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  1. #26
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    Quote Originally Posted by francois View Post
    I had a decent revelation today as I hiked with my daughter in the morning and I rode in the afternoon. No pain at all.

    It echoes what a lot of what my PT is saying: I have to strengthen my glutes, hams, IT band, core, etc.

    In essence I have to do other things aside from my 100% riding in the last 12 years.

    And it doesn't all have to be in the gym. It could be as simple as hiking up and down hills. I'll do some yoga too btw.

    I am about your age and have been dealing with ITB pain for about 2 years. I have backed off in intensity and duration of rides and that works but if I start hammering to hard or for too long it hurts.

    One thing I have noticed, is that if I lay off biking for a while, the first ride is always painful. When I ride more frequently, the pain is reduced (up to a point).

    My self diagnosis is that there is some scar tissue that is setting and then getting broke up when I ride after a period of no riding. Have you noticed the same thing?

  2. #27
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    Quote Originally Posted by francois View Post
    From my MRI, most issues have been eliminated. Not tendinitis, patellar tracking, ligaments.

    Cartilage irritation and fluid in my knee are the suspects right now.

    fc
    Cartillage irritation and/or wear very difficult to pick up on the MRI an arthroscope was how they found my wear...cartillage wear and tear under the kneecap...

    BTW that causes swelling which as near as I can tell is water on the knee.

    Hope you don't need a scope in the near future.....you can count on it in the long run.

  3. #28
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    Quote Originally Posted by francois View Post
    I had a decent revelation today as I hiked with my daughter in the morning and I rode in the afternoon. No pain at all.

    It echoes what a lot of what my PT is saying: I have to strengthen my glutes, hams, IT band, core, etc.

    In essence I have to do other things aside from my 100% riding in the last 12 years.

    And it doesn't all have to be in the gym. It could be as simple as hiking up and down hills. I'll do some yoga too btw.
    Sounds like golf might be in your future again. I'm sure the guys at Golf Review Forum could give you some pointers...

    Just in case you forgot the address... here's the linky

    Golfreview.com Forums

  4. #29
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    Quote Originally Posted by francois View Post
    I had a decent revelation today as I hiked with my daughter in the morning and I rode in the afternoon. No pain at all.

    It echoes what a lot of what my PT is saying: I have to strengthen my glutes, hams, IT band, core, etc.

    In essence I have to do other things aside from my 100% riding in the last 12 years.

    And it doesn't all have to be in the gym. It could be as simple as hiking up and down hills. I'll do some yoga too btw.

    I have had a similar breakthrough. Was off of the bike for about 8 months from anterior knee pain and also dealt with the Dr's, MRI, PT, etc. My only form of real exercise came from cycling. One day I decided to hop on the wife's treadmill and run for a few just to see what happened. Knees were just fine, no increase in pain at all. You would think the pounding would amplify the issue but it actually seemed to help.

    Shortly after I found a local sports med doc/posture specialist and he found my glutes and hamstrings were in horrible shape, very tight and weak. Not to mention the general muscle atrophy from inactivity. I was prescribed a series of exercises and stretches and it has really made a difference (you would think a high bar back squat with 75% body weight would be hell on the knees!) I'm back on the bike now and feeling great, almost 100% I would definitely look towards strength training for help. It was the long awaited silver bullet for me. The rest, stretching and traditional PT did nothing but prolong my condition. Get those muscles balanced and strong!

  5. #30
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    Francois,
    This is a couple of months late, but I had similar issues with my right knee about 4 years ago. 39 now. After I found a good sports med ortho he prescribed the less invasive option of PT first. I did that for a few months and it did help however I still had pain and inflammation on the lower knee cap at what felt like the inside under the patella tendon. I let that go on for a while and then went back to see doc. He was about 98% sure it was a fat pad impingement at the bottom of the kneecap causing the inflammation and pain. Riding always made it worse. Not willing to give up the bike I elected the surgery.

    Low and behold he had to trim back the fat pad and while he was in there found that I had fracture the knee cap at some point causing a piece of cartilage to hang. He cleaned everything up and about 2 weeks later I was on the trainer. 4 weeks after that I was doing easy rides outside.

    Hope this helps. Quite honestly I ran across this thread as I was looking for discussions on meniscus tears as I may have F'd my left knee up a few days ago off of the bike.

  6. #31
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    My knees have been a mess - actually, just one knee. An ACL tear and then scar tissue gone wild have resulted in numerous surgeries and more time/money at the PT office than I would like to admit. Recently, I began having issues with my patella tendon. I'd be riding along just fine and then be struck by a stabbbing pain in my knee or just below it. It had gotten to the point where I couldn't walk at times.

    My doctor recommended another knee surgery. I opted, instead, for yoga. Yes, laugh. But it actually has been amazing. Bikram or heat yoga is fabulous for joint and tendon issues. The room is heated to about 105-110 and the poses are designed to increase flexibility, strength, and blood flow. After about 4 weeks, I was able to remove the brace and begin skiing/biking again like I was before. Working on strength, flexibility, and balance in very specific areas (hamstrings and glutes) and working on forcing my quads to fire (not an easy thing a few surgeries down the road) has improved and even eliminated a lot of my pain. Also, my instructor and I have slowly begun breaking down scar tissue with specific exercises. Painful, but amazing.
    Surgery, in some cases, can be necessary. However, there are other options out there that are less evasive and what's more, celebrate what you are capable of. After two years of surgeries the hardest thing was constantly feeling inferior, injured, etc.
    Find a way to heal that empowers you and your mind/body will do the rest.

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