Ongoing anterior knee pain - cycling injury

[sydheejin]

Hi I'm an amateur cyclist.

My knee pain started 3/12 ago post competition.
I have upgraded to a higher level for the first time, and over- exerted.

Pain initially started from the medial side of knee ( muscle belly of VMO). then got worse the following wk, spreading to ant knee (patellar tendon).

(I had osgood schlatter syndrome when i was a teenager, but never had a problem previously.)

I normally cycle 150-200km/wk, currently i cannot cycle due to I/T severe pain ( when it's at the worst: 6-8/10) I was planning to cycle 500km (100km/day) in 2weeks.

seen physio 7times over 12wks. seems to improve with physio, been doing VMO strengthening exs, soft tissue technique.

** on P/E,

obs: mm wasting over VMO
palp: slight laxity on L patella
am: full range flex,ext
pm: full range knee flex,ext,
OJ: nil hip/ankle pain
special test:
Thomas test: good iliopsoas lengths L=R, 80' knee flex L=R, however on passive knee flex, c/o pain over VMO on L.
ITB length: tight L ITB compared to R

irritability: once pain flares up, last 30min+. easy to flare up.

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[physicol]

Hi just a few questions

which knee are you having difficulties with?
How long have you been cycling for ?
how far was the competion when you experienced this pain post comp?
any swelling?
sleeping patterns? how do you sleep, on your belly compressing the knee etc?
previous fractures ?

how old is your bike? is it set at the correct height? do you do any other sports?

some good information already provided but a little more if possible

[sydheejin]

[QUOTE=physicol;56712]

Hi just a few questions

which knee are you having difficulties with?
it's mainly the L knee.

How long have you been cycling for ?
cycled for about 5yrs, but never had problem since the competition.

how far was the competion when you experienced this pain post comp?
about 5months, i had physios before, but it helps for couple of days, then it comes back.

any swelling?
no swelling, ? maybe bit of warmth, but only slightly.

sleeping patterns? how do you sleep, on your belly compressing the knee etc?
i sleep on my back..

previous fractures ?
no prev #, but had osgood schlatters in teen.

how old is your bike? is it set at the correct height? do you do any other sports?
about 1.5y/o. not sure if it's in the correct height... but will be fitted soon. no other playing sports...

some good information already provided but a little more if possible






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[EvelynBolick]

To be able to get an ideal knee painfulness diagnosis and to uncover the right knee pain remedies, lots of aspects should be examined. During the discussion, the doctor might inquire which are essential to properly analyze knee soreness.