strange medial knee problem

[ohididya]

Hi,

I have this strange knee injury which I got playing rugby back in March (have no recollection of exact incident that caused it).

It wasnt too serious (didnt realise I hurt it till the next day) and I took 4-5 weeks complete rest (as season was over).
I then went back to the gym when there was no more discomfort when walking/jogging and did strengthening exercises. I am know back doing heavy squats, without any problems, lunges, leg curls & extensions all with no problems.
However, every now and then, I get a bit of soreness on the inside part of my left knee. The best way I can describe when it hurts is when standing I drag my left leg laterally (with resistance) from outside to inside (adducting?) along the ground, it feels sore on medial/inside of knee (only sore when leg is restricted from movement, not sore with no resistance).

Any ideas what this might be? (have done the vargus test, but appears negative)

Do you know of any exercises I could do to solve this problem? Should I replicate with a theraband the movement which causes the discomfort (obviously starting with light bands and build it up like that).

Thanks in advance.

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[physiosam]

I would guess if the 'valgus' test was negative (for MCL), it might be the pes anserine insertion of the adductor longus muscle, because it is brought on with muscle activation, and that is the main adductor that crosses the knee joint.
If its been that long, you can probably start doing theraband stuff for it without damage, but you could also go see a physio, and have some transverse frictions/ultrasound and also a PROPER DIAGNOSIS haha.
Take into consideration I haven't seen your knee at all.
Cheers, good luck!

[ATTIreland]

You say you did the valgus test, how? Did someone do it on you as you cant do it to yourself, and if it was someone else were they trained to do it or just having a go?

If it is really negative then pes anserine would definitely be a consideration.

[Feelgood.MD]

I would agree with physiosam and ATT Ireland,

firstly proper diagnosis.
proper location
all stresstests especially varus/valgus
then muscular tests etc.
probably MRI to be sure of no lig.,menisc, or even bonbruise.
(Not trying to make you sweat it's just the way we think,so I wrote it down, that you can follow)

How deep do you squat? over 90degrees flexion?
When you move your leg from Out to In and create the symptom, is Your knee straight or bend?
Does the pain irradiate?Does it go from somewhere to somewhere?Probably kneecap?

Things you might do without harming it. Not only bulge more muscle around it
but activate the right ones.
In my opinion a highly underestimated muscle that stabilizes and locks the knee as well as taking tension from the ventral and lateral parts, is M.Poplitaeus - try to activate and strengthen it. As well as your hamstrings close to insertion - meaning you need to change the Angel when working out.So That you feel the exercise more toward the knee than the entire hamstring oder butthock.
Try strengthening of Hamstring and Poplitaeus with muscular endurance, then over to 6-12 reps.
Further I would recommend NO SQUATTING or Lunges until proper diagnosis.
There is a risk of meniscal, ligamental involvement or further even bonebruising! Reduce the impacts or loads. So try cycling instead of jogging.

Use the time that you need to recover your knee on other weaknesses,
Abs whatever.

Hope this helps
keep us up to it
Greets

[newbie123]

this one is beyond me! I would go and ask your doctor to have a look!

[madisonjones]

During running, the knee is normally flexed at around 20 degrees when the runner’s foot hits the ground making the ITB is highly susceptible to friction on the lateral epicondlye of the femur. Running regularly increases the likely hood. Soft tissue or deep friction massage can be used, Prescribe anti-inflammatory medication such as NSAID’s e.g. Ibuprofen, Use electrotherapeutic treatment techniques such as TENS, ultrasound and/or interferential.