Post by semperfiremedic on Aug 15, 2016 10:30:55 GMT -6
So last Monday I did an 8 mile trail run. Trails are what I typically run, and I run between 6 and 10 miles on most occasions. I have never had issues with my right knee, ever. Monday was a little cooler than normal, I failed to warm up and stretch properly, and about 4 miles in to the 8 mile run, I began experiencing some almost pinpoint pain in the lateral superior aspect of my right knee. The pain was greater upon waking Tuesday. It has decreased through the week. The pain is reproducable with downhill/downstairs movements, and when pushing off with my right foot. A knee brace has provided a lot of relief, which I believe is contributed to limiting the free movement of my right knee through the complete range of motion. I can workout with my jump ropes and have no issue of recurring pain. Walking down my driveway though, causes pain. I can move in to a full deep squat with no incidence of pain. When I wake up the pain is greater. I've done some cursory reading and it seems this could go either way- PFPS or Patellar Tendonitis. Today is August 15th. On August 27th and 28th, I have Spartan Sprint races scheduled, and am unsure of whether or not I should/could do it with out causing additional damage. Is this something that some stretching and RICE can help, along with some eccentric one-legged squats? Or is this something that requires taking a break from running? If so, what protocol should I follow? Running and fitness are important aspects of my life and my career.
Post by Chad Hanson, DO on Aug 15, 2016 15:46:55 GMT -6
If you are a recreational runner the recommendation is a period of brief activity modification with RICE, however if you are a serious runner or competitor the recommendation is to see an area sports medicine specialist. With the specialist you can develop a treatment plan that can assist you in reaching your athletic goals.