Patella Tendonitis/Tendonosis

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albion

Guest
I have osteo problems with my knees, hips, shins and achilles.

I stopped walking to take off the weight and increased spining on the bike.
From being unable to crouch down, the massive shin/achilles pain subsided over 12 months so it can be a very slow progress.
I have zero knee pain too if I cycle spin correctly and I only seem to be out of luck with regards to my hip pain.


I'd suggest keeping the area warm as I'm sure my 12 month of pain was partly to do with a breathing/circulation difficulty I had at the time.
 

vickster

Legendary Member
Was the ostenil injection painful?
Nope. I have had the course of three, the second did hurt as I wasn't relaxed and the needle hit the bone. Mine jabs were into the joint space. The plus injection was also fine, just a full and stiff feeling for a few days. Now the prp into tne tendon, that did fecking hurt as no anaesthetic can be used. I think anaesthetic can be used with the hyaluron jabs like ostenil though, not that my specialist did. He has had patients who did find it very painful but thinks they have since reformulated it to make it less viscous and thick
http://www.trbchemedica.co.uk/joint-pain/ostenil-injections

Still seems unusual for it to be used for tendonitis, but I believe the substance can calm inflammation too (I had durolane which is similar stuff Injected during my second arthroscopy to aid healing)
 
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jarlrmai

jarlrmai

Veteran
Update from me, still getting pains but the swelling seems to have stopped happening so much or being as severe.

I've started a blog about it mainly as a personal thing so I can tell if it is getting better or not it's hard to remember how it was a few weeks a go.

http://ptrecovery.blogspot.co.uk/
 
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jarlrmai

jarlrmai

Veteran
An update.

Still not riding in anger, 1.5 slow miles each way to work is all I do but that is relatively straightforward and doesn't cause pain.

The sharp pains have subsided a lot, it certainly feels better than it was, swelling has pretty much completely stopped.

The pains seem to come a while after doing something rather than during the doing of it.

I seem to have a lot of muscle wasting in the quad and I get a lot of other knee soreness around the whole joint, still doing my physio and strengthening exercises, they do seem to be gradually helping.

The hardest part is it'd not like a broken bone where you know the healing process etc, no-one can tell you what is going on for sure.
 

vickster

Legendary Member
Story of my life with the injuries I've sustained! That said there are a lot of fractures you really don't want around the knee!
 
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jarlrmai

jarlrmai

Veteran
update, I think it's on the the mend.

I'm at the point where pain is rare and I can walk okay and stairs are getting easier and my physio is progressing I'm doing single leg squats and lunges with no pain which would have been unthinkable a few months ago. Standing around for any length of time is getting easier but is still the most pain inducing activity.

The bike: last time I tried 40 mins on the trainer gave me issues a few weeks ago so I'm concentrating on leg stength, my quad muscles (esp VMO) seem be firing again but are not very strong.
 
A familiar sounding scenario. It's taken me 12 months to clear up right patella pain and pes anserine tendonitis. Still not there yet but I'm finally back on the bike this year and increasing things without pain now, after an initial two steps forward, one step back phase. I have become very cautious and tend to ease back or postpone things if it feels a bit iffy, slowly though, confidence is returning. Keep at it.
 
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jarlrmai

jarlrmai

Veteran
I'm cautious as hell at the moment.

I will probably see this therapist weekly now for as long as I can, working through the hip inflexibility that lead to the issue in the 1st place and getting proper leg strength.
 

slenkar

New Member
I had the same injury and I realised that walking up the stairs puts strain on that tendon, it prevents it from healing.



All I did was avoid walking up stairs for a few weeks and it healed - mostly



You just have to walk upstairs using your good leg or just crawl up the stairs for a couple of weeks
 
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jarlrmai

jarlrmai

Veteran
Another update.

Well I did 52 miles yesterday with the C group (14 MPH) did a lot of work up front as well, no issues during the ride, usual soreness afterwards which will subside as usual after a day or so.
 
I had the soreness after playing rugby, which subsided after a day or 2. I continued to persevere with it, but it turned into excruciating pain during exercise within a couple of months.

Mine was caused due to a grade 2 anterior ankle sprain, affecting all 3 ligaments. I rested for 1 week, then strapped the ankle and carried on training and playing, the lack of mobility in the ankle, caused strain to be put into my knee, resulting in patella tendonitis that I have been dealing with for almost 7 months now.

A few weeks rest, strengthening exercises, and intelligent training has all but fixed it. I keep a diary of the pain, during, and after exercise for however long it lasts, and make a note of the duration and intensity of the exercise.

The idea is to reduce the intensity or duration of the exercise until you get no pain, even for the day after the exercise (even if this means skipping sessions). You then build up to getting pain and/or discomfort, and backing off to an intensity/duration that doesn't cause it. Repeating this gradually will get you back into pre-injury levels.

I started with maybe just 5 or 10 minutes from a 1 hour session. At the very start, I did the warm up exercises with the team, then went home! When I could do this without pain, I added 5 minutes on, and so on.

Give it a go, joint injuries take time to recover. The more you ignore the pain (although it is manageable), the longer the recovery will take when you eventually do have to let your body do its thing.
 
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