You kneed to do this…
January 11, 2014
Dan asked The Guru for the following Physiotherapy Advice:
Hi – I get sharp pain below to the outside of my knees when I run more than 5km or so. It repeats for a few days after when I walk. I also get mild pain above my knees when I cycle of prolonged distances, and inside my knees if I swim breast stroke for more than 1km or so. Could physio sort this, and how long should it take?
Dan
January 11, 2014
Hi Dan
OK simply put, outside pain = ITB friction pain, pain above knee =Β quads tendon and inside pain = MCL stress.
Have you got 3 things wrong with your knee? I very much doubt it….IΒ think you’ve most likely got a really unstable hip/pelvis. The lack ofΒ control around your hip/pelvis means that when either weight bearingΒ (running or cycling) or non weight bearing (swimming) your kneeΒ waggles around too much because you haven’t got enough proximal orΒ near control to your core.
You’ll have a shocking single knee squat – you can do it, but you’llΒ have poor control….and this is where your problem lies.
Seeing a good physio who can easily identify and show you what you’reΒ doing is vital. If you can see and understand what’s wrong and whatΒ you’ve got to do then getting better will be a doddle.
How long will it take? It all depends on understanding what’s up andΒ how much time and effort you put into it.Your rehab isn’t aboutΒ getting your hip/pelvis stronger; it’s about getting more control.Β This training/coaching is done little and often.
Judging by your symptoms and what you’re doing I’d guess that within aΒ month you’ll be well on your way and within 6-8 weeks you’ll be wellΒ over it.