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  1. #1
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    Upset Knee swollen, any ideas?

    Gotta start somwhere, any clues?
    After a bingle about 3 months ago, my left knee swelled up, was stiff and sore for about a week, and gradually came good. But if I jarred it, especially if my leg was staright, I got a sharp pain that feels like when you roll your ankle.
    Worse was to come. Yesterday on favorite trail, had to stop suddenly and managed to uncleat and plant my foot to stop going over, whith the same searing jolt of pain, worse this time. Managed to ride home via the firetrails and iced it for about 2 hours and took Nurofen, an anti inflammetry tablet. had repeat doses to control pain.
    This morning it has really swollen, with most of the swelling is directly above my kneecap and really stiff and sore. Obviously doctor visit tomorrow, but any ideas what this could be?

    The thought of not being able to ride with the crew each saturday is gonna be worse than the actual injury.
    Thanks guys

  2. #2
    surfer w/out waves
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    I'd say a tear... or maybe ligament damage due to the time frame... Don't ignore the knees!!!

    w/o seeing it in person it is very hard to diagnose most injuries, I'd be real careful w/ anything that sounds like a torn ligament... cuz they don't fix themselves!
    "Listen, strange women lyin' in ponds distributin' swords is no basis for a system of government!..." -- Dennis the Peasant

  3. #3
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    It sounds like you could have either a partially ruptured or fully ruptured ACL. Believe it or not, a person can actually jog with a fully torn ACL as long as the person does not plant their foot to turn. The ACL provides the knee joint with lateral stability. In other words, the ACL keeps your femur (the top leg bone) from sliding past the fibula and tibia (the lower leg bones). It is impossible to know for sure without the benefit of an MRI image, however, the fact that you felt a sudden pain when planting your foot after unclipping from your pedal tells me that your injury is most likely related to your ACL. I am not a doctor so please do not rely on this opinion as medical advice. That being said, you are exposing yourself to more severe injury by continuing to ride without first visiting an orthopedic surgeon specializing in knees. Good luck to you, and I hope your injury is mild.

  4. #4
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    Very good advice unclesam,
    yes I will get it checked 2moro when the medical centre opens. Hoping like hell it is not serious enough to warrant surgery but at the moment it hurts like hell and doesn't seem to be going back to normal in a hurry, despite frequent ice and resting!!

    Thanks mate

  5. #5
    mtbr member
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    Ray,
    This is good info, could be light at the end of the tunnel after all, praying its not too serious though.
    May I trouble you to ask how you treated your injury? Acuncture or physical excercise?
    Although I've yet to have a scan, (hopefully tomorrow) I would be definately try anything rather than succomb to the knife!!

    One thing 4 sure, the way I feel at the moment seems I have a lenghty spell on the sideline!!

    Cheers mate

  6. #6
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    unclesam

    Quote Originally Posted by unclesam
    It sounds like you could have either a partially ruptured or fully ruptured ACL. Believe it or not, a person can actually jog with a fully torn ACL as long as the person does not plant their foot to turn. The ACL provides the knee joint with lateral stability. In other words, the ACL keeps your femur (the top leg bone) from sliding past the fibula and tibia (the lower leg bones). It is impossible to know for sure without the benefit of an MRI image, however, the fact that you felt a sudden pain when planting your foot after unclipping from your pedal tells me that your injury is most likely related to your ACL. I am not a doctor so please do not rely on this opinion as medical advice. That being said, you are exposing yourself to more severe injury by continuing to ride without first visiting an orthopedic surgeon specializing in knees. Good luck to you, and I hope your injury is mild.
    He may be on the right track.
    Your mechanism of injury and the pain generator somewhat fit the "ACL" brand.
    The ACL does not actually support the knee laterally, but in an anterior/posterior direction. More correctly, the ACL prevents an anterior shear of the TibFib (lower leg) on the Femur (upper leg).
    In the hands of a good clinician it is relatively easy to tell if you have a complete tear, in which case an MRI would probably be a waste of money. At times, it is difficult to tell if there is a partial tear in the ligiment. If this be the case, your Ortho Doc would likely defer to an MRI.
    One can only specuate over the internet without placing a hand on the knee or having confirmation with imaging.

    At the very least, whether it is torn or not, there are general things that you need to do.
    One, protect the knee. Don't let it get any worse by performing any athletic movements on it (jumping, cutting, pivoting...)
    Two, get your swelling down.
    Three, get your motion back.
    Four, get your strength and stability back (namely get your quad tone back to normal once again).

    If you have any defecits in these areas, whether the ACL is torn or not, your Doc will likely send you to Physical Therapy to get the knee functioning again. If it is torn you will do the same.

    Good luck
    BoiseBoy

  7. #7
    mtbr member
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    Boiseboy, good stuff. Am off to the quack today, will advise what the go is. Thanks heaps for your input, the swelling is no different after 48 hours, and still sore as.
    One thing 4 sure, I'm certainly not planning anything athletic in the short term!!
    Cheers Mate

  8. #8
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    Hope

    Well guys,
    Seen the doc and got Xrays, which showed a very small crack in the end of the femur and a tear of the meniscus. No doubt made worse riding after a solid prang when my left grip hit a tree spearing me off the track at a right angle, 3 months ago in the Nerang state forest. The mistake I probably made then was to let it "heal itself" by having a break from riding for about 3 weeks, and easing back into it. Mind you, at the time I could barely walk for about 4 days till it came good.

    It obviously never healed properly, and was vulnerable to any sudden jolts to liven it up again so the quack today at the hospital has managed to get me in for an MRI with a specialist this Thursday, to reveal the extent of the crack and the tear and given me Brufen to try and deflate the bloody thing.

    Of course the expert will probably be keen to have a dig around if the results warrant it.
    The doc today reckons "keyhole surgery" is on the cards to fix it.
    Will post again after the MRI.
    I hope this info and the great feedback offered is a help to anyone else in the same boat.

    Cheers

    Ripper from down under (Oz)

  9. #9
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    Unclesam had it nailed...
    The worst is confirmed by the Specialist today, definitely a torn ACL. He proved it easy by being able to move the knee laterally, it wobbles around all over the place when twisted
    So he gave me a choice, modify your lifestyle so NO physical exertion that could twist your knee, or undergo a knee cre-construction to replace the torn ligament.

    O f course its the latter, as if I don't, with physical exertion (bike falls, skiing, surfing...he didn't mention sex) the knee will virtually crap itself, wear out the cartlidge etc.

    So its off for an MRI Saturday. He reckons its essential to judge the full extent of the damage before any operation. He'll check the MRI and advise exactly what he needs to do.
    Keep you posted.
    Riding the bike is out for some time...it'll feel like years.....

  10. #10
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    He may want to shave that miniscus while in there too. If you are determined to continue leading an active lifestyle then this is most certainly the right thing to do.
    BTW, ACLs don't heal themselves, but MCLs do as Ray found.

    Just for future reference and for all other viewers out there it's important to keep your pedal retention screws as loose as you can. The twisting motion to get out of the pedal puts the strain directly on the knee ligaments. Also, if you find you are nursing a weak or unstable knee, make the other side your default clip-out side so that the number of unclips from your bad side is minimal. We'll all get old some day, so let's limit the wear.

  11. #11
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    Yes.... Ankles and wrists are usually more injury friendly... Don't take injuries to your knees, back, neck, and shoulders lightly... A lot of damage could be done if left undiagnosed and untreated (treatment doesn't have to be a traditional "Doc" either)...
    "Listen, strange women lyin' in ponds distributin' swords is no basis for a system of government!..." -- Dennis the Peasant

  12. #12
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    UPDATE!!
    Hey guys, had the ACL / knee reconstruction 4 days ago. An overnight in hospital then home. Splint on and getting around on crutches. Plenty of time to chill out etc and do my excercises 2 times a day till post op review after 10 days. Here's hoping for a speedy recovery. i was amazed at the amount of ACL replacements that go on every day, mostly sport inflicted.

    Time to watch another DVD!!

    Cya's

  13. #13
    surfer w/out waves
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    good for you!!! I'm glad it's going well!

    When I shattered my arms I watched the first 3 seasons of the Sopranos in like a day and a half... Have someone go to the library and rent some really weird ones you have forgotten all about!
    "Listen, strange women lyin' in ponds distributin' swords is no basis for a system of government!..." -- Dennis the Peasant

  14. #14
    breathing helium
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    Best of luck on the recovery. I'm 3 months on a knee scope; 2 tears and medial plica removed. I'm just getting back to where I'm riding now. I'm actually going on my first "real" ride tomorrow. It's been a slow road, but it gets better and better. I think it's going to be a while before I'm 100%, but it is a LOT better than it was pre-surgery.

    Just take is easy, listen to the dr and physical therapist, and ease back into it. Good luck!!!

  15. #15
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    Funny! Mine was pretty similar I completely tore my Acl on Christmas, but like you the swelling went down and I went back to riding my bike. It would only hurt like you said when i really planted it or took a funny step. After 3 months of that I decided it was time for the MRI and I like you had the Hamstring graft done...
    CruisenSurly

  16. #16
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    Hey Thetreadway,
    good to hear you are well on the road to recovery. Like you I was fortunate enough to get some solid rides in between the 3 months when I did it till the season ending episode and had good quad strength before the OP. Now the quad is decreasing at a rapid rate, which is pretty scary.
    I bought a trainer ready for the bike, apparently the 5th or 6 week mark will see me break it out. It is coming into winter here, this injury would bave been a real bummer in summer with that splint on all day!! Keep in touch on your progress. Good luck mate
    Ripper

  17. #17
    Nightriding rules SuperModerator
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    Heal fast, ripper1!

    take good care of that knee and you will be back in full swing on the MTB

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