Chiropractic / Musculoskeletal / Joint pain Q & A...

[newman897]

subluxations

hey doc i recently went to the chiropractor after being in pain for about 1 1/2 years. I always thought I pulled a muscle because the pain would come and go. its always the worst in the morning when get out of bed. Turns out i have some subluxations in my upper back on my right side right under my shoulder blade is where the pain is. The doctor i saw sad my bad posture in my neck was causing it. Anyway i get my back and neck cracked 3 times a week for the next 3 months and i was wondering if there were any stretches i could preform on my own time to help increase the mobility of the area ?


if it matters im 25 years old 6'7 225

 

[ScottyDoc]

hey doc i recently went to the chiropractor after being in pain for about 1 1/2 years. I always thought I pulled a muscle because the pain would come and go. its always the worst in the morning when get out of bed. Turns out i have some subluxations in my upper back on my right side right under my shoulder blade is where the pain is. The doctor i saw sad my bad posture in my neck was causing it. Anyway i get my back and neck cracked 3 times a week for the next 3 months and i was wondering if there were any stretches i could preform on my own time to help increase the mobility of the area ?


if it matters im 25 years old 6'7 225

My first suggestion is to run that exact question by your CHIRO, he is the one treating you and I really don't want to step on anyone's toes here. But I will tell you a neck stretch that should help you out a lot, again run this advice by him first, as he might have a different plan in mind for you. Anyway, I recommend you do this stretch every single day... 3 x's a day for 5 minutes each time. It may make your neck sore at first, but will help re-balance the natural cervical curve in your neck, which from what you are telling me I am pretty sure is your problem. Lay on your back on your bed with your head handing off the bed and just relax and let gravity do the work for 5 mins at a time. Kind of like when you were young and maybe laid on the couch watching tv upside down, also, while doing this put a pillow under your knees to keep them propped up in the air a little, knees not your feet, and this will help keep any unnecessary pressure off your low back as well. If you are not sure what I am talking about just ask and I'll try to explain it better.

 

[ScottyDoc]

Thanks for the thread. I'm also in the ATL. I saw your gyno surgery photo and was wondering if you could advise where you had it done?
Thanks

I had my surgery done at Thomas Cosmetic Surgery Center somewhere off of Jimmy Carter Blvd, I think that is in Atlanta, or right on the outskirts of the city near I-85 & I-285. Here is their email address... [email protected] I hope this helps bro, I think they did a fantastic job to be honest with you, they went in by making their incision around the outer edge of my nipples and yes I can see a scar, but only because I know it is there, others do not see or notice it at all, it blends in with my nipple line almost perfectly... I mean you tell me, can you see it in any of my other pictures, look in my picture gallery??? All the pictures of me in my picture gallery were after the surgery!

 

[EasyEJL]

so far the art/graston is helping. it has reduced the normal day to day irritation (it wasn't constant pain, but just moving certain ways used to cause more pain) and has increased what i'd call my "pain endurance" during workouts. not how much pain I get and can handle, but how long into the workout it is before pain starts. I'm back to where I can work chest hard enough to get DOMS, which is sort of nice

 

[ScottyDoc]

so far the art/graston is helping. it has reduced the normal day to day irritation (it wasn't constant pain, but just moving certain ways used to cause more pain) and has increased what i'd call my "pain endurance" during workouts. not how much pain I get and can handle, but how long into the workout it is before pain starts. I'm back to where I can work chest hard enough to get DOMS, which is sort of nice

Awesome Bro, sounds like it is working, just keep it up, I am happy for you Bro!!!

 

[newman897]

I totally understand what your saying thanks for the advice. Ill tell him CHRIO tomorrow about it. That is what my problem is my head sits to far forward and my neck isnt curved right.

 

[ScottyDoc]

I totally understand what your saying thanks for the advice. Ill tell him CHRIO tomorrow about it. That is what my problem is my head sits to far forward and my neck isnt curved right.

Good Plan Bro, remember structure affects function and function affects structure... they go hand-in-hand, get them both right and you are GOLDEN!!!

 

[EasyEJL]

so my chirpractor told me something interesting during today's ART/graston torture session. He said that if I can avoid it, I should never do overhead shoulder presses or any other overhead move to where my elbows raise higher than my shoulder. He explained how the delt easily starts to overpower the rotator muscles which would normally keep it in place, and when the arm starts to go above parallel to the floor is when the humerus is pulling out of the rotator cuff the hardest. I just wanted to check in and see what y'all thought.

 

[sapentia]

so my chirpractor told me something interesting during today's ART/graston torture session. He said that if I can avoid it, I should never do overhead shoulder presses or any other overhead move to where my elbows raise higher than my shoulder. He explained how the delt easily starts to overpower the rotator muscles which would normally keep it in place, and when the arm starts to go above parallel to the floor is when the humerus is pulling out of the rotator cuff the hardest. I just wanted to check in and see what y'all thought.

That would make it difficult to work shoulders, but I am interested in feedback on this too. It seems to me like proper alignment in the lift technique might address some of this but I have no scientific basis for that. But if the weight is on proper line with the body it should put less strain on the rotator cuffs, however, the more the weight is located eccentrically forward or back it would seem that it would proportionally strain the rotator cuff.

I've got heavy seated DB shoulder presses today too!

 

[ScottyDoc]

so my chirpractor told me something interesting during today's ART/graston torture session. He said that if I can avoid it, I should never do overhead shoulder presses or any other overhead move to where my elbows raise higher than my shoulder. He explained how the delt easily starts to overpower the rotator muscles which would normally keep it in place, and when the arm starts to go above parallel to the floor is when the humerus is pulling out of the rotator cuff the hardest. I just wanted to check in and see what y'all thought.

OK... I want to word this properly... He is right, but that is not a very practical answer to the problem and in my opinion a tad extreme! What I mean by him being right is what Easy described him saying is accurate, the delt does start to overpower the rotator cuff muscles and when you do a military press the humerus is pulling on the rotator cuffs the hardest, but our bodies were designed to lift overhead, therefore I believe if you take the right precautions knowing this fact (as in work just as hard to strengthen the rotator cuff muscles as you do to work the delts) you can counteract future problems. I mean my shoulders have a tendency to be rolled forward and when I was in Chiropractic school many moons ago, I asked one of my professors what I could do and he said never workout my chest or biceps and concentrate on my triceps and and back and after a year or two it would correct itself, I did not listen, but heard him, so I started doing chest and biceps light and for high reps, while I continued to train my back and triceps heavy and sure enough after about 3yrs it did correct itself. So with that being said, maybe if one is experiencing shoulder pain, workout your rotator cuffs light weight high reps twice a week and only do heavy military presses every other week, to let one catch up to the other. Well that is my take on it anyway!

 

[tromcom]

Thanks for the info Doc. I'll check them out. I was wondering if any of the other photos were from after the surgery. It looks like the did a superb job if they all were.

btw - F.F. 550 XD was the bomb!

I had my surgery done at Thomas Cosmetic Surgery Center somewhere off of Jimmy Carter Blvd, I think that is in Atlanta, or right on the outskirts of the city near I-85 & I-285. Here is their email address... I hope this helps bro, I think they did a fantastic job to be honest with you, they went in by making their incision around the outer edge of my nipples and yes I can see a scar, but only because I know it is there, others do not see or notice it at all, it blends in with my nipple line almost perfectly... I mean you tell me, can you see it in any of my other pictures, look in my picture gallery??? All the pictures of me in my picture gallery were after the surgery!

 

[ScottyDoc]

Thanks for the info Doc. I'll check them out. I was wondering if any of the other photos were from after the surgery. It looks like the did a superb job if they all were.

btw - F.F. 550 XD was the bomb!

No... I don't have any other post surgery picts, I mean not immediately after if that is what you are referring to. I was heavier then and wasn't really taking pictures with my shirt off, LoL, if you know what I mean. But later when I got lean, which was like 1.5yrs later, I have tons of picts and it is so hard to notice, I mean you have to know it is there and be really looking for it, I'm in no way insecure about it, because I forget the scars are even there and they blend into my areola's so well you really have to be examining my nipples to really see them. They did a damn good job, could not have been more pleased with the results!

 

[tromcom]

I had meant when I saw your surgery pics, I wondered if any of the other pics in your profile were post surgery. The fact that they all are means they did a great job. I couldn't see any sign of scarring. Sorry for the confusion. I wonder if you can answer another question. After the glandular tissue is removed, is there any chance of it returning.

No... I don't have any other post surgery picts, I mean not immediately after if that is what you are referring to. I was heavier then and wasn't really taking pictures with my shirt off, LoL, if you know what I mean. But later when I got lean, which was like 1.5yrs later, I have tons of picts and it is so hard to notice, I mean you have to know it is there and be really looking for it, I'm in no way insecure about it, because I forget the scars are even there and they blend into my areola's so well you really have to be examining my nipples to really see them. They did a damn good job, could not have been more pleased with the results!

 

[SEAJ]

I have a question if you do not mind after your done responding to tromcom. I have been working seated calf raises for about 3 months 2x a week (switched from standing Calf raises). About two weeks ago after my workout I noticed that my left ankle now pops every time I walk down a set of stairs. Also happens a lot if I shift weight from right to left foot if I extend my toes much. Gets worse and easier to start the pop when my joints and muscles are cool (exception being right after a calf workout session its easier to pop then also). It does not hurt in the slightest but I am kinda concerned to hear a releatively loud pop every step down stairs.

Should I be concerned or just change excercise for a while?

 

[sapentia]

I've got another question for you too Scotty when you have time. Friday I did some straight bar curls. Everytime I do these on the inside of my elbow joint I feel a pop. It's not in the actual bone part of the joint but in the ligaments/tendons. It feels really awkward and afterwards is a bit sore which I know can't be good. I have tried them with thumbs on and thumbs off grip and that doesn't make a difference. I have also tried varying my grip width to no avail. So I am wondering what the heck is wrong with my anatomy that I can't do this basic exercise? Thanks in advance.

 

[ScottyDoc]

I had meant when I saw your surgery pics, I wondered if any of the other pics in your profile were post surgery. The fact that they all are means they did a great job. I couldn't see any sign of scarring. Sorry for the confusion. I wonder if you can answer another question. After the glandular tissue is removed, is there any chance of it returning.

Yes, my surgeon warned me that it is almost impossible to remove 100% of the mammillary glands, therefore if something were to cause them to grow out of control like that again (continued hormone use) then yes it could happen again. He told me that he had worked on a few professional wrestlers that had to come back and get repeat surgery like a year or two later!

 

[tromcom]

Thanks again. I really appreciate it!

Yes, my surgeon warned me that it is almost impossible to remove 100% of the mammillary glands, therefore if something were to cause them to grow out of control like that again (continued hormone use) then yes it could happen again. He told me that he had worked on a few professional wrestlers that had to come back and get repeat surgery like a year or two later!

 

[ScottyDoc]

I have a question if you do not mind after your done responding to tromcom. I have been working seated calf raises for about 3 months 2x a week (switched from standing Calf raises). About two weeks ago after my workout I noticed that my left ankle now pops every time I walk down a set of stairs. Also happens a lot if I shift weight from right to left foot if I extend my toes much. Gets worse and easier to start the pop when my joints and muscles are cool (exception being right after a calf workout session its easier to pop then also). It does not hurt in the slightest but I am kinda concerned to hear a releatively loud pop every step down stairs.

Should I be concerned or just change excercise for a while?

That is odd, I would get that checked out! I mean if there is no PAIN, I would lose sleep over it, but I would definitely get it checked out either by a Chiropractor or an Orthopedic, just to play it safe and it not get worse and lead to early Osteoarthritis or possible ligament damage later due to instability! Always better safe than sorry, hope this helps, sorry I could not be of more assistance!

 

[ScottyDoc]

I've got another question for you too Scotty when you have time. Friday I did some straight bar curls. Everytime I do these on the inside of my elbow joint I feel a pop. It's not in the actual bone part of the joint but in the ligaments/tendons. It feels really awkward and afterwards is a bit sore which I know can't be good. I have tried them with thumbs on and thumbs off grip and that doesn't make a difference. I have also tried varying my grip width to no avail. So I am wondering what the heck is wrong with my anatomy that I can't do this basic exercise? Thanks in advance.

OK, I too have trouble when doing straight bar curls, I get the same thing! I don't know if it is something with our anatomy, lack of ROM (range of motion) either in our wrists or rotation in our forearms affecting our elbow, or even a lack of flexibility in the rotator, flexors, & extensors in our forearms putting extra pressure at the elbow joint. There are so many things it can be, I have just found that I don't get that pain when use the french-curl bar, so I personally just avoid straight-bar curls and stick with dumbbells and french-curl bar curls. This might actually be a really good question for BEZOE... You out there Bro, wanna add some insight?

 

[SEAJ]

That is odd, I would get that checked out! I mean if there is no PAIN, I would lose sleep over it, but I would definitely get it checked out either by a Chiropractor or an Orthopedic, just to play it safe and it not get worse and lead to early Osteoarthritis or possible ligament damage later due to instability! Always better safe than sorry, hope this helps, sorry I could not be of more assistance!

Thanks. I will get it checked out.

 

[sapentia]

OK, I too have trouble when doing straight bar curls, I get the same thing! I don't know if it is something with our anatomy, lack of ROM (range of motion) either in our wrists or rotation in our forearms affecting our elbow, or even a lack of flexibility in the rotator, flexors, & extensors in our forearms putting extra pressure at the elbow joint. There are so many things it can be, I have just found that I don't get that pain when use the french-curl bar, so I personally just avoid straight-bar curls and stick with dumbbells and french-curl bar curls. This might actually be a really good question for BEZOE... You out there Bro, wanna add some insight?

At least I'm not alone! Bummer though, I was hoping you might have some insight. My bis really lag in development and just don't respond well. I typically use the french-curl bar too or dumbbells. I think I'm right that the french curl bar works the brachialis much more than straight bar which is why I wanted to use the straight bar to focus more on the bi itself. Oh well, work with what you got and make the best of it! I would be really curious to know what the heck is going on in our joints though.

 

[ScottyDoc]

At least I'm not alone! Bummer though, I was hoping you might have some insight. My bis really lag in development and just don't respond well. I typically use the french-curl bar too or dumbbells. I think I'm right that the french curl bar works the brachialis much more than straight bar which is why I wanted to use the straight bar to focus more on the bi itself. Oh well, work with what you got and make the best of it! I would be really curious to know what the heck is going on in our joints though.

Ahhh, I have somewhat of a solution for you, I don't have a solution for you to start using the straight bar, but I do have a solution to help you develop your bicep better. I do these at least every other workout, when you do your french curls especially when you are doing preachers and really isolating them, curl with your wrists in the extended position throughout the entire movement, takes all the emphasis off of your forearm flexors and onto your bicep, completely isolates the bicep, works awesome!!!

 

[bezoe]

OK, I too have trouble when doing straight bar curls, I get the same thing! I don't know if it is something with our anatomy, lack of ROM (range of motion) either in our wrists or rotation in our forearms affecting our elbow, or even a lack of flexibility in the rotator, flexors, & extensors in our forearms putting extra pressure at the elbow joint. There are so many things it can be, I have just found that I don't get that pain when use the french-curl bar, so I personally just avoid straight-bar curls and stick with dumbbells and french-curl bar curls. This might actually be a really good question for BEZOE... You out there Bro, wanna add some insight?

Well there is a muscle called the supinator. It supinates the forearm (imagine that) and when the palm is up (supinated) this muslce is shortened across the medial aspect of the elbow joint. Its tendons may possibly be "snapping" across different bony prominences during the straight bar curls. The soreness is due to them being very mildly frayed. Like if you pulled a tightened piece of string over a rock... it will slowly fray and wear.

And yes some people have different anatomy.. tendons and ligaments are more or less lax in some individuals. You may just wanna find an alternative if it gives you trouble. OR stretch these medial elbow muscles by straigtening your elbow, turning your palm up, and extending (bending backward) your wrist with overpressure. :banana:

 

[bezoe]

Scratch the supinator muscle premise. It originates on the humerus and inserts on the radius. More likely the popping is wrist flexor muscle tendons on the medial aspect of the elbow being "snapped" across the medial epicondyle of the humerus. Stretch them the same way I described in the previous post.

 

[sapentia]

Ahhh, I have somewhat of a solution for you, I don't have a solution for you to start using the straight bar, but I do have a solution to help you develop your bicep better. I do these at least every other workout, when you do your french curls especially when you are doing preachers and really isolating them, curl with your wrists in the extended position throughout the entire movement, takes all the emphasis off of your forearm flexors and onto your bicep, completely isolates the bicep, works awesome!!!

Thanks for the tip! I will try that later today with my workout.

 

[sapentia]

Scratch the supinator muscle premise. It originates on the humerus and inserts on the radius. More likely the popping is wrist flexor muscle tendons on the medial aspect of the elbow being "snapped" across the medial epicondyle of the humerus. Stretch them the same way I described in the previous post.

Thanks for the advice Bezoe; I will stretch as you describe and see if it makes any difference.

 

[ScottyDoc]

Scratch the supinator muscle premise. It originates on the humerus and inserts on the radius. More likely the popping is wrist flexor muscle tendons on the medial aspect of the elbow being "snapped" across the medial epicondyle of the humerus. Stretch them the same way I described in the previous post.

Wait, I'm confused at what you are saying?

I know there are supinating and pronating muscles within the forearm which supinate and pronate the hand...

I'm just a confused :crackhead: right now, LoL! Bare with me!

 

[bezoe]

Wait, I'm confused at what you are saying?

I know there are supinating and pronating muscles within the forearm which supinate and pronate the hand...

I'm just a confused :crackhead: right now, LoL! Bare with me!

LOL yea the "supinator" and the "pronator teres". Supination occurs at the wrist AND elbow. Its essentially just the radius rotating. The ulna doesnt move. I was thinking the "supinator" was on the medial aspect of the elbow which wouldnt be logical at all.. i was very sleepy last night so it took me reading my post after I posted it to realize lol.

 

[bomcgraw]

Would anyone happen to know some ways to ease knee pain? I had a rod placed in my femur a few years ago and have been steadily bringing the strength back, but my job requires me to be on my feet on concrete in steel toe boots 50-60 hours a week and its takin a toll on my knees when I try to train. I have insoles in my boots, take osteo-biflex, and ibuprofen. I dont know what else to do.

 

[bluehealer]

Would anyone happen to know some ways to ease knee pain? I had a rod placed in my femur a few years ago and have been steadily bringing the strength back, but my job requires me to be on my feet on concrete in steel toe boots 50-60 hours a week and its takin a toll on my knees when I try to train. I have insoles in my boots, take osteo-biflex, and ibuprofen. I dont know what else to do.

See a foot doctor, you may require orthopedic boots.

 

[ScottyDoc]

See a foot doctor, you may require orthopedic boots.

I agree, they are called orthotics, it could definitely help! Another thing that I have seen help lots of people with chronic foot, knee and low back problems are... Invalid Link Removed to be worn when not in your boots. In order to walk in these correctly you must walk on your toes and not heel strike when you walk, this builds up the gastroc muscles and the soleus muscles as well as limiting the amount of impact when you walk and strengthen all the muscles ligaments and tendons in your feet and legs, it is worth a shot, I have a pair and I love them!

Invalid Link Removed​

 

[bluehealer]

Hey doc, I have this tendon, I assume, running horizontal across the outside of my kneecap.
It's about 1/8" in diameter. It is very tendor/sore to the touch and when I bend my knee under a load (waking down stairs) my knee hurts.

 

[ScottyDoc]

Hey doc, I have this tendon, I assume, running horizontal across the outside of my kneecap.
It's about 1/8" in diameter. It is very tendor/sore to the touch and when I bend my knee under a load (waking down stairs) my knee hurts.

Besides the anatomy, a little mobilization and a little rehab, I'm not the best with knees! I usually refer those patients out to a friend who refers his elbow and shoulder patients to me, where I am more proficient! Based on the anatomy, it sounds like your LCL (lateral collateral ligament), besides the basics of R.I.C.E. (Rest, Ice, Compression, & Elevation), I can't be of much help to you, but I bet BEZOE can, YO BEZOE... What do you think, some input!!!

 

[bezoe]

Hey doc, I have this tendon, I assume, running horizontal across the outside of my kneecap.
It's about 1/8" in diameter. It is very tendor/sore to the touch and when I bend my knee under a load (waking down stairs) my knee hurts.

I wanna bang your avitar while Im eating a bag of skittles.

When you say the outside of your kneecap, it makes me think of the area just laterally to the kneecap- not the side of your leg at the knee. Pain in this area, especially when weight bearing and moving the joint, indicates lateral meniscus damage.

I cant be sure of that online, as I would need to do some special knee tests on you in person. That and imaging are the only ways to really diagnose such an issue.

 

[bomcgraw]

I agree, they are called orthotics, it could definitely help! Another thing that I have seen help lots of people with chronic foot, knee and low back problems are... to be worn when not in your boots. In order to walk in these correctly you must walk on your toes and not heel strike when you walk, this builds up the gastroc muscles and the soleus muscles as well as limiting the amount of impact when you walk and strengthen all the muscles ligaments and tendons in your feet and legs, it is worth a shot, I have a pair and I love them!QUOTE]

I never even thought about those. Thanks for the help!

 

[ScottyDoc]

I wanna bang your avitar while Im eating a bag of skittles.

When you say the outside of your kneecap, it makes me think of the area just laterally to the kneecap- not the side of your leg at the knee. Pain in this area, especially when weight bearing and moving the joint, indicates lateral meniscus damage.

I cant be sure of that online, as I would need to do some special knee tests on you in person. That and imaging are the only ways to really diagnose such an issue.

Yo.. not disagreeing with you, but I always thought the meniscus (lateral or medial) were not painful? As in people can tear them and not even know they have done so, or am I thinking about something else, or is that only possible and not always the case, help me understand what I'm thinking of?

 

[bezoe]

I agree, they are called orthotics, it could definitely help! Another thing that I have seen help lots of people with chronic foot, knee and low back problems are... Invalid Link Removed to be worn when not in your boots. In order to walk in these correctly you must walk on your toes and not heel strike when you walk, this builds up the gastroc muscles and the soleus muscles as well as limiting the amount of impact when you walk and strengthen all the muscles ligaments and tendons in your feet and legs, it is worth a shot, I have a pair and I love them!

Invalid Link Removed​

Hell Yes! I have a pair as well Doc!

I actually did a bunch of research and conducted an inservice on these "barefoot/minimalist" shoes. The few studies done since their conception show three main positive benefits in wearing them:

1. Increases the intrinsic muscle strength of the feet

2. Increases lower extremity proprioception- thus increasing balance, by allowing the foot to feel everything under it

3. Decreases impact on ankle, knee, and hip joints by promoting the "shock setting mechanism" (the body's way of altering gait mechanics to decrease amount of force placed on lower extremity joints). Basically this means when you are wearing these shoes and have little cushion under the heel, it causes you to walk moreso on your forefoot to decrease impact. This, in turn places less stress on your knee and hip joints over time.

HOWEVER, one should not jump right into these shoes! If youve been wearing high arch, stability shoes for years, your plantar aponeurosis is not acclimated to the amount of stress you will be putting on it by wearing these. Plantar fascsitis is a bitch. The studies I looked at recommended a 10% a week transition to these shoes.

 

[bezoe]

Yo.. not disagreeing with you, but I always thought the meniscus (lateral or medial) were not painful? As in people can tear them and not even know they have done so, or am I thinking about something else, or is that only possible and not always the case, help me understand what I'm thinking of?

Ummm I know there can be pain with meniscal tears.. but im not sure there can be asymptomatic damage. It is very well possible though. Come to think of it, I believe I have heard of cases of just decreased ROM where the knee cannot terminally extend because of cartilage pinched between the condyles and tibial plateaus.

Most of the cases Ive seen have included symptoms of pain though Doc.

 

[ScottyDoc]

Ummm I know there can be pain with meniscal tears.. but im not sure there can be asymptomatic damage. It is very well possible though. Come to think of it, I believe I have heard of cases of just decreased ROM where the knee cannot terminally extend because of cartilage pinched between the condyles and tibial plateaus.

Most of the cases Ive seen have included symptoms of pain though Doc.

OK, was just asking, just thought I remembered something like that from school, as I said previously, Knees are not my forte, only familiar with the anatomy really!

 

[bezoe]

No problem bro! I just try to throw in the little bit I know when you call on me!

 

[bluehealer]

I wanna bang your avitar while Im eating a bag of skittles.

When you say the outside of your kneecap, it makes me think of the area just laterally to the kneecap- not the side of your leg at the knee. Pain in this area, especially when weight bearing and moving the joint, indicates lateral meniscus damage.

I cant be sure of that online, as I would need to do some special knee tests on you in person. That and imaging are the only ways to really diagnose such an issue.

When I say outside of kneecap, I mean between the skin and the cap, not under as in the joint area. If you were looking at my knee, it would be just below the horizontal centerline of my kneecap, running left to right. I can move the "ligament" up and down by rubbing my finger on my knee. If I kneel down on it, it hurts like a bi_ch. A sharp pain.

 

[ScottyDoc]

When I say outside of kneecap, I mean between the skin and the cap, not under as in the joint area. If you were looking at my knee, it would be just below the horizontal centerline of my kneecap, running left to right. I can move the "ligament" up and down by rubbing my finger on my knee. If I kneel down on it, it hurts like a bi_ch. A sharp pain.

As soon as I read that I thought of the Patellar Tendon and here is what I found on it:

Patellar Tendonitis:​

The patellar tendon connects the kneecap (the patella) to the shin bone. This is part of the 'extensor mechanism' of the knee, and together with the quadriceps muscle and the quadriceps tendon, these structures allow your knee to straighten out, and provide strength for this motion. The patellar tendon, like other tendons, is made of tough string-like bands. These bands are surrounded by a vascular tissue lining that provides nutrition to the tendon.

What causes patellar tendonitis?
Patellar tendonitis is the condition that arises when the tendon and the tissues that surround it, become inflamed and irritated. This is usually due to overuse, especially from jumping activities. This is the reason patellar tendonitis is often called "jumper's knee."

When overuse is the cause of patellar tendonitis, patients are usually active participants of jumping-types of sports such as basketball or volleyball. Patellar tendonitis may also be seen with sports such as running and soccer. Also, some patients develop patellar tendonitis after sustaining an acute injury to the tendon, and not allowing adequate healing. This type of traumatic patellar tendonitis is much less common than overuse syndromes.

What are the symptoms of patellar tendonitis?
Patellar tendonitis usually causes pain directly over the patellar tendon. Your doctor should be able to recreate your symptoms by placing pressure directly on the inflamed tendon. The other common symptom of patellar tendonitis is pain with activities, especially jumping or kneeling. Less common, but not unusual, is swelling around the tendon itself.

X-ray tests are usually performed to confirm there is no problem with the bones around the knee. Occasionally, a bone spur is seen that can be related to patellar tendonitis. A MRI is useful in patients with chronic patellar tendonitis to look for areas of degenerative tendon.

Reference: Invalid Link Removed

 

[bluehealer]

As soon as I read that I thought of the Patellar Tendon and here is what I found on it:

Patellar Tendonitis:​

The patellar tendon connects the kneecap (the patella) to the shin bone. This is part of the 'extensor mechanism' of the knee, and together with the quadriceps muscle and the quadriceps tendon, these structures allow your knee to straighten out, and provide strength for this motion. The patellar tendon, like other tendons, is made of tough string-like bands. These bands are surrounded by a vascular tissue lining that provides nutrition to the tendon.

What causes patellar tendonitis?
Patellar tendonitis is the condition that arises when the tendon and the tissues that surround it, become inflamed and irritated. This is usually due to overuse, especially from jumping activities. This is the reason patellar tendonitis is often called "jumper's knee."

When overuse is the cause of patellar tendonitis, patients are usually active participants of jumping-types of sports such as basketball or volleyball. Patellar tendonitis may also be seen with sports such as running and soccer. Also, some patients develop patellar tendonitis after sustaining an acute injury to the tendon, and not allowing adequate healing. This type of traumatic patellar tendonitis is much less common than overuse syndromes.

What are the symptoms of patellar tendonitis?
Patellar tendonitis usually causes pain directly over the patellar tendon. Your doctor should be able to recreate your symptoms by placing pressure directly on the inflamed tendon. The other common symptom of patellar tendonitis is pain with activities, especially jumping or kneeling. Less common, but not unusual, is swelling around the tendon itself.

X-ray tests are usually performed to confirm there is no problem with the bones around the knee. Occasionally, a bone spur is seen that can be related to patellar tendonitis. A MRI is useful in patients with chronic patellar tendonitis to look for areas of degenerative tendon.

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You da man doc. Probably due to leg extensions. Doesn't sound too serious but will def see a doctor about it just to be sure..

 

[ScottyDoc]

You da man doc. Probably due to leg extensions. Doesn't sound too serious but will def see a doctor about it just to be sure..

Whenever possible, seeing a professional in person is always your best bet! If you have the resources, I would ask around and see if you can make an appointment with someone who specializes in knees and works with athletes, athletic specialists are usually the best because it is their job to advise the Athletes get them to or as close to 100% as possible, as their careers and sometimes millions of dollars are on the line! Trust me, word gets around as to who is best in your area, you could probably even Google it! I'm just saying I wouldn't just go to anyone, for example, if you came to me, I would probably only be able to identify what is injured and not give you the best advice on what to do/rehab etc. This is why I refer out, but some will just try anyway to make the $-Money-$, while not getting you any better than when you started because of their lack of knowledge in that area... (Blood-Sucking-A$$holes). So be careful, there are a lot of those out there!

 

[bezoe]

Yup. Patellar tendonitis. I have a chronic case in my left knee.

If you were an adolescent, we would have to consider Osgood Schlatter's and Patellofemoral syndrome as well but I doubt you are still growing, so those can be ruled out.

EMG studies prove that open chain quadriceps exercises such as leg extensions place more strain on the patellar tendon than closed chained movements such as squats... UNLESS the open chain movement is performed with extremely heavy weight without completing terminal extension or with extremely light weight, and reaching terminal ext. if desired.

There was a nice article on T-nation about it.. i will try to find it.

 

[bezoe]

From your subjective statements, I can pretty much guarantee its some tendonitis. Ice it after workouts, warm it up good before working legs, and dont go to terminal (full) extension on leg extensions.

There could always be a possibility of medial or lateral shifting of the patella due to increased or decreased Q angle- which would cause pain, but thats an entirely different beast.

And whats up with the flowery looing colors they gave us?? Does everybody else have a bright colored screen now?

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[EasyEJL]

just FYI, i'm going to go get my shoulder MRI'd on friday, just so we can see for sure if there is anything seriously damaged.

 

[bezoe]

That'll be interesting to see. I hope everything looks ok of course. Then again, im sure it would be nice to see some conclusive indication of why you are having issues.

 

[bluehealer]

From your subjective statements, I can pretty much guarantee its some tendonitis. Ice it after workouts, warm it up good before working legs, and dont go to terminal (full) extension on leg extensions.

There could always be a possibility of medial or lateral shifting of the patella due to increased or decreased Q angle- which would cause pain, but thats an entirely different beast.

And whats up with the flowery looing colors they gave us?? Does everybody else have a bright colored screen now?

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lol, ok thanks for the link but there are some big words in there. Basically what I got out of it was, do not do leg extensions. Lunges a better alternative?

 

[bomcgraw]

I took A&P last year but my prof was horrible and I got lazy too so I failed the class. Any recommendations on where to look to help prepare for the A&P needed for Personal Trainer degree?