Knee cap tensed

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HorTs

Über Member
Location
Portsmouth
I've been training for The Great South Run and probably jumped too quickly to higher distances. Since I did 8 miles I've had a tight calf muscle which I have been able to stretch and massage away. But with the easing of the calf seems to have come a tensing of the knee area. I'm not sure if that makes sense so I'll try and explain; when standing still the knee cap (or the bits around it) is being pulled up by a muscle above it (or is it still my calf causing problems). I have to consciously relax the area for it to return to normal position and it will soon return to being tensed.

Any ideas?
 

Amish

Member
Sounds like you have what is called "Runners Knee".
Runner's knee (also known as patellofemoral pain syndrome) is usually caused by weakness in the middle quadriceps muscles and tight hamstrings or IT bands. There are a couple of things that you can do to help your knee while you rest it, because I know you are doing the smart thing and your resting your knee. You may need to take a week break to rest your knee, and please please take the time to rest your knee. If you don't you may pay for it later. Remember the R.I.C.E. method

R=Rest
I=ICE
C=Compression
E=Elevate

Flip flop ice and heat. Make sure you stretch before and after running. I normal do not advocate stretching period, but with a possible chance of runners knee you need to stretch the muscle associated with the knee. Don't over stretch. One of the best things you can is use a foam roller, check out youtube for help on how to roll your IT band and hamstrings. You can also use a rolling pin. Also Aleeve, Ibuprofen and or aspirin. Tylenol will not help. You want to reduce the inflammation.

Next thing is shoes. You may have one of the following problems which will add to the problems of runners knee. Best thing you can do is go to local store that specializes in running that can check your running gait. They usually have you run on a treadmill for about 30 secs and video tape it.
1. Over pro-nation:With over-pronation, the arch of the foot flattens and causes excessive stress and pressure on the soft tissues of the foot. Over-pronation is more common in those with flat feet, and can lead to foot aches and pain, such as plantar fasciitis, Shin Splints and Knee Pain.
2. Supination: Supination occurs when the foot impacts the ground and there is not enough of an “inward roll” in the foot’s motion. The weight of the body isn’t transferred at all to the big toe, forcing the outside of the foot and the smaller toes which can’t handle the stress as well to take the majority of the weight instead.
3. Neutral: l. Neutral pronation occurs when the foot experiences a normal, healthy amount of pronation instead of overpronating or underpronating. In healthy movement more of the toe area will be used when pushing off than in unhealthy movement. In neutral pronation the weight distributes fairly evenly among all of the toes with a slight emphasis on the big toe and second toe which are better adapted to handle more of the load.
If you are planning on running any type of distance, you probably should make sure you have a good pair of running shoes which if you one of the above problems can help. I over pronate so I bought a pair of Mizuno Wave Inspire 8's. You really do get what you pay for as far as running shoes, honestly don't let your legs or feet suffer because you want to save a few bucks.

Bottom is that you need to take care of the knee because your right the muscles are either
A: Pulling the knee cap off track which is usually the IT band (Muscles on the side of the upper leg from the hip to the knee)
B: The quads are week and aren't able to hold the knee cap in place, which causes it not to track correctly
Both of these will also cause the calf muscle to feel tight because it's over working to try and hold the knee cap in place.

Hope this helps and if you have any questions on what I posted please ask.
 
OP
OP
HorTs

HorTs

Über Member
Location
Portsmouth
Thanks very much for the reply, I have been resting the knee so hopefully it will start to get better. I'll be sure to visit the local shop as soon as I can.
 

Rob3rt

Man or Moose!
Location
Manchester
Go to see a sport's injury clinic, us interweb dweeb's can copy and paste google search results all day but you will likely just end up no further forward.
 

PK99

Legendary Member
Location
SW19
Go to see a sport's injury clinic, us interweb dweeb's can copy and paste google search results all day but you will likely just end up no further forward.

I'd echo that. I hobbled into my local physio clinic unable to move other than with a walking stick, with a similar sort of pain and walked out pain free. My issue was tendon tracking problem, simple application of tape to temporarily move the tendon gave complete relief and allowed the tendon and inflammation to settle, a week later the tape came off and never had the problem again.
 

MrJamie

Oaf on a Bike
How much stretching are you doing?

I find after a break from running, i get it back pretty quickly when i restart but from ramping up too quickly im really prone to tight leg muscles causing pains if i dont do a whole series of leg stretches. Doesn't sound a world away from tight ITBand in my utterly non-expert opinion :smile:
 
OP
OP
HorTs

HorTs

Über Member
Location
Portsmouth
Alright! Alright! I'll find a sports injury clinic- but if they say the same as Amish I'll be charging you all.
 

Rob3rt

Man or Moose!
Location
Manchester
Amish just gave a load of generic running(sports) injury advice (he could well have copy and pasted pretty much any Google result for "runners knee" and it would have amounted to the same thing), a Sport's Therapist will be able to examine you and have you perform certain tasks to observe any potential underlying causes.

I am a fairly experienced runner with a history of knee issues (including, ITBS and inflamed cartilage inside the kneecap) and in my experience, the cause of the injury is not often as simple as you may suspect following a Google search. You might be able to treat the symptom's short term, but you need to seek a long term solution, or at least peace of mind!
 

tadpole

Senior Member
Location
St George
Do Not Stretch before you go running, it does not help and you run the risk of pulling muscles. Go was a slow jog mabe 10 minutes or so at 10mmp. then when your legs are warmed up, stretch and flex.
 

Amish

Member
Amish just gave a load of generic running(sports) injury advice (he could well have copy and pasted pretty much any Google result for "runners knee" and it would have amounted to the same thing), a Sport's Therapist will be able to examine you and have you perform certain tasks to observe any potential underlying causes.

I am a fairly experienced runner with a history of knee issues (including, ITBS and inflamed cartilage inside the kneecap) and in my experience, the cause of the injury is not often as simple as you may suspect following a Google search. You might be able to treat the symptom's short term, but you need to seek a long term solution, or at least peace of mind!
You couldn't be more wrong about my post. I actually have first hand experience with runners knee and the proactive things you can do to solve it or aid in it's recovery. In fact since May 8th I have been dealing with this issue and I have been to Othro and the local sports therapy clinic with a extensive work up of xrays and MRI's and PT

Your right, it's not a simple fix just by reading a forum post, but at least I was willing to share some of my experiences with the OP instead of brow beating someone else post. I actually have first hand experience with everything I WROTE above.

Your post was uncalled for and really a backhanded attempt at trolling a forum. I don't appreciate the condescending nature of your post just for the record and I thought better of people on this forum. But I also know there is that 10%, such as yourself who feel it's there responsibility to throw good manners out the window and propel themselves onward as a forums savior.

I am sure this will be my last post on this forums and that's fine, but just wanted to clear the air because troll like you are all over and make it hard on new people who join forums like this for the first time. I am sure you are also an experienced cyclist as well, and can share your wealth of knowledge with the little people. Have a happy day.
 

Rob3rt

Man or Moose!
Location
Manchester
Couldn't be more wrong? What I said was correct, your post was generic advice, I didn't suggest it was bad advice, I suggested it was generic and that the OP would be well advised to seek professional opinion from a Sport's Injury Clinic, which was an accurate and fair observation.

Trolling? Backhanded? Bad mannered? Condescending? Really? Come on!
 
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