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Post by salvatore on Apr 13, 2008 12:39:07 GMT
Hello all.
See, I have been experiencing some odd pain.
I am guessing because of the constant practice I do, a lot of footwork going on all the time. I practice about 2-3 hours a day, and I stretch before practicing. And I stretch the practice throughout the day, as to not damage my muscles as much.
My knee seems to slip out of place when I stand, if I grip it, and then bend it, I can feel it popping back into place, shortly after, though, it falls right back out.
I also feel that I hyperextended, either, I think I would have felt that quite quickly.
I am curious as to what this is, and it is becoming an annoyance, and to not practice is out of the question. Any thoughts?
Forgot to add, when standing, it at times, cracks. It is quite painful!
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Post by Deleted on Apr 13, 2008 13:27:25 GMT
It sounds like you have a bit of an imbalance between your outside and inside quads. Ideally seeing a PT or other rehabilitation professional would be the course of action. Taping the knee joint can be very effective. Otherwise for some generic advice: In terms of what the evidence says, the most effective thing you could do by yourself is to strengthen your quads. Stretching will also be useful at the same time and I would recommend low velocity exercises over fast movements. Stretching your ITB, strengthening your glutes (hip extension and abduction) and hamstrings and getting your feet checked for pronation (or trying out some shoes/inserts with arch support) may all help too.
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Post by salvatore on Apr 14, 2008 6:57:57 GMT
I see, alright. I usually tape the joints that hurt me, that helps. I'll see what I can do.
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Post by Deleted on Apr 14, 2008 8:19:48 GMT
This link has some fun info and shows a pic of the type of tape that may help - pushing the kneecap inwards and attempting to hold it there with a line of tape. www.aptei.com/library/viewReport.jsp?report=239More than one strip can be used but the general form should be the same.
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Post by Deleted on Apr 14, 2008 23:33:40 GMT
You may actually be stretching too much. Stretch the tendons and not the ligaments.
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Post by salvatore on Apr 17, 2008 10:52:39 GMT
Alright, thanks guys.
I am hving some odd pains lately, not sure why at this point, they seem to come and go. I will look into it .
Thanks again.
Sal
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Post by Deleted on Apr 18, 2008 8:17:15 GMT
Alright, thanks guys. I am hving some odd pains lately, not sure why at this point, they seem to come and go. I will look into it . Thanks again. Sal I wouldn't worry, you might just be pregnant or something ! ;D ;D ;D
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Post by Deleted on Apr 18, 2008 8:24:13 GMT
maybe chopchop is right? Are you retaining water as well? Craving strange foods? ;D ;D ;D ;D ;D
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Post by salvatore on Apr 18, 2008 15:13:26 GMT
That is pretty creepy! ;D
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Post by Deleted on Apr 21, 2008 12:02:46 GMT
Hey
I used to have a similar problem occur, usually when performing things that require balance (such as swordmanship :-) ). I went to the doctor and had to go for a relatively small operation to change the length of my tendons which is what caused the knee to slip out. I know how painful it can be though! I would recommend that you don't do anymore exercise before getting medical advice, as every time it slips out you are stretching the tendon a little and eventually it will start slipping out even easier.
I want to add that this is not the result of bad form, but a genetic trait that can be easily fixed.
Good luck!
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Post by Deleted on Apr 21, 2008 12:35:20 GMT
My two cents as a physiotherapy student: Conservative treatment is nearly always a better choice initially as surgical management (in every area of the body I've seen research for) requires rehabilitation for the muscle system to recover properly. Conservative treatment is also a heck of a lot easier, less painful, cheaper and safer than surgical procedures. Your n=1 is great that you have received a benefit from surgical management but I can offer examples of two people I know personally who have resolved their patella subluxations from conservative therapy - one via exercise alone and the other from exercise and the use of soft braces - who has very very lax ligaments due to genetics and recurrent subluxations. Additional surgical management is likely for this person in the future, however, the previous surgical management did not resolve her issue. While seeking qualified advice is a good recommendation, recommending to cease exercise is irresponsible as muscle strength and control is a very important way in which the knee joints are stabilised. It would be better to recommend to cease the problematic activity... Edit: Also something I've just found (this is still an interesting indicator even though you're not a child and there are other surgical procedures used for the condition): www.ejbjs.org/cgi/content/abstract/90/3/463Acute Patellar Dislocation in Children and Adolescents: A Randomized Clinical Trial Results: At the time of the most recent follow-up, the subjective result was either good or excellent for 75% (twenty-one) of twenty-eight nonoperatively treated knees and 66% (twenty-one) of thirty-two operatively treated knees. The rates of recurrent dislocation in the two treatment groups were 71% (twenty of twenty-eight) and 67% (twenty-four of thirty-six), respectively. The first redislocation occurred within two years after the primary injury in twenty-three (52%) of the forty-four knees with recurrent dislocation. Instability of the contralateral patella was noted in thirty (48%) of the sixty-two patients. The only significant predictor for recurrence was a positive family history of patellar instability. The mode of treatment and the existence of osteochondral fractures had no clinical or significant influence on the subjective outcome, recurrent patellofemoral instability, function, or activity scores. Conclusions: The long-term subjective and functional results after acute patellar dislocation are satisfactory in most patients. Initial operative repair of the medial structures combined with lateral release did not improve the long-term outcome, despite the very high rate of recurrent instability. A positive family history is a risk factor for recurrence and for contralateral patellofemoral instability. Routine repair of the torn medial stabilizing soft tissues is not advocated for the treatment of acute patellar dislocation in children and adolescents.
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Post by Deleted on Apr 21, 2008 13:39:42 GMT
Hey again
Thanks for pointing out glaring mistake in my post!
When I said I recommend that you cease exercise I meant the activities that cause it the patella to slip (such as sword arts :-( ). Exercise will most certainly be beneficial to your recovery as strengthening the muscles will help stabilise your knee. I was also advised to exercise, which did aid the recovery, but in the end surgery was needed as well. Even after surgery you need a lot of exercise to recover fully. Exercises that were recommended to me were swimming and cycling as they do not cause impact on the knees.
Seeing a medical practitioner as soon as possible will tell you a lot more than we can on this forum though!
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Post by Deleted on May 1, 2008 14:46:29 GMT
First (if it's not dangerous for your life): STOP TRAINING. A pain as yours (which i understand as great pain) is enough to stop and rest for some time. Second: go see a doctor. He should know.
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Post by salvatore on May 5, 2008 2:35:06 GMT
First (if it's not dangerous for your life): STOP TRAINING. A pain as yours (which i understand as great pain) is enough to stop and rest for some time. Second: go see a doctor. He should know. I sadly stopped, just for a few days. The pain was bad, but it eventually went away, then I stabbed my leg with my ti-lite, then I had to stop again. ;D
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Post by Deleted on May 5, 2008 12:34:52 GMT
The pain was bad, but it eventually went away, then I stabbed my leg with my ti-lite, then I had to stop again. ;D [/quote] I hate it when that happens.
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Post by salvatore on May 6, 2008 3:13:23 GMT
The pain was bad, but it eventually went away, then I stabbed my leg with my ti-lite, then I had to stop again. ;D I hate it when that happens. [/quote] Has it happened to you? If so, it in fact sucks, but I was optimistic all the way to the hospital, laughing my ass off, and while I was being stitched too. I think I freaked out the Doctor, haha.
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Post by Deleted on May 10, 2008 8:17:29 GMT
Yeah, I stabbed myself in the leg with 20 cm blade... I still think it was hilarious, but I didn't go to a hospital, tough.
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