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Just got back from my Orthopedist appt :-(

post #1 of 17
Thread Starter 
Well, its an MRI next monday. He thinks that my knees popping and being sore after a long day is normal for me. However he thinks i have some right miniscus damage. The MRI will tell all.

In the mean time, what do you guys think is a good way to rehab the miniscus? Ive been spending time on the stationary bike, leg press, extentions, lunges, and of course wall sits. What else do you think? more biking, more running, more lifting.

thanks
Marcus

ps: strangley enough, he said that he doesnt believe in Gloucosamine, condrointon or MSM. He claims that it is just an expencive way to take advil. Im going to take that with a grain of salt, since i felt a difference in the long run taking them.
post #2 of 17
Quote:
Originally Posted by madmanmlh
Well, its an MRI next monday. He thinks that my knees popping and being sore after a long day is normal for me. However he thinks i have some right miniscus damage. The MRI will tell all.

In the mean time, what do you guys think is a good way to rehab the miniscus? Ive been spending time on the stationary bike, leg press, extentions, lunges, and of course wall sits. What else do you think? more biking, more running, more lifting.

thanks
Marcus

ps: strangley enough, he said that he doesnt believe in Gloucosamine, condrointon or MSM. He claims that it is just an expencive way to take advil. Im going to take that with a grain of salt, since i felt a difference in the long run taking them.
You might want to seek a second opinion. I thought that it was widely accepted in the medical community that Gloucosamine and condrointon will help soft tissue. Advil and asprin work as anti-inflamitory drugs. G&C actually rebuild the damaged tissue. There is no harm in trying it, and you may get good results. Some people here have good, first hand experiences with it. Other than that, you can't "rehab" damaged miniscus. The MRI is a good first step to look for fraying (hairs) of the miniscus. If it is damaged, then they can scope it and clean it out. My mother just had this done. She's in her 60s and plays tennis 3 days/week, and she had to stop playing due to the pain, but is now back to normal after getting her knee scoped. It's minimally invasive (requires 1-2 stitches), and is a fairly quick out-patient procedure.

But again, get a second opinion. Maybe wait until after your MRI, and take the MRI to another Dr. for his/her opinion.

If it's not your miniscus, the noises may be your patella not tracking properly. Leg strengthening is good way to fix that. When I had my ACL reconstructed, the PTists said they did not like leg extensions. They are not good for the knees. And be careful to do the lunges and any deep knee bends properly, and don't pass 90 degrees.
post #3 of 17
A miniscus doesn't have blood flow to it. All they do is take out the part that's damaged.
post #4 of 17
Thread Starter 
I have had good luck with G&C. I stopped taking it for a month to see if it was really doing anything, i can feel the difference. Im going to start taking it again tonight. I think that my OS just doenst think that a pill is going to solve it. O well, it works for me so ill keep doing it. He is the best OS around and has done my shoulder, and both my parents knees, so i trust him with anything he says. MRI is next monday evening. Well have to see.
What did your PT say to do instead of leg extentions to work all of the lower quad?
post #5 of 17
Quote:
Originally Posted by madmanmlh
What did your PT say to do instead of leg extentions to work all of the lower quad?
At first, I did something resembling extensions, where I sat in a chair with a therapy band (giant rubber band / surgical tubing) from a leg of the chair to my ankle. Then I did do some extensions, but not with much weight, and it was just to get the VMO (that muscle just to the inside and above your knee) going again. As I got stronger, he had me doing wall sits, bike, leg press, hopping on one leg, etc. I got back to 100% in 3 months, which, according to him, is pretty unheard of for people who arent professional atheletes with personal trainers. I think the bike is what really did it for me, using high resistance, but probaby a combination of all those things. To be honest, I had ACL reconstruction with minimal miniscus damage, so I don't recall if the extensions were bad for the reconstructed ACL, the now weekened patella/patella tendon (I used my own patella tendon for the graft) or the miniscus. So I guess I spoke without thinking it through too much, and if your Dr thinks extensions are okay for you, then maybe there's nothing wrong with that.
post #6 of 17
Thread Starter 
Im going down to my karate dojo and gym tonight to put together a regiment to make me the 6 million dollar man (without the fake everything) I want to be so strong and fast that that funky sound effect follows me everywhere

i just (2 weeks ago) borrowed one of those gimky ski trainers from my dentist. I figured it couldent hurt to try out. After i get home from work im going to turn on some ski porn and give it a whirl. Anyone ever try one of these things? Im not sure what to think of it yet
post #7 of 17
John H
almost every doctor/physio I know that works in sports stuff does not like leg extensions....

there are numerous reasons given but pretty much your legs are not working that way in ANY sport I think - so it is certainly not sport specific - and it places knee under strain...

my current reading says this re single leg vs double leg stuff

Quote:
It is important to note that single leg strength is specific and cannot be developed through double-leg exercises. The actions of the pelvic stabilisers are different in a single-leg stance than a double-leg stance. ..... In addition, single-leg strength is now recognised as a key in injury reduction and has become a staple of most reconditioning programs and knee injury prevention programs.
it also notes that leg extensions and leg curls are "unequivocally nonfunctional"
post #8 of 17
Quote:
Originally Posted by disski
John H
almost every doctor/physio I know that works in sports stuff does not like leg extensions....

there are numerous reasons given but pretty much your legs are not working that way in ANY sport I think - so it is certainly not sport specific - and it places knee under strain...

my current reading says this re single leg vs double leg stuff



it also notes that leg extensions and leg curls are "unequivocally nonfunctional"
I'm in agreement with disski on this one.

I've had one acl reconstruction, two meniscus cleanouts, and a microfracture. Both my knee surgeons told me not to do knee extensions under any circumstances.

"If the bottom of the foot isn't planted on something, it's not a good exercise for your knee."
post #9 of 17
Quote:
Originally Posted by Bob Peters
"If the bottom of the foot isn't planted on something, it's not a good exercise for your knee."


my sports medicine doc says learn to use your body weight - but make the exercise a harder one - rather than lugging large weights....

he wants smallish weights at best but prefers body weight exercises
post #10 of 17
Quote:
Originally Posted by disski


my sports medicine doc says learn to use your body weight - but make the exercise a harder one - rather than lugging large weights....

he wants smallish weights at best but prefers body weight exercises
You can get a great workout with just body weight.
Try this
Complete as many rounds in 20 minutes as you can of:
5 Pull-ups
10 Push-ups
15 Squats.
Doesn't sound all that tough but it gets ugly fast.
As far as extentions ,there is way to many other things you can do for your legs.If you have to do them ,do them LIGHT for high reps.
post #11 of 17
Quote:
Originally Posted by Bob Peters
"If the bottom of the foot isn't planted on something, it's not a good exercise for your knee."
THAT's IT (in my best Charlie Brown impression)!!!

It was Open vs closed exercises. The PT didn't want me doing Open exercises, whcih are exercises where the foot isn't planted.

It's been a long time, so my eyes are the second thing to go.
post #12 of 17
Thread Starter 
i think im going to be doing many a miles on the stationary bike, then upgrade to the mountain bike once my knee is more stable and enduring, so i can make it back home. For strength im doing wall sits, leg presses, lunges, squats and every other one i can think of. Ill probly still do extentions, if so many people do them at the gym, even trainers, they cant ber BAD for you. Maybe no good for your knee, but u seriously doubt that it will harm it. and if it hurts doing it, i stop. Im just not going to rely on the extentions to do anything but gain muscle mass and definition. IT cant hurt looking better/ more defined
post #13 of 17
Something I forgot about. Strengthen the hamstrings!!! Strong hammies keep you from hyper extending your knee and doing more damage. Hyper extending the knee is what blows ACLs in a lot of cases.
post #14 of 17
Quote:
Originally Posted by Bob Peters
Both my knee surgeons told me not to do knee extensions under any circumstances.
KNEE extensions!!!????

That hurts just thinking about it! But I bet I could of played pro basketball if my knees were extended just 3 inches taller!
post #15 of 17
Quote:
Originally Posted by madmanmlh
Ill probly still do extentions, if so many people do them at the gym, even trainers, they cant ber BAD for you. Maybe no good for your knee, but u seriously doubt that it will harm it. and if it hurts doing it, i stop. Im just not going to rely on the extentions to do anything but gain muscle mass and definition. IT cant hurt looking better/ more defined
Yeah, but "they're" doing them on healthy knees. And when it starts to hurt might be when you've developed tendonitis. Listen to you're PT and/or Ortho for an exercise regimen.
post #16 of 17
Thread Starter 
well its been a few weeks and im feeling good. Both knees still hurt after a lot of running. I ran the best part of 7 miles during an ultimate frisbee tournament yesterday and i hurt last night. Im doing mass wall sits and im up to a consistant 3.5 min, i want to hit 7 by season kick off.

What do you guys recomend to strengthen my hamstrings? Leg curls are PAINFULL!! That and i do it with like 30 pounds. I now know that this way underdeveloped hammy is whats doing me a lot of harm. But what can i do to strengthen it? i feel more in my quads with the press and squats and i do in the back.
post #17 of 17
Stability ball bridge/hamstring curl is probably the best.
http://www.womenshealthmag.com/artic...-930-2,00.html
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