Who Has Bad Knees??

Ok here is the deal. I have had a bad left knee since I was 16ish. Although I have not thought about it much, hearing about people getting knee replacements really scares me, and I do not want to get one when Im older (Im only 22 so Im still young). The knee feels surprisingly good during and after squats, and when my quads get sore, I pretty much do not feel any soreness at all. Plus, I regularly do one legged pistol squats with as much as 50lbs on that leg, and it never bothers me. I can dunk a basketball with my height of 5'10''. Yet, I can't sit in the back seat of a car sometimes because my knee will get extremely sore. During lectures at college, I have to sit in the front or in the aisle because my knee will get extremely tight. Im posting this because Im hoping that I am not a special case and there are others who have the same problem (misery needs company, you know?).
Plus can anyone give me more info on the kinds of people who generally need knee replacement? Like lifters or anyone? Like I said, it really scares me.

Who Has Bad Knees??

Umm my right knee used to get bad sumtimes, not during squats but during the next day after squats. Until i started taking glucosamine and chondroitin. Though ur problem seems different from mine, i really dont know what to tell yah.

Who Has Bad Knees??

Same here, I usually felt knee problems a day or two after a strong squat session. Wraps seemed to help, I found out not too wrap to tight. My uncle had knee replacement...so I wonder aobut mine. Talk to three quality doctors before accepting an opinion. Take joint supporting supplements.

Who Has Bad Knees??

I had the posterior medial portion of my right meniscus cut out, it was lame. I recently did *something* to the knee that actually makes it feel like i cut more meniscus but an mri showed i had not.

ALSO i have been dealing with patellar tendinitis for a long time, mostly becuase i was never strict with petersons and whatnot, and that has caused slight cartilage softening.

If you are getting stiffness and pain then clearly the muscles around your knee are siezing up.

As for doctors and specialists, you really, relly need to grill them and be sceptical, i dont trust them in the least, to them the best outcome for you isnt the priority, the most efficient outcome in terms of money and effort is... take care.

Get insurance, go get an MRI and have it analyzed. Deep massage and trigger point stuff on your knee should help alot, but it occurs to me that something is probably wrong because muscles usually dont stuff around like that on a consistent basis.

Who Has Bad Knees??

Hi Sher

I had this problem - no problems when exercising. but I used to hate sitting in the car (both knees for me).

You could probably increase flexibility of your front thigh muscles and the ITB down the outside of the thigh. That will help. Also some flexibility work on the hip extensors - your glutes. These should help.

However, the biggest problem probably relates to a weakness in your VMO - the teardrop muscle at the inside front of the thigh above the knee. My problems were sorted very well by incorporating VMO strengthening work into my routine, specifically PETERSEN STEP-UPS (Peterson??? - check both spellings). If you do a search on this site and follow Todd's recommendations I think you'll be a lot better in 3-4 weeks.

You will probably find that it is better to avoid partial squats also.

Hope it sorts out

Nick

Who Has Bad Knees??

my thoughts on peterson step ups are that they appear to be a very effective exercise, and that when they seemed to stop working a solution was to add some height. I am currently at the highest Todd suggested they should be performed at (about midway at the center of the bell of the calves). I dont know how i will react to weight being added yet.

I think Nicks suggestions are wise, you should probably stretch and roll/massage the various leg muscles

Who Has Bad Knees??

I had a slightly different issue, when I ripped a chunk of articular cartiledge from my left knee. Had MRI and saw two different Drs both who wanted to clean out the spot, but then said in the same breath only 50% of people improved from this surgery. No thank you, maybe if 85% got better I would chance it but not a coin flip. Anyway peterson step-ups and tap-downs (which burn my VMO better than petersons) and X-band walks have made my knee feel much better. What really took me over the top was re-gaining some flexability. If you can not do the "third-world squat",which we discussed briefly on this site a little while ago, work on it. For me as I was able to sit in this position for longer time periods, I found my pain got less and less. Sounds to me like you also need to stretch the ITB area. How is the pain when you sit with your one leg crossed over the other, ie when you put your socks on in the morning?

Who Has Bad Knees??

Nick Hinde wrote:
Hi Sher

I had this problem - no problems when exercising. but I used to hate sitting in the car (both knees for me).

You could probably increase flexibility of your front thigh muscles and the ITB down the outside of the thigh. That will help. Also some flexibility work on the hip extensors - your glutes. These should help.

However, the biggest problem probably relates to a weakness in your VMO - the teardrop muscle at the inside front of the thigh above the knee. My problems were sorted very well by incorporating VMO strengthening work into my routine, specifically PETERSEN STEP-UPS (Peterson??? - check both spellings). If you do a search on this site and follow Todd's recommendations I think you'll be a lot better in 3-4 weeks.

You will probably find that it is better to avoid partial squats also.

Hope it sorts out

Nick

I do not do any partial squats. Always full squats. And I have very strong VMOs I have no problem activating them whatsoever. Peterson step ups are not gonna help if I can do pistol squats with no problems. Plus, full depth pistol squats work the VMO about 10 times better than Peterson step ups (if done correctly). The problem is something else. Its more serious than just increasing the flexibility. I'm thinking something more permanent and as serious as arthiritis. I do not think this pain will ever go away. It must be cartiliage damage of some kind.

Who Has Bad Knees??

Probably not arthritis if you can exercise and dunk a basketball with zero pain but have problems with sitting. Usually knee arthritis is a problem when load bearing. Is the pain under kneecap or on the side of the knee? Are you perhaps flat-footed? I think foam rolling of the quads and ITB area still may help. I find even though I squat ATG that my quads still get very tight if I do not stretch them.

Who Has Bad Knees??

Bump. Todd: VMO??? Knees??

Who Has Bad Knees??

Found this: ### is from Todd

Quote:
Posted: Wed Sep 12, 2007 8:20 pm Post subject: Re: VMO - Deep Squats vs Peterson StepUps

--------------------------------------------------------------------------------

I have heard/read somewhere that Peterson StepUps are great for the knee, and exercising the VMO. I have also heard that performing Deep Squats is one the best ways to hit the VMO.

### They are.

They seem like two completely different types of movemen

### They are.

t...What is the main difference in how they exercise the VMO? Which is better? How does the VMO act on both movements?

### Well they essentially activate the VMO in two extreme ranges of motion, the end ROM, and from the fully flexed or beginning ROM. In knee movements, generally speaking the VMO is or should be the first muscle to fire. However, from the deep squat position and at the end of the knee's ROM is when the VMO is the strongest contributor. In between those areas the other knee extensors dominate the movement.

Also when doing Peterson StepUps, is the VMO engaged through a deep/large range of motion, or just the top/partial range?

### No, the ROM for it is very short.

Sher: You're describing the joint pain that I had that was removed by Peterson step-ups. I would not have said that I had weak VMOs, but the exercise helped enormously. Is there a difference in strengthening the VMO in different phases of its range of motion? Probably. I don't know enought about the functionality of the muscles to answer the questions about how VMO strength and activation affects knee pain.

I think arthritis is very unlikely at your age, although you could certainly go and find a competent sports physiotherapist to have your knees looked at.

Hope things work out.
Nick

Who Has Bad Knees??

Nick Hinde wrote:

Sher: You're describing the joint pain that I had that was removed by Peterson step-ups. I would not have said that I had weak VMOs, but the exercise helped enormously. Is there a difference in strengthening the VMO in different phases of its range of motion? Probably. I don't know enought about the functionality of the muscles to answer the questions about how VMO strength and activation affects knee pain.

I think arthritis is very unlikely at your age, although you could certainly go and find a competent sports physiotherapist to have your knees looked at.

Hope things work out.
Nick

Nick, sorry if my last post came across as a bit rude, didn't intend it to be that way. I have tried Step ups for an extended period of time. As a matter of fact, I am so good at them that I could go all the way down without touching my other foot to the ground with as much as 50-60lbs for 6-10 reps (so pretty much a pistol squat on a platform, and yes my form was perfect to near perfect). THAT is why I am confident that Peterson step ups will do little for me. I have very strong VMOs. I don't just think so, I know so. I have focused on them for a very long time. I should have mentioned that there was a period of about a year when I did mostly powerlifter like training (i.e. using my hips more, wide stance, sitting back, down to parallel only squat and lots of deadlifts). During that year, I had very little knee pain but I was also not doing very much with my knees (I did some minor plyometric activity). Then when I started playing sports again, the pain came back.
Anyways, I feel hopeless :cry:

Who Has Bad Knees??

Typing is always more direct, but I didn't think you were rude or had any intention of being.

Second guess: footwear?

Shock-absorbing insoles might help. You're probably way ahead of me trying things with this...

Best wishes

Nick