knee tracking probs: How to weaken the Vastus Medialis??

[Shiperton Henet]

Hi

I have knee tracking problems. I have seen a podiatrist and I am told that my Vastus Medialis is
(like many people) over developed compared to my Vastus Lateralis.

I am told that there is a temporary cure which consists of a therapist digging her/her thumb into
the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this muscle.

Does anyone know what's involved or what the technical term is (so that I can look it up) ??

Background:

I bicycle (a lot) and run (a bit). And I now want to go skiing in a few days time!

My podiatrist gave me some quite extreme orthotics to put into my running shoes. But when I ran
today I seem to have quite badly irritated my knees (mainly the left one).

I could try taping the knee caps up (to stop them moving towards each other) or I could try some
kind of know brace??

Cycling (not too hard) seem to be fine but my knees *really* dont like running, particularly
down hill.

I have tried stretching my hamstrings over the last few months and they are still a bit tight but
approaching normal. I have also been given an exercise where I sit on the floor with knees bent at
90 degrees and let them flop apart from each other.

Can anyone suggest any more effective stretches and/or exercises ?!

Or recommend the best type of knee brace?

I am male and 42. My blood test for arthritis was negative. My bicycle seat is at the
correct height.

My physio once tried grinding the knee cap by holding it in the palm of his hand and pressing it
down firmly in a kind of circular motion. Apparently it's supposed to polish the underside of
the thing...

I cant afford to see any more practitioners.

=> Any suggestions?!

Ship Shiperton Henethe

P.S. Is what I have "Chondromalacia" and or "Patellofemoral Syndrome" ?

 

[S. Anderson]

Chondromalacia is a roughening of the underside of the kneecap. This is generally recognizable by a
grinding or popping noise when bending the knee. It can be painful, but I don't think there is a
surgical procedure generally done to correct it. AFAIK, it's more of a therapy-based correction and
adjustment of exercise routine than a surgical correction. Not sure about patellofemoral syndrome.

However, my brother had a knee tracking problem one year. He was training extensively and
overdeveloped one side or the other of his thigh. The doctor suggested weight-training the opposite
muscle to equalize the force on the knee-cap. It worked for my brother until he stopped racing which
was about 3 years later. At the time, my brother was doing very long endurance rides with a lot of
seated climbing. Apparently, the weight training is centred around a sprinter's routine, who
generally have more developed inner thigh muscles than distance riders. Anyway, it's just a
suggestion. I'm no doctor so take this advice at your own risk!!

Cheers,

Scott..
--
Scott Anderson

"Shiperton Henethe" <[email protected]> wrote in message
news:[email protected]...
> Hi
>
> I have knee tracking problems. I have seen a podiatrist and I am told that my Vastus Medialis is
> (like many people) over developed compared to my Vastus Lateralis.
>
> I am told that there is a temporary cure which consists of a therapist digging her/her thumb into
> the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this muscle.
>
> Does anyone know what's involved or what the technical term is (so that I can look it up) ??
>
>
> Background:
>
> I bicycle (a lot) and run (a bit). And I now want to go skiing in a few days time!
>
> My podiatrist gave me some quite extreme orthotics to put into my running shoes. But when I ran
> today I seem to have quite badly irritated my knees (mainly the left one).
>
> I could try taping the knee caps up (to stop them moving towards each other) or I could try some
> kind of know brace??
>
> Cycling (not too hard) seem to be fine but my knees *really* dont like running, particularly
> down hill.
>
> I have tried stretching my hamstrings over the last few months and they are still a bit tight but
> approaching normal. I have also been given an exercise where I sit on the floor with knees bent at
> 90 degrees and let them flop apart from each other.
>
> Can anyone suggest any more effective stretches and/or exercises ?!
>
> Or recommend the best type of knee brace?
>
> I am male and 42. My blood test for arthritis was negative. My bicycle seat is at the
> correct height.
>
> My physio once tried grinding the knee cap by holding it in the palm of his hand and pressing it
> down firmly in a kind of circular motion. Apparently it's supposed to polish the underside of the
> thing...
>
> I cant afford to see any more practitioners.
>
> => Any suggestions?!
>
>
>
> Ship Shiperton Henethe
>
> P.S. Is what I have "Chondromalacia" and or "Patellofemoral Syndrome" ?
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>

 

[Jimmie]

Very interesting! Run (if knee hurts, limp) and get another medical opinion. As Doug mentions there
are a number of reasons for PFS. You need to see a professional, not to say that the podiatrist is
not, but he/she works on feet (maybe ankles), definitely nothing above the ankle. Have the
podiatrist refer you to a sports medicine physician or physical therapist (hopefully not for a
massage) "Shiperton Henethe" <[email protected]> wrote in message
news:[email protected]...
> Hi
>
> I have knee tracking problems. I have seen a podiatrist and I am told that my Vastus Medialis is
> (like many people) over developed compared to my Vastus Lateralis.
>
> I am told that there is a temporary cure which consists of a therapist digging her/her thumb into
> the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this muscle.
>
> Does anyone know what's involved or what the technical term is (so that I can look it up) ??
>
>
> Background:
>
> I bicycle (a lot) and run (a bit). And I now want to go skiing in a few days time!
>
> My podiatrist gave me some quite extreme orthotics to put into my running shoes. But when I ran
> today I seem to have quite badly irritated my knees (mainly the left one).
>
> I could try taping the knee caps up (to stop them moving towards each other) or I could try some
> kind of know brace??
>
> Cycling (not too hard) seem to be fine but my knees *really* dont like running, particularly
> down hill.
>
> I have tried stretching my hamstrings over the last few months and they are still a bit tight but
> approaching normal. I have also been given an exercise where I sit on the floor with knees bent at
> 90 degrees and let them flop apart from each other.
>
> Can anyone suggest any more effective stretches and/or exercises ?!
>
> Or recommend the best type of knee brace?
>
> I am male and 42. My blood test for arthritis was negative. My bicycle seat is at the
> correct height.
>
> My physio once tried grinding the knee cap by holding it in the palm of his hand and pressing it
> down firmly in a kind of circular motion. Apparently it's supposed to polish the underside of the
> thing...
>
> I cant afford to see any more practitioners.
>
> => Any suggestions?!
>
>
>
> Ship Shiperton Henethe
>
> P.S. Is what I have "Chondromalacia" and or "Patellofemoral Syndrome" ?
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>

 

[Amh]

"Shiperton Henethe" <[email protected]> wrote in message
news:<[email protected]>...
> Hi
>
> I have knee tracking problems. I have seen a podiatrist and I am told that my Vastus Medialis is
> (like many people) over developed compared to my Vastus Lateralis.
>
> I am told that there is a temporary cure which consists of a therapist digging her/her thumb into
> the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this muscle.

This approach sounds backward to me. What you have done (running/cycling/skiing) has made the
muscles as strong or as weak as they are.

A runner's best friend is complimentary exercise. Work the muscles that don't get worked by running.
Make sure you stretch frequently, even one minute 5 times over the course of the day is a benefit.
Keep up with the stretching, a orthopedist I once heard at a running club meeting says that this is
very important.

Heal fast, Andy

 

[Steve Freides]

Shiperton Henethe wrote:
>
> Hi
>
> I have knee tracking problems.

Several bicycle-related things for you to try:

1. If you're using a modern "clipless" pedal system, the fore/aft positioning of your foot is
important, as well as the amount of float provided in the system you're using. Most people with
knee problems prefer the pedal spindle line up a bit behind the ball of the foot - right at the
ball of the foot is the usual recommendation. You might try this change. If you're using toe
clips, be sure they're large enough. If your foot doesn't go into the clip enough, you have
effectively the same issue as I describe above, with the pedal spindle being too far forward in
relation to your foot.

2. Saddle fore/aft position also changes biomechanics and should be investigated. My knees are only
happy when I sit relatively far forward. Most people who also run prefer their saddle further
forward than people who only bike, and bike shops rarely take this into consideration unless
they're used to triathletes.

3. Cycling cadence can change how the knee musculature develops and can also help or hinder the
health of the joint itself. You may find that maintaining a high cadence feels good - it puts
less stress on the knees. But some regular low-cadence work may help strengthen the muscles you
need strengthened. All other things being equal, I would recommend a program of high-cadence,
low-gear cycling, keeping the RPM in the 90-120 range, with a few hard hills thrown in to work
the quads.

-S-

> I have seen a podiatrist and I am told that my Vastus Medialis is (like many people) over
> developed compared to my Vastus Lateralis.
>
> I am told that there is a temporary cure which consists of a therapist digging her/her thumb into
> the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this muscle.
>
> Does anyone know what's involved or what the technical term is (so that I can look it up) ??
>
> Background:
>
> I bicycle (a lot) and run (a bit). And I now want to go skiing in a few days time!
>
> My podiatrist gave me some quite extreme orthotics to put into my running shoes. But when I ran
> today I seem to have quite badly irritated my knees (mainly the left one).
>
> I could try taping the knee caps up (to stop them moving towards each other) or I could try some
> kind of know brace??
>
> Cycling (not too hard) seem to be fine but my knees *really* dont like running, particularly
> down hill.
>
> I have tried stretching my hamstrings over the last few months and they are still a bit tight but
> approaching normal. I have also been given an exercise where I sit on the floor with knees bent at
> 90 degrees and let them flop apart from each other.
>
> Can anyone suggest any more effective stretches and/or exercises ?!
>
> Or recommend the best type of knee brace?
>
> I am male and 42. My blood test for arthritis was negative. My bicycle seat is at the
> correct height.
>
> My physio once tried grinding the knee cap by holding it in the palm of his hand and pressing it
> down firmly in a kind of circular motion. Apparently it's supposed to polish the underside of the
> thing...
>
> I cant afford to see any more practitioners.
>
> => Any suggestions?!
>
> Ship Shiperton Henethe
>
> P.S. Is what I have "Chondromalacia" and or "Patellofemoral Syndrome" ?

 

[Peter Cole]

"Shiperton Henethe" <[email protected]> wrote in message
news:[email protected]...
> Hi
>
> I have knee tracking problems. I have seen a podiatrist and I am told that my Vastus Medialis is
> (like many people) over developed compared to my Vastus Lateralis.
>
> I am told that there is a temporary cure which consists of a therapist digging her/her thumb into
> the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this muscle.
>
> Does anyone know what's involved or what the technical term is (so that I can look it up) ??

Bunch of stuff here: http://www.arthroscopy.com/sp05032.htm

I had similar problems years ago when I was a regular runner. I was given at-home physical therapy
exercises to get my patella to track properly, it worked.

I'd get another opinion if I were you, the first sounds dubious. See if you can find a doc who knows
sports medicine, patella tracking problems are very common.

 

[Shiperton Henet]

Thanks. I'll see what can be done re moving the saddle forward... I already use a pretty high
cadence if poss. The few hard hills wont do damage then... ?

Ship Shiperton Henethe

> Several bicycle-related things for you to try:
>
> 1. If you're using a modern "clipless" pedal system, the fore/aft positioning of your foot is
> important, as well as the amount of float provided in the system you're using. Most people
> with knee problems prefer the pedal spindle line up a bit behind the ball of the foot - right
> at the ball of the foot is the usual recommendation. You might try this change. If you're
> using toe clips, be sure they're large enough. If your foot doesn't go into the clip enough,
> you have effectively the same issue as I describe above, with the pedal spindle being too far
> forward in relation to your foot.
>
> 2. Saddle fore/aft position also changes biomechanics and should be investigated. My knees are
> only happy when I sit relatively far forward. Most people who also run prefer their saddle
> further forward than people who only bike, and bike shops rarely take this into consideration
> unless they're used to triathletes.
>
> 3. Cycling cadence can change how the knee musculature develops and can also help or hinder the
> health of the joint itself. You may find that maintaining a high cadence feels good - it puts
> less stress on the knees. But some regular low-cadence work may help strengthen the muscles
> you need strengthened. All other things being equal, I would recommend a program of
> high-cadence, low-gear cycling, keeping the RPM in the 90-120 range, with a few hard hills
> thrown in to work the quads.
>
> -S-
>
>
> > I have seen a podiatrist and I am told that my Vastus Medialis is (like many people) over
> > developed compared to my Vastus Lateralis.
> >
> > I am told that there is a temporary cure which consists of a therapist digging her/her thumb
> > into the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this
> > muscle.
> >
> > Does anyone know what's involved or what the technical term is (so that I can look it up) ??
> >
> > Background:
> >
> > I bicycle (a lot) and run (a bit). And I now want to go skiing in a few days time!
> >
> > My podiatrist gave me some quite extreme orthotics to put into my running shoes. But when I ran
> > today I seem to have quite badly irritated my knees (mainly the left one).
> >
> > I could try taping the knee caps up (to stop them moving towards each other) or I could try some
> > kind of know brace??
> >
> > Cycling (not too hard) seem to be fine but my knees *really* dont like running, particularly
> > down hill.
> >
> > I have tried stretching my hamstrings over the last few months and they are still a bit tight
> > but approaching normal. I have also been given an exercise where I sit on the floor with knees
> > bent at 90 degrees and let them flop apart from each other.
> >
> > Can anyone suggest any more effective stretches and/or exercises ?!
> >
> > Or recommend the best type of knee brace?
> >
> > I am male and 42. My blood test for arthritis was negative. My bicycle seat is at the correct
> > height.
> >
> > My physio once tried grinding the knee cap by holding it in the palm of his hand and pressing it
> > down firmly in a kind of circular motion. Apparently it's supposed to polish the underside of
> > the thing...
> >
> > I cant afford to see any more practitioners.
> >
> > => Any suggestions?!
> >
> > Ship Shiperton Henethe
> >
> > P.S. Is what I have "Chondromalacia" and or "Patellofemoral Syndrome" ?

 

[Shiperton Henet]

"Peter Cole" <[email protected]> wrote in message
news:_H3ea.144258$3D1.14696@sccrnsc01...
> "Shiperton Henethe" <[email protected]> wrote in message
> news:[email protected]...
> > Hi
> >
> > I have knee tracking problems. I have seen a podiatrist and I am told that my Vastus Medialis is
> > (like many people) over developed compared to my Vastus Lateralis.
> >
> > I am told that there is a temporary cure which consists of a therapist digging her/her thumb
> > into the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this
> > muscle.
> >
> > Does anyone know what's involved or what the technical term is (so that I can look it up) ??
>
> Bunch of stuff here: http://www.arthroscopy.com/sp05032.htm
>
> I had similar problems years ago when I was a regular runner. I was given at-home physical therapy
> exercises to get my patella to track properly, it worked.
>
> I'd get another opinion if I were you, the first sounds dubious. See if
you
> can find a doc who knows sports medicine, patella tracking problems are
very
> common.

Yes I've changed my mind and am now going to try for a second opinion, though I cant really
afford it...

Thanks for the link... I had already seen that one in fact, though I couldnt find much theraputic
stuff on it...

Ship Shiperton Henethe

 

[Peter Cole]

"Shiperton Henethe" <[email protected]> wrote in message
news:[email protected]...
>
> "Peter Cole" <[email protected]> wrote in message
> news:_H3ea.144258$3D1.14696@sccrnsc01...

> > I'd get another opinion if I were you, the first sounds dubious. See if
> you
> > can find a doc who knows sports medicine, patella tracking problems are
> very
> > common.
>
> Yes I've changed my mind and am now going to try for a second opinion, though I cant really
> afford it...
>
> Thanks for the link... I had already seen that one in fact, though I couldnt find much theraputic
> stuff on it...

The physio exercise I was given was "dead leg lifts". You lay on your back, and lift one leg at a
time to a 45 deg angle, keeping the knee locked and the toes pointed back toward your head, lower
slowly. Work up to 100 reps each leg, do daily.

I don't suppose it could hurt to try that, it supposedly strengthens some of the muscles which
control the patella position. Since you don't actually flex the knee joint, you can do it even if
you're sore. Mine cleared up in a couple of weeks, but I gave up running anyway, at 6'10", I figured
it just wasn't my thing. Cycling is so much easier on the joints.

 

[Jimmie]

Peter Those are basic knee exercise, however to correct PFS, you need to be muscle specific...you
may want to check newspaper (if you live in a city with large hospitals or medical schools) they
frequently have free clinics or in need to evaluate patients for training purposes. Wish you luck

"Peter Cole" <[email protected]> wrote in message
news:NW6ea.143147$L1.19728@sccrnsc02...
> "Shiperton Henethe" <[email protected]> wrote in message
> news:[email protected]...
> >
> > "Peter Cole" <[email protected]> wrote in message
> > news:_H3ea.144258$3D1.14696@sccrnsc01...
>
> > > I'd get another opinion if I were you, the first sounds dubious. See
if
> > you
> > > can find a doc who knows sports medicine, patella tracking problems
are
> > very
> > > common.
> >
> > Yes I've changed my mind and am now going to try for a second opinion, though I cant really
> > afford it...
> >
> > Thanks for the link... I had already seen that one in fact, though I couldnt find much
> > theraputic stuff on it...
>
> The physio exercise I was given was "dead leg lifts". You lay on your
back,
> and lift one leg at a time to a 45 deg angle, keeping the knee locked and
the
> toes pointed back toward your head, lower slowly. Work up to 100 reps each leg, do daily.
>
> I don't suppose it could hurt to try that, it supposedly strengthens some
of
> the muscles which control the patella position. Since you don't actually
flex
> the knee joint, you can do it even if you're sore. Mine cleared up in a
couple
> of weeks, but I gave up running anyway, at 6'10", I figured it just wasn't
my
> thing. Cycling is so much easier on the joints.

 

[Steve Freides]

Shiperton Henethe wrote:
>
> Thanks. I'll see what can be done re moving the saddle forward... I already use a pretty high
> cadence if poss.

One man's low cadence is another man's high cadence. Check and see what the actual number
is sometime.

> The few hard hills wont do damage then... ?

I cannot say. If you do them right and the rest of your fit is good, then they shouldn't bother you
provided you ease into them.

-S-

> Ship Shiperton Henethe
>
> > Several bicycle-related things for you to try:
> >
> > 1. If you're using a modern "clipless" pedal system, the fore/aft positioning of your foot is
> > important, as well as the amount of float provided in the system you're using. Most people
> > with knee problems prefer the pedal spindle line up a bit behind the ball of the foot -
> > right at the ball of the foot is the usual recommendation. You might try this change. If
> > you're using toe clips, be sure they're large enough. If your foot doesn't go into the clip
> > enough, you have effectively the same issue as I describe above, with the pedal spindle
> > being too far forward in relation to your foot.
> >
> > 2. Saddle fore/aft position also changes biomechanics and should be investigated. My knees are
> > only happy when I sit relatively far forward. Most people who also run prefer their saddle
> > further forward than people who only bike, and bike shops rarely take this into
> > consideration unless they're used to triathletes.
> >
> > 3. Cycling cadence can change how the knee musculature develops and can also help or hinder the
> > health of the joint itself. You may find that maintaining a high cadence feels good - it
> > puts less stress on the knees. But some regular low-cadence work may help strengthen the
> > muscles you need strengthened. All other things being equal, I would recommend a program of
> > high-cadence, low-gear cycling, keeping the RPM in the 90-120 range, with a few hard hills
> > thrown in to work the quads.
> >
> > -S-
> >
> >
> > > I have seen a podiatrist and I am told that my Vastus Medialis is (like many people) over
> > > developed compared to my Vastus Lateralis.
> > >
> > > I am told that there is a temporary cure which consists of a therapist digging her/her thumb
> > > into the Vastus Medialis really hard and that this "kills" (??) and/or weakens areas of this
> > > muscle.
> > >
> > > Does anyone know what's involved or what the technical term is (so that I can look it up) ??
> > >
> > > Background:
> > >
> > > I bicycle (a lot) and run (a bit). And I now want to go skiing in a few days time!
> > >
> > > My podiatrist gave me some quite extreme orthotics to put into my running shoes. But when I
> > > ran today I seem to have quite badly irritated my knees (mainly the left one).
> > >
> > > I could try taping the knee caps up (to stop them moving towards each other) or I could try
> > > some kind of know brace??
> > >
> > > Cycling (not too hard) seem to be fine but my knees *really* dont like running, particularly
> > > down hill.
> > >
> > > I have tried stretching my hamstrings over the last few months and they are still a bit tight
> > > but approaching normal. I have also been given an exercise where I sit on the floor with knees
> > > bent at 90 degrees and let them flop apart from each other.
> > >
> > > Can anyone suggest any more effective stretches and/or exercises ?!
> > >
> > > Or recommend the best type of knee brace?
> > >
> > > I am male and 42. My blood test for arthritis was negative. My bicycle seat is at the correct
> > > height.
> > >
> > > My physio once tried grinding the knee cap by holding it in the palm of his hand and pressing
> > > it down firmly in a kind of circular motion. Apparently it's supposed to polish the underside
> > > of the thing...
> > >
> > > I cant afford to see any more practitioners.
> > >
> > > => Any suggestions?!
> > >
> > > Ship Shiperton Henethe
> > >
> > > P.S. Is what I have "Chondromalacia" and or "Patellofemoral Syndrome" ?

 

[Shiperton Henet]

Yes agreed - my understanding is that the main problem is an *imbalance* of muscle strengths...

Ship Shiperton Henethe

"Jimmie" <[email protected]> wrote in message news:[email protected]...
> Peter Those are basic knee exercise, however to correct PFS, you need to be muscle specific...you
> may want to check newspaper (if you live in a city with large hospitals or medical schools) they
> frequently have free clinics or in need to evaluate patients for training purposes. Wish you luck
>
> "Peter Cole" <[email protected]> wrote in message
> news:NW6ea.143147$L1.19728@sccrnsc02...
> > "Shiperton Henethe" <[email protected]> wrote in message
> > news:[email protected]...
> > >
> > > "Peter Cole" <[email protected]> wrote in message
> > > news:_H3ea.144258$3D1.14696@sccrnsc01...
> >
> > > > I'd get another opinion if I were you, the first sounds dubious. See
> if
> > > you
> > > > can find a doc who knows sports medicine, patella tracking problems
> are
> > > very
> > > > common.
> > >
> > > Yes I've changed my mind and am now going to try for a second opinion, though I cant really
> > > afford it...
> > >
> > > Thanks for the link... I had already seen that one in fact, though I couldnt find much
> > > theraputic stuff on it...
> >
> > The physio exercise I was given was "dead leg lifts". You lay on your
> back,
> > and lift one leg at a time to a 45 deg angle, keeping the knee locked
and
> the
> > toes pointed back toward your head, lower slowly. Work up to 100 reps
each
> > leg, do daily.
> >
> > I don't suppose it could hurt to try that, it supposedly strengthens
some
> of
> > the muscles which control the patella position. Since you don't actually
> flex
> > the knee joint, you can do it even if you're sore. Mine cleared up in a
> couple
> > of weeks, but I gave up running anyway, at 6'10", I figured it just
wasn't
> my
> > thing. Cycling is so much easier on the joints.
> >
>

 

[Shiperton Henet]

Well, my new (and more highly recommended) specialist said my arches didnt seem too badly fallen,
that my bad knee is "a perfectly good knee" and that there's nothing wrong with it. No arthritis, no
muscle problems...

And that the whole problem is in my hips!

He made me do this stretch where you stand in front of a bench/table and lift one leg onto the table
in front of you and crossing it over the one you are standing on, you lay the raised leg down along
the edge of the bench (so that the outside of you shin lies flat along the bench). You then put you
hands down on the bench beyond your bent leg (on the bench) and have to try and touch the bench
beyond the leg.

Of course I couldnt.

He then did various things including pressing his elbow into my hip *really* hard... and clicking my
sacro-iliac... and then - by some miracle - I could touch the bench.

Today the knee seems much better!

On Sunday I go skiing for a week.

Will keep you posted...

Ship Shiperton Henethe

"Shiperton Henethe" <[email protected]> wrote in message
news:[email protected]...
> Yes agreed - my understanding is that the main problem is an *imbalance* of muscle strengths...
>
> Ship Shiperton Henethe
>
>
> "Jimmie" <[email protected]> wrote in message news:[email protected]...
> > Peter Those are basic knee exercise, however to correct PFS, you need to be muscle
> > specific...you may want to check newspaper (if you live in a city with large hospitals or
> > medical schools) they frequently have free
clinics
> > or in need to evaluate patients for training purposes. Wish you luck
> >
> > "Peter Cole" <[email protected]> wrote in message
> > news:NW6ea.143147$L1.19728@sccrnsc02...
> > > "Shiperton Henethe" <[email protected]> wrote in message
> > > news:[email protected]...
> > > >
> > > > "Peter Cole" <[email protected]> wrote in message
> > > > news:_H3ea.144258$3D1.14696@sccrnsc01...
> > >
> > > > > I'd get another opinion if I were you, the first sounds dubious.
See
> > if
> > > > you
> > > > > can find a doc who knows sports medicine, patella tracking
problems
> > are
> > > > very
> > > > > common.
> > > >
> > > > Yes I've changed my mind and am now going to try for a second opinion, though I cant really
> > > > afford it...
> > > >
> > > > Thanks for the link... I had already seen that one in fact, though I couldnt find much
> > > > theraputic stuff on it...
> > >
> > > The physio exercise I was given was "dead leg lifts". You lay on your
> > back,
> > > and lift one leg at a time to a 45 deg angle, keeping the knee locked
> and
> > the
> > > toes pointed back toward your head, lower slowly. Work up to 100 reps
> each
> > > leg, do daily.
> > >
> > > I don't suppose it could hurt to try that, it supposedly strengthens
> some
> > of
> > > the muscles which control the patella position. Since you don't
actually
> > flex
> > > the knee joint, you can do it even if you're sore. Mine cleared up in
a
> > couple
> > > of weeks, but I gave up running anyway, at 6'10", I figured it just
> wasn't
> > my
> > > thing. Cycling is so much easier on the joints.
> > >
> > >
> >
>