Cortisone Injection for Runner's Knee (PFPS)
- Treatment Reviews
- Videos & Guides
- Injury Status In Pain
- Physical activity per week 0-4 hours
- Chronicity 0 - 6 Months
- Repeat injury? Yes
In august I had taken a step over somethings and had heard a pop in my knee and couldn't walk on it, I had gone to the hospital as it has also automatically swelled up, like you couldn't even see my patella (knee cap) and they had prescribed me toradol and was on that, crutches and immobilizing brace for about 2 months from mid August to mid October. I then saw our orthopaedic surgeon and he said my MRI was clean and that I had PatelloFemoral Pain Syndrome (PFPS) and to try physiotherapy. I then went to physio and my therapist was positive that it wasn't pfps.. but anyways we continued with physio and I did it for twice a week for 8 weeks. After the eighth week we decided to get another opinion on my knee as it wasnt helping and why go to something expensive twice a week for something that's not helping? So I saw another ortho surgeon in Brampton and he said I had good mobility but my knee was still extremely inflamed and was still having lots of pain so he figured a cortisone shot would be the best approach so that's what we had done. I had my shot on January 30th and after it he said he thought that it would be good from now on and not to suspect of anymore more problems.. but 3 weeks after I woke up one morning not able to bend, straighten my leg or able to weight bare at all... so, here I am again waiting to see the ortho surgeon to see what the next step is, and my knee is in just as bad position as it was before i had gotten my cortisone shot.
I had 'runners knee' for years. Remember this is a catch all phrase to describe knee painwhere the cause isn't known. I agree that seeking out a good physiotherapist is the place to start. Ultimately for me I had an MRI which revealed nothing, but elected to have keyhole surgery which removed my plica and since then problem solved. No I hadn't heard of it either before the surgery... Took over a year to get to that point and then a few months recovery. Obviously surgery is a last resort. As an aside I'm not sure if running on forefoot is always the answer, but again for me increasing stride frequency has kept me injury free since, circa 3 years.
- Injury Status Recovering
- Chronicity 6-18 Months
I developed the same injury 1 year ago from training with too much mileage and stair repeats way too soon. As a runner, it's so simple to do what feels good, but as we age our tendons are not able to keep up with the speedy intensity. I'm a 36 yr old female. I made the mistake of seeing Kaiser's orthopedic doctor. Huge mistake! Three months after the injury (rested the entire time) he injected my knee with cortisone, then did PRP 2 weeks later. Both huge mistakes. Don't do that. If only I had gone to a running chiropractor who performs ART & seen a deep massage therapistright away, then most likely I wouldn't still be trying to heal this thing.
I now see a running doctor (chiro) who has given me assignments to do backwards walking on the treadmil at an incline of 15, speed of 1.3. I do that for 10 minutes with big strides back and lowering my legs a little to build my quads. It no longer hurts so I can bend just fine when doing this. If it hurts, lessen this technique somehow. This has a similar effect as the eccentric exercies that are recommended. I am to also do other Physical therapyto build my core and rear end as he discovered one side was much weaker than the other. He performed ART on me, which I have found some great research on regarding how this can help. It would probably help to get that done very frequently in the early stages. I also get deep tissue massages, which I believe has helped as well.
My advice, try to find a running doctor/chiropractor & masseuse that know this injury. Find him/her ASAP. My tendon is thickened as shown in my MRI and I can visually see this, and it will probably be thickened forever possibly. I no longer feel it, which is great, however I can still feel it slightly when I press on the top and bottom of the tendon. I have not run for over 1 year and had to change my mentality toward running. Since I am better I have been training in the gym on the bike and elliptical (plus treadmil therapy) to build up strength and stability. (FYI, elliptical probably shoudn't be done while it's still this painful - stick with other leg strengthening PT exercises & maybe light bike.) Since my pain is just surface pain now, I am told I should attempt running slowly soon, but I am nervous. Honestly I am not expecting to ever run like I used to, but maybe I'll be able to. I had to change my mentality so that I don't get depressed about it.
For what its worth . . .
Patella pain syndrome June/July of '06. Went to ortho for examination. said nothing really wrong. Gave me a shot. said wait a couple of days and go run. After a couple of days my knee still hurt. Waited a couple more weeks. knee still hurt. Told ortho I wanted an MRI. He said no need for an MRI because there was nothing structurally wrong with my knee. I waited a few more weeks - more knee pain. Finally got an MRI on a Saturday. On Monday Ortho called me at work and said he reviewed the results and it was just as he origianlly diagnosed. Then he called me a pussy and told me to go run that evening.
Eventually I worked my way back into reasonable shape and noticed that my right knee torqued while running. Took out my custom orthotics (for previous shin pain) and have not had any knee problems since.
Do your rehab/strengthening exercises and possibly try a new shoe.
- Injury Status In Pain
- Chronicity 6-18 Months
Since about January of this year ive had "runners knee" in my right knee cap. Doctor first wanted to try rest, new shoes, and some anti inflammatory's. Month later and no relief. She then did a cortisone injection to see if that would provide relief which I've done before in the other knee, yet it did not work. She then asked for longer rest, so I went two months no running and when I went on my first run back the pain crept up about a half mile in and since then I can't run longer than a half mile with out the pain creeping in. I also got an MRI that only revealed fluid in my kneecap. I've had no pain with going up stairs or doing any other kind of work out aside from running. The most it hurts is when I have been sitting in class for a long time and then go to straighten my knee, it is sore. But aside from that I never experience pain unless I try to run. I've been optimistic up until now but it just seems to be the never ending knee injury and I'm starting to set into no run depression. If anyone has any similar issues or any advice please let me know. Need all the help I can get!
I have been getting steroid injections in my knee.The steroid injections do help for about 2 months then I have to go get another,My knee replacement surgery is supposed to be in the fall,so my next steroid injection is in the middle of june,it's a little discomfort for about 2 seconds but it is worth it.