Runners Knee- Treatment?

Hi, I have been training on a off with runners knee, Patella Femoral Tendonitis. Wow this injury sucks. I have tried a steriod injections, eccentric exercises, rest etc but so far no luck. I was wondering as I am sure a lot of you have had experience with this injury- what worked? Just been back to a sports med doctor and x-ray was normal, so now its no running, cycling at around 80RPM and more eccentric squats and hip stabilizer exercisies.

I guess the plus is at this stage I can still cycle and swim, but for a person who got into Ironman from a running background this is pretty depressing.

Here’s a thread I started about a month ago. In that month I’ve run nada and I think doing some of these exercises (ones that involved bending my leg) actually made my knee worse. Runner’s knee sucks.

Are you taking any supplements? Science has really advanced in the past 5 years. Just wondering if and what you’ve tried.

Are you taking any supplements? Science has really advanced in the past 5 years. Just wondering if and what you’ve tried.

Wow … yes, science has advanced in the past 5 years. Made your website possible at least.

i had something similar. Tendonitis can take MOTHS to resolve. I did a bike focus for a year and it finally came around. You might try a week of advil 4x4times a day or alleve 1xtwice a day.

the trick often is being willing to rest it long enough though. it isn’t easy!

Haha, very true! Not my website. I take their joint health and it has done wonders for my knee. I’ve had bad knees from High School and College wrestling. I’ve been running pain free for the last 6 months (except for when I forget to take the pills). Just my 2 cents.

Mike

I’m going to get totally flamed for saying this on ST, but do you know if you over-pronate, and if you do have you investigated using orthotics?

I have always used orthotics (20+ years) following 2x high school runner’s knee injuries. I’ve tried running without them a few times but always get sore knees and have gone back to using the orthotics. For me, it’s been the best way way to avoid sore knees.

Hi, what do you mean by “You might try a week of advil 4x4times a day or alleve 1xtwice a day”??? I only take omega 3 capules.

Cheers

What stretches are you doing?

The 2 that I have found most effective are ITB stretches (as a tight ITB can cause the knee cap to mis-align) and patella mobilization.

Do a google search for ITB stretched as there are a few different ones, patella mobilization is pretty straight forward (see http://betterhealthproviders.com/documents/stretches/KneeExercises.pdf) for an example.

Longer term I would be investigating an assessment of your arches and footfall, possibly orthotics if necessary.

Dave,

Don’t give up! I posted something similar in a previous thread.

After a knee injury in football 35 years ago and being told running would be difficult I am entering my 30th year of triathlons. Knee tracking/Chondromalacia was sort of the result on the injury. 19 IMs ago I was told not to run over 5 miles or so due to the problem. My answer was to attack the VMO.

I have a very simple VMO routine that I do daily. While in my office I slide up to the front of my desk chair and stick the affected leg straight out front resting it on the heel and turn the toe out. Now, do a very hard isometric contraction trying to just fire the VMO - put your 1st two fingers on the VMO and work on muscle control until you can isolate the VMO. Now, hold that contraction hard for a 10 count, then while still holding that do 10 leg lifts in the position - just 10 - 12 inches or so.

Got it? OK, now figure out how to do that a lot of times (100) all day, every day. For me, I just do the routine every time my phone rings, which is a lot. I am no more sophisticated than Pavlov’s dog! It will take 6 - 8 weeks of this to get it under control, then you have to keep doing it, forever!!
Best wishes,

I had a similar issue, X-ray and MRI were clean, no degeneration, PT put me on a stretching regiment, turns out my legs muscles were tight and knees needed strength. Used surgical bands and lateral movements to build knee “muscles”. Still a work in progress, but much better then before.

I’ve been dealing with this for a few weeks. It’s not dibilitating to me, just somewhat bothersome. I have St. George in a few weeks so stopping training isn’t really an option. It seems to go away completely after 2 hrs or so on the bike …

I just saw a PT this morning. She made me promise to do my stretching and gave me some VMO stengthening exercises and did the ultasound anti-inflamatory treatment. But she also taped it with a very strong tape (stronger than kenesio tape) to force it to track properly in the groove. Granted I haven’t had much time to test it, but I just got back from a run and never felt that dull ache that I’ve been experiencing over the last few weeks. So for me taping seems to be a short term fix while I work on the long term fix through stengthening the VMO and stretching.

So I’d encourage you to give taping a try to keep your training going while strengthing / stretching to get your biomechanics back in order.

Thanks for all the advice. It sounds as if lots of rehab exercises and rest from running is the key.! Getting into good habits will be the key! Cheers