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Knee Concerns

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scarletngrey11

scarletngrey11

All right, all right, all right.
First of all, im 16 years old and run cross country and distance in track. I run 6 days a week, mostly road runs (anywhere from 4-10 miles) and maybe 1 or 2 workouts a week, something like 6 800's or 10 400's.

Well I partially tore my ACL and fractured my knee cap maybe 5-6 years ago. I got 30 stitches 3 layers deep, and had my knee immobilized for somewhere around 6-8 weeks. Since it was immobilized for that period of time I had to go to rehab to learn how to bend my knee again and regain my flexibility. I have a wicked scar maybe 3 inches long on the skin at the top of my knee cap.

Well I missed a big chunk of track season because my knee was causing me pain after 1 km into a run. It felt like there was a rock inside my knee, and no matter how hard I tried I physically could not run through it. I saw a doctor who was completely worthless, and told me too take advil because part of my knee was inflamed slightly. Then I saw a different doctor who sent me to physical therapy. He said I needed to build up my muscles above my knee because it might be grinding against something else, and if I built up the muscles enough it would cause my knee cap to rise.

I went to physical therapy twice a week for a month and everything went fine. After my 8 sessions he evaluated my knee and said it was fine. I started running again and dont feel that pain anymore. However, the problem is that at random times, maybe twice a week, my knee will just feel like its on fire. The lower left part of my right knee looks like there is a bulge of fluid in it. Its not too out of the ordinary, but it definetly is inflammed.

Has anyone else had a problem like this? When I run it feels fine, but at random times it just feels like my entire knee is on fire. I talked to my physical therapist about it and he says I might just have to live with it, and it might just be because of my knee injury. Im in good shape and skinny as hell at 6'1" 160 lbs., so there isnt much weight on that knee.

Any suggestions, advice, comments, or anything? Thanks.
 
If you are local to Columbus I have an orthopod I would highly recommend... the one thing you didn't mention... have you had more x-rays or an MRI since you started having this pain (post op and post-pt?)? Until you can get this permanently resolved I would have to recommend ice and some type of NSAID (Advil, Aleve.) Take the anti-inflammatory on a regular basis... 800mg of Advil 2 times a day... Ice after you run for 20 minutes with leg elevated to the point of being above your heart. Keep in mind though, my strongest recommendation is to get in with a good orthopaedist... trust me, you are young and your knee isn't something to mess around with...

(I will put money on the fact that you some sort of scar tissue that has formed and acts like a flap and when it gets pinched that is when you have the pain and swelling, when it isn't pinched per se all seems to be pretty decent with the knee, again though, this is just my two cents though.)
 
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BuckeyeRyn said:
If you are local to Columbus I have an orthopod I would highly recommend... the one thing you didn't mention... have you had more x-rays or an MRI since you started having this pain (post op and post-pt?)? Until you can get this permanently resolved I would have to recommend ice and some type of NSAID (Advil, Aleve.) Take the anti-inflammatory on a regular basis... 800mg of Advil 2 times a day... Ice after you run for 20 minutes with leg elevated to the point of being above your heart. Keep in mind though, my strongest recommendation is to get in with a good orthopaedist... trust me, you are young and your knee isn't something to mess around with...

(I will put money on the fact that you some sort of scar tissue that has formed and acts like a flap and when it gets pinched that is when you have the pain and swelling, when it isn't pinched per se all seems to be pretty decent with the knee, again though, this is just my two cents though.)
Click to expand...

I had an MRI a few days after they stitched my knee up to see how badly I tore my ACL, it ended up being only a partial tear.

The first doctor I saw maybe 2 months ago took X-rays of my knee, and he said they came out fine. Would the scar tissue show up on a normal X-ray?
 
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im certainly no doctor however, I would think a plain film x-ray might be a bit lacking given your symptoms... MRI is going to show more fluid filled areas,cartilage, more soft tissue occurences where as plain film x-rays I would think would be more skeletal related....
 
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as a kid, id see a specialist. if youre having toruble with it as a teen, then you dont even want to deal with it at 20, 30 then def not 40+. talk to your parents discuss the options about seeing a specialist and see what they say. its hard to tell. but as a kid who cant run around one of three things. 1-its really messed up and could be gimpy the rest of your life. 2-it could be youre growing? and tight and its nothing that abnormal a little problem augmented by a growth spurt. 3-youre a sissy and need to suck it up. (note my parents told me this about my foot in hs and i played on a broken foot in basketball fot 2 months, i eventually couldnt put my court shoe on and had to buy a bigger size shoe to wear, then not in my reg shoes and i went to the doctor. everytime the weather changes my foot aches like hell. but on the brightside its way better than any metorolgist!)
 
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this reminds me of a situation my sister had back in highschool. She ran cross country and track and started having pain in her legs. Our genius of a family doctor told her and I quote "if it only hurts when you run, you should stop running."

needless to say she got a second opinion.
 
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BuckeyeRyn said:
(I will put money on the fact that you some sort of scar tissue that has formed and acts like a flap and when it gets pinched that is when you have the pain and swelling, when it isn't pinched per se all seems to be pretty decent with the knee, again though, this is just my two cents though.)
Click to expand...

It sounds like scar tissue to me as well. I had a knee reconstruction in '88 (torn ACL, MCL and severe lateral meniscus damage). In '93, I experienced problems similar to what you are describing. I had scar tissue problems and also arthritis in the knee ( arthritis is common early in severe knee injuries). The doctor performed another surgery that has greatly helped the problem, although I have to have "downtime" between activity.
 
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sparkyosu said:
Have you looked into Osgood-Schlaughters disease?

PM me if you want to know more.
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Osgood-Schlatter is defined by a characteristic soreness and swelling at the tibial tuberosity. It usually originates in those between the ages of 10 and 15 who are both physically active and in a "growth spurt". If unresolved it can be painful, of long duration, and have permanent detrimental effects both on the bone, as well as on a young athlete’s potential for both immediate performance and future college scholarships.
A recent Finnish study found that 13% of the teenagers of that country had symptoms of Osgood-Schlatter Disease. The disease was named after two physicians who defined it in 1903, Dr. Robert Osgood and Dr. Carl Schlatter. Currently there are over 25 million children in the United States of America who are in the susceptible age group. With over half of them engaging in some athletic activity, it is possible that 2 million American boys and girls may contract OS yearly. The condition is probably caused by the powerful quadriceps muscle pulling on the attachment point of the patellar tendon during running activities such as soccer, basketball, track and other sports. Once found mainly in boys, it now happens almost as frequently in girls. <TABLE cellSpacing=0 cellPadding=6 width=200 align=right border=0><TBODY><TR><TD align=middle width="100%">
Click for larger image</TD></TR></TBODY></TABLE>With the recent triumphs of the U.S. Women’s Soccer team, it afflicts many young ladies who emulate their heroines on the soccer field. One California youth soccer coach has been teaching the physical and mental aspects of the game since 1985. He has had talented teams that have won regional, area and sectional honors. On almost every team there have been two or more players that suffered the pain of OS. After losing a State Championship because his OS afflicted center midfielder couldn't play, he searched for and found an answer for the disease. For over fifteen years he has used a simple, safe and reliable formula of two nutrients that has never failed to reduce or eliminate the symptoms of OS in his players.



I had the surgery to fix my knee problems from wrestling (o-sd and torn lateral meniscus) about a year ago. my frontal knee bumps are almost gone and painless.
 
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Sometimes our bodies are smarter than we are.
You have previously injured your knee.
You run long distances, frequently on cement/concrete.
When your body has had enough you get pain and swelling.

As someone else mentioned you need to take it slow and pay attention. I was in your shoes and you do not want the joints I have now. Good luck.
 
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