Goi's Fitness Forum

Went to see the specialist as usual every year, X-ray showed right knee cap off to the right. Compared to a 2006 X-ray, it really was off. Not way off, but obviously off. Specialist said if the kneecap keeps drifting out I'll get arthritis, and he recommended stretching ITB, hams and strengthening vestus medialis (from a medical point of view that makes sense, but out of respect for him let's just say I'm looking for better advice).

A few questions. How serious is this? What should I do? Last, should I be more picky about any physical stuff I do? Last question is especially for Phing and Chay, I hope you can give me your perspectives, I'm thinking long-term and I have no intention of doing things that will make me a cripple in the future. I foolishly picked-up distance running 2001-2002, even did a half-marathon, and I'm glad I got away with no lasting damage. I really don't wish to make the same mistake again.

In case anyone is wondering, 2000 I suffered posterior dislocation of right knee (RIGHT KNEE, not just kneecap), acl mcl 100%, lcl 66%, pcl 33%, meniuscus gone. So yes, I'm naturally very concerned about the immediate and future health of my knee, because since surgery in 2001 it has been nothing but progress or at the very least nothing bad, this is the first time I'm getting bad news. I hope this is just a short-term problem that can be solved and not the beginning of long-term deterioration.

why don't you get yourself screened and you'll know.
hard to tell but could be tight ITB and weak abductors thats causing the shift of the Q-angle which i think will lead to the patella shifting out due to the tension-tightness.

Given all the stongman training - little rehab/prehab? that you've neglected unilateral training.

Sounds like you have a basic fundamental problem. Is your search for a 2nd opinion on the actual problem, or on the rehabilitation programme? It doesn't sound like your doctor is asking you to go for surgery or take a course of drugs which may have significant side effects, which is typically why someone would ask for a 2nd opinion.

How would working on your ITB, Hams and VM have a negative impact on your well being?

Regardless, certainly Louis' recommendation makes sense, do a screen (whether with someone we know or another doctor/therapist), to see whether other points get picked up that a gross examination may not. For example, your movement pattern may exacerbate the condition (or perhaps is even causing it? adding 20kg in a very short time certainly isn't "healthy")

My 2 cents: if you aren't a professional athlete, your long term health is paramount.

I thought we already know what to do as per OPT? Have you been doing the prehab/rehab? What else outside these do you do for prehab/rehab?

Weib wrote:why don't you get yourself screened and you'll know.
hard to tell but could be tight ITB and weak abductors thats causing the shift of the Q-angle which i think will lead to the patella shifting out due to the tension-tightness.

Given all the stongman training - little rehab/prehab? that you've neglected unilateral training.

You have said what I have suspected myself. The tyre flips probably have something to do with it. But if so, then it's only a temporary problem that can be fixed and not the beginning of the end. Thanks for your opinion.

xarope wrote:Sounds like you have a basic fundamental problem. Is your search for a 2nd opinion on the actual problem, or on the rehabilitation programme? It doesn't sound like your doctor is asking you to go for surgery or take a course of drugs which may have significant side effects, which is typically why someone would ask for a 2nd opinion.

How would working on your ITB, Hams and VM have a negative impact on your well being?

Regardless, certainly Louis' recommendation makes sense, do a screen (whether with someone we know or another doctor/therapist), to see whether other points get picked up that a gross examination may not. For example, your movement pattern may exacerbate the condition (or perhaps is even causing it? adding 20kg in a very short time certainly isn't "healthy")

My 2 cents: if you aren't a professional athlete, your long term health is paramount.

You're right, the doctor didn't seem too concerned (well he knows what I've been doing all along), it may not be as big a deal as it seems. Just wanted to know if anyone else faced the same problem and if there are any adverse effects.

The rehab part was confusing because (sorry I failed to mention this), in 2006 I did nothing but kbs, no rolling, stretching, etc whatsoever, and I squatted knee-exclusive, yet the kneecap was in place. 2009 I'm doing all the "right" things and the kneecap is out. Didn't make sense to me. But Louis did bring up the strongman training, which could've been the cause. Perhaps a 2008 X-ray would have shown differently. My right ITB and hams are already level 2 flexible, I don't think I can go up to level 3. VM, more front squats then.

Thanks for your opinion. This time I'll follow Chaar and train strongman 3 months from competition instead of all year, before that nothing but strength gains only. This year's probably the last time I ever get fat again. Ha ha, definately wasn't the wisest move for myself and my knees.

I think you just need allocate some time to do some rehab drills/stretches and unilateral training.
You can't train intensively all the time all year round, periodizing your approach would be a smarter way to doing things. ( i think you know this already) But if you're actively competing then of course, you'll still need to train technique - which is also strength training.

Its a mental mind trap to want to get stronger and stronger at the gym without addressing issues such this, flexibility and mobility included and getting more efficient with the technique and conditioning- the sport is a dynamic one - not a static one unlike PL'ing.

You can shut up now Louis.

Jonathan wrote: This year's probably the last time I ever get fat again.

nice, i like the spirit (:

Jonathan wrote:This year's probably the last time I ever get fat again.

cheers, we'll all be behind you (not literally).

Jonathan wrote:You can shut up now Louis.

nice, i like the spirit (:

galapogos wrote:

Jonathan wrote:You can shut up now Louis.

nice, i like the spirit (:

Lol!

i ish lub chiu jon, jia you hookazy?

me also plauged from injury from soccer.