knee pain

Discussion in 'Injuries' started by lkomarci, Oct 28, 2007.

  1. lkomarci

    lkomarci Regular Member

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    hey guys, I got checked by my doctor, and there was nothing obvious that could indicate a knee injury. It might be my knee wearing down or something. Anyway, I think I'm going to get myself some glucosamine for the cartillage just in case.
    I haven't stopped training, I don't force that right leg lounge when picking up drop shots and I try not to make any stressing moves that might cause pain. I go easy on trainings, I won't be playing singles for another week or so, then I might give it a shot to see how it feels.
    Oh and I've started doing leg exercises with weights every day, especially leg extensions.
     
  2. Double_Player

    Double_Player Regular Member

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    take glucosamine regularly. it helps, even if it's just a little
     
  3. smileysoon

    smileysoon Regular Member

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    Time to get new shoes, and drink more water. take 1or 2 week off. Muscles telling you're either hyper extending your leg too much, or your grinding your knee a lot.
     
  4. lkomarci

    lkomarci Regular Member

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    you know what, now that you've mentioned it. My shoes are bad. A friend of mine bought them for me in another country, and they were WAY TOO SMALL for my feet. I think it's the SHB 99? They did stretch out a bit, but my fingers do get quite sore.
    I'm not sure if this could be the reason, but I'll definately buy new shoes now, I don't want to take any chances. Thanks! :)
     
    #24 lkomarci, Nov 1, 2007
    Last edited: Nov 1, 2007
  5. SystemicAnomaly

    SystemicAnomaly Regular Member

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    As I mentioned previously it could take quite a while (weeks or months) for glucosamine to have much of an effect. Did the doctor say is inflammation was indicated?

    Still would strongly urge you to use ice after exercise -- at least 2x per day.
     
  6. azn_123

    azn_123 Regular Member

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    You should try some super feet green insolese and take out the oem insoles. I tell ya..it makes a difference!:D
     
  7. smileysoon

    smileysoon Regular Member

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    insoles are bad idea for shoes, the shoe should have a gel pack sole. But I practice with slightly heavier shoes with the gel sole, and play with lighter shoes, makes a difference on my knees. When I practice
     
  8. Pete LSD

    Pete LSD Regular Member

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    Is your doctor an orthopedic specialist? Or is he/she just a family doctor?

     
  9. lkomarci

    lkomarci Regular Member

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    it's my dad's field of specialty, he's a surgeon and he is the most experienced knee surgeon here.

    But thing is, the knee scan doesn't indicate any bone damage, and no matter where he put pressure or moved the kneecap I didn't feel any pain. It's supposed to be just inflammation

    However, yesterday evening and today...I think my knee isn't in the best shape. I don't feel any pain, however, there's this very unpleasant feeling during some movements. For instance when I stand up it's like something has to pop inside my knee, it feels just like when you pop your fingers, but only its very queer and unpleasant. And it's worstening I have to admit. I talked to my dad and he advised me some time off trainings, he can't do a thing right now. I'm definately going to get some knee straps

    The way I see it on the pictures, I'm not sure if it's the anterior cruciate and lateral collateral ligament or the patella itself. I hope I haven't ruined the patella socket or whatever it's called so it's become unstable or something, I dunno
     
    #29 lkomarci, Nov 2, 2007
    Last edited: Nov 2, 2007
  10. mojopin

    mojopin Regular Member

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    According to what im told glucosamine is still unproven and could well be just another health supplement fad ( im too lazy to hunt down any research myself, but thats what i was last told by a doctor i was discussing it with ).
    If it takes months/years to work, how do you know its not simply the rest/natural healing over time thats fixing the issue?
    ( If i were to cut myself, and then ate ice-cream everyday, and the cut healed in a few weeks, does that mean ice-cream heals cuts?)
    So i wouldn't rely totally on that to fix the problem.



    Also, what are the anti inflammatory herbs you mentioned? i dont really know much about herbs/ herbal remedies so im always interested to find out.thanks :)

    Cartilage doesnt really repair itself much, so if you mess it up , its pretty much messed up for life.

    My knees were killing me recently for a while, cause im jump smashing all my smashes ( both bad for knees, and a stupid tactical decision).
    I replaced the insole in my shoes cause they were worn out, and i did some hamstring work to balance my legs as my quads were getting big and did plenty of stretching. Hey presto. knees are ok again.
     
  11. Pete LSD

    Pete LSD Regular Member

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    What kind of knee scan did you have? MRI? X-Ray?

     
  12. Pete LSD

    Pete LSD Regular Member

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    Yeah, you get that right!

     
  13. mojopin

    mojopin Regular Member

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    both are used, but for a sports injury like this , an ultrasound would be great, cause you can see inflammatory process in the soft tissue and tendons and stuff. And its cheap, fast and no radiation:)


    if anyone wants lots of useful info and random knee related crap:

    http://www.kneeclinic.info/index.php
     
  14. SystemicAnomaly

    SystemicAnomaly Regular Member

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    I believe that you are correct in that last statement above -- cartilage generally has very limited ability to repair/rebuild itself.

    Therefore, if cartilage repair is seen after an extended period of supplementation with GS (glucosamine sulfate), then it would appear that the glucosamine is beneficial -- since naturally healing for cartilage damage appears to be unlikely (or extremely limited).

    It would appear that clinical studies of GS have shown mixed results. However, many of those studies have been short-term (6 months or less), often with rather small sample sizes. I am aware of at least 2 long-term (3-year duration) placebo-controlled studies that demonstrated a clear benefit of GS treatment. At least one of those studies was conducted by Rottapharm (in case you'd care to do the research).

    Glucosamine hardly appears to be a passing fad -- supplementation has been around at least since the 1980s. I experienced arthritis in my racket hand when I was 40. After 4-6 months of GS supplementation, the problem completely disappeared and has not returned -- that was 15 yrs ago. Seems unlikely that type of problem would heal itself and then not reappear after 15 yrs.

    The meniscus damage (in my knee) also happened in the early 1990s. That problem was rather severe and took quite a few years to repair.

    Not sure about medical practices in Ireland but am well aware of Western medicine practices in the US. Most physicians here are part of the big-business medical community -- large pharmaceutical companies, the FDA, expensive surgical procedures, etc. Most doctors here are inclined to prescribe pharmaceutical drugs (fraught with side effects) rather than alternatives that are more natural or are of a preventative nature.

    With that said, it is interesting to note that many doctors in the US encourage the use of GS while many others do not.
     
  15. SystemicAnomaly

    SystemicAnomaly Regular Member

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    High dosages of NSAIDs are required to produce an anti-inflammatory response. For instance, 600mg to 800mg doses (several times a day) of ibuprofen are often prescribed rather than the normal 200-400mg doses. The higher doses are not supposed to exceed 10 (or 14) days. NSAIDs as well as COX-2 inhibitors are known to have significant detrimental effects.

    This was my impetus for seeking safer alternatives.

    There are quite a number of foods and herb/spices that have anti-inflammatory properties. Foods include green tea, cherries & cherry juice. There are numerous herbs/spices -- turmeric, ginger root, rosemary and white willow bark to name a few. There are 2 excellent herbal cocktails that I recommend -- D-Flame and Inflama-Rest. for more details on these herbs & spice as well as some info on icing, check out the following links.

    badmintoncentral.com/forums/showpost.php?p=536978&postcount=32

    More info in post #3 and #4 below:
    badmintoncentral.com/forums/showthread.php?t=42923
     
  16. wocdam

    wocdam Regular Member

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    i think the important thing here is to describe the kind of pain here. need to know whether it's a sharp pain, dull ache, pulling pain, front of knee, back of knee, side of knee, above or below kneecap, moving kneecap, extending joints etc before we can give any advice.
     
  17. mojopin

    mojopin Regular Member

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    Chronic nsaid use is a recipe for disaster, your right, so thanks for the info on the herbal approaches. Ill look into them asap :)
    Its a shame that more research hasn't been done into herbal remedies, as im sure many are beneficial and its quite dangerous for us to know so little about something which is so popular.

    Your recovery is encouraging , but im sure there are others who have tried it to no avail so there is definatly a need for some well organised , large scale research.

    I just flicked through the abstracts for some glucose amine research papers there, and like you said its mixed. Some report good results, some none, but most agree its better than a placebo, but not neccessarily by alot. Any thing that reduces the need for nsaids and other antiflamatories is a good thing though, as the side effects for glucosamine are kinda hazy but not as bad as nsaids anyhow.

    Medical practice here isnt as commercially orientated as in the US and the pharm companies have less control and sway over physicians decision making. Because of that, there are many doctors who would rather avoid drug use but cant exactly perscribe herbs etc as its unsafe in the absense of research, so their hands are tied. I dont know if glucosamine is given routinely here.
    Rottapharm ( after a quick googling) turns out to be the major manufacturer and supplier of glucosamine and supplys all the other studies worldwide. So. Make what you will of that. I imagine there not doing the research out of curiosity and are looking to make some cash.
    anyhow. cherry juice.... yum..
     
  18. lkomarci

    lkomarci Regular Member

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    I have the so called jumper's knee or patellar tendonitis. I'll be off trainings for weeks, maybe even months if the rehab doesn't go well, it depends. Anyway, ********************************!!
     
  19. SystemicAnomaly

    SystemicAnomaly Regular Member

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    Patellar Tendinopathy

    Altho' patella tendonitis is often commonly referred to as jumper's knee, patellar tendinopathy is the more correct term for jumper's knee. Tendonitis (or tendinitis) correctly refers to a condition of the tendon where inflammation is present. Tendinopathy, on the other hand, is a more general term that refers to a degeneration of the tendon -- if inflammation is present, it can be referred to as tendinitis; if inflammation is not present, it may be called tendinosis.

    Jumper's knee may or may not involve inflammation. Inflammation may be seen at the onset of jumper's knee but often evolves to a degenerative condition where inflammation is no longer present.

    Was an NSAID or other anti-inflammatory prescribed for you?

    Ice is still one of the best treatments to hasten your recovery. Glucosamine is probably worthless for this condition since it is a tendon issue and not a cartilage injury. An infrapatellar strap, often worn by volleyball players, is probably a good idea:

    Jumper's Knee Strap
    Patellar Tendonitis info

    Had you been executing a lot of jump smashes in your badminton training or playing? Actually, any repetitive explosive badminton footwork action could have been the underlying cause since this is an overuse injury. If you have flat feet or overpronation (of the feet), then you are probably much more susceptible to developing jumper's knee. Orthotics would be well advised if this is the case.

    An excellent resource for exercise & treatment of Jumper's Knee:

    Patellar Tendinopathy treatment
     
  20. lkomarci

    lkomarci Regular Member

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    Yes I'm taking NSAIDs and taking ice massages. True, glucosamine is quite worthless in my case.
    And I'm thinking of getting a good knee strap, maybe one that covers the whole knee I'm not sure yet.
    Yes I jump smash 90% of times so it could be the reason. After this thing gets better, first thing before I get back to training is going to be putting on some muscles. I have to pay more attention to my legs since they're the ones carrying all the weight.

    Hey thank you for those links!
     

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