January 12, 2014

Dan asked The Guru for the following Physiotherapy Advice:


My last run was on the 14th Jan and oh boy it was a painful run and I battled to finish. In December the MRI showed that I had pantella tendonpathy and fluid within the two burses of the knee. I saw a consultant a few weeks later who said I had ITB and will need to go to physio. 3 months down the line I am still waiting for physio but this is partially due to the fact that I have recently moved county’s and I have a appointment tomorrow with the doctor to arrange a referral for physio.

The pain has been behind the knee,side of the knee,on the quad and hip. The injured leg is very tight as well and not as flexible. Over the last 4-6 weeks I have been using the foam roller,strapped up the knee,ice’d the knee,stretched the glutes and there are still days where I battle to walk.

My questions are as follows:

1. Will I need to do physio or will it be better to have a specialised injection?

2. I am going to request naproxen when I see the doctor tomorrow – your thoughts?

3. How long can I expect the recovery time to be as not running is really getting me down

4. Am I doing the right excercises?

Kind Regards


January 12, 2014

Hi Dan

Absolutely need to get in with a physio – where you feel your symptoms doesn’t tie up with where you’ve been diagnosed with an issue, so it begs the question where would you poke the needle in?

You’ve accommodated for the initial issue, but in doing so have learnt to move differently over a long time period.

Naproxen is a NSAID and not designed for long term use. Helping to decrease inflammation anywhere may help, but if you don’t know why it’s inflamed the naproxen will only deal with the symptoms and not the ongoing cause.

Timescale is entirely dependant on what you do and what you have done to you. With the right intervention and rehab it could be a 6 week process. Do the wrong stuff or nothing and it could be months.

I think you agree you need to see a Physio, hopefully your doc has arranged this for you.

The Guru

Six Physio

Guru Responded

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