The Knee Update
January 13th, 2013 | Posted by in Blog PostsIt was bound to happen, sooner or later. After a history of being plagued with random running injuries through high school and college (2 stress fractures, rotated pelvis, tendinitis, low iron, IT issues…), it’s been generally smooth sailing the last 3 or 4 years. Little things here and there, but usually things I can train through.
Right before Christmas, I just finished an 11 mile run in Central Park, doing part of it with Nicole. We averaged around a 7:30 pace, which was quicker than I’d been used to but felt surprisingly fine! I brought my credit card to run errands at Duane Reade on my way home, and recall feeling a slight twinge in the back of my knee as I stood in line to pay. I didn’t think much of it and just tried to stretch, but it was a bit nagging.
The next few days, the pain moved from the back of my knee to the inside of my knee, but it was just annoying, not debilitating. I could tell it was throwing my gait slightly, but usually went away once I warmed up a bit. I ran 39 miles the week of Christmas, my highest so far, and I figured the weird twinges would work themselves out.
On New Year’s Eve day, I ran in the park with Terence and Noelle. The pain was much stronger and didn’t go away the entire run. I decided to take New Year’s Day off to rest (well planned…) and hit the roads on Weds the 2nd with Alex and Meredith. That was the last time I really ran. The pain had traveled to the front of my knee cap, and hurt when I walked and especially up and down stairs. Eeek. It even hurt when I was out at the bar dancing…that’s when you know it’s bad.
I took 5 days completely off exercise of any type. Considering it hurt to walk, I couldn’t exactly cross train! Annoying, but I kinda welcomed the laziness.
I finally saw a doctor on Monday the 7th, who didn’t really have a firm diagnosis for me but ruled out tendon/ligament damage and thought more rest and icing would help the inflammation. And it has, generally. Now that the pain has disappeared from my knee cap (but is still present on the inside of my knee), it doesn’t hurt to walk anymore. I’ve begun to cross-train, which I hate. If I can’t run, I am really lazy and can never motivate myself to get in an equivalent hard effort on the bike or elliptical or pool. Meh.

Pain=near the medial retinaculum
I saw a PT on Friday who cleared me to try running on a treadmill (because you use less effort to propel yourself forward) in quarter mile increments, alternating running and walking for 2-3 miles max. The weirdness is still there, but it is much milder and definitely dissipated once I got going. And it was really, really boring.
I think it’s always hard to tell what to do when faced with strange pain: is it the onset of an injury, or can I work through this? If I stopped running every time something hurt, I’d run a lot less miles. I’m really frustrated, because I felt like I was finally getting back into a groove of running regularly and working out. I purposefully ran semi-regularly most of the fall so that when I started to train for the NYC Half-Marathon, I’d have a decent base and prevent injury. Plus it’s been weirdly warm-ish lately and I can’t take advantage of it!
It’s also not the end of the world. Yeah, I’m losing the little fitness I did have, but I do have confidence I’ll be back (outside!) running soon. I just need to be patient and not stubborn. It also could be far worse. While I might not be in peak shape for the NYC Half, maybe I can set my sights on another half in April or May to use as a goal race instead.
So, there’s the update! Here’s to hoping the pain goes away soon…
Any advice? What do you do when you feel a potential injury coming on?
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I’m no expert on injuries, but I did just go through a very prolonged on. I’d say you’ve been a runner long enough and know your body/pain well enough to know when pain is “soreness” versus “omg, stop running.” Pain is a sign that something is wrong, which means you shouldn’t be running…and I don’t necessarily believe in “pushing through the pain” unless it’s mile 22 of a marathon and everything hurts.
Also, every doctor starts with the rest and ice, maybe ibuprofen plan…annoying, but it’s because it actually works even though it’s not what we want to hear AT ALL. Fail.
Hmm…what I’ve started to do, if schedules allow it, is to go straight to the chiropractor/acupuncturist. They got me better from my IT band injury last year and have kept me running since. Most of my pains/potential injuries are hip/IT band/back/glute, it seems, so I foam roll a lot, too. For anything that feels really inflamed, I ice it. That’s basically my plan of attack: ice (if needed), foam roll, chiropractor/acupuncture.
Spinning doesn’t seem to bother any of my injuries as much so I’ll go do that, too, in place of running unless the injury seems really bad, in which case, I just take time off.
Good luck and hope you’re back in action soon!
I too am no running injury expert, but when I had really bad knee pain (but no tear) this last training cycle, the only thing that solved the issue was getting good ART at a good chiro.
Hope you feel better stat!
Love the runner in you carrying your credit card with you to do some errands at Duane Reade (GUILTY AS CHARGED). One of these days I swear they will ask for back up ID with the credit cards…
In regards to an injury I honestly think one of the reasons I am so lucky when it comes to injuries (KNOCK ON EVERYTHING) is I usually turn down the running when something is tweaking or stop all together. I try to think long term and how I hope to run forever. Hope that helps, and I am sure you already know that!
Keep your head up!!
Ugh. Sorry to hear about your knee Lindsay. Getting injured totally sucks. I mean not getting to run sucks, but just trying to figure out what the heck is wrong can be so aggravating. I always take a day or two off and ice when I get some weird ailment and usually it blows over. But I did have some trouble with my it band two summer ago and trying to come back from that was rough. Sometimes IT issues can cause knee pain. Not sure if you roll a lot, but if not I’d start now! I feel it really helps me stay healthy. I try to do it everyday after running.
Sorry to hear about the injury. It is a constant battle with me and most of runners to balance running fast and staying injury free. The best advice I’ve ever heard to help heal a running injury is to not run. It’s that simple. Holding out by not running until it is better is the best medicine. Hope you are back running again soon!
I’ve been running for about 10 years now and experienced my first injuries (yes plural) ever in 2012. Being mis-diagnosed (or not diagnosed at all) can be so frustrating! Really, the thing that was most helpful was rest. First two weeks of complete rest and then I tried cross-training when running was still a no-go. I ended up losing about two months of training and couldn’t run the Houston Marathon. It REALLY sucked, but in the end, I’m grateful that I didn’t push myself into an even worse position. I hope you figure out your issue soon, but remember, patience pays off!