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Tendonitis? Lisamarie?

post #1 of 20
Thread Starter 
Lisamarie or anyone, I need some advice. My Husband has developed tendonitis in his knee, probably from running. A few weeks back the doc said to immobilize the knee for a week, take an anti-inflammatory then try running again to see if the pain persisted, well it did, He stopped running started swimming and cycling. The knee is still painful This week the Doc said to stop ALL activities. This is really hard for him to take. The question is will he do more damage if he continues to swim and or bike? Will he just prolong the recovery but still get better? I have suggested acupuncture good idea or not? Any other ideas? Oh he is going to go to PT.
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[This message has been edited by Kima (edited May 11, 2001).]</FONT>
post #2 of 20
I'm sure Lisamarie will have more info but I have osteo arthritis in my knees or what the doctor calls runners knees. Is this what your husband has. I think Tendonitis is inflammation of the Tendons where osteo arthritis is inflamation and breakdown of the cartilidge in the knees. I'm pretty sure the two are different problems with similar symptoms.
I know it's just a food supplement and a lot may have to do with Placebo as well as better mechanics on my part but I have been taking chondroitin,glucosamine for about 6 months now and I feel it has helped with the knees a great deal. Ice and Anti-inflammatories will help the pain but it was a long process to really be pain free. If he is even a little overweight it will also contribute to the problem. I shed about 10 lbs during the fall last year and it helped alot with my knee pain as well.
post #3 of 20
When I started skiing this season, I developed tendonitis in my right patella tendon, because of the ACL reconstruction I had last May. You don't need to stay off it completely, but you do need to stop being active for a while. As mine was getting better, it would only take a few hours of skiing for it to start hurting again. Once it finally healed, my legs were pretty weak, so I needed to start stregnthening them again. It sucks, and the only way for it to get better is by resting it for a good while (probably 6 weeks).
post #4 of 20
Chondrotin and glucsomine is a joint formula, and helps repair cartlidge and joints. It takes a while but have heard quite a few cases of it helping 'tighten up' loose joints. It can take 6 months but had assisted enough for some people to prevent surgery. Not sure if it has any effects on tendons. My other half has done deep tissue massage on patients with tendonitis and it does give some relief, but time appears to be the best healer. I will ask him if he has any more info and let you know.
post #5 of 20
So, I get up this morning and find this post about tendinitis,in runners, which makes me think of the movie Marathon Man, which reminds me of this wicked toothache I've had for a week and my chronic phobia of dentists.
And I say GREAT, I can't possibly make a dentist appointment today, because this is very important, and I need to reply.

But this was not to be my fate.
For when I pressed reply, I could not connect, and upon trying later, I could not connect to the forum.
So to the dentist I went, experiencing my very first root canal. In my tradition of naming names for excellent service, I will say that if you live near Brookline Ma., Dr. Sherri Yu is the most painless dentist I have ever experienced.
Back To Kima's question. Tendinitis, as the "itis" implies is inflammation that is generally caused by overuse, or repetitive muscular action. As others have said, it probably won't go away without complete rest.
My suspicion: it was the biking that aggravated not the swimming, because it was too similar to the action of running, meaning excessive flexion of the knee.
Preventative measures against reoccurance would involve more cross training. When I used to run marathons, many people would do deep water running a few days a week. I'm really not sure if this is effective for tendinitis, since, although there is less impact, there is still the same muscular action.
Here is something to consider. Tendinitis is often caused by an excess of sinovial fluid. Sinovial fluid is stimulated by rotary action. {Interesting aside, when someone has arthritis, which sometimes occurs when there is not enough fluid, we may prescribe rotary movements}.
The knee is primarily a ball and socket joint, which means that its primary movements are flexion and extension. But some people have an excessive amount of rotation at the knee cap, so much that the lower leg can almost seem spin at the knee joint. Its been my experience that these people are the most prone to tendinitis, and stability exercises are recommended.
I hope this is helpful. Please keep in mind that I am half way through, but have not completed my post rehab certification, so every thing still needs to be checked by a doctor.

Be Braver in your body, or your luck will leave you. DH Lawrence

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[This message has been edited by Lisamarie (edited May 13, 2001).]</FONT>
post #6 of 20
Got a chance to look through my notes. Here are some interesting ideas.
Its been speculated, however not proven, that tendinitis is sometimes caused by a muscular imbalance between the hamstrings and quads. Interesting that is also one of the causes of ACL injuries. So once he's able to resume activity, some extra hamstring work may be a good idea.
Another speculation is weakness of the vastus medialis, which is the small part of the quad directly above the knee, responsible for about the last 15 degrees of extension. Must of us tend to be stronger at the top of our quads.
If my understanding is correct about modern methods of skiing, we seem to use this more refined flexion and extension, as opposed to large movements, most of the time.

Be Braver in your body, or your luck will leave you. DH Lawrence
post #7 of 20
Kima. This is twoKiwis husband. I am a cop but for a hobby I fix parts of bodies that doctors, physios, surgeons and the like have given up on. The trick is keeping it very simple. You have had some good advice.

Glucosimine Chrondroitin joint formula really does work as long as you double the recommended dose.Takes about 3 - 5 months for total joint repair.

From a treatment point of view you need to find out what is causing the problem not just fix the pain. It will be one of three things. Overuse (RSI), impact damage (you would have remembered that) or a build up of scaring in the muscle. The impact damage is obvious. You hit something or something hit you. your knee is hurts, end of story. When it creeps up on you (like tendinitis)and you have no idea of where the pain originated is when it gets difficult.

What you need to do is stop looking at the knee and start looking at all the muscles etc that insert into that joint. you then mythodically go through them all looking for scarring in the muscle and rubbing it out. not gentle massage but brutal stuff that hurts and often leaves a bruise. This takes the pressure creating the tendinitis of the tendons and allows them to settle down. It may be hard to find someone who does that sort of thing. It is very regulated in the US.

As an example a female soccer player from the US was in my country on holiday. Her soccer career was over after two years treatment for chronic shin splints from some of the best practioners in the US. She couldn't run and walking was painful. She came to see me. I mobilised her ankle and knee then took a big injury out of her thigh over two sessions. This took pressure of the musculature. The tendons took 3 weeks to settle down. Her soccer career is now back on track.

Fixed my wifes RSI in her arm yesterday. Nothing to do how she sits and hand location etc. More to do with the lump of scarring in her forearm on the radial nerve line. sounds esay. It is. You can't repair a problem if you can't get blood into it. No matter what the scientists say, the body cannot remove scarring without help. If you leave the scarring in place for too long (seveal years) you end up doing permanant damage to the joint and eventually need a new one. Problem is the scarring is still there so the pain is treated but not fixed.you can wear out artificial joints before their time aswell.

Whoops. Got a bit carried away. Next week we will discuss neurological function and the brains ability to lay down scarring to create stability in a disfunctional body and the flow on effects on the overall body.
post #8 of 20
There has been significant research that affirms the fact that certain types of massage can break up scar tissue, thus preventing the injured area to become what call a trigger point, making it susceptible to re-injury. I believe in the States, people from the Muscular Therapy Institute are qualified to do this sort of work.

Be Braver in your body, or your luck will leave you. DH Lawrence
post #9 of 20

I'm a bit embarrassed to have to do this to our resident fitness guru, but you stated: The knee is primarily a ball and socket joint, which means that its primary movements are flexion and extension.

However, the knee is NOT a ball and socket. The primary function of a ball and socket join is rotary movement, as opposed to flexion and extension, which, you are correct, IS, how the knee moves. There are only 2 (actually 4 since there's a left and right) ball and sockets joints in the body; The hip and the shoulder.

I don't know what kind of joint the knee is called, but there is no ball, and there is no socket.

Well, that's my anatomy lesson for the day. Tune in tomorrow, when Dr John explains the regurgitation reflex........
post #10 of 20
You're embarassed! I'M EMBARASSED!!! Never write under the influence of pain killers. The knee is a HINGE joint, NOT a ball and socket. {hiding my head in shame}.
post #11 of 20
Thread Starter 
thanks everyone! My wonderful Husband has his first PT appt today.

I have forwarded this to him, first time he has seen this site. Will he respond?
post #12 of 20

Okay. Do your 20 push-ups as pennance, and we'll let you off the hook. Now ease up on the narcotics!
post #13 of 20
BTW, A fitness Guru would never admit to having a blond moment. I think we have enough gurus around here.<FONT size="1">

[This message has been edited by Lisamarie (edited May 14, 2001).]</FONT>
post #14 of 20
Regarding tendonitis that appears on this thread, would tennis elbow be related ? If so, when I had it I was told to use ice and ice packs.

Comments please.
post #15 of 20
When I had tendinitis in my elbow from playing baseball-I was told (by a doctor) that as long as I continued to play, it would hurt, but if I could deal with the pain, I wouldn't be doing any further damage by continuing to play. So, lots of ice and painkillers (of the nonprescription variety) got me throught the season.
post #16 of 20
pain killers may keep the joint from further damage but imagine what you are doing to your liver
post #17 of 20
At what point (frequency and #) is it damaging to the liver?
post #18 of 20
Don't think they know. Just that it does.
It's probably different for everyone. Anything your liver has to break down instead of just filtering out and getting rid of will do some damage..

Of course here I am enjoying a glass of wine several times a week.

Oh Yeah, That's a pain killer too if taken in large enough quantity.
post #19 of 20
Yeah and judging by my recent posts and spelling, they seem to take their toll on the brain. On another site, I was commenting on how its really bad business to have stupid people running the ski school desk.
I made the comment, substitute the bimbos for some brains.
Very smart, Lisamarie.
BTW, dentists, do you realize that even health conscious fitness instructors would resort to pain killers and alchohol rather than book an appointment with you?

Be Braver in your body, or your luck will leave you. DH Lawrence
post #20 of 20
Thread Starter 
Update. First thank you all for your help.

Mr. Kima had his first appt with PT yesterday. Her advice followed more closely with the advice you all gave. As always lots of good stuff here! She said yes to swimming and biking. Yea. No to running for 6 or more weeks. Weight training exercise and massage. Acupuncture may help would not hurt. Said the advice from doc to stop for a week then try again was not what she would have said. Probably no harm done but prolonged recovery.
Lots of Ice and anti-inflammatory
Have to stop the wine for awhile.

Lisamaire, right there with you as far as the dentist. Have walked around with chipmunk cheeks rather than face the torture.
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