Webchat with physio Matt Todman

Join us today (Friday 23 Nov) at 1pm for a webchat with physio Matt Todman from Six Physio

81 to 95 of 95 messages
24/11/2012 at 10:33

Ah - I have a cooking Q. Why did my second christmas cake not cook as well as the first?

24/11/2012 at 10:39
Ah, the latent moisture content of a pre heated oven question....;)
24/11/2012 at 10:55

 

Hi - if you're still about and responding to Q.s looked at kneecap mobilisation - my knee cap doesn't appear to move at all. It's locked in place. I haven't used super glue. It was also hurting quite a lot yesterday after a day of cleaning - no running or swimming or cycling or playing hockey or any other form of abuse.

Any ideas.

hmm - just turned my leg inward from hip knee and ankle and it moves now.

Edited: 24/11/2012 at 10:56
24/11/2012 at 11:29

Yes and yes!

Kneecaps have to move. But they have a real tendancy to stick to the outside of where they should be, because of tightness in the structures that run along the outside of the knee and attach to the kneecap.

This is your lateral rerinaculum, which is the end of your ITB - hence the rolling bit.

It doesn't matter what activity you do, to stir this up, as long as your knee bends more than 35 degressish, as this is when your kneecap starts to move into a groove on the front of your thigh. There's oodles of this in cleaning....and beding and squatting and holding prolonged positions.

You need to mobilise (or be mobilsed!) your kneecap, inwards to stretch the tigth tissue on the outsidd that hold your kneecap in the wrong position.

When  you roll you leg inwards, the thigh bone rolls (inwards) under the kneecap, which in essence stays still (and so "apparently" moves more to the outside) because of the tightness and pull of the tigher tissues that sit on the outside of your knee.....your ITB

24/11/2012 at 14:26

Thank you.

24/11/2012 at 16:25

Thanks for the reply Matt, will you be doing a cooking only webchat next week?

24/11/2012 at 16:48

next week, bread baking and achilles issues!

J77
24/11/2012 at 16:51

That's perfect. I love bread AND have achilles problems!

27/11/2012 at 13:38

following my long run on sunday ive a pain in my left heel that has suddenly appeared without any kind of lead-up. Monday morning i could hardly put my foot on the floor and although ice has helped its still to sore to run on. The pain is on the sole towards the 'front' of the heel. It feels like a pin point pain which is quite sharp? 

27/11/2012 at 15:33

....if you want a diagnosis, it sounds alot like plantar fasciitis.

The cause is the key to getting you back running pain free, rather than just feeling better from run to run.

Have a good look at the support your shoes give (or not!), was this a big increase in speed, distance or terrain? Any knee, hiop or back pain?

 

27/11/2012 at 16:14
Six Physio wrote (see)

....if you want a diagnosis, it sounds alot like plantar fasciitis.

The cause is the key to getting you back running pain free, rather than just feeling better from run to run.

Have a good look at the support your shoes give (or not!), was this a big increase in speed, distance or terrain? Any knee, hiop or back pain?

 

nothing different to the norm - my running shoes are about 3mths old and have been fine to date. i guessed it was PF related but always asumed that was something that built up over time rather than just springing up over night.

27/11/2012 at 16:20
It's the straw that breaks the camels back. The cause may not be obvious (yet).

Best advice is to think of it as an acute injury. Rest, ice, no massage or stretching but do roll on your calfs and keep in good footwear for the next 7-10 days.

Slowly return to paced activity - allowing minimal symptoms. If this fails go get help, could be in for the long haul.
30/11/2012 at 07:22

I know it's a week late! But I wondered if I could ask you something else in connection to my first question on knees as I've got myself into a bit of a mess. Also. good at cakes, rubbish at bread making, so a session on that would be good as well.

Anyway, back to knees. Have been for 2 four miles runs to start building it up again. left a day in between to rest. Yesterday the last mile felt very sore, so stopped . By the evening, there was bruising, like 2 finger marks on the outside of my knee! Pretty worried now, as it feels sore and I have a race on Sunday.

Help me OB1! 

30/11/2012 at 07:46
Ah, the cupcake is strong in this one

Ice, anti inflams and rest til Sunday.

Foam roll every few hours over your ITB and stretch your calf too.

Don't poke the bruise but it maybe an indication of the uncontrolled rotatory forces running through your knee. Don't over stride - smaller steps is good.

Use the force.....
30/11/2012 at 12:11

Trying to master the art of the muffin this week, going to give the beetroot and chocolate a go as recommended by the baking strand.

Just read your advise after a spinning session. Oh well, rest from now.

Thank you for that, I was having a bit of a panic, feeling more relieved. Small steps, gotcha. 


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