Help with injured knees

Hi,

It’s a week before the Cal MUNi weekend and I reinjured my right knee this morning.:frowning: I originally injured it 22 years ago during my Bike Touring days. At the time it was diagnosed as an overuse injury also called Condrapatella(spelling?).

Does anyone have any remedies for this like gelatin tablets or something like that? I can’t take Motrin, because it makes me light headed and dizzy at times. I have tried Mobic, with some success, but after three days the dizzyness spells come back and can last for up to a week.

I will be at MUNi weekend, but not riding as much as I would have liked. In fact probably very little. At least I will have the comaraderie.

I will not ride for the next week in hopes of somehow helping it along.

Thanks

Re: Help with injured knees

While stranded on the hard shoulder of the information super highway teachndad.azaka@timelimit.unicyclist.com typed:
>
> Hi,
>
>
> It’s a week before the Cal MUNi weekend and I reinjured my right knee
> this morning.:frowning: I originally injured it 22 years ago during my Bike
> Touring days. At the time it was diagnosed as an overuse injury also
> called Condrapatella(spelling?).
>
> Does anyone have any remedies for this like gelatin tablets or something
> like that?

For immediately after the injury, RICE (rest, ice , compression, elevation).

You probably mean Chondromalacia. A degenerative condition of the patellar
cartilage usually occuring in young adults and sometimes following injury.
It may be painfull but is often painless, and can cause intermittent
effusions into the knee joints. The cartilage on the posterior aspect of
the patella becomes roughened.

Clinically, the patient with chondromalacia presents pain in the front
of the knee. It is characteristically aggrivated by activities such as
running, climbing stairs or kneeling and is relieved by rest. The pain
is made worse by prolonged sitting with the knee bent, such as when
one attends the cinema or theatre. After prolonged sitting,
rectropatellar pain and stiffness on initiating activity is also typical.

Patellar chondromalacia, when present, typically appears in sporting
activity like running and jumping, and very often makes continuation
impossible. At rest, the symptoms are quickly relieved. These overuse
symptoms can be alleviated more permanently by a quadriceps muscle
exercise program, a patellar knee brace and anti-inflammatory medication.
If symptoms are extremely severe and persistent, an abnormal patellofemoral
tracking mechanism (lateral subluxation) can be treated surgically.

PLEASE NOTE! I am not a doctor. This is information that I have gathered
as I have the condition. The treatment would seem to be that you need to
rest the knees (no riding!) for a few days, and then take it easy. Build up
those quadriceps (get in the gym and do those squats and leg presses).
Wear a knee brace and get some anti-inflammatory medication.

From my own personal experience, rest is the answer. I take four or five
ballet classes per week. This is extremely hard on the knees. Come the end
of the term, I can feel my knees reminding me that they are not happy almost
all of the time. I rest during the end of term break and my knees are fine.
So the cycle repeats every term. If I was to give up some of my classes, my
knees would no doubt thank me, but since I love my ballet I won’t. I have
had good results with glucosamine, six weeks on and four weeks off. The
latest research shows a break is just as effective as continuous dose and
it is also better for the wallet.


Trog Woolley
(A Croweater back residing in Pommie Land with Linux)

Isis Astarte Diana Hecate Demeter Kali Inanna
trog at trog hyphen oz dot demon dot co dot uk

Re: Help with injured knees

On Sun, 15 Sep 2002 09:27:20 GMT, Trog Woolley <trog@email.fake> wrote:

> You probably mean Chondromalacia.

<snip>

> PLEASE NOTE! I am not a doctor. This is information that I have gathered
> as I have the condition. The treatment would seem to be that you need to
> rest the knees (no riding!) for a few days, and then take it easy. Build up
> those quadriceps (get in the gym and do those squats and leg presses).
> Wear a knee brace and get some anti-inflammatory medication.

re the muscles exercise - if it’s bad, you want exercises that don’t
work the knee. In that case, straight leg lifts are good - lie on
your back on teh floor, straighten the leg, your heel should lift and
as well as the main block of muscle on teh front of your thigh going
taut a smaller one nearer the knee and slightly round to the inside of
your leg should appear. Keeping leg straight, lift heel off the floor
6 to 8 inches and hold, then lower slowly.

When you can do that for so long that you get bored before the muscles
are working hard you either put a big elastic band round both ankles
so you have to stretch it to lift the leg, or you strap weight to your
ankles. My physio gave me the elastic band, I prefer the weights
approach.

The same disclaimer applies - I am not a doctor, I just have bad
chondromalacia (my leg bones are twisted, the lower leg not lining up
with the upper, so every time my knee bends teh kneecap clicks and
jumps sideways - this wrecks teh cartilage on teh back face).

regards, Ian SMith

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