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Old 10.01.2011, 20:27
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Help w/ possible knee problm, pls...

I know there are many active sport enthusiasts on EF...
My problem (first time ever) is my left knee.
It feel gummy, stiff and it tends to swell on the lower outside part.
I can't crouch (used to do it without even thinking) - but I can still ride my bicycle OK.... even though I have been refraining from any strenuous pedaling activity (i.e. spinning) or weight training (e.g. leg press).

I have been applying Neo-décongestine paste for the past couple of days and it worked somewhat in reducing the sense of stiffness and swelling.

But I'm wondering if anything more serious may be at work here, or if it's just a case of "aging issues".

Any and all inputs are, as usual, highly appreciated...

Thank you,

Paul
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Old 10.01.2011, 21:16
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Re: Help w/ possible knee problm, pls...

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I know there are many active sport enthusiasts on EF...
My problem (first time ever) is my left knee.
It feel gummy, stiff and it tends to swell on the lower outside part.
I can't crouch (used to do it without even thinking) - but I can still ride my bicycle OK.... even though I have been refraining from any strenuous pedaling activity (i.e. spinning) or weight training (e.g. leg press).

I have been applying Neo-décongestine paste for the past couple of days and it worked somewhat in reducing the sense of stiffness and swelling.

But I'm wondering if anything more serious may be at work here, or if it's just a case of "aging issues".

Any and all inputs are, as usual, highly appreciated...

Thank you,

Paul
That could be water! My dad did have this problem for years. They were taking out the water once in a while but enough he had so many problems in there that he finished with a total reconstruction of his knee because of the cartilage degeneration.

My idea will be to not wait and seek medical advise. It may be an injure from something you did and will get back all in shape but it could be something else.

Good Luck!
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Old 10.01.2011, 21:25
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Re: Help w/ possible knee problm, pls...

I developed a bursitis above my RH knee a couple years ago, had to have it surgically fixed in the end.

I know a great bone doctor in Lugano if you want (he also fixed the CTS in my left wrist), and he speaks English.

Otherwise, try "Dr. Andres Consolida (Wallwurz Salbe)". My girlfriend swears by it, and I use it with good results on occasion as well.

Tom
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Old 11.01.2011, 07:35
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Re: Help w/ possible knee problm, pls...

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I developed a bursitis above my RH knee a couple years ago, had to have it surgically fixed in the end.

I know a great bone doctor in Lugano if you want (he also fixed the CTS in my left wrist), and he speaks English.

Otherwise, try "Dr. Andres Consolida (Wallwurz Salbe)". My girlfriend swears by it, and I use it with good results on occasion as well.

Tom
Thx Tom... I don't think it's bursitis as I don't have any pain, just this very localized puffiness, coupled w/ loss of articular movement (can't squat / crouch on that leg).

I don't know if the fact that I passed from an active regime to flu induced immobility has had anything to do with this crap. Maybe I stressed the joint by carrying heavy weights around the house in the days immediately following the flu, when I was at my weakest...

I've got some serious hiking planned for mid springtime, plus mountainbiking the rest of the summer... so I really pray this knee thing isn't anything serious :-/

Paul
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Old 11.01.2011, 08:45
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Re: Help w/ possible knee problm, pls...

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Thx Tom... I don't think it's bursitis as I don't have any pain, just this very localized puffiness, coupled w/ loss of articular movement (can't squat / crouch on that leg).
I'm no doctor but that looks like water...

Let us know what a real doctor will tell you!
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Old 11.01.2011, 08:59
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Re: Help w/ possible knee problm, pls...

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Thx Tom... I don't think it's bursitis as I don't have any pain, just this very localized puffiness, coupled w/ loss of articular movement (can't squat / crouch on that leg)
I had no pain, just the bursitis above the knee cap. Didn't really affect the joint much, except due to the swelling, but after trying to drain it a few times (after which it would swell again), it was removed surgically.

Tom
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Old 11.01.2011, 11:04
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Re: Help w/ possible knee problm, pls...

Whent to the chemist's to purchase the aforementioned wunder-warzen cream (or whatever)...
The doc's interpretation is that there could be some irritation from having carried weights up/down the stairs - what he calls a "typical" problem connected with aging (ahrrrg... so I'm getting there eh?).

I'll keep it under control and see what happens. No weightlifting or heavy duty cycle spinning for now that's for sure, but I will keep it lightly exercised (lite pedaling, walking) and see what happens.

Fingers X'd...

Paul
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Old 11.01.2011, 13:15
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Re: Help w/ possible knee problm, pls...

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Whent to the chemist's to purchase the aforementioned wunder-warzen cream (or whatever)...
The doc's interpretation is that there could be some irritation from having carried weights up/down the stairs - what he calls a "typical" problem connected with aging (ahrrrg... so I'm getting there eh?).

I'll keep it under control and see what happens. No weightlifting or heavy duty cycle spinning for now that's for sure, but I will keep it lightly exercised (lite pedaling, walking) and see what happens.

Fingers X'd...

Paul
I have had plenty of knee-related issues in my life, so I'd like to add my 2 cents... I do need a bit of clarification though. You say you don't have pain but you have reduced mobility/flexibility--so what happens when you try to do those things you say you can't do anymore? Is there pain (because I would expect there is)? And if so, is it more of dull aches or sharp pains?

Otherwise, how long has it been going on? And localized puffiness is swelling, which is fluid in the joint. The ways to remove this are: anti-inflammatories taken orally coupled with ice/elevation/staying off it. You can also be given injected anti-inflammatories or have the fluid drained off. Do you notice a difference in the swelling in the morning after you have slept (and stayed off it) compared to the end of the day? Is the swelling/fluid buildup getting better, staying the same, or going down with time? If possible, elevate as often as possible. The fluid will re-absorb as long as it is not a traumatic injury (and lots of times, even if it is--given enough time).

And for the record, when I couldn't squat/crouch on my leg, I had torn meniscus and had to get it scoped. No big deal, six weeks recovery and good as new. In fact the pain before was worse than the pain of the recovery (but I was also a collegiate athlete at the time and not staying off it). Also, if you can, cycling is *not* a bad thing. A little exercise, non-impact only, is good as long as there is no pain associated with the activity. Listen to your body--it will tell you what to do.

Anything else, you can always pm me and we can talk about it...
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Old 11.01.2011, 13:31
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Re: Help w/ possible knee problm, pls...

A year and a half ago, I had pain/restricted movement in my left elbow (but no swelling). Went to doctor, did xray, MRI, etc., but they weren't sure what it was (nothing obvious, though there was a small thing (bone chip, who knows, no way to know without opening), so I di two boughts of phisio, and was told to use it MORE, not less.

Been fine since (though compared to my right arm, I have slightly less range, but much better than before, and no pain).

Tom
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Old 11.01.2011, 13:43
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Re: Help w/ possible knee problm, pls...

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I have had plenty of knee-related issues in my life, so I'd like to add my 2 cents... I do need a bit of clarification though. You say you don't have pain but you have reduced mobility/flexibility--so what happens when you try to do those things you say you can't do anymore? Is there pain (because I would expect there is)? And if so, is it more of dull aches or sharp pains?

Otherwise, how long has it been going on? And localized puffiness is swelling, which is fluid in the joint. The ways to remove this are: anti-inflammatories taken orally coupled with ice/elevation/staying off it. You can also be given injected anti-inflammatories or have the fluid drained off. Do you notice a difference in the swelling in the morning after you have slept (and stayed off it) compared to the end of the day? Is the swelling/fluid buildup getting better, staying the same, or going down with time? If possible, elevate as often as possible. The fluid will re-absorb as long as it is not a traumatic injury (and lots of times, even if it is--given enough time).

And for the record, when I couldn't squat/crouch on my leg, I had torn meniscus and had to get it scoped. No big deal, six weeks recovery and good as new. In fact the pain before was worse than the pain of the recovery (but I was also a collegiate athlete at the time and not staying off it). Also, if you can, cycling is *not* a bad thing. A little exercise, non-impact only, is good as long as there is no pain associated with the activity. Listen to your body--it will tell you what to do.

Anything else, you can always pm me and we can talk about it...
Thank you for chipping in... One man's (woman's) problems are another man's (or woman's) lessons, I suppose...

1) mobility vs. pain: when I try to crouch / squat what I feel is a tenseness, as if there was a big rubber band pulling against my movement. No real pain, just discomfort if anything

2) the puffiness seems to be worse in the evening, and almost gone by the morning (caveat: I am applying medicines so that probably also helps to reduce the swelling)

Just did 20 minutes of cycling, between 80 and 100 rpms, low load (165-185 watts) - didn't have any problems but the problematic knee felt "different" from the healthy (healthier...) one.

Thank you so much for any input. I just hope I don't need an operation

Paul
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Old 11.01.2011, 13:57
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Re: Help w/ possible knee problm, pls...

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1) mobility vs. pain: when I try to crouch / squat what I feel is a tenseness, as if there was a big rubber band pulling against my movement. No real pain, just discomfort if anything

2) the puffiness seems to be worse in the evening, and almost gone by the morning (caveat: I am applying medicines so that probably also helps to reduce the swelling)

Just did 20 minutes of cycling, between 80 and 100 rpms, low load (165-185 watts) - didn't have any problems but the problematic knee felt "different" from the healthy (healthier...) one.

Thank you so much for any input. I just hope I don't need an operation

Paul
All of this seems normal to me when you have the localized swelling you have described. It is worse in the evenings because you are on it all day and better in the mornings because you have been off it for hours (do you elevate at night at all? If not, you should do...) and because you have treated it. The exercise makes the bad knee feels "different" because you have all that extra swelling (which is fluid) in there restricting normal motion. As long as there is no pain, you should continue to do it, moderately.

A couple other suggestions:
1. Apply some sort of compression to the knee during the day while you are up and using it. It can be as simple as a nicely-wrapped ace bandage (applying some pressure but not to the point of cutting off circulation).
2. Ice at least three times a day. Even if you can't space it out throughout the day (this is best-especially if you can get one in during the lunch hour), when you get home at night, immediately, ice. And you should be applying compression while icing too so that the ice penetrates deeper. Ice is your best anti-inflammatory. Do a cycle of 10-15 minutes on the knee, 20-30 minutes off for at least three iterations. It will help for sure.
3. Elevate at night, over your heart if you can sleep that way. The fluid has to go somewhere, and if you are elevating over your heart, it will reduce blood flow to the area (thus reducing swelling).
4. If you want, and if it doesn't cause pain, some gentle massaging of the area will also help.

Without pain associated with the motion, I doubt you will need surgery. Your restricted motion could be purely because of the swelling, so try not to worry...and keep us posted.
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Old 11.01.2011, 14:45
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Re: Help w/ possible knee problm, pls...

Well - looks like I owe you a big one (beer or wine, up to you).
Thank you so much for your indications... Will keep you posted!

Paul
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Old 11.01.2011, 15:15
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Re: Help w/ possible knee problm, pls...

you probably don't walk properly as well which adds to the issue. Consider physio - but do check that you get one who performs as well as they look
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Old 11.01.2011, 22:41
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Re: Help w/ possible knee problm, pls...

Take it easy. You are just growing old.
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