lateral knee pain on running

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    May 15, 2011 6:06 PM GMT
    I've been training for a half marathon that takes place in 2 weeks for the past 5 months. For the past month when i've had two episodes of lateral knee pain, pretty much over the lateral joint line and over the peroneal and lateral head of the gastroc. Initially the pain was after running lasting a few days, i took 2 weeks off from running and the pain went and i managed 3 separate runs of 5 miles with no problem, but today i went for a 10 mile run and had to stop after 4 miles with the same pain, but this time actually during the run. Its now painful walking and feels stiff, especially weight-bearing through the knee, flexion and walking down stairs. Im regularly icing it, but obviously with the half marathon 2 weeks away i need to make a decision whether to run or not. Im considering getting a diagnostic ultrasound scan done to rule out a lateral meniscal tear, anyone know the efficacy of this, or any recommendations for training over the next two weeks?
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    May 16, 2011 8:25 PM GMT
    I'm not a doctor, but I'd think you'd really have to bear a significant trauma to tear your meniscus. Everytime I get pain in that part of the knee I concentrate on stretching Tensor Faciae Latae, my hip adductors (they can get tight and cause medial rotation in the hip which can cause all kinds of problems), hamstrings, and quadriceps. If you don't own a foam roller, it's money well spent. You may want to do some work with gastroc as well. Stretching your calves at various angles is so helpful provided you start off gently.

    Also it helps to have someone with a trained eye watch you run to give you feedback, or even have someone take a video of you so you can see for yourself. As far as training goes, you should be tapering now so your goal would be not to lose fitness I'd imagine. If you have a specific time goal, you might want to simply adjust it, and then go for the PR next time.
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    May 16, 2011 8:38 PM GMT
    Not a doctor, but I've had knee issues. Everything I have ever heard suggests you stop training for the time being and don't race for now.
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    May 18, 2011 3:42 PM GMT
    As a professional, I am telling you to go get it checked out. A lot of marathoners make mistakes by running with only the slightest injury, and the end of it all results in a severe strain, tear, or rupture; which will only keep you from running even more.

    If you want to keep training, hop on the elliptical or any other non-weight bearing machine. If the pain persist, of course stop and PRICE...Pressure, Rest, Ice, Compression, and Elevation.

    Good luck with everything!


    Cameron Habel
    Twitter: CameronHabel