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re: Knee Pain After Running

Posted on 3/30/15 at 1:19 pm to
Posted by tiger91
In my own little world
Member since Nov 2005
36739 posts
Posted on 3/30/15 at 1:19 pm to
It doesn't matter how OLD your shoes are ... how many MILES are on them?

Is it in FRONT of or on the side of the knee?

I'd ice, advil and start the taper .. hang on and then if it continues after the mary, get checked out.

And fyi, having been through PT a couple of times, I'm a firm believer in what they told me ... it ALL starts at the hips and is a chain reaction. Not saying that's what's causing your issue BUT I know that with stronger hips for me, some issues went away. That and a knee scope. lol. Seriously though, runners think they have great hip strength -- mine was NIL per the PT and was I surprised. Didn't take long to build it up and I really notice a difference.

Good luck!
Posted by LSUfan20005
Member since Sep 2012
8820 posts
Posted on 3/30/15 at 1:19 pm to
quote:

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).


Perhaps the best way to illustrate this is to go to a nice grass field and practice running barefoot.

I'm not trying to say you need to ditch your shoes, blah blah blah, but this is how humans are supposed to run.

You'll notice a few things immediately.

1.) It is almost impossible to heel strike. If you try, you'll get quick feedback that it was a bad choice.

2.) Your stride will shorten a bit vs. your runs in shoes on the road

3.) You'll likely feel the need to use your hamstrings more. (So many people just run with their hip flexors and never really use their posterior chain like they should).

Use these sessions to help improve form on your traditional, shoes runs.

FWIW, you can get a ton of benefit from doing this a few times a week. I use a soccer field and do 60yd repeats barefoot.

I consider this form practice and foot strengthening work.
This post was edited on 3/30/15 at 1:21 pm
Posted by tiger91
In my own little world
Member since Nov 2005
36739 posts
Posted on 3/30/15 at 1:21 pm to
quote:

.) You'll likely feel the need to use your hamstrings more. (So many people just run with their hip flexors and never really use their posterior chain like they should


I've heard people say this but is this "running with your hamstrings more done by changing your gait?
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26604 posts
Posted on 3/30/15 at 1:22 pm to
I would say there's a couple hundred miles on them at this point.

And it's in the front of the knee.

I haven't iced yet (hard to do at work), but will when I get home. The tapering starts this week and I've been taking Advil all day, thanks.

So close to race day, I refuse to seriously injure myself and knock myself out of my first marathon ever.
Posted by tiger91
In my own little world
Member since Nov 2005
36739 posts
Posted on 3/30/15 at 1:23 pm to
Pain in front of the knee for me was typically link to tight quads ... roll 'em roll 'em roll 'em.
Posted by BottomlandBrew
Member since Aug 2010
27143 posts
Posted on 3/30/15 at 1:26 pm to
Is it the side of the knee that hurts? I had an issue with my IT band that didn't really manifest itself until runs over 15 miles or so. Foam rolling the side of my upper legs and stretching, plus a week break helped. I also have an IT band leg band I use on my long runs. It sits just above the knee. Works like a charm.
Posted by 91TIGER
Lafayette
Member since Aug 2006
17730 posts
Posted on 3/30/15 at 1:27 pm to
quote:

And it's in the front of the knee.


Patellar tendonitis ?

Chondromalacia ?

Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26604 posts
Posted on 3/30/15 at 1:28 pm to
quote:

Is it the side of the knee that hurts?


Front of the knee.

I'm definitely going to try the foam roller this evening and I'm hoping that will help.
Posted by BottomlandBrew
Member since Aug 2010
27143 posts
Posted on 3/30/15 at 1:29 pm to
Just a FYI about foam rolling - it hurts like a SOB.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26604 posts
Posted on 3/30/15 at 1:31 pm to
Honestly if it works, I'll handle the pain. Not trying to be a tough guy, I just really want to run this race and would be furious if I weren't able to due to injury.
Posted by 91TIGER
Lafayette
Member since Aug 2006
17730 posts
Posted on 3/30/15 at 1:31 pm to
Look up the symptoms of my post above. Have had both in past as well as piriformis syndrome/tear. When I was able to transition to forefoot strike it made a world of difference. Stretching your hamstrings/quads/hip flexors also kept me from experiencing any further injuries.
Posted by 91TIGER
Lafayette
Member since Aug 2006
17730 posts
Posted on 3/30/15 at 1:32 pm to
***double post ***
This post was edited on 3/30/15 at 1:33 pm
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
18316 posts
Posted on 3/30/15 at 1:32 pm to
Just out of curiosity, what's your goal time for this marathon?
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26604 posts
Posted on 3/30/15 at 1:34 pm to
quote:

Just out of curiosity, what's your goal time for this marathon?


Honestly, nothing special. I would love to come in under 4 hours, but realistically I'll probably finish in the 4:15 range.
Posted by BottomlandBrew
Member since Aug 2010
27143 posts
Posted on 3/30/15 at 1:34 pm to
quote:

Not trying to be a tough guy, I just really want to run this race and would be furious if I weren't able to due to injury.


I understand that completely.
Posted by tiger91
In my own little world
Member since Nov 2005
36739 posts
Posted on 3/30/15 at 1:35 pm to
I totally understand that as well also ... it's just you wouldn't think that a black hard piece of foam would hurt like it does. lol
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26604 posts
Posted on 3/30/15 at 1:42 pm to
Yeah I've used one on my back before and it hurt like hell.
Posted by PTBob
Member since Nov 2010
7072 posts
Posted on 3/30/15 at 1:48 pm to
Skip all other responses in this thread.

You have patellar tendonitis from overuse. Pretty common in marathon runners. You will have to suck it up until the race because the most effective way of getting rid of this is rest. Palliatively care for it with some ibuprofen and ice and suck it up until you are done with the race.

As far as gait and running mechanics. Some people heel strike and some people forefoot strike. Neither is wrong. There are benefits to both and cons to both. If you know a PT have them looks at your running form and they can give you a hand.
Posted by Zappas Stache
Utility Muffin Research Kitchen
Member since Apr 2009
38766 posts
Posted on 3/30/15 at 1:55 pm to
quote:

I will in three weeks. Training for a marathon.


3 weeks out you are not going to improve much between now and your marathon. Better to rest a few days now and then ease back into it with easy runs. If you feel good 10 days before the race then do a 10 miler but don't go too hard. In a nutshell, taper.
Posted by PeepleHeppinBidness
Manchester United Fan
Member since Oct 2013
3553 posts
Posted on 3/30/15 at 2:06 pm to
quote:

Skip all other responses in this thread.

You have patellar tendonitis from overuse. Pretty common in marathon runners. You will have to suck it up until the race because the most effective way of getting rid of this is rest. Palliatively care for it with some ibuprofen and ice and suck it up until you are done with the race.

As far as gait and running mechanics. Some people heel strike and some people forefoot strike. Neither is wrong. There are benefits to both and cons to both. If you know a PT have them looks at your running form and they can give you a hand.



/thread
This post was edited on 3/30/15 at 2:13 pm
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