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Injuries and Rehab Tell us where it hurts! Do a quick search before asking about your shoulder injury to make sure your question hasn't already been answered (about 50 times), and read the sticky post first.

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Old 07-18-2006, 06:51 AM   #1 (permalink)
ryan122185
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Red face Bill Knee

I sprained my LCL (which I originally thought was my MCL) at the end of April. I am pain free now. My strength back beyond previous levels. But occasional there is clicking when bring my leg from 170 to 180 degrees. Is this something to worry about?
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Old 07-18-2006, 07:44 AM   #2 (permalink)
Bill Hartman
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Where do you feel the click?

Is it painful?

Is it the same if you stand on it and bend/straighten as it is when you bend/straighten in non weight bearing?

Is it the same if you turn your toes outward or inward (keeping knee straight ahead)?

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Old 07-19-2006, 08:27 PM   #3 (permalink)
ryan122185
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The click appears to be on the lateral side. Not painful at all. Less in non weight bearing but sometimes still apparent. Same with toes turned in or out
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Old 07-20-2006, 05:16 AM   #4 (permalink)
Bill Hartman
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It doesn't sound like a meniscus, but may be IT band rubbing. I'd give it the 14 day test since it's not painful. If after 14 days it is unchanged or gets worse, get it checked.

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Old 07-20-2006, 07:00 AM   #5 (permalink)
ryan122185
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I've been foam rolling both IT Bands b/c I have been told they are tight before. Is this benifical?
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Old 07-20-2006, 07:55 PM   #6 (permalink)
Bill Hartman
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Most likely. I'd roll everything on that side starting up a the hip including your glutes (max and medius), TFL, and lateral hamstrings and then below such as fibularis longus (AKA peroneus longus). All these muscles have an influence so it's like throwing a grenade in a crowd of people. You'll get something.

You also need to consider a weakness most likely in the hip. Try a single leg squat on each side. My guess is that the affected side will be more difficult and your knee will track inward. If so, you may need some direct glute strengthening to stabilize the hip and reduce tension on the ITB.

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Old 07-21-2006, 07:30 AM   #7 (permalink)
ryan122185
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Thank you for the advice. I will continue foam rolling everything. About the single leg squat. I can ATG pistol squat 24kilos with good leg and 16-20 kilos with bad leg. I will have to have someone look at my knee tracking as I do it though. What would you recommend as far as glute strengthening?
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Old 07-23-2006, 07:00 AM   #8 (permalink)
Keith Scott
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Not trying to step on any toes here, but in working with these knee injuries over the years, I am curious in whether it may be scar tissue, or a chronic inflammatory response that could be making your knee click? I know in the past with a few of my athletes, it was just that.
We got over that hump with some ultrasound over the area along with a good, solid rehab program (with much of the exercises that Bill already talked about)

Again, sorry to but in, but I just wanted to share my experience with this
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Old 07-23-2006, 08:07 AM   #9 (permalink)
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Thats fine anyone is welcome to join in. Scar tissue was something I thought it could be.
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Old 07-23-2006, 08:11 AM   #10 (permalink)
Keith Scott
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I had an athlete that I was rehabbing recently and he was doing pretty well, but he started complaining of almost the same thing you just did. Lateral part of his knee, last 10 degrees of flexion. My team doc and I looked at him and realized that he had some residual scar tissue in the area. We ultrasounded him daily, along with mobility exerices and also IT band stretching and it went away in a week and a half.

Hard to say without looking at you personally. But either way, good luck with it
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Old 07-23-2006, 05:36 PM   #11 (permalink)
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How can I can ultrasound done?
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Old 07-23-2006, 05:38 PM   #12 (permalink)
Keith Scott
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Quote:
Originally Posted by ryan122185
How can I can ultrasound done?

You would have to know a professional with an US or get a script from your physician for one. Most PT's have them as well as Athletic Trainers. If you know a local ATC or PT they might be able to help you out.
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Old 07-23-2006, 05:39 PM   #13 (permalink)
ryan122185
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ok thanks
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Old 08-08-2006, 10:51 AM   #14 (permalink)
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Went to my Dr. today to get referral to PT. My Doc confirmed it is Lower Part of IT Band rubbing. He said my injury may have caused some thickening in the lower part of the IT Band. I don't start PT until next week. Bill do you have advice before I start PT?
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Old 08-17-2006, 06:01 AM   #15 (permalink)
ryan122185
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PT update. I was happy with my PT. He recommended about 7 stretches for all parts of my like in addition to my IT Band. And 20 mins of biking per day. The stretches every day. Then in a week he said we will reevaluate. He didn't give me and stregnth excercises since I am doing olympic seriously he said there was not much point for now.
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