I’m 17 and have not been able to ride or do anything except walk short distances for almost 5 months. My knee pain first started when winter was ending in March when I went from 40 miles in a week to 90 miles. I always have my cadence above 90 and have the correct saddle height. I kept on riding not making a big deal of it and just thought that a little knee pain after a ride was normal. It got worse and worse until mid April I had to turn around on a ride because it was so bad. The pain was around the lower part of the knee cap and was really bad if I stood up.
I went to the orthopedic surgeon and he said everything looked fine on the x-ray and was probably patella femoral syndrome. I went to physical therapy and the therapist thought my legs were very tight (since I never really made a effort to stretch before riding) and that put pressure on my patella which aggravated cartilage. She aggressively stretched my quads, hamstrings, IT band, and calves. My quads were extremely tight and after a week of almost painful stretching my quad were much more limber. The therapist also assigned me exercises to help strengthen the muscles around it. A few months went by and my legs were much more flexible but still had pain but then the pain changed from being around my knee cap (symptoms of patella femoral syndrome) to the patellar tendon below the kneecap. I don’t get why symptoms just change like that but after reading a little it could possibly be from the therapist being extremely aggressive stretching my quads it stretched out or made micro tears in my tendon. I went to therapy for 3 months and stopped because I couldn’t really tell I benefited from it.
The orthopedic surgeon ordered an MRI of my knees to make sure it wasn’t a tendon tear but the MRI came back normal. The orthopedic surgeon said I probably now had tendonitis and that I should just try to not aggravate it and just let it rest. He said it might take a long time since tendons don’t heal very well. The therapist said I should do leg exercises to strengthen my leg muscles but that brings on irritation. The Doc says I should just rest it and have tried both and neither seem to make it better. That was 2 months ago….
Walking short distances is not a problem but if I try to do anything strenuous my knees get hot and start hurting. I was taking NSAID’s to keep the inflammation down but I’ve read that they slow the healing process. I have to ice my a few times a day to control it. Tendons have a hard time healing because they don’t have a lot of blood flowing to them to repair the damaged cells so sending more blood to the . Why is inflammation bad? It should help the healing process since there is more blood going to the damaged area. Shouldn’t that be good? I know that inflammation is bad when you have arthritis since it starts deteriorating your joints and that inflammation attracts free radicals but what about to heal injured knees?
Next week I am going to see a sports medicine doc that was a team doctor for the Tour De France. This is so frustrating to me because a major part of my life was riding/racing bikes and I haven’t been able to go on a ride, run, or do any sports for 5 months! Right now I would do anything just to be able to ride again. I have learned a lot about how to take care of your knees on a bike such as faithfully stretching, lots of float, and don’t jump mileage too quickly. Does anyone have any advice? Should it take this long? Should I try to strengthen my muscles are just let my knees rest? Sorry I wrote so much but I’m just hoping someone can point me in the right direction. Any help would be greatly appreciated.
I went to the orthopedic surgeon and he said everything looked fine on the x-ray and was probably patella femoral syndrome. I went to physical therapy and the therapist thought my legs were very tight (since I never really made a effort to stretch before riding) and that put pressure on my patella which aggravated cartilage. She aggressively stretched my quads, hamstrings, IT band, and calves. My quads were extremely tight and after a week of almost painful stretching my quad were much more limber. The therapist also assigned me exercises to help strengthen the muscles around it. A few months went by and my legs were much more flexible but still had pain but then the pain changed from being around my knee cap (symptoms of patella femoral syndrome) to the patellar tendon below the kneecap. I don’t get why symptoms just change like that but after reading a little it could possibly be from the therapist being extremely aggressive stretching my quads it stretched out or made micro tears in my tendon. I went to therapy for 3 months and stopped because I couldn’t really tell I benefited from it.
The orthopedic surgeon ordered an MRI of my knees to make sure it wasn’t a tendon tear but the MRI came back normal. The orthopedic surgeon said I probably now had tendonitis and that I should just try to not aggravate it and just let it rest. He said it might take a long time since tendons don’t heal very well. The therapist said I should do leg exercises to strengthen my leg muscles but that brings on irritation. The Doc says I should just rest it and have tried both and neither seem to make it better. That was 2 months ago….
Walking short distances is not a problem but if I try to do anything strenuous my knees get hot and start hurting. I was taking NSAID’s to keep the inflammation down but I’ve read that they slow the healing process. I have to ice my a few times a day to control it. Tendons have a hard time healing because they don’t have a lot of blood flowing to them to repair the damaged cells so sending more blood to the . Why is inflammation bad? It should help the healing process since there is more blood going to the damaged area. Shouldn’t that be good? I know that inflammation is bad when you have arthritis since it starts deteriorating your joints and that inflammation attracts free radicals but what about to heal injured knees?
Next week I am going to see a sports medicine doc that was a team doctor for the Tour De France. This is so frustrating to me because a major part of my life was riding/racing bikes and I haven’t been able to go on a ride, run, or do any sports for 5 months! Right now I would do anything just to be able to ride again. I have learned a lot about how to take care of your knees on a bike such as faithfully stretching, lots of float, and don’t jump mileage too quickly. Does anyone have any advice? Should it take this long? Should I try to strengthen my muscles are just let my knees rest? Sorry I wrote so much but I’m just hoping someone can point me in the right direction. Any help would be greatly appreciated.