I'm booked in for Monday to be sized and analyzed for some orthotics. I forgot to ask the chap though which footwear to bring with me. I have 2 different types of running shoe at the moment, and was on the cusp of buying some more. Orthotics will of course adjust the forces/mechanics of my foot strike, but so do certain trainers I.e. stability vs motion control vs neutral. Surely the two can either compliment or contradict though, silk should I be thinking of moving down the scale slightly towards something less controlling and now neutral in order to let the orthotic take control?? Pre injury my go to was Asics GT2000v3, I'm 5,11 and 11 stone. On my comeback I've been working on high cadence techniques to adjust foot strike etc to reduce forces in the knee, to good effect and had moved to new balance 890s. Steve
hmm thanks Six Physio, that does sound very likely to be honest. If I lock my knee out straight, to try and do isometric quad lift I do get pain, and now you've said the above, it feels exactly like that could be happening.
What would you suggest though to treat/prevent the impingement?
I've been struggling with anterior knee pain for probably around two months, maybe more. At the time of origin I ignored it for a while as it wasn't preventative, just painful the day after running. My weekly volume was low at the time, and there was no obvious trauma/event. I have no clicking or slackness. Two physios have checked knee stability and strength, no problems. Potential imbalance between two legs. Have Morton neuroma in opposite side foot, which I think has led to overloading the now injured other side. If I press around the front of the knee, there is a sore point in one very specific point, which I'd describe as being on the lower edge/rim of the knee cap itself. When my knee is bent no amount of prodding elicits pain. I can only really locate the point when knee is straight and relaxed, with the knee cap moveable etc. The area in question is centred on a 1cm squared point, possibly smaller. I get pain when driving, going downstairs, single leg squat, or even just a static straight legged quad contraction. Tried rest, no change. Been doing eccentric squats on a slanted board twice a day for few weeks now. Not sure it's any better or worse. Done a lot of the standard imbalance exercise too for glutes, hips and quads. Lots of info there, apologies. Just hoping something in there might trigger something out there....getting desperate now