B Deleted_Beck Posted February 5, 2012 Share Posted February 5, 2012 Howdy I did a 12-mile hill run, gaining about 1,200' and descending the same, about 2 weeks ago, and had some decent knee-cap pain during the run, mostly on descent. It hurt a little afterward, but not badly. I then did 7 miles with 700' of gain and descent about a week ago, and had worse knee-cap pain during descents, but also basically went away. I climbed Hood yesterday, and had some slightly worse knee pain on descent- I ran about half way down.. and about an hour after finishing and changing clothes, I had knee cap pain in my left knee so bad I could barely walk, and it just got worse and worse for the rest of the afternoon and night. Last night when I went to bed, it was almost unbearable to even move my leg, let alone hobble around. Today, I woke up with NO pain... but the ache has come back gradually throughout the day, and I can tell it's just one descent away from exploding. Are we talking about a tendon thing that's gonna take a month of no vertical gain to heal? Should I get it x-rayed? Anyone had this before? Thanks Quote Link to comment Share on other sites More sharing options...
davidk Posted February 5, 2012 Share Posted February 5, 2012 Had this last summer, but it has variations. It's typically a patella tracking issue, which can stem from a tight IT band, muscle imbalances, footfall/stride patterns, etc. Something causes the kneecap to miss-align when your knee bends, and the resulting grinding is felt as pain under the kneecap. The exact location and nature of the pain can help determine the underlying factors. I would stop running and logging serious vertical for now, ice it frequently, and see a physical therapist ASAP. Follow their plan aggressively to correct the issue. Mine came on gradually, and I tried to run and work through it, but it got so painful that I was limping and had serious trouble walking down a grade. Turned out to be a pattern of foot out-turn on my stride, and subsequent tweaking of the lower leg and knee, that was causing mine. But the root cause may have even been a muscle imbalance in my lower back. Aggressive PT solved the issue, and with some good taping I was able to start running again after 5-6 weeks. Quote Link to comment Share on other sites More sharing options...
B Deleted_Beck Posted February 5, 2012 Author Share Posted February 5, 2012 That fucking IT band... I was just noticing my ITB was really tight the other day, and couldn't remember the last time I stretched it. Guess I'ma gunna get myself a foam roller. Thanks.. I'll start stretching that sucker out and go super easy on descents for a few weeks. I can't not climb- not with this bright ass orb floating around in the sky for almost 9 hours out of every day lately. Must carpe diem. Quote Link to comment Share on other sites More sharing options...
jordansahls Posted February 5, 2012 Share Posted February 5, 2012 The other knee pain thread has some good info on the IT band. Here are a few videos from a blog that Matt Kidd posted that have some really great info on IT band problems. [video:youtube]Fw81R9jIAHs [video:youtube]2CLXGkE2Y6s [video:youtube]4zlMVXHBasI Quote Link to comment Share on other sites More sharing options...
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