i_like_sun Posted January 22, 2008 Share Posted January 22, 2008 (edited) Anyone have technical experience with these? Basically, I managed to freak my right knee out pretty well after hucking myself off a jump at Baker yesterday. I was throwing backside spins on my snowboard, and on the last one, over-cleared the landing and smashed down in the flats. My body rotated to the left as my right knee stayed put, and I completely compressed. When my knee reached full flexion I felt this really strange pull in my patella followed by a "clicking" sensation as my knee cap settled back against the lateral Capitulum. My symptoms are: mild swelling and tenderness in the MCL / VMO retinaculum. Mild infrapatellar pain when in flexion, and also pain in the superior patellar tendon near the insertion. Besides wobbly patellas, everything else is super tight and I have a well developed vastus medialis. I've done this once before, several years ago...... Today I'm wearing a Camp patellar stabalizer and icing it. I can walk fine, however any kind of squating motion kills it - which is unexpected. I've got a theory as to why this happened: a couple weeks ago I changed my snowboard stance so that my feet are wider, and more externally rotated. This helps tremendously with solid landings and deep powder stability. I am guessing that this increased valgus forces enough to cause a lateral subluxation when I was in full flexion combined with left rotation. The plan is to first take a week off from riding, and change my stance setting to reduce valgus force. Then workout my legs like crazy and avoid flat landings.... Injuries are a bitch. What do you think Mr. Layton? Edited January 23, 2008 by i_like_sun Quote Link to comment Share on other sites More sharing options...
layton Posted January 25, 2008 Share Posted January 25, 2008 Sounds more like an accident than any screwy biomechanical dysfunction. do the ol' P.R.I.C.E. and maybe wear a chopat when you're doing high risk knee activities. sorry i'm sure you wanted something more. and it's Dr. Layton - Quote Link to comment Share on other sites More sharing options...
i_like_sun Posted January 25, 2008 Author Share Posted January 25, 2008 Thank Dr. Layton! Can you refresh me a little on what the "P" stands for in RICE? Also, what is a chopat? I have a nifty little CAMP brace that places a constant lateral force on the patella, and that seems to work pretty well. Quote Link to comment Share on other sites More sharing options...
ivan Posted January 25, 2008 Share Posted January 25, 2008 pressure? pot? painkillers? pork? portabello mushrooms? Quote Link to comment Share on other sites More sharing options...
glm Posted January 25, 2008 Share Posted January 25, 2008 The chopat thing is a strap that goes across the patella to slightly compress the tendon just below the patella. This is supposed to have the effect of snugging up the tendon so the patella doesn't wander around while the knee is in motion - designed to relieve the standard runner's patella over use injury, but it might help here to keep things a bit tighter. You can google chopat. I tried one but I couldn't keep it in place while running - it kept wanting to wander down towards my ankle. If you can walk comfortably and have normal range of motion, Dr Layton's prescription is the right one. What is the "P", by the way? Quote Link to comment Share on other sites More sharing options...
ivan Posted January 25, 2008 Share Posted January 25, 2008 What is the "P", by the way? uhh, hello? pressure? pot? painkillers? pork? portabello mushrooms? Quote Link to comment Share on other sites More sharing options...
glm Posted January 25, 2008 Share Posted January 25, 2008 Are the mushrooms eaten or applied topically? Quote Link to comment Share on other sites More sharing options...
i_like_sun Posted January 25, 2008 Author Share Posted January 25, 2008 Are the mushrooms eaten or applied topically? I'm guessing eaten. Any sort of Hallucinogen could be useful here. Wait, unless its the evil nigthmare kind....... Quote Link to comment Share on other sites More sharing options...
layton Posted January 26, 2008 Share Posted January 26, 2008 P is for Protect I recommend walking it off, which is my new motto in the clinc. "Walk it Off Spinal Rehabilitation" Quote Link to comment Share on other sites More sharing options...
i_like_sun Posted January 26, 2008 Author Share Posted January 26, 2008 Thats pretty good Dr. Layton! Stopping activity right now seems like a bad idea seeing as I can still run on my knee without pain. Its just twisting motions that it doesn't like. I've been doing some research on patellar tracking problems, and the newest stuff seems to make it clear that focusing on proper hip mechanics is a better treatment plan than simply exercising VMO. Quote Link to comment Share on other sites More sharing options...
crazy_t Posted January 26, 2008 Share Posted January 26, 2008 you like to hear yourself talk lls. Quote Link to comment Share on other sites More sharing options...
i_like_sun Posted January 27, 2008 Author Share Posted January 27, 2008 Sure. I like dislocated kneecaps even more. Sprayer. Quote Link to comment Share on other sites More sharing options...
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