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Knowing when knee pain is safe and when to stop

Of all the pain and pain that runners can plague, knee pain is one of the most common. As a Physiotherapy doctor, patients often ask me when it's okay to run with Knee Pain and if they go through, it could lead to a worse injury. As a runner, I owe running with knee pain when I should probably take a break. If you are something like me, you are in considerable pain to get you to work, but the truth is that this is not always the best solution.

Knee pain occurs in many forms. It can be sharp, boring, painful, zinging, shocking or creaking.

Physiotherapists do our best to quantify the pain, using numerical scales and questionnaires about how much pain affects function, such as the popular 0-1

0 pain scale. But ultimately, pain can be very subjective. In some people, a slight pain can cause them to kneel while kneeling. Others (like many of my patients who are undergoing marathon training ) will grin and endure by undergoing a lot of knee pain as long as they feel they are not permanently damaging their bodies. While the techniques and scales for measuring pain are very helpful in quantifying and categorizing pain, they do not necessarily tell us when a person will stop walking or keep going because the pain is so individualized. 19659004] However, there are some general guidelines to follow when attempting to decipher between an annoying pain and a genuine injury.

Knee pain can be caused by a handful of different conditions. 19659006] General conditions include runner's knee (or patellofemoral pain syndrome), IT (iliotibial band syndrome), torn ligaments (ACL and MCL tears are the most common) and meniscal tears (cartilaginous tears in the knee)). Some of the pain and pain associated with these conditions can disappear with the right buttock, quad or 19459004 hip lift program serious foam roller shoe changes and certain stretches. However, some require more attention, including rest and / or physiotherapy. Runner's knee is the most common cause of racing knee pain, although there are some similar, not too severe states that runners can experience.

[19659008] According to research approximately 25 percent of the injuries caused by walking are attributed to the patellofemoral pain syndrome (PFPS) or "Runner's Knee". In my experience, the number of women affected by this condition is significantly higher than the number of men, due in part to the angle that the wider hips of women make to the knee joint. The runner's knee may feel like a dull, diffuse pain in and around the kneecap. It is caused by muscle imbalances (such as weak hips or a quad-force asymmetry) that cause the kneecap to slip when you bend and stretch your leg, eventually causing irritation in and Runner's Knee

Runner's knee can often lead to chondromalacia, a condition that develops when the cartilage under the patella becomes rough with repeated wear. This roughening leads to increased friction under the joint surface, which leads to irritation, inflammation and pain.

The IT Band Syndrome (ITBS) is also an overload injury. The IT band is a fascia band (connective tissue) that extends from the hip to just below the knee. It acts as a stabilizer during exercise, and an overuse or rapid increase in exercise volume (as well as biomechanical factors such as hip weakness) can cause it to become irritated.

The symptoms of PFPS, chondromalacia, and ITBS usually increase with plyometric leg training such as running. Although it is uncomfortable, it is usually OK to walk with these symptoms as long as you are also addressing the cause of your pain. Depending on the cause of your pain, these may include the various treatments listed above: Work on strengthening your hips and quads, stretching the lower body, and using myofascial release techniques, such as: B. foam rollers in the tight spots. (Of course, if your doctor says otherwise for your particular case, always listen to her.)

If the knee pain is stronger, more frequent, or more severe, or if they cause a sense of instability, "catch" (as you can Do not fully bend or stretch or bend your knee, it could be a more pressing problem.

Structural problems such as ligament or meniscal tears are usually a different story, and these injuries are by definition indicative of damage to one of the stabilizing structures in the knee joint Instability, swelling, limited range of motion, and higher levels of pain are more common in these injuries and are all signs that you should have your knee examined by a specialist before starting to walk again.

If You Can Evaluate Your Pain out of 10 points (10 being the worst pain in your life i st), it might work well to run on it.

That is, any small amount of pain is a signal to your body that there is likely to be a weakness elsewhere that contributes to poor body mechanics. Weakness and tightness can fortunately be tackled with the right force and stretching routine. If you are not concerned with your symptoms, a relatively minor pain from something like a runner's knee can lead to a more problematic acute injury such as torn ligament. So, if you decide to go through the pain of a relatively small runner's knee, make sure you also address the cause of the problem.

And if your knee pain ever intensifies so much that it's hard to accomplish on a daily basis, activities like walking or climbing stairs, then (usually) running on them is not a good idea. As you run, you are forced to weight each leg individually with your total body weight and gravity. Anything you feel while walking is exaggerated and intensified by running, which makes your knee and the rest of your body more vulnerable.

Still not sure if you need to stop running? My advice is to see a physiotherapist before the pain gets worse.

A Physiotherapist can analyze your movement, examine your gait and the mechanics of your entire body, and find out what can be true Cause of the problem. Why was one knee injured and not the other? Maybe it's chronic weakness in this one hip. Maybe this ankle sprain 10 years ago made you prefer a side. Simply getting a diagnosis from a doctor is a start, but it will take an analysis of your movement to understand why your pain is there and how to eliminate it.

Knee pain can come and go, but if it does not disappear completely after a few weeks (even if it's mild) or bad enough that you stop doing something that you love (like running!), then it is time to give it a try, if you have not already done so. Schedule a visit to a physical therapist or M.D. who can properly assess what's going on. Luckily, most knee injuries in running are due to overuse rather than traumatic accidents, which means there are ways to intervene.

For many runners, knee pain is only part of the sport they love. I also worked through my own racing knee injuries. I wore a motion-free knee brace for months while living in a hallway on the fifth floor – I know the fight. But pain is a really important signal that something is going on in your body, and it's up to you to hear and translate the message. Knowing how your body normally feels and listening to those pain signals is ultimately the best way to avoid major injuries and maximize the time you spend out there feeling blissful.
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