Knee injury - any advice?

General bike chat that does not fit elsewhere
Foyzy
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Knee injury - any advice?

Postby Foyzy » Thu Oct 04, 2012 11:27 am

Hi all,

I got into road cycling relatively recently but due to my enthusiasm to push big mileage have done myself an injury. Basically I went out and did 70 miles through the Surrey Hills with a wrongly set up pedal cleat and have twisted my knee quite badly. At the time it was extremely painful.

Looking into it, I believe what I have caused is ‘IBTS’ which is where you cause injury to the outside of the knee joint (my pedal cleat had too much toe-in). It doesn’t hurt generally just walking about, but as soon as I get back on a bike (even my hybrid commuter with correct cleat set up) after about 5 miles the pain starts to come back.

Has anyone else had this? What is the best way to fix it and how long does it take for the pain to completely disappear? I have booked myself in to get a professional cleat set up done this weekend on the road bike but as I say even on my hybrid that I’ve been riding for months with no issues it still hurts. Any advice gratefully received.

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ugo.santalucia
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Re: Knee injury - any advice?

Postby ugo.santalucia » Thu Oct 04, 2012 11:39 am

I think people should stop asking for medical advice on a cycling forum. There is the NHS for this.
Every knee problem is different and very personal, there isn't a fix that works for all. I can only advise to rest. I suggest you contact an orthopaedic consultant

Foyzy
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Re: Knee injury - any advice?

Postby Foyzy » Thu Oct 04, 2012 11:46 am

Given that this is a cycling specific injury I am guessing there must be plenty of people on a cycling forum who have had the same thing. I am just interested to hear how other people have dealt with the problem and how long it took.

NewTTer
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Re: Knee injury - any advice?

Postby NewTTer » Thu Oct 04, 2012 13:58 pm

ugo.santalucia wrote:I think people should stop asking for medical advice on a cycling forum. There is the NHS for this.
Every knee problem is different and very personal, there isn't a fix that works for all. I can only advise to rest. I suggest you contact an orthopaedic consultant

+111111111 to this, I tire of people asking medical advice on forums, this or others it is just wrong. One day someone is going to get seriously hurt due to some poor advice, however well meaning it is As already advised rest and consult a medical professional

nutter_bed
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Re: Knee injury - any advice?

Postby nutter_bed » Thu Oct 04, 2012 14:33 pm

+1 for doctor.
Knees are certainly not something to take advice on a forum about!

AchillesLeftKnee
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Re: Knee injury - any advice?

Postby AchillesLeftKnee » Thu Oct 04, 2012 14:52 pm

Another vote for see a doctor, and definitely give it a proper rest in the meantime.
Mangeur

danowat
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Re: Knee injury - any advice?

Postby danowat » Thu Oct 04, 2012 15:00 pm

I think you guys are being a tad harsh, ITBS is quite common, and if the symptoms point to ITBS, then there are a number of things you can do without bothering a GP (who frankly, unless you get one who does sport, will likely not know much more about it than people on a forum)

If you have cured to reason why the ITBS started, then you can use R.I.C.E in the first instance, I used to suffer with ITBS and found working the ITB with a foam roller a massive help.

I went to a sports pyhsio with my ITBS and TBH, they weren't a great deal of help.

Foyzy
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Re: Knee injury - any advice?

Postby Foyzy » Thu Oct 04, 2012 15:12 pm

Thank you danowat for the first constructive answer. To be quite honest I see little point in going to a GP who will simply give me some Ibroprofen and tell me to take it easy for a couple of weeks because they know little about ITBS.

ITBS is an injury most commonly sustained by cycling or running, and there must be countless people on here who have had it so I am just keen to hear their first hand experiences.

danowat
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Re: Knee injury - any advice?

Postby danowat » Thu Oct 04, 2012 15:21 pm

RICE, foam roller, hamstring and glute stretches are what helped me.

NewTTer
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Re: Knee injury - any advice?

Postby NewTTer » Thu Oct 04, 2012 15:27 pm

Foyzy wrote:Thank you danowat for the first constructive answer. To be quite honest I see little point in going to a GP who will simply give me some Ibroprofen and tell me to take it easy for a couple of weeks because they know little about ITBS.

ITBS is an injury most commonly sustained by cycling or running, and there must be countless people on here who have had it so I am just keen to hear their first hand experiences.


But is it? You said in your OP that you had "twisted" your knee, thus indicating some form of trauma injury rather than a progressive injury that would result in ITBS. Really was pointless coming on here and asking, 4 people tell you to seek medical advice, one person doesnt and you decide that he is right, just becasue he tells you what you want to hear, so what was the point in asking?

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T.M.H.N.E.T
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Re: Knee injury - any advice?

Postby T.M.H.N.E.T » Thu Oct 04, 2012 15:28 pm

Sounds a bit like a classic case of diagnosis via google

garethjohn
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Re: Knee injury - any advice?

Postby garethjohn » Thu Oct 04, 2012 17:42 pm

Fwiw. Sprained my knee during the Cotswold classic in march. Stayed off the bike for a couple of weeks and iced regularly which worked a treat. Since then I've been given a garmin which showed my cadence to be down in the 60's so I was always grinding away seemingly stressing the knees especially up hill. Now I'm in the high 90's and much prefer riding this way. Been pain free since. I appreciate this may have been entirely coincidental and may not apply to your case whatsoever. Just sayin.

GBR1
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Re: Knee injury - any advice?

Postby GBR1 » Thu Oct 04, 2012 18:06 pm

Personally I groan every time people say go and see a doctor, they will not have a clue! I had to go to the doctors today for long term issue, I am 180cm and weigh 85kg and was told I am overweight and the NHS will do nothing for me till my BMI is OK. I have 12% body fat, NHS are useless........

Go and see a physio, ask a local cycling club if they have someone they will recommend who knows/deals with cycling injures on a regular basis!

Let him/her diagnose the injury, all be it you could well be correct.

I wish you well and I hope you get back on you bike ASAP!

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southdownswolf
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Re: Knee injury - any advice?

Postby southdownswolf » Thu Oct 04, 2012 18:33 pm

So are you suggesting to see a specialist rather than taking advice off a forum? My NHS doctor is quite happy to refer on to a specialist if sports injuries are involved.
http://www.stuartmole.co.uk/

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Mikey23
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Re: Knee injury - any advice?

Postby Mikey23 » Thu Oct 04, 2012 18:46 pm

Plus one for that ... My GP has recently referred me to a sports injury specialist as well as experts for other ongoing issues.

Personally I groan every time someone says ' don't go and see a doctor because they won't have a clue ' on the basis of their own personal experience.

bush70
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Re: Knee injury - any advice?

Postby bush70 » Thu Oct 04, 2012 19:29 pm

for my tuppence worth ,in my experience with gps and consultant doctorts,misters,they are there to give opinions albeit qualified ones and it is up to anyone if they take on board what is said.my gp couldnt help me so he refered me to a consultant to look at a mri scan of my knee,i had severs tendonosis, and he then offered me advice which included no strenuous exercise involving running or cycling .i dont run now ,only for a bus,but i still cycle a lot even managing the fred whitton among a lot of other sportives.all anyone who is looking for advice is to take on board what the docs say but i would also listen to people who have had similar experiences.

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Mark_P
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Re: Knee injury - any advice?

Postby Mark_P » Thu Oct 04, 2012 19:55 pm

I had a case of IT band friction syndrome. I went to a physio for a diagnosis, and they identified the fact that my glutes were mismatched in terms of strength. They gave me some exercises, and I payed out for a full bike fit, and the pain is gone. I'd definitely recommend seeing a physic.

DrKJM
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Re: Knee injury - any advice?

Postby DrKJM » Thu Oct 04, 2012 22:49 pm

Mark_P wrote:I had a case of IT band friction syndrome. I went to a physio for a diagnosis, and they identified the fact that my glutes were mismatched in terms of strength. They gave me some exercises, and I payed out for a full bike fit, and the pain is gone. I'd definitely recommend seeing a physic.

Spookily similar to my own experience, though i"m earlier in the process. No resolution yet. But I saw a gp, saw a physio, have started the exercises. But, we're not all alike. So if someone says 'how the fark should i know, see your doctor' chances are that's the best advice you'll get on any internet forum this decade.

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Ron Stuart
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Re: Knee injury - any advice?

Postby Ron Stuart » Fri Oct 05, 2012 10:26 am

ugo.santalucia wrote:I think people should stop asking for medical advice on a cycling forum. There is the NHS for this.
Every knee problem is different and very personal, there isn't a fix that works for all. I can only advise to rest. I suggest you contact an orthopaedic consultant


Contacting the NHS with a self inflicted Knee problem in a bloody lottery as to whether you get any useful advice, best try and find initially a GP that rides a bike you might at least get some sympathy, after he or she tells you to go away and rest it for a couple of weeks and you go back he or she may refer you.

If you are a dentist or such like and can go direct/private to an orthopedic consultant then good luck to you.

Firstly you need an accurate diagnoses then expert guidance as regards treatment and not guys on a forum thinking what you have got is what they had and suggesting possibly remedies that stand more chance of doing more harm than any good :wink:

rob21
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Re: Knee injury - any advice?

Postby rob21 » Fri Oct 05, 2012 18:06 pm

Leg Knee and Hip Pain....

http://www.cptips.com/knee.htm


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