NSAIDs - Anti Inflammatory drugs for Runner's Knee (PFPS)

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  • katie Runner's Knee (PFPS)

    • Age < 18
    • Female
    • 149 lbs
    • 5' 2"
    • Canada, Ontario
    27
    Feb2018
    • Injury Status In Pain
    • Physical activity per week 0-4 hours
    • Chronicity 0 - 6 Months
    • Repeat injury? Yes

    Treatment Ratings

      Not Improved
      Physical Therapy, Ice, Cortisone Injection, Acupuncture, Rest, Brace, Taping,

    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.


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  • Anonymous Runner's Knee (PFPS)

    • Age 35-54
    • Female
    • 230 lbs
    • 5' 7"
    • Phoenix Arizona
    24
    Nov2016
    • Injury Status Recovering
    • Physical activity per week 0-4 hours
    • Chronicity 18+ Months
    • Repeat injury? No
    • Pain with prolonged sitting Standing
    • Doctor/Care Giver Fierro

    Treatment Ratings

      Not Improved
      NSAIDs - Anti Inflammatory drugs, Cross training, Strengthening Exercises, Stretching, Supportive Shoes, Brace, Rest, Massage, Platelet Rich Plasma Injection, Ice, Physical Therapy, Supplements
      Worsened
      Other

    Is just little reliefs


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  • tawandacat Runner's Knee (PFPS)

    • Age 55+
    • Female
    • 145 lbs
    • 5' 7"
    • Binalong Bay, Tasmania
    22
    Sep2016
    • Injury Status Cured
    • Physical activity per week 8+ hours
    • Chronicity 6-18 Months
    • Repeat injury? No

    Treatment Ratings

      Cured
      Barefoot Shoes, Proper Running Form
      Improved
      NSAIDs - Anti Inflammatory drugs, Ice, Strengthening Exercises, Cross training
      Not Improved
      Orthotics
      Worsened
      Supportive Shoes

    I had been running for years in really cushioned shoes (Asics Nimbus) When I was in my 30's I developed a sharp pain in my heels. I fixed this problem with orthotics as it was a quick fix to my problem. I ran with these orthotics in very cushioned shoes for 20 years. Then in my mid 50's I developed runners knee. I couldn't run anymore it hurt too much. So I started bike riding. I found that if I pointed my feet outwards (externally rotating the leg) when I peddled, it didn't hurt my knees. I took this concept back to my running. I read the book "Born to Run" By Christopher McDougall. I discovered that really padded running shoes gives the body a false sense of protection. When the brain doesn't perceive danger it does nothing to protect itself from repetitive actions like running with the knees misaligned as in my case, despite the orthotics. I switched to a mid barefoot shoe and got rid of the orthotics. I found the idea of using my feet and having a better connection to the ground profoundly interesting and helpful. I became very interested in posture and mechanical alignment of the body and how it correlates and affects performance. After reading the book "8 Steps to a Pain-Free Back" by Esther Gokhale. I signed up for the Gokhale Method Foundations Course. This is where I learned to walk a line with my inner heels on that line. This was the deal breaker for me. I found that this movement along with using my feet properly and engaging my glutes externally rotated the leg and aligned my ankles, knees and hips. I am now 58 years old and I am happily running again without any knee issues. Today, I just came back from a barefoot run along the beach. I haven't had knee problems for 2+ years now.


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  • 03
    Dec2015
    • Injury Status Cured

    Treatment Ratings

      Cured
      NSAIDs - Anti Inflammatory drugs, Ice, Rest, Supportive Shoes, Stretching, Strengthening Exercises, Cross training, Proper Running Form

    All there's no magic "cure" for injury prone knees. There are a host of things you can do to make life easier.
    Wear the correct shoes, you already have orthotics which is a great start.
    Have your gait analyzed, again you know you pronate so you can make a conscious effort to adjust your run and gear.
    Don't just run. You could have some sort of strength/flexibility imbalance in your feet, ankles, calves, thighs, back etc. Swim, stretch, cycle, do some yoga, pilates. Becoming a good all round athlete promotes healthier running.
    Don't run hurt. If your knees are crying in agony, don't "man up" and smash them into the concrete. Running is about making small incremental improvements, no one gets to long mileage without building up properly (or if they do, it's a recipe for injury).
    Establish a recovery routine. Ice, compression, elevation, ibuprofen. Even if you're not injured, these can help with post-run fatigue/aches and mean you can do more with quicker recovery between runs.
    Run short, run fast. Not everyone is made to plod 23 miles. Try short speed work, intervals, aim for 20 min 5ks, 6 min miles, there are plenty of challenging short distance goals which will challenge your running. What separates beginners to advanced runners is not their mileage but their abilities at the preferred distance. I have no knee pain since.


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  • 24
    Nov2014
    • Injury Status Cured
    • Chronicity 6-18 Months

    Treatment Ratings

      Cured
      NSAIDs - Anti Inflammatory drugs, Ice, Rest, Strengthening Exercises, Foam Rolling

    I had ITBS which I guess is a kind of runners knee, I got it from doubling my mileage/overuse. At first I tried rest coupled with icing and ibuprofen for a month which did nothing. Afterwards I did lateral leg raises and some clamshell stretches, 30 of each a day along with some one legged squats 10x3 daily. I improved alot from doing those few bits and I also found foam rolling and sprinting up hills/cycling up hills really great. All in all, I messed up and was injured from February this year up until August thereabouts but feel I would have recovered much faster had I worked my core and tackled hills earlier on. Good luck with recovery:) Be careful running~


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  • 24
    Nov2014
    • Injury Status Cured
    • Chronicity 0 - 6 Months

    Treatment Ratings

      Cured
      NSAIDs - Anti Inflammatory drugs, Rest, Supportive Shoes, Supplements

    I took two months off due to runners knee. Once a week I'd do a very, very slow test run for a few miles, which the doctor said was fine since the X-rays looked fine (only some inflammation). Take a motrin, and rest.
    After healing it all up, I also started taking glucosamine (Osteo Bi-Flex) and that seems to be helping me (knock on wood). No idea if it's a placebo effect, but it helps. Don't forget to ensure your shoes are in good shape or it'll possibly come back again. I go through a pair every 1.5weeks due to marathon training.


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  • 16
    May2013
    • Injury Status In Pain

    Treatment Ratings

      Almost Cured
      NSAIDs - Anti Inflammatory drugs, Taping, Supportive Shoes, Strengthening Exercises, Foam Rolling
      Not Improved
      Brace

    The knee strap did nothing to help my PFPS.

    As for stairs, I use hand railings as crutches post-long run because my knee hurts so bad when going down. I do find that if I sit immediately after running, it's much more debilitating than if I spend time on my feet.

    Right now, I'm managing pain while working on the root cause. Definitely find your root cause instead of just getting through the pain. Eventually it will take longer and longer to recover, until you're no longer pain-free between runs. Then you'll have no option but to stop entirely until you heal.


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  • 16
    Sep2012
    • Injury Status In Pain

    Treatment Ratings

      Not Improved
      NSAIDs - Anti Inflammatory drugs, Ice, Rest, Brace, Stretching, Strengthening Exercises

    I am a 26 yr old life long basketball/biker/rollerblader/mobile individual. Been very lucky in life to have avoided serious injuries. Come Jan ’12 I had fell into a routine of playing 3 times a week, officiating the game the other 4 days. Because of this I developed extreme knee pain, and what my doctor told me was runners knee. For the next 3 months I did his recommended stretches, exercises, icing, and rest. I had good days; I had bad days, and saw very little improvement in the pain. Had not run, or played basketball, even biking and swimming irritated it enough to set me back a week in progress. In May the pain became so back I went back to the doctor. He convinced me to get an MRI, it showed nothing, he felt nothing new in the examination, gave me some new stretches, and sturdy brace to keep the kneecap in check, and told me “It will get better”. I have been reading other posts and understand it takes time. Since I last went to the doctor in May, I went through phases of it getting better, but then randomly with one wrong step on flat ground I will feel the knee pop and know I just fell 2 weeks backwards in progression. The whole thing is driving me nuts. I have respected the injury and the healing. I wore the brace, I did the stretches, I ice constantly, I have been taking Ibuprofen routinely since Jan, I have yet to run or really even tested the knee other that extended period of walking. About a week ago I was in the best pain free position I had been since the injury. Barely any pain, didn’t need to wear the brace, was walking well and developing strength while brace less. It has been my understanding that the best way to regain strength and confidence before jogging would be light biking and swimming. I hopped on a bike for a ¼ mile ride over to the pool, only peddling with the strong leg while letting the weak knee just go through the motion. When I got off the bike and began to walk over to the pool, I notice the knee was very weak, but I figured it was just from not experience that motion in months. I got into the pool, began to walk, and did some light jogging motion underwater. I immediately noticed that this did me no good. The knee was painfully popping multiple times with each flex, its felt extremely weak, and the swelling was coming right back. I stopped immediately. Im now back to square 1 with the pain, weakness, and immobility. Should I have worn a brace on the bike and in the pool even though it brings discomfort? The stretches my doctor recommended initially were -Standing alternate TFL stretch -Quad flexion SLR stretch -Clamshell for gluteus maximums strengthening. I will admit these stretches did help in the recovery when I was initially doing them in May, however when I do them now I see no strength added, and in fact bring about more pain while completing them. This is the brace given to me by the doctor. http://www.betterbraces.com/donjoy-l...lla-knee-brace It helped stabilize when pain was at its worst; however there have been many times throughout this whole ordeal where I begin to feel that the brace is actually irritating the injury even more. Also, due to the metal stabilizers on each side of the brace, it is too uncomfortable to wear when sitting with the knee bent. Bottom line, I am completely lost on how I can fully recover. It has been 9 months now. I feel like for the 10th time I am back to beginning in my recovery. When I am able to walk normal without a brace I am waiting AT LEAST a month before I even so much as jog. I am scared to death of getting on a bike again or even getting into water to test the knee even more. I want to beat this, I know I can beat this, but everything I have done can’t get me over the hump of pain and discomfort.


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  • 06
    Feb2011
    • Injury Status In Pain
    • Chronicity 0 - 6 Months

    Treatment Ratings

      Improved
      NSAIDs - Anti Inflammatory drugs, Ice, Strengthening Exercises, Foam Rolling

    It's now been two months since I first got runner's knee. And it's still not gone, and it's driving me crazy.

    I'm doing a ridiculous number of exercisesand other things each day:

    4 times a day 3x14 quad curls (60 lbs)
    4 times a day 3x14 hamstring curls (laying down, 60 lbs)
    1 time a day 3x12 hip abductor (50 lbs)
    1 time a day 3x12 hip adductor (50 lbs)
    1 time a day deadlift (45 lbs)
    2 times a day foam rolling

    1 time a day heating
    3 times a day icing

    3 advils per day

    I've been seeing a trainer and just started seeing a chiropractor. The chiropractor recommended a massage -- I've never done one of these before.

    I also just began some glute exercises (clam shells, hip bridge). I think I'm running out of muscles to work, and this problem just will NOT go away. Anyone know anything I'm missing?


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  • 20
    Feb2010
    • Injury Status Cured

    Treatment Ratings

      Cured
      NSAIDs - Anti Inflammatory drugs, Ice, Stretching, Other, Supplements

    I have something similar to what you describe. Common name is "runner's knee"---you can look it up and see if you have more symptoms of it (you don't have to be runner to have this problem). But basically the kneecap isn't tracking properly and can cause pain, especially after a time of increased exercise. Ibuprofen will help with the inflammation, but glucosamin-chondroitin will help with the joints. Icing and this ointment called Tiger Balm has helped soothe the joints. Also taking a good amount of time to stretch after the workout. Maybe you should consider knee braces...simple Ace brand that look like a band with a hole for your kneecap...to stabilize your knee.


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  • 06
    Jan2010
    • Injury Status In Pain

    Treatment Ratings

      Improved
      NSAIDs - Anti Inflammatory drugs, Brace, Strengthening Exercises, Supplements

    I was just diagnosed with chondromalacia a week ago! I'm 5'3", 180 lbs, and just turned 25 a few days ago. Hiking while doing biological research in the Appalachian mountains triggered the pain, which started over the summer. I was doing P90X also, and while on winter break I started training a little harder while I had the time. I had pain that runs down the central plane of my patella (kneecap), and I also have pain to the inner side of my kneecap. I have no cartilage damage according to x-rays. Chondromalacia is really common in young adults who have over-trained their leg muscles...they've worked them too hard, too quickly and it causes the patella to track incorrectly between the femur and tibia. My symptoms were not only pain, but a crunchy, grindy sound when I would squat or lunge. I am now taking an anti-inflammatory, glucosamine-chondroitin complex, doing rehabilitation exercises, and wearing knee bracing on each leg to realign and support my patella. I think part of my problem also is that I sit a lot while I study, which affects my hip joints. My goal is to build my thigh muscles to help support my patella. I can't lose weight if it hurts to exercise, and if I don't reduce the weight I bear on my legs, I'll keep having pain! Quite a conundrum. Hope this helps!


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  • 02
    Jul2008
    • Injury Status Cured

    Treatment Ratings

      Cured
      NSAIDs - Anti Inflammatory drugs, Ice, Rest, Strengthening Exercises, Cross training

    I've run 3 marathons, so I know what it feels like! Mine has hurt like yours, and when it does it's really challenging to come out of a bent knee position. Mine also has hurt under the kneecap. Sound familiar? The cause (at least for me - and for many) is that your quadraceps are stronger than your hamstrings. So sometimes your quadracep will pull the kneecap just a little bit out of alignment and - OUCH! It doesn't have to be much to get some real pain. What I have done is #1 rest (bummer, I know). It's not going to get better if it's inflamed. Take an antiinflamatory (like ibuprophen). Ice it. Once you're feeling better, work on lifting weights or strength exercises for your quads and hamstrings. Working on those muscles on the outer and inner thigh also help to balance things out and keep the kneecap where it belongs! I have had great success working on these things, and am now training for my 4th marathon! You really do need to rest the knee first though. Swimming might be a good way to get cardio once your knee feels a bit better. Although might got so bad even that hurt for a while!


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