhere, stand up for a long time or the day after exercising.

    It’s not extremely painful, just sore, but sometimes it collapses (like it’s instable suddenly) for like a split second.

    Any advice?

    I don’t wanna go see a doctor ‘cause it doesn’t bother me extremely much, but i’d like to know if anyone has experienced this and knows what’s up?
     
  2. KnightTemplar

    KnightTemplar Infinity Belt Platinum Member

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    Sorry, but: see a doctor or a physiotherapist. Preferably one who specialises in sports injuries. I have exactly the same problem at the moment, and I'll be seeing my doc or physio as soon as I can get an appointment.
     
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  3. Niels

    Niels Orange Belt

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    Can you keep me posted if you know anything?
     
  4. KnightTemplar

    KnightTemplar Infinity Belt Platinum Member

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    Sure. But it won't mean anything; a diagnosis of my knee problem doesn't automatically equate to yours, just because we present similar symptoms. You could, in fact quite probably will, have completely different treatment requirements.

    Lawyers have a saying: a man who defends himself in court has a fool for a client. The same applies to someone who tries to diagnose and treat an injury based on internet advice.

    Go to a professional and let them treat you. Trying to do it yourself will probably just make things worse.
     
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  5. SMillard

    SMillard Red Belt

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    go see a sports doctor/orthopedic specialist TS, I had a similar problem, at first I went to a regular primary and they just told me follow the old RICE (rest, ice, compression and elevation). Finally had an orthopedic look at it and it was a torn acl and bucket handle tear in the meniscus which was aggravated from the fact for a couple years all I did was the RICE and anti-inflammatories. I'm not saying that's what is wrong with you, it could be something else but go get it looked at. The longer you put it off and try to continue normal activities the greater the risk of it getting worse.
     
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  6. Niels

    Niels Orange Belt

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    I know, but i just want to know some possibilities of what it might be. I’ll go see a docor if it bothers me enough.
     
  7. Niels

    Niels Orange Belt

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    Doesn’t hurt enough and regularly enough to be very serious i think, i’ve had it for at least 3 years now
     
  8. SMillard

    SMillard Red Belt

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    mine started out where It would hurt and become inflamed after running or doing a lot of jumping, also I'd occasionally just be standing there and my knee would give. Happened once when I was in line for chow during basic in the army, just standing there and my knee buckled, Drill Sgt came over yelling at me about how I was ruining his chow line blah blah blah. Went to the sick call and they gave me motrin (big surprise) and to ice it. I let it go, then I got to the point where it would lock up from swelling and just, well, locking up, went to a doctor again and again "take it easy, ice it, take anti-inflammatories and keep it compressed. Then it became progressively worse over the years, until it came to the point my knee popped out one day while rollerblading on the boardwalk along the beach, didn't fall, didn't twist it, the knee just popped and I ended up having to hobble back about a mile to my car again went to the doctor, same song and dance, "you just need to keep off it, keep it compressed........". Finally about about a year after that I was in a judo class practicing Osoto Gari with a partner and my knee just completely gave out. That time I went to a sports specialist Orthopedic, turned out i had a torn acl (when the did the operation the doctor said the acl had been torn for some time since there was nothing there when he went in), had the bucket handle tear in my meniscus, had a tear in the MCL that was likely a result of the other two injuries and finally the top of my tibia was practically dead, the failure to address the issues for all those years had done damage that the tibia had a crack in it that was getting progressively worse due to the fact that the top of the bone wasn't getting blood due to a lack of marrow, so the doctor had to drill a hole in the top of the tibia to get blood to start circulating a little there. I still worry about that part because I know it'll never be fully heal.

    So the "doesn't hurt enough and regularly enough to be very serious" is a dangerous attitude to take, go see a doctor seriously. If you knew anything about me, normally I'd just say you have AIDS, get a good chuckle out of being a dick and be done with it. This time I'm really serious, get it checked out.
     
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  9. spin_

    spin_ Silver Belt

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    just google your symptoms, then.

    here on the forum its a shot in the dark that someone is experiencing the same thing. use a search engine and you'll find plenty that have.
     
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  10. ThunderL1ps

    ThunderL1ps Black Belt

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    I was in the hospital this week for my knee. I might have torn the meniscus. It has been bothering me off and on for years. On Thursday last week, I stood up at a weird angle after getting something from the cupboard under my sink and it felt like someone jabbed a knife into it. It felt like it was all twisted up as well.

    Had an X-ray but it doesn't show anything.I have an MRI i'll be getting.

    I looked at some different videos on Youtube for torn meniscus done by various physiotherapists, did some icing and my knee feels quite a bit better. It is still not right, but really, I don't want to have surgery if I can help it. I was having problems getting up the stairs at first, but some of the isometric exercises helped to straighten my knee out, when I previously couldn't do it. Maybe it's not that bad? Time will tell.

    I'd suggest trying some physio videos out or even looking up Egoscue stuff for knee pain on Youtube and as long as you don't push into pain, it probably won't hurt.
     
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  11. Sano

    Sano Black Belt

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    While looking up videos can be alright, it's no substitute for visiting an actual knowledgeable musculoskeletal physiotherapist. If you don't want an operation, go seek out a professional. Egoscue, while helpful and basic, is not a treatment for all issues and every person. You have to adapt your rehabilitation depending on the nature of the injury and how the individual respons.

    Yeah X-rays is mostly to rule out breaks, it wont show much in regards to your meniscus or ligaments. MRIs will be better, but most of the time they can only get the full picture after the athroscopy.

    The evidence shows simular outcomes between non-surgical rehabilitation and surgical interventions (1, 2, 3) so if it's not an obstructive meniscus tear, meaning you have full ROM, I would personally opt not to get an operation. The nature of the tear however can play a role in which route you go, but there are many options rehab wise. You should choose which options you are most comfortable with, under the guidance of your physician of course.
     
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  12. Darth_Inv1ctu5

    Darth_Inv1ctu5 I will shit on everything you love

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    This. When I hear unstable, I hear possible ACL tear. My wife has had this 3 times and has had 3 different experiences. Once she simply walked it off (she tore it during a soccer game) and thought it was nothing for weeks until she played again and realized she couldn't run properly. Get that shit looked at, stat.
     
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  13. Niels

    Niels Orange Belt

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    I never have a problem where my performance/abilities are impaired massively by it, just some soreness and pain which i can easily get thrue while running or walking.

    I also get it in my hip sometimes, i’m starting to think it’s my joints, which is weird because i’m only 18. Even though i was that kid who jumped off of everything (stairs and stuff in the house).

    The unstable knee has only occured rarely.
     
  14. ThunderL1ps

    ThunderL1ps Black Belt

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    I'm trying to do some exercises before I get a call for the MRI ( being in Canada there is a bit of a wait ) in addition to some icing. Thankfully I seem to have full ROM or close to it, plus function wise, I am doing better than I was early this week. I really don't want a doctor poking around inside of my knee if I don't really need it. I already need a mesh repair, repaired for my inguinal hernia surgery (mesh has detatched), plus I may as well get the other side done while I'm at it. I will probably do a mesh-free double Shouldice procedure. Enough is enough with the surgeries, lol.

    As a non-surgical option, do you have many clients that have had PRP injections for meniscus tears?

    Part of what I'm thinking is I am not sure it's that great of an idea to go to physio (paying out of pocket) if there is a tear already and my particular situation requires surgery. Do you have clients start rehabbing a torn meniscus before they've had an MRI?

    The Egoscue therapy was more for the OP having minor issues with knee pain. I know there is a particular sequence on the Live Sonima channel that address hips and ankles as a means of addressing the knees. While simple, if your'e not feeling symptoms after doing the exercises that's usually a good sign, I'd think. I had a herniated disk in my neck with numbness and pain radiating down my arm that went away in a week using the method. I went from not being able to dumbbell press overhead ( couldn't even do 20 pounds for set of 10) to retesting myself and doing 40's in a week of doing Egoscue with no pain or numbness. Not bad for free :)

    But I do agree, it is always good to get checked out for persisting issues.
     
  15. Sano

    Sano Black Belt

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    I understand completely why you would rather not have surgery. I've had my ACL replaced and it's not something I'd like to do again.

    No, I have no experience with PRP injections. It's not something that's common here, but maybe at some point down the road. From what I can gather from the litterate, it seems to have some promise in clinical trials, however it's not the magical solution it's made out to be by some (often the ones who are selling it) and it's quite expensive. Lacks standardises procedures. Nothing beats out a proper and well designed individual rehab program with an encompassing strategy, but still it does seem to have promise. The more medical advances we get the better.

    Yes some patients starts rehabbing before the MRI, and definitely before surgery. Even if you end up getting surgery, the outcomes are much better if you initiate your rehab before getting the surgery as you will recover faster and have better function in the long run. I understand that it might be expensive, and I don't think you should waste the money either. Maybe sit on it untill you get the results from the MRI and then find a physio that gives you some personal agency so you don't have to put money into passive modalities.

    Yeah I like Egoscue, don't get me wrong. Simple stuff, but often times the simple stuff is what works. You cannot address the knees, hips and ankles individually without looking at all the parts as they are connected biomechanically. Then again addressing your specific biomechanical needs is why you need a professional to assess you. I don't doubt that your experience with Egoscue helped your radiating issues, but it's a matter of correlation vs causation which is why anecdotes like that are difficult. The majority of unspecific disc issues (which it might not have been), receed on their own within a relative short time frame, so that's another confounder. With that said, if YOU respond well to something, then that's the thing you need to be doing often times. Also, as you said decrease in pain and increase in function is a pretty good way of knowing something is working.
     
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  16. Phlog

    Phlog Dad Belt

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    I would absolutely get it checked by a physio. IME when I ignore something persistent it becomes worse and takes longer to fix.
     
  17. Phlog

    Phlog Dad Belt

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    Shit you're 18, absolutely ruthlessly investigate it. Follow every bit of advice to letter.

    I've had to compromise my training for the last ten years because of knees, that pain started as low shit aged 18 that I could ignore.
     
  18. ThunderL1ps

    ThunderL1ps Black Belt

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    Yeah I'm probably going to go to physio some time early this coming week. I can only do so much on my own and I haven't experienced something like this before as it relates to a knee injury. It wouldn't surprise me if I have to wait a couple of months for the MRI. I may as well be a bit more measured with my treatment. I've had this this physiotherapist a couple of times before and he's not bad. I have my own TENS unit at home and I'll ask him for some advice on using it along with any exercises that are prescribed.

    Speaking of bio mechanics, it's just funny how if your body is off, a bunch of things seem to go like the faulty scaffolding analogy that Pete Egoscue uses when describing the human body. I've torn my rotator cuff, had issues with my neck, hip since I was a kid, knees..... There is no way that age affects function otherwise 100 percent of people would have these issues after X years. It is probably fair to say that most people are dismissive of their aches and pains never attributing it to their posture, are told to ice it or take an Advil and hope that is enough until the issue becomes worse (which again often gets attributed to age). I know someone that is about 60 that is such a mess and it all started from jumping over a fence and landing wrong on his ankle when he was about 40. He's had multiple hip surgeries, knee replacement....his posture is horrific. One issue that was probably simple enough to treat, was ignored and it snowballed into pain and a lack of function.

    Thank God we're in the information age where we can get some answers to things pretty much straight away if we just take a little bit of time to investigate and use social media to share each others experiences, either first hand or second hand.
     
  19. Sano

    Sano Black Belt

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    TENS might be useful for pain relief and some aspects of your recovery, but it'll do jack for the rehab of your meniscus. Him prescribing a few standard exercises for meniscus tears would be second grade compared to you visiting and getting a personal assessment of your issue, but it's up to you.

    Age does effect function though. Meniscus/cartilage degeneration, sarcopenia, osteoarthritis, osteoporosis so on. They are all a natural part of getting older. That doesn't mean you necessarily have to be in pain as you get older, quite the contrary, and in reality even the asymptomatic part of the population has degenerative discs and joints. It's natural. With that said obviously injuries and certain lifestyles make you more prone to dealing with issues down the road.

    I don't know exactly what you mean by posture. If you mean "force your shoulders back and stand up straight with your chin tucked in", then that is something has been overstated needlessly in my opinion. Having a certain posture might correlate with an issue, but there's no overarching evidence to connect posture to pain at all. You see this in a clinical setting too. People can have "shit posture" and be completely pain free, while others have very erect posture and are in terrible pain. At times it's even counter productive to work on a rigid posture as tension can lead to ischemic reactions that changes the acidity of the tissue and creates pain. Also anyone with cervical and/or cranial nerve issues might actually get worse if they tuck their chin constantly. If you ask me, the best posture is a one that is active, changing, relaxed and balanced, and frankly there's a lot we don't know about why someone experiences pain and another doesn't. If you're talking about alignment of joints, especially in the lower body, then there is more to it, but you'd be suprised at how often volume and tissue strength turns out to be more important parameters than biomechanics.
     
    Last edited: Jun 16, 2018
  20. funcrusher2007

    funcrusher2007 champion sound bwoy

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    Go to the fucking dr now!!


    Minor pain un attended now.. leads to major pain/injury later.

    -40 year old lifter/carpenter
     
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