Another Knee Issue

edited October 2012 in Running Injuries
As I write now, I've run twice in the last 3 weeks.  I had run a trail run 24 days ago and don't recall having any aches or pains.  Later that day, I went to get up from the couch (I was holding my son), and as I got to what was basically a squat position, I felt something suddenly (almost like a pop/crack) tighten on the anterior part of my knee where my knee and quad meet.  I've had small pin-point pains on my kneecap and pain on the interior of my knee right above and slightly behind the kneecap.  I immediately stopped running until I saw an orthopedic specialist who did X-Rays and a physical exam and told me that I could attempt to re-start my training 5 days later assuming it was a dull ache on pain level (he also prescribed prescription anti-inflammatories and aggressive icing).  I waited the required time and tried to run and was in pain from step #1.  I was literally limping by the time I got out of the shower.

Any thoughts?  I was able to run yesterday with a dull ache and turned around when I got the first twinge of actual pain.  My knee has ever since been almost almost incapable of being extended without a painful crack, though I can do squats on it.

I'm really discouraged, as this caused me to have to skip this weekend's Tough Mudder, which had inspired me to get started training again (not just trying to run for fun) in the first place.  I've had what I assume is Osgood Schlatter on my right knee, but my left knee has never had problems like this before.  I'm not sure if it was something in my posture or perhaps the tight turns and twists I was getting doing trail runs training for the Mudder...
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Comments

  • Full disclosure:I am not a doctor or a health care professional, the response is based on personal experience and subsequent research of a knee condition suffered. 

    Good start going straight to an orth, a lot of runners get caught with their primary care physician attempting to treat the aliments.  I would suggest requesting an MRI, since the images from an Xray can be limiting in diagnosis of the problem.

    Given the location is between the femur and kneecap, it is most likely not a ligament condition, plus this would have been ruled out with the initial examination, where the Dr. most likely tested for MCL, PCL, and ACL tears.  Three things to look into would be Meniscus tear, Articular cartilage tear/defect, or some form of Arthritis.  Although Arthritis is doubtful given the onset.  Talk to your doctor about these possibilities and getting authorization for an MRI.  MRI authorizations can be tricky, but implying there is pain during walking usually makes the paper work a lot easier, and in my case definitely saved me from destroying my knee..

  • Did you have to have surgery?
    Socks are a scam. Just saying :-)
  • Yes.  I ended up having to suture repair (bio-absorbable screw) articular cartilage (weight bearing part of joint) in my right knee.  Mine could have been a lot worse had the cartilage detached, which would have meant micro-fracture surgery, but it was a flapping opposed to detachment. 

    Based on the symptoms you mentioned, all of a sudden onset of pain and your hear popping, my guess is something with the meniscus.  This can resolve itself with rest, prolotherapy (which is regenerative injection therapy) or PRP (Platelet-rich plasma).  The latter two are experimental but have shown accelerated healing, I believe Kobe Bryant and other pro-athletes have experimented successfully with PRP.  I would never recommend meniscus surgery because it almost always involves removal of the cartilage.  Leave it to your ortho for guidance.
  • Yikes...that is very disconcerting--especially considering that I strained my back about 6 months ago. Seems like if it's not one thing, it's another!
    Socks are a scam. Just saying :-)
  • Just a small update: I was able to run 2.5mi pain-free today.  All I had was a tightness on the interior quad muscle that runs into my knee.

    If I can keep this up (3 times a week for a couple miles per run), I feel confident that I can skip the doctor visit (and maybe surgery).  We'll have to see how I feel tonight and tomorrow.
    Socks are a scam. Just saying :-)

  • Good luck! Hopefully just a ligament popping over bone leading to some short term inflammation, but be careful!
  • Sounds like a quad tendon strain, make sure to roll out quad with foam roller and ice after. Just build back into running as it feels better, make sure to strengthen the quad/hips muscles also since they have probably weaken since injury.
  • I'm hoping that's all it is.  I seem to have good days and bad.  I've managed to start a morning routine of body-weight squats, 100-up exercises, push-ups, and sit-ups.  The squats in particular seem to have helped a little.
    Socks are a scam. Just saying :-)
  • I started the 100 Squats program (iPhone app a friend made) yesterday - destroyed me! I need to stick with it this time...
  • Whoa...100 SQUATS?!
    Socks are a scam. Just saying :-)
  • Not at a time, at least not yet. You build up slowly over like 6 weeks. 5 sets each time, starting with low reps and building up. I completed the 100 pushups program once, man was that tough!
  • I've done a 200 squat program and that was tough but doable.  I tried the 100 push up thing and could not get past 65!  What program did you follow for the pushups?

  • This one for pushups: http://hundredpushups.com/

    Guess I'm doing the 200 Squats, thought it was 100 - http://www.twohundredsquats.com/

    I have the iPhone apps for both.
  • I've been doing better.  Got three runs in this past week, and am hoping to do another three this week.

    I've noticed that I feel GREAT in the morning and up until I run, but after that, I'm hurting pretty bad until I get up the next day or after a long icing stint.  Is this a cause for alarm?  I find also that when I do feel sore or stiff (often due to long periods of sitting with my knee extended) that doing a couple squats seems to help.
    Socks are a scam. Just saying :-)
  • Sounds like quads are tightening up with inactivity - have you tried foam rolling them?
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