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re: Knee Pain After Running

Posted on 3/30/15 at 10:37 am to
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 10:37 am to
quote:

front or back?


Front for sure.
Posted by Lithium
Member since Dec 2004
61770 posts
Posted on 3/30/15 at 10:38 am to
Is it on the Tibia (big bone on the bottom pert of your knee)?
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 10:40 am to
Correct.
Posted by LSUfan20005
Member since Sep 2012
8805 posts
Posted on 3/30/15 at 10:40 am to
Much of the time, knee problems originate at the hip or the ankle. So look for issues there to help address the cause.

My first thought was you are a heel-striker, which has been well-covered here. If you are, shorten your stride and fix that shite.

I'll second the recommendation to roll out your IT band. Also, feel around on your shin...does that muscle seem really tight? If so, get in there with an oiled wooden spoon and work that out too.

Simultaneous pull on the knee from tight IT band and tight shins are a bad recipe.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 10:42 am to
quote:

Also, feel around on your shin...does that muscle seem really tight?


Shins are feeling fine. As are my ankles and hip. Honestly, my muscles aren't even sore: it's specifically limited to the knees.
Posted by forksup
Member since Dec 2013
8817 posts
Posted on 3/30/15 at 10:42 am to


It's all good. I had no idea what an IT band was before running. I would've thought the same. Foam rolling is just good overall and rolling your IT band might even alleviate the problem. Personally, right knee pain was the only problem I had when I started running and strengthening my hamstrings/rolling my IT band fixed it.
Posted by Lithium
Member since Dec 2004
61770 posts
Posted on 3/30/15 at 10:44 am to
Most probably shin splints. It could be micro fractures. Had a friend who when he ran over 15 miles. He started having problems one month before his marathon and he went to PT and it got good enough to run the marathon. Right now I'd try Motrin (600-800mg) 3 time a day and ice
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 10:45 am to
Good to know. I'm going to the gym tonight so I'll grab a foam roller and work out my IT band.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 10:46 am to
quote:

He started having problems one month before his marathon and he went to PT and it got good enough to run the marathon.


This is what makes me nervous. Obviously the last thing I want is to do something that knocks me out of the marathon. That would be devastating.
Posted by Lithium
Member since Dec 2004
61770 posts
Posted on 3/30/15 at 10:47 am to
quote:

My first thought was you are a heel-striker


I have piriformis syndrome and was told that was an injury almost exclusively of heel-strikers. It's been hard as hell to try to switch.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 10:49 am to
quote:

I have piriformis syndrome and was told that was an injury almost exclusively of heel-strikers. It's been hard as hell to try to switch.


I've honestly never even thought about my form when I run. I just...start running. Really need to pay attention to this in the future. Although I don't know how much I can completely change my running form with 3 weeks to go.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 10:55 am to
quote:

My first thought was you are a heel-striker, which has been well-covered here. If you are, shorten your stride and fix that shite.


After doing a little research and thinking about my motion whenever I run, I am most definitely a heel striker. I need to start making a conscious effort to fix that.
Posted by AubieALUMdvm
Member since Oct 2011
11713 posts
Posted on 3/30/15 at 10:58 am to
quote:

I have piriformis syndrome and was told that was an injury almost exclusively of heel-strikers


It was my understanding that this is secondary to over-pronation in runners and also those runners that do not include exercise to strengthen the abductors of the hip.

The piriformis muscle gets too big and the abductors of the hip are too weak - you get trapping of the sciatic nerve and lots of pain I imagine.

Posted by Casty McBoozer
your mom's fat arse
Member since Sep 2005
35495 posts
Posted on 3/30/15 at 10:59 am to
quote:

You're overtraining.

Yep, you just did your 20 mile run. 3 weeks to go, it's time to scale back the miles.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 11:00 am to
quote:

Yep, you just did your 20 mile run. 3 weeks to go, it's time to scale back the miles.


Yeah that's definitely the plan. Weekday runs will be between 5-8 miles, next long run will drop to 15 miles.
Posted by AubieALUMdvm
Member since Oct 2011
11713 posts
Posted on 3/30/15 at 11:01 am to
Shorten your stride should help the heel striking.

As a fellow heel striker I had to make a daily effort to reduce stride as the longer strides make me extend the leg and put all the weight on heel first. This is not how your knee was meant to operate for extended periods (if any time at all).

It is especially hard for me when I'm doing interval training or just short distance/fast running.
Posted by Ace Midnight
Between sanity and madness
Member since Dec 2006
89450 posts
Posted on 3/30/15 at 12:45 pm to
quote:

Shorten your stride should help the heel striking.


While this is the effect hoped for, it is not necessarily good to try to consciously adjust the stride length - an easier mental process is to get the stride rate to about 180 or so per minute - or 3 per second. Generally, novice and intermediate long-distance runners - particularly heel strikers - extend their stride and try to take fewer strides over distance - while intuitive, this is the wrong approach. Now 180 isn't the optimal rate for every single runner, but it gets you in the ballpark of what you need to be - there are loads of lists of songs and mixes out there to help you achieve a particular stride rate - but, most of the World Record and Olympic champion marathoners are right in that 3 strides per second/180 strides per minute rate - give or take 5, 6 percent.

Apparently the net effect of doing this over time is that it gets your stride length right. Now, for the OP, he just did his 20 miler - I wouldn't change anything now (other than ice, NSAIDs and elevation if there is actual swelling) because he's too close at 3 weeks. But, for the next cycle, I would try that 180 bpm training, at least the first couple of weeks and see how that goes.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26515 posts
Posted on 3/30/15 at 12:52 pm to
quote:

Apparently the net effect of doing this over time is that it gets your stride length right. Now, for the OP, he just did his 20 miler - I wouldn't change anything now (other than ice, NSAIDs and elevation if there is actual swelling) because he's too close at 3 weeks.


Yep that's my concern - trying to completely change my stride 3 weeks out. May have to wait until after the marathon to work on it. We'll see how the first marathon goes, I may never want to run one again.
Posted by jeff5891
Member since Aug 2011
15761 posts
Posted on 3/30/15 at 12:55 pm to
quote:

Any tricks to limit this
dont strike with your heel
Posted by 91TIGER
Lafayette
Member since Aug 2006
17649 posts
Posted on 3/30/15 at 1:02 pm to
quote:

It was my understanding that this is secondary to over-pronation in runners and also those runners that do not include exercise to strengthen the abductors of the hip.

The piriformis muscle gets too big and the abductors of the hip are too weak - you get trapping of the sciatic nerve and lots of pain I imagine.


In addition to strengthening the ab/adductors you need to maintain flexibility in the hamstrings and hip flexor muscles thru STRETCHING. If you don't you will eventually have some tearing of the piriformis.

Back to the OP. His problem doesn't sound like I-T band b/c his pain is being felt w/o any movement. He did say he bought shoes in DECEMBER. It's March 30th, any marathon training done the last 3 months has broken down the shoe, i.e. too many miles on it.
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