lateral knee problem?

  • swimmer111

    Posts: 11

    Jan 12, 2008 6:19 AM GMT
    I know there are a few other knee threads, but mine is a bit different. After getting back in the water I had a bit of soreness in my knee on the outside (lateral?). Never lasted until the next morning so I thought nothing of it and continued my running as well. Flash forward a couple weeks on one of my shortest runs it starts hurting pretty intensely after only 2 miles. I turn back and head home and just easy jog it the rest of the way since I was already running late and I had no metro card and no cab fare. I get home shower and go and sit in a broadway show for 2 hours, get up and can barely walk.

    I iced, advilled that night and it still hurt a quite a bit in the morning. I've taken a couple of my prescription anti-inflammatory's from my shoulder injury days and the pain is completely gone 3 days out. This was some of the sharpest pain I have ever felt in my life and now I'm scared to do anything on it.

    My question is, what PT is there for this without seeing a doc? I have no insurance and can't afford the doc bill now. I know everything will be speculation, but does it sound like a tear or just a strain? It wasn't a muscle pain. Definitely tendon or ligament business. HELP!! I can't stand not to work out for too long.
  • auryn

    Posts: 2061

    Jan 12, 2008 7:48 PM GMT
    Check out the universities with PT studies or even massage schools in your area. You may be able to find one that takes clients at reduced rates, or find students that can work on you for free while they're in school.
  • medic

    Posts: 25

    Jan 12, 2008 7:59 PM GMT
    Hi triguy25

    Actually it does sound like a muscle-tendon problem in the way it responded. Is it a strain or a sprain is a matter of semantics. Muscles start as a tendon and end as a tendon, with the muscle belly in the middle. They span a joint generally and are units of motion. Ligaments are bone-to-bone and hold joints stable. Cartilage either coats bone surfaces for reduced friction and wear or are specialized such as menisci and the ear/nose. So there is a brief anatomy lesson.

    In my experience, fit patients who develop atraumatic problems like these can be in 2 categories. First those who over train and overuse and provoke an abnormal response from the tissue, tendonitis. Then there are the aging factors that decrease elasticity and healing response, tendonosis. Both feel the same but onset and duration are different as is prognosis.

    OK, layman's terms. Muscle unit was temporarily inflamed and caused shortening of the muscle (spasm) and pain. You had further spasm after rest, which caused more immobility, and then you began treatment. Ice or oral anti-inflammatory (NSAID's) are appropriate. Now begin a gentle stretching program or see a PT/MT for some muscle work. The muscle needs to be lengthened back to normal length and function or reinjury will occur. Taper back into your routine with cycling, or light swimming. If it flares lay off again and ice, NSAID's. BTW, OTC NSAID's taken at prescription doses work just as well and save a visit to a person like me. LOL. Good luck

  • swimmer111

    Posts: 11

    Jan 15, 2008 4:43 AM GMT
    Awesome. Thank you both so much. I had already noticed that there was quite a bit of tightness around surrounding muscles as well so I started stretching and I'm back in the pool. Thank you very much for the anatomy lesson. I definitely would not have taken your advice if you wouldn't have spelled it out for me.