Knee Tendon Pain...

[Mr.Meat]

I have this reaccuring pain in my knee or more specific it feels like the tendon. This injury was almost unnoticable lately till yesterday when I did something to it (me thinks it was the seni heavy yoke run) and its flared back up full force today.

The pain is on the right leg, on the inside of the knee and it feels like the whole tendon is painfull. Its hard to describe. After sitting for a given length of time (say at work) when I get up it takes a good 30ft for the pain to dull away. After considerable distance the pain will become faint.

Same with training. Squats and more specifically front squats aggrevate it but the pain becomes berable after a few thrurough warmup sets. Then its ass-to-grass front squats like usual. I'm not sure if I'm screwing myself long term but I go fairly heavy.

When streching the quads the tendon can be felt (in a bad way) as well. Last time I did some streching after a strongman training session. The tendon was flared up for 3-4 days afterwards. Also when doing a single legged hammy strech like the one in the link,

http://www.chap.com/images/Single_Leg_Hamstring_Stretch.gif

If my left leg is the bent leg then tendon discomfort will be felt also.

To add to the complexity of the situation that leg (the left leg) is also shorter, has a bit of a bow, is pigeaon towed and walks all f-ed up. I suppose I should have control over what it is doing, but I can't think about what my leg is doing 100% of the time, So it does its own thing.

I cant really stop training. I have accepted training in pain, but would rather train without pain if I could.

How would I go about trying to rehab this?

[IliekFude]

id see a sports doc and post yr question on the EliteFTS - Powerlifting and Strength Training Products and Knowledge for Lifters, Athletes, Coaches, and Trainers (http://www.elitefts.com) rehab board for starters. gluk.

[Killer]

Hey Mr Meat,

When you say your tendon, are you talking about your patella tendon that connects your patella (kneecap) to your shin (tibia)?

Patellar ligament - Wikipedia, the free encyclopedia (http://en.wikipedia.org/wiki/Patellar_tendon) Here they are calling it your patella ligament.

If you have some time on your hands KNEEguru - comprehensive information about knee problems. (http://www.kneeguru.co.uk/index.html)

[Mr.Meat]

Hey Mr Meat,

When you say your tendon, are you talking about your patella tendon that connects your patella (kneecap) to your shin (tibia)?

Patellar ligament - Wikipedia, the free encyclopedia (http://en.wikipedia.org/wiki/Patellar_tendon) Here they are calling it your patella ligament.

If you have some time on your hands KNEEguru - comprehensive information about knee problems. (http://www.kneeguru.co.uk/index.html)

I guess it would be more like the encapsular ligamnet or maybe the tubial-lateral ligament, the pain does not occur directly over the knee cap.

[Mr.Meat]

Hey Mr Meat,

When you say your tendon, are you talking about your patella tendon that connects your patella (kneecap) to your shin (tibia)?

Patellar ligament - Wikipedia, the free encyclopedia (http://en.wikipedia.org/wiki/Patellar_tendon) Here they are calling it your patella ligament.

If you have some time on your hands KNEEguru - comprehensive information about knee problems. (http://www.kneeguru.co.uk/index.html)

Ok the pain location closely coincided with the medial plica

Knee anatomy - the medial plica | KNEEguru notebook (http://www.kneeguru.co.uk/KNEEnotes/node/830)

[Killer]

I would go get it checked out to be on the safe side.

Many of us have plicas and never know it. They are routinley removed when someone is getting some other work done.

But you said it was aggrivated on a yoke run. It makes sense that when you get warmed up it goes away. That is often indicates the onset of tendonitis. When you sit and then try to walk it is stiff, thus the pain.

The MCL is also in that area, but it sounds like your pain is not quite as far on the medial side.

But then the left leg is shorter and when bent you get the same pain? With a shorter leg I would bet you have all kinds of tightness and compensation going on.

Have you ever seen a therpist to address the leg length issue?

[Mr.Meat]

I would go get it checked out to be on the safe side.

Many of us have plicas and never know it. They are routinley removed when someone is getting some other work done.

But you said it was aggrivated on a yoke run. It makes sense that when you get warmed up it goes away. That is often indicates the onset of tendonitis. When you sit and then try to walk it is stiff, thus the pain.

The MCL is also in that area, but it sounds like your pain is not quite as far on the medial side.

But then the left leg is shorter and when bent you get the same pain? With a shorter leg I would bet you have all kinds of tightness and compensation going on.

Have you ever seen a therpist to address the leg length issue?

The short leg is where the pain is. I told my chiro/ART doc that I thought it was a plica (mainly due to where location wise the pain is coming from). But he is 120% sure it is my MCL.

As for the short leg issue most speciallists I have talked to said the length that its short should not matter that much. They just usually see that my hip are out of aligment and do thier cracking to "align" it back up, but whats the point of that if its gonna go back to where it was as soon as I stand up?

Also I would agree that the length does not matter too much if you're a reg joe blow, but when you start moving some weight around even the slightest misaligment means huge stress.

I have not seen a therapist about the short leg. What kind of a specialist would you suggest I see? Physiotherapist?

[strawberryriddick]

I cant really stop training. I have accepted training in pain, but would rather train without pain if I could.

How would I go about trying to rehab this?
A tendon injury can seriously fuck your leg for the rest of your life. Your knee could do a number of things. It could dislocate while you have some weight on your shoulders and cause some serious injuries. That would be my biggest concern. The only way to rehab it is to rest it. Work on your upper body, lower back, calves (with knees bent slightly), and some unweighted squats with your toes pointed slightly in at each other to help stabilize the knee. NO WEIGHTS with your leg exercises.

As for your last question, try an orthopaedic. That's what my physical therapist is...guy knows his stuff.

[sassy69]

Agree w/ the ortho.. I developed similar and went to talk to an ortho. I got my right knee MRI'd to make sure I didn't have a torn meniscus. You may be looking at some tendonitis or bursitis. I was also informed that my knee caps don't track correctly over the knee joint so there's a certain amount of wear & tear going on...

Its worth getting an opinion on because when your knees, rotators or lower back doesn't work right, you're kinda screwed...

[Killer]

Mr. Meat - what country or city are you located in? It will depend on that answer.

The good news - if it is the MCL (did your chiro stabilze your thigh and move your shin with his hand away from your body - that is the test for the MCL?) that the MCL is not the most important ligament in the knee, if you tore that one alone it would just be some rehab, no surgery.

If he did not do the test and you have it done and it is not positive you may have a problem with your Pes Anserine (bursitis or tendinitis).

Your Orthopaedic Connection: Goosefoot (Pes Anserine) Bursitis of the Knee (http://orthoinfo.aaos.org/topic.cfm?topic=A00335&return_link=0)

Sports Medicine Advisor 2005.4: Pes Anserine (Knee) Bursitis (http://www.med.umich.edu/1libr/sma/sma_pesanser_sma.htm)

I never worked with someone with a leg length situation. You could try some foam rolling and some stretching and strengthening to try to correct the knee and foot alignment, but I am not sure it would help that much at your body is doing that as the leg is shorter.

[Iron God]

You should really go get a screening from Jon. He will evaluate you and show you how to rehab it. I had all the problems you described and now they are gone.

[Mr.Meat]

You should really go get a screening from Jon. He will evaluate you and show you how to rehab it. I had all the problems you described and now they are gone.

I'm still in for the Beast, so I'm hoping I can see him then.