Any Suggestions for knee pains?

**FLEXGC** · 09-26-2006, 23:06

I've been having some knee pains for the last year and and half and it's making it hard for me to train because my cardio/running hurts.
Any suggestions or remedies that will help relieve the pain?

**evvad** · 09-26-2006, 23:25

Talk to a doctor.

**adouglasmhor** · 09-27-2006, 06:09

And use an exercise bike set at the correct height for your cardio, But DEFINITELY talk to a health professional ASAP. Doctor, Kinesiologist or physiotherapist.

**coralreefer** · 09-27-2006, 11:21

I have to agree with the advice of visiting a doctor. I have had some trouble with my knee lately( my first knee injury in 13 years of training) Though I know my problem is some torn muscle, you can't be too careful when you come to your knees. If you plan to be involved in martial arts(or any sport for that matter) for an extended period of time, you would be well off to visit a doctor and have it checked out.

I'll never forget something my father told me long ago, when I first began training, and tended to roll and sprain my ankles, and come home with huge bruises from sparring alot . He said to me "You have to walk on those feet for the rest of your life. If you dont take care of them, you are going to have some big trouble in the future"

The same for your knees. You only have 2, and need both of them for the rest of your life. Better to be safe than sorry.

Todd

**jailess** · 10-11-2006, 11:27

Originally Posted by coralreefer

I have to agree with the advice of visiting a doctor.

"You have to walk on those feet for the rest of your life. If you dont take care of them, you are going to have some big trouble in the future"

I agree with your old man.

As for visiting a doctor, you may find he just says, "Stop whatever's making you sore". Doctors tend to focus on things that are likely to kill you, and if something is triggering your knee pain, they will usually instantly think "avoid the trigger, then".

A sports Physiotherapist is another health professional that is effectively an expert on musculoskeletal medicine (providing you get a good one). You may either be referred to one through your doctor, or see one privately.

Kinesiology is charlatanism at it's worst; a hotch-potch of stolen Shiatsu/acupressure theory and psychobabble made up by some american idiot (no relation to the GreenDay song). My advice is to miss it altogether.

In any case, my first port of call would be my GP/family practitioner. He can determine if the knee pain is going to kill you (always good to know!) and then refer you onwards as necessary.

**Brian R. VanCise** · 10-11-2006, 11:46

Definately go and see a doctor!

**jwinch2** · 10-11-2006, 13:37

Originally Posted by jailess

Kinesiology is charlatanism at it's worst; a hotch-potch of stolen Shiatsu/acupressure theory and psychobabble made up by some american idiot (no relation to the GreenDay song). My advice is to miss it altogether.

You are referring to the branch of Chiropractics known as "Applied Kinesiology", correct? If so, than I am in agreement for the most part. They are starting to get some data to back up a few of their interventions. However for the most part it is still largely anecdotal at best.

My advice would be to skip the GP and go straight to the Ortho. Most studies show that GP's score very, very poorly at diagnosis of musculoskeletal injuries and know even less about management and treatment. It is simply not what they do. If you can get direct access to an ortho, go for it.

No matter what you do, do not let them string you out for month after month by starting with rehab and reducing activity prior to doing real testing such as an MRI or a CT scan. Get it done ASAP. YOU are the client and are in control. Make sure you remember that.

**jailess** · 10-12-2006, 07:50

Jason,

Originally Posted by jwinch2

You are referring to the branch of Chiropractics known as "Applied Kinesiology", correct? If so, than I am in agreement for the most part. They are starting to get some data to back up a few of their interventions. However for the most part it is still largely anecdotal at best.

I think so. My knowledge of Kinesiology comes from an Alternative Medicine Block I had at Med School combined with my own reading. I am distinctly unimpressed by those methods of alternative medicine which cannot stand up to a Randomised controlled Trial. Kinesiology is one of those 'medicines'.

Originally Posted by jwinch2

My advice would be to skip the GP and go straight to the Ortho. Most studies show that GP's score very, very poorly at diagnosis of musculoskeletal injuries and know even less about management and treatment. It is simply not what they do. If you can get direct access to an ortho, go for it.

No matter what you do, do not let them string you out for month after month by starting with rehab and reducing activity prior to doing real testing such as an MRI or a CT scan. Get it done ASAP. YOU are the client and are in control. Make sure you remember that.

I agree that GPs aren't the best to go to (though give them a break, they have to learn about everything else too!), and that an Ortho would quickly be able to deduce the problem.

On the other hand, A CT/MRI might be a bit of overkill. I think, to be honest, this is a UK/US thing; Here in the UK we would usually go down the route of rehab/physiotherapy before goping in for scans. In the US I think they tend to scan earlier.

That may also be because you actually have MRI scanners and CTs to spare...

(I'm not enjoying my surgery rotation...)

**jwinch2** · 10-12-2006, 08:50

Originally Posted by jailess

Jason,

I think so. My knowledge of Kinesiology comes from an Alternative Medicine Block I had at Med School combined with my own reading. I am distinctly unimpressed by those methods of alternative medicine which cannot stand up to a Randomised controlled Trial. Kinesiology is one of those 'medicines'.

I agree that GPs aren't the best to go to (though give them a break, they have to learn about everything else too!), and that an Ortho would quickly be able to deduce the problem.

On the other hand, A CT/MRI might be a bit of overkill. I think, to be honest, this is a UK/US thing; Here in the UK we would usually go down the route of rehab/physiotherapy before goping in for scans. In the US I think they tend to scan earlier.

That may also be because you actually have MRI scanners and CTs to spare...

(I'm not enjoying my surgery rotation...)

Typically we go down the road of rehab first also. However, in about 80% of documented cases it is ineffective at best. Personally, i would encourage patients to get the diagnosis first and find out if it is some sort of structural issue that needs to be treated surgically. If it is not, then rehab would be appropriate. However, if you have a structural problem, no amount of rehab is going to fix it.

As for GP's I agree, they have to learn too many other things. They are not given adequete training and practice in diagnosis or care of musculoskeletal injuries. And, while I do feel bad about that, the patient would still be better off starting with someone who can actually help them rather than just refer them on to someone else.

Have fun in the rotation!