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Arthritis in Knee-Suggestions

post #1 of 18
Thread Starter 

Right knee really bothered me last year, i.e. painful at times, weak by afternoon, hard time skiing more than 2 days in a row.  Had tear in miniscus fixed 3 yrs ago and thought it was this or worse but didn't really investigate till season over because didn't want to stop skiing.   Anyway have arthritis with a lot of floating stuff.   Have been working on knee with walking (level and uphill fine but have to watch the intensity on the downhill), stairs, squats etc.  I am a little worried about how the skiing will go this year and am looking for ideas on better knee work aimed at strenghtening and flexibility with arthritis in mind.   

 

Am an 80% off piste skier, advanced skier and 72 yrs old and really don't want to slow down, ski about 70-80 days a year.  Any help/suggestions would be appreciated.  Thanks Pete

post #2 of 18

Also have arthritis in my knees and couldn't do 2 days in a row...

What changed that:

 

1. work the flexibility of your quads. The stiffer they are and the more pain you will have! I was supposed to have an operation for both of my knees and when I met the surgeon to prepare for my surgery, he told me to work on my flexibility... I did so and skip the operation!

2. Work on triggers points: less worse example I could find: http://www.youtube.com/watch?v=YDXhzkSNZEw

Trigger points are adhesion in your muscle to kind of change your path of movement to relief your pain... The problem is when it becomes permanent, you have to get rid of them...

3. if you can find a therapist that do trigger points, it could be better...

4. When my knees really hurts, I do some stationnary bike with no resistance just to move the knees and it helps to recover ( also 5-10 minutes after a day of skiing can help) + ice if my knees are hot

post #3 of 18
I wrote a blog post last year about my approach to strength training clients with arthritic knees that I suspect you will find interesting and informative. The core of it is an email I wrote to a prospective client in response to her question about training her with her arthritic knees. http://elsbethvaino.com/2013/06/i-have-arthritis-in-my-knees-how-would-you-train-me/ (follow up: she's been a client for over a year, and is thrilled at how strong she now is, and how little knee pain she has (basically none).

Elsbeth
post #4 of 18

I've had occasionally bothersome arthritis in my left knee for about ten years.  In fact I have a very specific memory of my first apres ski knee pain when I had a day off and went skiing on the Inauguration of George W. Bush for his second term in Jan 2005. (Insert joke here.)  It got annoying enough that I had an MRI done in 2009 and diagnosis was:  nothing structural, just arthritis.  Coincidentally I began bike commuting nine years ago.  I ride slow and steady about an hour a day from April to Nov.  I swear the bicycling seems to help, when done with a little moderation. All I can say is the knee was more bothersome five or six years ago than it's been lately??  At a certain point we're all degenerating and it's just a matter of staving it off, but if you haven't seen a doctor in a while then getting it checked before the season starts might be reassuring.

post #5 of 18

Pete, I'm 67 with arthritis and torn meniscus in both knees so I know your pain.

One recommendation I can make is to find a trainer to work with on ski specific exercises. Having the muscle strength to keep the knee properly aligned reduces the pain.

Secondly, talk to an Orthopedic doc about hyaluronic acid injections. This is the naturally occurring fluid that lubricates joints. Insurance should pay for it and it will last about six months. Depending on the extent of your arthritis it may eliminate the pain, your doctor will be able to tell you for sure. It works, I've had it done and will do it again this year. It will get me through the ski season.

 

An alternative is to look into stem cell therapy. I've also had this done and it absolutely works. It's your own stem cells that are extracted from body fat or bone marrow and injected into the knee joint. It won't repair the meniscus but will reduce bone damage. They are even using stem cells to repair torn ACL's. The biggest down side to stem cell therapy is insurance won't cover any of it. Also, Ortho doc's generally don't do it so you have to find someone speciallizing it stem cell therapy.

 

There are thing you can do to reduce the pain.

Ski well.

post #6 of 18
Thread Starter 

Thankyou for the comments, still working on the knee and it has improved but would like to do more as reluctant about upcoming season.

post #7 of 18

Lying single leg raises has helped me a lot.   Moves the patella away from the leg and thus reduced the rubbing.

post #8 of 18
I have arthritis in the throclear grove and it hurts under the knee cap when I squat.

I stopped squating because of the pain and my legs got weaker, even though I ski hard 100 days a year and mountain bike 4 times a week.
I then started electrostimulation on quads and I gained 2" in thigh circumference, with a lot of strength.
And my arthritis is not bothering me nearly as much.
post #9 of 18
Thread Starter 

Last year at the end of the ski season the opinion was given to me that I had arthritis in the R knee.  Rehab gal I used for previous rehabs confirmed for me and gave me  some starter exercises.  Knee was always swollen and hurt on the inside most of the time.  I badly pulled my left hamstring water skiing in July and stopped exercising and even moving for awhile.  Sept I started up again with emphasis on knee and hamstring, walking/hiking/exercise/weights and started yoga.

 

As of today my knee is not 100% but is a lot better, almost no pain, leg and knee stronger and no swelling.  I plan on keeping the exercise and yoga going all winter and am hoping that I can ski pain free and multiple days in a row.  Won't know until I do it.

 

Any suggestions for me would be appreciated to maintain or improve my knee.    thanks in advance.   One disclaimer, I live in a small Idaho town and am not prone to driving a minimum of 2 hours for spec ial work etc.  gotta do it myself

post #10 of 18

I was just recently diagnosed with arthritis in my right knee based on an x-ray.  I got the news over the phone.  I didn't really even know what arthritis is.  With a brief investigation, it looked like the term "arthritis" covers a lot of different types.  I haven't got a full description of what I have.  Whatever it is, it rubs a nerve that causes the pain.  It is exactly like getting a root canal and the oral surgeon hits a live nerve.  It is the only pain I have ever had that actually makes me yell out.  My normal reaction regarding pain is to do my best to relax, breathe and take it easy.  I learned that when this flares up, I need to start doing squats immediately, if only because its better than just rolling around waiting for the next pulsating wave of pain.  When I work out I never experience any problems.  I am not concerned at all about impact stress.  The hardest thing for me is accepting that things are changing as I get older (50+) and finding the most fun within my limits. 

 

I am sure this is absolutely not helpful.  I am not a Doctor but I play one in the bedroom.

post #11 of 18
Thread Starter 
Quote:
Originally Posted by oregonazm View Post
 

I was just recently diagnosed with arthritis in my right knee based on an x-ray.  I got the news over the phone.  I didn't really even know what arthritis is.  With a brief investigation, it looked like the term "arthritis" covers a lot of different types.  I haven't got a full description of what I have.  Whatever it is, it rubs a nerve that causes the pain.  It is exactly like getting a root canal and the oral surgeon hits a live nerve.  It is the only pain I have ever had that actually makes me yell out.  My normal reaction regarding pain is to do my best to relax, breathe and take it easy.  I learned that when this flares up, I need to start doing squats immediately, if only because its better than just rolling around waiting for the next pulsating wave of pain.  When I work out I never experience any problems.  I am not concerned at all about impact stress.  The hardest thing for me is accepting that things are changing as I get older (50+) and finding the most fun within my limits. 

 

I am sure this is absolutely not helpful.  I am not a Doctor but I play one in the bedroom.

 That doesn't sound like fun at all.   My rehab gal told me that I basically had floating arthritic bones around my knee and that I would actually reduce their size and influence by really working them with exercise.  So thats what I have been doing and won't really know if this is working until winter gets here but the knee sure feels better.  Definitely not pain free but a lot better than it was a few months ago.  When the snow gets good and I want to ski 3 days in a row I will find out then if the R knee is improving -  or I guess I could find a Mt. where I can ski top to bottom and only turn right but if that happened I'd probably wear out my L knee :rotflmao:

post #12 of 18

I have found this stuff actually worked for me, when I needed it.  Back in the day's when fewer folk knew about it it was a lot cheaper. 

http://www.nourishnewbeginnings.com/product/joi.htm

post #13 of 18

I had similar issue when I start to limp with the flaring pain around the right knee. Right now I am taking NSAIDs and trying to substitute it with Omega 3 supplement, I was advised by my doctor that Omega 3 supplement can also be an alternative anti-inflammatory for arthritis. So far the combination of NSAIDs and this Omega 3 supplement worked. I have an arthritis(RA) and we cannot just rely on NSAIDs for the recurring pain as it may also have side effects in taking these NSAIDs for so long, good thing I found some alternative. It is also important not to overstressed the affected joint(s), consistent and moderate exercise helps and we were also advised that diet may also play an important role in keeping the condition at bay. :ski 

post #14 of 18

Has anyone here had any experience with prolotherapy?

 

http://www.webmd.com/arthritis/news/20130520/sugar-injections-for-knee-arthritis-may-ease-pain-study

 

I was listening to a health and fitness show on the radio a couple of weeks ago and there was a proponent of this therapy making quite a convincing case for it.  I'm not a big believer in a lot of "alternative" medicine treatments - to me they all sound like a scam. But at least this sounds plausible unlike homeopathics.

 

I've had 3 meniscus surgeries over the years but don't really have any pain at the moment. Lately I've been trying to strengthen my hips and glutes and it seems to be having positive effects. The least of which are the meager beginnings of "Buns of Steel"!

post #15 of 18
Prolo works for tendons and ligaments, but not for articular cartilage.

Stem cells seem tu work for cartilage.
post #16 of 18
Quote:
Originally Posted by SkiMangoJazz View Post
 

Lying single leg raises has helped me a lot.   Moves the patella away from the leg and thus reduced the rubbing.

With weights ? 

post #17 of 18
Yes. Up to 10lbs now, but started unweighted.
post #18 of 18
Quote:
Originally Posted by Fuller View Post
 

Has anyone here had any experience with prolotherapy?

 

http://www.webmd.com/arthritis/news/20130520/sugar-injections-for-knee-arthritis-may-ease-pain-study

 

I was listening to a health and fitness show on the radio a couple of weeks ago and there was a proponent of this therapy making quite a convincing case for it.  I'm not a big believer in a lot of "alternative" medicine treatments - to me they all sound like a scam. But at least this sounds plausible unlike homeopathics.

 

I've had 3 meniscus surgeries over the years but don't really have any pain at the moment. Lately I've been trying to strengthen my hips and glutes and it seems to be having positive effects. The least of which are the meager beginnings of "Buns of Steel"!

 

I read one article in the UK where a stem is injected on the affected joint, but sugar injection (i cant help it when "sugar" is mentioned the first thing that comes to mind are grains of sugar on my joints, makes me grit my teeth:eek) but based on webmd its been an alternative for quite a long time now.

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