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  1. #1
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    Reputation: dwoloz's Avatar
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    12 weeks off the bike and pain persists - WTF

    I'm 22 years old, no previous injuries, no crash or trauma. One day in October of 2006 my right knee just started feeling "not right" with slight pain specifically above my knee cap in the quad tendon area.

    I kept riding up until September 10 2007 when I thought stopping riding altogether was my only recourse for recovery

    I've been to 4 doctors (sports medicine and orthopedics) and they have all said that its quadriceps tendinitis but have failed to give any reasoning why it has persisted for so long and have failed to give any remedy. I have had an x-ray and an MRI done and so far no doctor has found anything abnormal. I've been going to physical therapy for 5 weeks without results.

    Yesterday was 12 weeks without pushing a pedal; been agonizing not to ride.
    Pain hasn't really improved since then. Both my knees don't feel right and any exertion (ie walking distances or kneeling or stair climbing) will flare them up.

    I feel like this is hopeless and my cycling career has ended before its really even started
    I'm scheduled to see a doctor at UC Davis Sports Medicine on Dec 17. I'm hopeful they will find something as they may be the most knowledgeable in this subject area but I still can't help but think that they will be like the rest and not know what to do

  2. #2
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    Rest is good, but

    Rest is good, but have you also incorporated stretching? I had a similar injury when I was in my early 20's. It was attributed to being hard-heading and never taking enough time off the bike or doing proper exercises/stretching to keep the body in balance.

  3. #3
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    Quote Originally Posted by GlazedHam
    Rest is good, but have you also incorporated stretching? I had a similar injury when I was in my early 20's. It was attributed to being hard-heading and never taking enough time off the bike or doing proper exercises/stretching to keep the body in balance.
    Stretching is over-rated and rarely done correctly. That is my opinion anyway. Not that this has much to do with my opinion because I had it beforehand, but a friend of mine "stretched" himself into a new hip as per what the doctor has informed him. Nice work. Way to stretch. He still stretches like a moron.


  4. #4
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    Quote Originally Posted by GlazedHam
    Rest is good, but have you also incorporated stretching? I had a similar injury when I was in my early 20's. It was attributed to being hard-heading and never taking enough time off the bike or doing proper exercises/stretching to keep the body in balance.
    I've been going to a physical therapist for 2 months who identified weakness and inflexibility in my hamstrings and calf. That has since been corrected and I am now at normal flexibility and strength however now weakness was found in my hip adductor and other hip muscles. Doing exercises to correct that now

  5. #5
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    sounds like you are trying all the right things. hope it works out for you.

    just wondering, have you tried applying ice to the area? maybe couple times day, 15 minutes each time, for a week or so? i have a knee issue and use ice after workouts to keep it under control. also, when you do start riding again (you will, don't lose hope yet), consider seeing a competent bike fit specialist to check out your pedaling style, shoes, insoles and cleat placement.

  6. #6
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    ibuprofin?

    I am more or less in the same boat. I went to a knee specialist and got the "tendonitis" diagnosis. No pain, just more of what the OP described as not quite right. I have taken some time off and hit the anti-inflammatories.

    Are we doomed to staying on things like advil? Is icing after each ride where this is all going? The OP is 22!! That is too young to worry about this stuff.

  7. #7
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    Other areas

    Quote Originally Posted by dwoloz
    I've been going to a physical therapist for 2 months who identified weakness and inflexibility in my hamstrings and calf. That has since been corrected and I am now at normal flexibility and strength however now weakness was found in my hip adductor and other hip muscles. Doing exercises to correct that now
    If your PT hasn't looked at them already, have your PT (hopefully a good manual therapist) look at your leg length, pelvic alignment, foot mechanics, and the spine. Do you have any back pain or previous injuries/scoliosis... to the spine?
    Sometimes a problem at the Lumbar region can make distal muscles weak (hip rotators, abductors etc.)
    When I don't see obvious pathologies with my patients I dig deeper to see if it may be a secondary issue due to another area such as the spine.
    BoiseBoy

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