Runner's Knee

What happened to me for the pass 3 weeks?

No one would know except God & myself because the pain isn't physical (cannot be seen) just can feel. 

On the 19th October 2008, for the very 1st time I felt my right knee as if it was jolted by lightening bolt while running for Mizuno Wave 5th Anniversary Run. I rested at water station while asking first aider for help...unfortunately, it's hopeless because they don't have muscle rub. (sweat!!!). So, I sat at the bus-stop for  a few minutes before I continue my run.

So, by God's glory I managed to finish the run in 1 hour plus, less than 1 and a half hour. Thank God for strengthening me during the last 300 meters, where I'm able to increase my speed (without pain) took over a few of the runners until I reached the finisher line. 

However after I crossed the finisher line, the pain on the knee came back. Ouch! Goma helped to applied muscle rub on my knee & massage it, Thanks! But after a while my knee experienced the burning sensation...it's warm! (double Ouch!)

The following information explains what has happened to my right knee...  

 

Runner's knee -  It's one of the 5 most common running injuries

 (by courtesy of Darren Chan who found this information from Internet)

Definition: A softening or wearing away and cracking of the cartilage under the kneecap, resulting in pain and inflammation. The cartilage becomes like sandpaper because the kneecap is not riding smoothly over the knee.

Symptoms:
Pain beneath or on the sides of the kneecap crepitus (grinding noise), as the rough cartilage rubs against cartilage when the knee is flexed.
Pain is most severe after hill running
Swelling of the knee

Causes:
overpronation (feet rotate too far inward on impact) - can cause the kneecap to twist sideways fatigued or weak quadriceps muscle. The quadriceps muscle assists in the proper tracking of the kneecap.
Weakness, especially of the inside part of the quadriceps, can prevent the kneecap from tracking smoothly muscle imbalance - between weak quadricepsand tight hamstring and iliotibial band (ITB)
Muscles can also affect proper tracking hill running (especially down hills) and running on cambered surfaces
Incorrect or worn shoes
Overtraining

Treatment:

Self-treatment:
Stop running
Take a course (5 - 7 days) of non-steroidal anti-inflammatory drugs(ibuprofen/voltaren/cataflam/mobic) available from your general practitioner or pharmacist
Apply ice to the shin area - for 10 minutes every 2 hours, in order to reduce the inflammation
Avoid weight-bearing activities and keep foot elevated where possible
Self-massage - using arnica oil or anti-inflammatory gel, on the sore spots around the kneestretch 2 - 3 times per day.
Strengthen the quadriceps muscle only when pain-free.
 
Exercises include:
1) Place pillow under knee, tighten quadriceps, push knee down into pillow and lift foot up. 20 times
2) Repeat exercise as above with foot turned out in order to strengthen the inside of the quadriceps muscle. Repeat 20.
3) Squats. Perform with back against wall. Bend knees slowly to between 45 - 60. Ensure that knee travels over line between bigand second toes. Hold for a count of 5 seconds. Relax slowly. 20 times
4) Step-downs. Stand on step or box. Tighten quadriceps and lower opposite leg slowly to the ground.Ensure that knee travels over line and between big and second toes.Then raise the leg up onto the step,relax. Repeat 20.  Increase the number of repetitions in increments of 5 every two days, all the way up to 60 reps.
Stretching - of the quadriceps, hamstring, iliotibial band (ITB) and gluteal muscles
Return to running gradually
Full recovery is usually between four to six weeks

Medical treatment:
If injury doesn't respond to self-treatment in two weeks, see a physiotherapist or orthopaedic surgeon
Orthotist or podiatrist for custom-made orthotics to control overpronation
Orthopaedic surgeon - surgery to scrape away rough edges of cartilage may alleviate some pain.
Cortisone injections are ineffective

Alternative exercises:
Swimming, pool running, cycling (in low gear) "spinning"
Avoid any exercise that places strain onto the knee

Preventative measures:
Stretching of the quadriceps, hamstring, iliotibial band (ITB) and gluteal muscles. Hold each stretch for 30 seconds, relax slowly. Repeat stretches 2 - 3 times per day. Remember to stretch well before running, strengthening of quadriceps, hamstring and calf muscles correct shoes, specifically motion-control shoes and orthotics to correct overpronation
Avoid excessive downhill running, and cambered roads (stay on the flattest part of the road) .
Gradual progression of training programme
Incorporate rest into training programme

Special Thanks to Lisa who is still fetching me to and from UTAR, it's almost 3 weeks! Thank God for sending her to me.