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My Knees Hurt.

 Poster: A snowHead
Poster: A snowHead
Off to the quack on Monday. I skied most of the winter with knee braces, and they were still hurting but not too much. Now one hurts quite a bit when I walk down hill, and the other is perminantly slightly swollen and I can't kneel on it. I suspect I'll be sent for a few weeks physiotherapy before I get to see an expert.
Any advice.
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Quote:

perminantly slightly swollen and I can't kneel on it.

Housemaids knee? ( Bursitis) I have probably got a problem with a different bursa. Ice. You have to do do ice, at least twice a day for 20 minutes. Don't knock a good sports physio - they can help a lot.

Do you use poles walking downhill? I couldn't do without mine - the knee still hurts, but less!
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Are you taking NSAIDs - they help a lot.
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Oh dear . . . another one joins us Sad

We take up a sport that requires strong and supple joints, only to discover we don't have any Embarassed
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I have knees that now start to hurt 'quite a bit' when I walk downhill. I get severe pain just under the edge of the knee cap. In desperation I tried these Velcro tapes that fasten just under the kneecap - loads of variations on ebay that all fit in the same way - I just picked a set. The result - I can now walk downhill without pain when I am wearing them. I don't know if they are doing any harm, but if they let me walk on hills without pain I think they are a good thing.
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Always been a poles fan, plus bufren and volterol as required. I did think it could be house maids knee, or its close relation clergy mans knee. Will give the ice a go as it's getting in the way of doing DIY.
I was on a course with a doctor a few years back who said, without a scan it's difficult to know what's going on at all. I was intending on a walking holiday in September but after struggling down a Munro last week (Ben Hope) I might need a plan B.
Megamum, I have been using supports but they have become less effective, I even get pain driving when it's in one place for a while. I think I might need a go back in time machine.
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jbob, Sad If you do find a time machine, try and get a two seater model and I'll come with you! wink
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jbob, Go to a physio they can tell you what's wrong, doctors can't without a scan
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My physio suggested that if I had a scan it should be an ultrasound, not an MRI. But he said the chances were they would find some tatty cartilage (most people my age who have used their knees a fair bit will have tatty cartilage, apparently) and say "Aha, that's the problem". But he doesn't think it is. For the moment I'm going to continue with the physio and avoid any suggestion of surgery if at all possible. He reckons if we haven't cracked it by August I should get a scan and I'm happy to go along with that.
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Went to the Docs, he's sending me for an X-ray which I don't think is going to reveal much. His instinct is that it's arthritis. I'm going to go to a private sports physo anyway and see where that gets me.
Some progress on the time machine, I put a cup of instant coffee in the microwave which seemed to compress time a little.
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I had this problem a few years ago,i very much into ski mountaineering so the old knees took some hammer.So it got that painfull a trip to the docs,pain killers and lots of rest (6 months) of it,cos my knees were swelling up with fluid.Anyway was back to full health with the rest.
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jbob,

Hills and driving, as triggers, suggest patella. However you need a bit more clarity if the knee is swelling.

X-ray will pick up arthritis but not much more and it has to be fairly well established. It's not a bad place to start .

If physio not clear on diagnosis then that is what you should pursue. For that you'll need a sports physician/ orthopaedic with an interest in knees.

Jonathan Bell
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Jonathan Bell, your advice is very much appreciated.
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 You know it makes sense.
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jbob wrote:
Jonathan Bell, your advice is very much appreciated.


You are welcome if I can be of more help let me know.
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sounds like what i had when running a year or so ago. patella tendonitis. completely gone now after seeing a sports physio, gave me an elastic strap to do light strengthening exercises with and told me to get a gait analysis to determine what running shoes i should be wearing. so for me new shoes and a giant rubber band and now im running 20 miles without any knee pain.
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 Poster: A snowHead
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Iv been getting some pretty bad knee pain./. turns out I got lcl knee injury. There so many different ligaments in your knee it can be any number of them.. gonna try out a knee support (but now I read your post Im not too sure if I should, unless it was a bad/wrong type of knee support you used?) for me soon and some physio! Very Happy I think physio probably is the best answer.
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ilikethesnow, I was using chepo knee supports from decathlon, they did at least keep them warm. I'll get some specific advice from a physo next time. A friend gets them from a specialist web site at about half of the regular cost. I find out where and post it here.
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Follow the advice of Jonathan Bell and ignore the rest. It does sound like the same problem I have, which is wear and tear of the patella, but only an expert who has checked you out can tell you what the your problem is and how to deal with it. So get a referral to a knee specialist.

In my case diclofenac dealt with the matter for many years, but now i need steroid injections at the beginning of the ski season (which, pace anyone who may say there is no difference, definitely do work better).

Of course, your issue may well be completely different.
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Peterkct wrote:
Follow the advice of Jonathan Bell and ignore the rest. It does sound like the same problem I have, which is wear and tear of the patella, but only an expert who has checked you out can tell you what the your problem is and how to deal with it. So get a referral to a knee specialist.

In my case diclofenac dealt with the matter for many years, but now i need steroid injections at the beginning of the ski season (which, pace anyone who may say there is no difference, definitely do work better).

Of course, your issue may well be completely different.


When people get patella pain they have usually a number of risk factors for developing it.

Some are unchangeable eg being female ( although i do know a surgeon who can help with that Shocked ) other risk factors can be altered eg tight quads that can be stretched.

What we tend to find is that some with tight quads stretch them out and they remain fairly good with light " post exercise stretches"

Some , however, will stretch out and find that they have a tendency to rapidly tighten up up again.

For that reason check all your strength and stretch exercises given in the past to make sure your dont need to revisit some of the work done in the past.

It may reduce the need for steroids

Jonathan Bell
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Pain in the knees can be caused by a lack of strength and flexibility in your legs. I had an issue with pain just below my kneecap and the physio told me I had the worst flexibility he had ever seen in someone my age (22). Sure enough I've started stretching every day and building up the muscles in my legs and sure enough the pain is slowly becoming less and less. I think we don't realise how much we demand from our legs and skis especially when we want to ski well and with good technique.
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Quote:

I think we don't realise how much we demand from our legs and skis especially when we want to ski well and with good technique.

I don't really agree with that - certainly skiing demands a lot from our legs but bad technique, especially skiing "in the back seat" will be much harder on the knees (and quads) than getting the weight properly stacked on the skeleton.

I had the first stage investigation of my problematical knee today. 4 X-rays which happily revealed a remarkably good picture, apparently, in terms of arthritis, or lack of it. Good news at 67! Next step is an MRI to be able to look at the soft tissues.
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pam w, thats really good news! Hope you get an MRI soon, as if surgery is needed, now is a great time to get it done, to leave a nice amount of re-hab before the main ski season starts again. Happy
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NickyJ, yes, MRI next week. snowHead
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pam w, hope MRI gets to the bottom of the problem
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pam w, I agree, re technique. A framing, and back seat skiing, plus of course falling must hammer the knees. In my case I suspect it's a mixture of anno domini and up to a 100 days on them each year skiing, but I'm not looking for sympathy. Toofy Grin
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Sounds like prepatellar bursitis to me I has the exact same symptoms about 7 years ago, got so painful I had to take a month off work, took naproxen and plenty of rice. The common cause is kneeling or crouching down a lot.
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 And love to help out and answer questions and of course, read each other's snow reports.
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Knee problems....I damaged knee cartilage in both knees playing rugby in my teens. No surgery (it was the 1960s!!). For the next thirty years I had knee pain skiing that was sometimes so acute it put me off the hill. And my knees blew up like melons! Ten years ago I started taking glucosamine+chondroitin 1500 mg capsules daily and also wearing crepe elastic knee supports (Futuro) for knee stability. Three years later, now retired, I started skiing annually for ten days, after years of on again, off again skiing where I sometimes missed two an three years straight.. I no longer have knee pain or swelling and I ski ten days straight through annually (Colorado). BUT while skiing, at 67, I do try to stay on the ground as much as possible (ie minimal air time!!) to contain knee stress. I have no connection with either the pharmaceutical industry or the knee brace industry Happy !!
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