Help - Search - Members - Calendar
Full Version: Advice for a comeback?
Portland Fit Forum > General Forums > Medical Forum
Tiffany (cant log in anymore?)
Ok. I've been out of Portland Fit for 2 weeks due to injury. My knee is still swelling when running.
What do I do now? How do I train? Do I try to keep up with the schedule? Start over?
What do I do?
This is year 3 to fail on this thanks to knee injuries. And yes, coach, I know I'm supposed to "get lighter" but so far I haven't managed to lose 20lbs. Sorry.

Any advice? I'm really frustrated here.
RunDougRun
Tiffany,

Sound like there's a pool or bike in your future? Seriously, do you have access to a swim facility where you might be able to Aqua-Jog or swim laps? Or, do you have a bike to crosstrain on?

You could still maintain cardiovascular fitness with those two options. smile.gif

Injuries... mad.gif

Good Luck!
Doug

P.S. if you're still having login problems, contact John. I had them too.
xelakann
Tiffany,
I too have a lovely knee injury that has thwarted my training. To help keep me on track while I haven't been able to run I have been doing the elliptical, bike and walking. Though I agree with Doug, swimming (according to my DR) is most ideal.

My advice (this is what I was told to do) is when you start running again, start slow and incorporate a run/walk regime. The Run/walk training method has never appealed to personally, so I'm not looking forward to it, but I'd rather do that than quit completely.

I'm not sure what kind of medical treatment you are under, but you shouldn't be out of the game completely. At least I hope not.

Good luck.

Kimberly
Guest too!
As a side note but possibly important, I hate to hear you refer to your persistence in trying this out as a failure. I admire you for cotinuing to try something that isn't easy and hasn't felt well for you despite a recurrent injury.

"It is not the critic who counts: not the man who points out how the strong man stumbles or where the doer of deeds could have done better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood, who strives valiantly, who errs and comes up short again and again, because there is no effort without error or shortcoming, but who knows the great enthusiasms, the great devotions, who spends himself for a worthy cause; who, at the best, knows, in the end, the triumph of high achievement, and who, at the worst, if he fails, at least he fails while daring greatly, so that his place shall never be with those cold and timid souls who knew neither victory nor defeat."[/i]-Theodore Roosevelt
"Citizenship in a Republic,"
Speech at the Sorbonne, Paris, April 23, 1910
Dr. Bryan
Tiffany,

Please give me a little more information about what is happening for you. Is this the same problem for all three years? Where on the knee is the pain? Is it on both knees? Do you have any past injuries or surgeries to feet, legs or low back? Do you cross train in addition to running, if so, what type of exercises do you do? I can better direct you with feedback on these items.

For now, the most important two variable to focus on for running are leg speed and cardiovascular conditioning and leave the third variable of physical impact out of the picture for the moment. When using a stationary bike keep the pedal RPM at 90 and heart rate in your aerobic range. If you are at a gym with recumbent and upright bikes, switching between them every 20 to 30 minutes is a good way to break up the boredom. If you can get on a Spinner, that’s even better, just keep the setting light and leg speed high at approximately 90 RPM. As, Doug mentions aqua jogging is a great way as well to keep the conditioning of muscle patterning of running without the impact. Combine any or all of these for the same duration, as you would for the scheduled runs. This is the best way to keep up with the scheduled runs and avoid impact while maintaining your level of fitness. The next thing to do is get back to me and we can trouble shoot what is happening. I’ll reply ASAP. Hang in there, I know I’m recommending a lot of indoor stuff but the weather hasn’t even started getting good yet!

Cheers,

Dr. Bryan
Tiffany (still cant log in)
Hope the background information helps:
I'm 5'4" about 130lbs.
I have Morton's Neuroma on my left foot (which I havent found a shoe or orthotic to help with).
It is the same right knee that this keeps happening too. I never could afford to get a proper diagnosis but I injured it playing soccer (twisted it somehow) and it's never been the same since.

The swelling seems to be under the knee cap lower knee region...but I also feel it on the sides of the knee. no other leg injuries or surgeries to knees or lower back. My left knee was kicked by a horse several years ago but seems to have no lasting impact.

As for any other cross training- no. I ride horses 4x a week and once a week competitively. In the mornings I do a variety of stretching and basics (jumping jacks, push-ups, sit-ups, leg lifts). That's it. I'm probably 10-15lbs overweight and the lowerhalf of my body is pretty out of shape.

That's it in a nutshell. Any ideas?
I'll begin today with the Eliptical at the gym. I HATE riding the bike at the gym...actually I hate going to the gym! lol. But I'll see if I can force myself to do it. *sigh*


QUOTE(Dr. Bryan @ May 25 2006, 09:07 AM) *

Tiffany,

Please give me a little more information about what is happening for you. Is this the same problem for all three years? Where on the knee is the pain? Is it on both knees? Do you have any past injuries or surgeries to feet, legs or low back? Do you cross train in addition to running, if so, what type of exercises do you do? I can better direct you with feedback on these items.

For now, the most important two variable to focus on for running are leg speed and cardiovascular conditioning and leave the third variable of physical impact out of the picture for the moment. When using a stationary bike keep the pedal RPM at 90 and heart rate in your aerobic range. If you are at a gym with recumbent and upright bikes, switching between them every 20 to 30 minutes is a good way to break up the boredom. If you can get on a Spinner, that’s even better, just keep the setting light and leg speed high at approximately 90 RPM. As, Doug mentions aqua jogging is a great way as well to keep the conditioning of muscle patterning of running without the impact. Combine any or all of these for the same duration, as you would for the scheduled runs. This is the best way to keep up with the scheduled runs and avoid impact while maintaining your level of fitness. The next thing to do is get back to me and we can trouble shoot what is happening. I’ll reply ASAP. Hang in there, I know I’m recommending a lot of indoor stuff but the weather hasn’t even started getting good yet!

Cheers,

Dr. Bryan

TIFFANy
SORRY- I injured the right knee playing soccer 3-4 yrs ago. Left knee was kicked by a horse 3-4 yrs ago.
Let me know if you need anything else.- Tiffany

QUOTE(Tiffany (still cant log in) @ May 25 2006, 09:36 AM) *

Hope the background information helps:
I'm 5'4" about 130lbs.
I have Morton's Neuroma on my left foot (which I havent found a shoe or orthotic to help with).
It is the same right knee that this keeps happening too. I never could afford to get a proper diagnosis but I injured it playing soccer (twisted it somehow) and it's never been the same since.

The swelling seems to be under the knee cap lower knee region...but I also feel it on the sides of the knee. no other leg injuries or surgeries to knees or lower back. My left knee was kicked by a horse several years ago but seems to have no lasting impact.

As for any other cross training- no. I ride horses 4x a week and once a week competitively. In the mornings I do a variety of stretching and basics (jumping jacks, push-ups, sit-ups, leg lifts). That's it. I'm probably 10-15lbs overweight and the lowerhalf of my body is pretty out of shape.

That's it in a nutshell. Any ideas?
I'll begin today with the Eliptical at the gym. I HATE riding the bike at the gym...actually I hate going to the gym! lol. But I'll see if I can force myself to do it. *sigh*

Dr. Bryan
Tiffany,

I am with you on the stationary bike thing, try going really early in the morning before you realize what you are doing and use a headset with an exciting book on tape!

Having an acute Morton’s neuroma with opposite side knee pain indicates your hip, pelvis and legs are not dynamically strong with balance or ‘out of shape’ as you put it. Most likely your right quadriceps is too tight at rest and over contracting when used. This will cause pain in the area you describe. Being in less than optimal shape in your legs and having this show up is better than if your were fully conditioned. When people have full dynamic strength and clean movement patterning it means the problem is most likely in the joint. If you haven’t tried one, use a neuroma pad ASAP on your left foot to reduce the need for your right leg to over-assist the left one.

You sound very active which makes it even more important to have a full pre-injury performance level of your right knee. This is best measured by physical tasks/performance and not by pain. At this time I would get the neuroma resolved and condition you lower extremities. Please let me know if you need any more information or how else I can help.

Cheers,

Dr. Bryan
This is a "lo-fi" version of our main content. To view the full version with more information, formatting and images, please click here.
Invision Power Board © 2001-2012 Invision Power Services, Inc.