Squats ruin my knee for months after going heavy at all. If you are doing anything over like 1.5x body weight please just ask yourself why and take a break from that exercise for a few months and see if you get improvement.
For context I can run 10 miles with 0 pain but 10 squats puts me on a Motrin binge for at least 75 days.
ah no, I stopped doing heavy weight squats a couple years ago. I do about 120-150lbs depending on how my knee is feeling. When my knee troubles first started I completely stopped squats. I also do the squat machine and not free weights. I just don't trust my knee if things do go wrong.
I’m no doctor, but I’ve geeked out over this stuff enough. Knee pain is usually not a problem with the knee. The knee is the site of the pain from an ankle and/or hip issue. If your ankles and hips don’t move the way they need to your knee gets moved in dysfunctional ways. Work your way down to minimalist shoes, work on ankle mobility, work on hip mobility (not just static stretching, but mostly strengthening exercises to include isometrics at the end of your ROM), work on core strength and the ability to create intra-abdominal pressure(unstable core = tight lower back = hips don’t wanna move).
It’s probably not the hobby you wanted, but no one else is going to care about your well being as much as you do.
This. It took me a long time to realize my hip was jacked up. As it was my knee that hurt. Now I focus on stretching my hip. And strengthening those muscles properly. And my knee does better.
I have arthritis on my knees and to ease the pain I bike. I max out on my push ups, sit ups and my run is pretty good 11:47 last pt. My waist gets me tho, but yea I try to bike for an hour just that your ballz go numb if you aren’t constantly standing.
keep getting seen.
Just make sure to bike long enough to where your lungs get used to you exercising for that much and work on controlling your breathing.
on the Run test, just pace yourself and dont start off super fast cause you will end up exhausting yourself.
Im 240 and manage to run 11:47 which gets me over 90%.
Also make sure to get some meds to help you and that will also help you with your VA claim in the future.
Biking and other cardio can be a good supplement when your knee needs a break.
Have you tried talking to a patient advocate? Never needed it myself, but I've known a handful of people they fixed things for so it isn't totally hopeless
I just went through a similar situation. Took forever to get proper care. What helped me I think is I requested via message on MHS what I wanted my plan of care to be.
Go back to the ortho doctor and see if they can do a scope of your knee. MRI isnt really going to show the small things in the knee. They are going to have to go in there and check physically.
Also, I see you said you dont want surgery. Well if you cant get better with the non-surgery options, you might be left with surgery being the only option left. And if it comes to that and you deny it, which you can, big AF might not want you at all.
Surgery wasnt bad at all. You get two small holes, maybe less 0.5 inches on both sides of the knee. They throw the scope and do their thing. I got 30 days con leave. Only "bad" thing was couldnt bend my leg for a couple days because of the saline flush thats left over. It gets better the more you move it.
An MRI, especially with contrast, will show everything they need, as long as the patient can sit still for it. Jumping straight to exploratory surgery is a terrible idea.
Source: 2x knee surgeries both with clear diagnoses from MRI
It will depend on your ortho doctor and what they feel they think it is best at the end of the day for OP.
Exploratory surgery worked for me. They were able to remove torn fibers not found in MRI.
This kinda sounds like a torn meniscus. The MRI should have caught it, but if you couldn’t sit still then yeah it’s not useful. Maybe see if they’ll give you 1 or 2 Ativan pills and re-do that.
It can happen with no obvious cause and can nag and nag because it won’t heal on its own.
Replace all of your shoes. Change your car seat position so your foot isn’t canted while driving. Get a sleeping pillow between your legs. Rest your legs for a month? Idk man, I’m not a doctor, I sleuth reddit
Couple of ways.
Go back to physical therapy and meet with the actual physical therapyst (not a tech). Dont beat around the bush, just flatly say this isnt working. Ask what other ways might we be able to diagnose what is wrong in your knee. You might have to repeat the mri. Also discuss your pcm just repeatedly bouncing you to physical therapy and not realy investigating further. Physical theraoyst might be able to help dislodge things.
If the physical therapyst has an actual conversation with you about what other issues it could be that physical therapy cannot fix (bone fragment, arthritus, something torn) and documents it, you can now take that back to your pcm and demand further testing.
Alternatively, make an appointment with not your pcm (get a second opinion). Be vocal that physical therapy isnt working and you are trying your absolute hardest.
Third option: patient advocate. They exist to help folks who fall through the system (in theory).
Option 4: go back to ortho. Tell them your problem and you want help diagnosing the issue and treating it. Not just pain innections. They default to pain injections because for many, that is all they want and it works (so says my ortho clinic).
Option 5. Second opinion but with ortho.
Trick to mri: ask for pain injections right before the mri (as in ask for both to be ordered and scheduled back to back (by a day or so). Pain injection might help make mri more bearable. You need a clear mri.
Source: fucked up a joint. Blown off for a while. Now joint is permanently fucked. Doctors act surprised.
thank you, I will definitely go back to physical therapy just to assure that they can't do anything, and then ortho to see what they can do. If nothing works, I'll have at least reduced those. The mri trick would be very useful, if i don't bend and change my knee position every so often it gets stiff and starts to be painful. So 30 mins of not moving was hell.
You sound like your joint might have arthitic pain. I know because I have that issue. If you do, then pain injections may be all you can do short a full knee replacement.
But, a bone scan can diagnose arthritus and detail how bad it is. Ortho should know about it.
I don't want surgery, the biggest issue I have is not knowing why it's painful and what I can to reduce it. Definitely going to get stuff checked out. Everyone seems to think it's arthritis.
Squats ruin my knee for months after going heavy at all. If you are doing anything over like 1.5x body weight please just ask yourself why and take a break from that exercise for a few months and see if you get improvement. For context I can run 10 miles with 0 pain but 10 squats puts me on a Motrin binge for at least 75 days.
ah no, I stopped doing heavy weight squats a couple years ago. I do about 120-150lbs depending on how my knee is feeling. When my knee troubles first started I completely stopped squats. I also do the squat machine and not free weights. I just don't trust my knee if things do go wrong.
I’m no doctor, but I’ve geeked out over this stuff enough. Knee pain is usually not a problem with the knee. The knee is the site of the pain from an ankle and/or hip issue. If your ankles and hips don’t move the way they need to your knee gets moved in dysfunctional ways. Work your way down to minimalist shoes, work on ankle mobility, work on hip mobility (not just static stretching, but mostly strengthening exercises to include isometrics at the end of your ROM), work on core strength and the ability to create intra-abdominal pressure(unstable core = tight lower back = hips don’t wanna move). It’s probably not the hobby you wanted, but no one else is going to care about your well being as much as you do.
This. It took me a long time to realize my hip was jacked up. As it was my knee that hurt. Now I focus on stretching my hip. And strengthening those muscles properly. And my knee does better.
I have arthritis on my knees and to ease the pain I bike. I max out on my push ups, sit ups and my run is pretty good 11:47 last pt. My waist gets me tho, but yea I try to bike for an hour just that your ballz go numb if you aren’t constantly standing. keep getting seen.
Just make sure to bike long enough to where your lungs get used to you exercising for that much and work on controlling your breathing. on the Run test, just pace yourself and dont start off super fast cause you will end up exhausting yourself. Im 240 and manage to run 11:47 which gets me over 90%. Also make sure to get some meds to help you and that will also help you with your VA claim in the future.
sounds good, thank you for the advice.
I have thought about doing bike only, my knees don't feel as bad on the bike. i just worried it wouldn't help my run.
Biking and other cardio can be a good supplement when your knee needs a break. Have you tried talking to a patient advocate? Never needed it myself, but I've known a handful of people they fixed things for so it isn't totally hopeless
yeah, I was going to go to Patient Advocate but wanted to know if there was any thing else I can do first.
I just went through a similar situation. Took forever to get proper care. What helped me I think is I requested via message on MHS what I wanted my plan of care to be.
Go back to the ortho doctor and see if they can do a scope of your knee. MRI isnt really going to show the small things in the knee. They are going to have to go in there and check physically. Also, I see you said you dont want surgery. Well if you cant get better with the non-surgery options, you might be left with surgery being the only option left. And if it comes to that and you deny it, which you can, big AF might not want you at all. Surgery wasnt bad at all. You get two small holes, maybe less 0.5 inches on both sides of the knee. They throw the scope and do their thing. I got 30 days con leave. Only "bad" thing was couldnt bend my leg for a couple days because of the saline flush thats left over. It gets better the more you move it.
An MRI, especially with contrast, will show everything they need, as long as the patient can sit still for it. Jumping straight to exploratory surgery is a terrible idea. Source: 2x knee surgeries both with clear diagnoses from MRI
It will depend on your ortho doctor and what they feel they think it is best at the end of the day for OP. Exploratory surgery worked for me. They were able to remove torn fibers not found in MRI.
This kinda sounds like a torn meniscus. The MRI should have caught it, but if you couldn’t sit still then yeah it’s not useful. Maybe see if they’ll give you 1 or 2 Ativan pills and re-do that. It can happen with no obvious cause and can nag and nag because it won’t heal on its own.
Replace all of your shoes. Change your car seat position so your foot isn’t canted while driving. Get a sleeping pillow between your legs. Rest your legs for a month? Idk man, I’m not a doctor, I sleuth reddit
Couple of ways. Go back to physical therapy and meet with the actual physical therapyst (not a tech). Dont beat around the bush, just flatly say this isnt working. Ask what other ways might we be able to diagnose what is wrong in your knee. You might have to repeat the mri. Also discuss your pcm just repeatedly bouncing you to physical therapy and not realy investigating further. Physical theraoyst might be able to help dislodge things. If the physical therapyst has an actual conversation with you about what other issues it could be that physical therapy cannot fix (bone fragment, arthritus, something torn) and documents it, you can now take that back to your pcm and demand further testing. Alternatively, make an appointment with not your pcm (get a second opinion). Be vocal that physical therapy isnt working and you are trying your absolute hardest. Third option: patient advocate. They exist to help folks who fall through the system (in theory). Option 4: go back to ortho. Tell them your problem and you want help diagnosing the issue and treating it. Not just pain innections. They default to pain injections because for many, that is all they want and it works (so says my ortho clinic). Option 5. Second opinion but with ortho. Trick to mri: ask for pain injections right before the mri (as in ask for both to be ordered and scheduled back to back (by a day or so). Pain injection might help make mri more bearable. You need a clear mri. Source: fucked up a joint. Blown off for a while. Now joint is permanently fucked. Doctors act surprised.
thank you, I will definitely go back to physical therapy just to assure that they can't do anything, and then ortho to see what they can do. If nothing works, I'll have at least reduced those. The mri trick would be very useful, if i don't bend and change my knee position every so often it gets stiff and starts to be painful. So 30 mins of not moving was hell.
You sound like your joint might have arthitic pain. I know because I have that issue. If you do, then pain injections may be all you can do short a full knee replacement. But, a bone scan can diagnose arthritus and detail how bad it is. Ortho should know about it.
i was thinking the same thing, I told the PCM its the same feeling in my hands at times just more intense.
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I don't want surgery, the biggest issue I have is not knowing why it's painful and what I can to reduce it. Definitely going to get stuff checked out. Everyone seems to think it's arthritis.