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  1. #1
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    Patella Tendonitis: Immobilize leg Best Solution?

    Just when I finally got rid of my petallar Tendonitis in my left leg after 5 years...I got in my right...

    With my left knee I went to the PT, did all the ultrasound, etc.. Pain still took years to get better..a little every year. The only aerobic ativity i ever di is bike, row, no high impact stuff . BTW, I am positive this current tendonitis is not bike related, I was out of the country for 6 months and did hardly any excercise/weights when and after. I think it probably hapened when I ran briefly and aggresively.

    Since my first patellar tendonitis I build up my leg muscles at the gym 2-4 times/wk. Muscle weakness is not an issue.

    I have had other tendonitis (tennis) that went away because I was able to let the tendon heal. My feeling is that patellar tendonitis takes so long is that it is constantly used, even with just walking, so the tears never get a chance to heal.

    So I thought this time around, maybe I will just immobilize my knee from bending for 2-4 weeks, as if I had a bone break. I know it will be an inconvenience, but maybe this is the only way to stop this from being a 3 month to 3 year recovery..Doctor told me to stop biking/leg weight lifting..but my thought is as long as the tendon is stressed with bending/weight..it will not have a chance to heal itself.

    I am interested in hearing your comments....

  2. #2
    carbon is too light procrit's Avatar
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    I feel for you, these kinds of injuries can be very long and drawn out, as well as depressing because of the inability to workout. I'm not an orthopedist or sports med doc, but I have visited them many times for various tendonitis issues.

    1. Start up high dose anti-inflammatories and run it for 3-4 weeks. I would do 600-800mg of naproxen (aleve) or 800-1000mg ibuprofen (advil) spread throughout the day. This is primarily to reduce any inflammation, but secondarily to treat the pain associated with it. Naproxen is better if you can take it, because it doesn't hinder your bodies recovery ability, unlike ibuprofen.

    2. Supplement wise, start taking all-in-one joint supplement. One of my favorites is osteo biflex advanced. It has glucosamine, chondroitin, msm, and 5-loxin (not sure how well the 5-loxin works, but this product does work well overall). Also, add in a supplement called Super Cissus Rx. (http://www.1fast400.com/?products_id=5622) This will help strengthen your tendons and helps heal tendonitis much quicker. There have been mixed results, but I'd say 8..10 people feel that cissus has worked for them. It's all natural and cheap, so it's worth a shot for 4 weeks.

    3. Don't stop using your leg for normal walking and getting around. Keeping the leg muscles tight and your knee stable is half of the battle. However, limit the amount of walking and standing you do to just normal everyday things (don't go walking around a mall for 2 hours, or anything like that though). Feel free to prop your leg up or straight out while at work. I know if you keep it bent when sitting it can start to burn and become a problem.

    Other than that, do you have flat feet, or maybe feet that face in or out? Do you have any hip issues? Sometimes your knee will have to compensate for something out of line, and you will struggle with the issue until you figure out what is causing it. Good luck with the recovery and keep us updated.

  3. #3
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    I went to a PT...he warmed up the leg, stretched me then put me on a Eccentric machine to do some leg resistance exercises (machine lowered my extended leg, while I resisted upwards, did not seem hard), finally he put some medicated patch on there with a battery, took the battery off after a few minutes, and told me to leave it on till bed. He said I need to go 2x week for 6 weeks..but at $100 a session, I can't afford it, nor could deal with the mental pain if the pain is still there after the investment.

    Maybe, I should just take 1000mg Advil/day, ice religiously, do quad stretches, stay of the bike for a few weeks, and stop doing leg lifts at the gym. I am confused....

  4. #4
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    Quote Originally Posted by spgny View Post
    Just when I finally got rid of my petallar Tendonitis in my left leg after 5 years...I got in my right...

    With my left knee I went to the PT, did all the ultrasound, etc.. Pain still took years to get better..a little every year. The only aerobic ativity i ever di is bike, row, no high impact stuff . BTW, I am positive this current tendonitis is not bike related, I was out of the country for 6 months and did hardly any excercise/weights when and after. I think it probably hapened when I ran briefly and aggresively.

    Since my first patellar tendonitis I build up my leg muscles at the gym 2-4 times/wk. Muscle weakness is not an issue.

    I have had other tendonitis (tennis) that went away because I was able to let the tendon heal. My feeling is that patellar tendonitis takes so long is that it is constantly used, even with just walking, so the tears never get a chance to heal.

    So I thought this time around, maybe I will just immobilize my knee from bending for 2-4 weeks, as if I had a bone break. I know it will be an inconvenience, but maybe this is the only way to stop this from being a 3 month to 3 year recovery..Doctor told me to stop biking/leg weight lifting..but my thought is as long as the tendon is stressed with bending/weight..it will not have a chance to heal itself.

    I am interested in hearing your comments....
    There are few injuries that are treated with immobilization these days - the vast majority are treated with controlled movement (and ice/heat/ultrasound/etc.) If you stop you will likely end up in worse shape in when you are done.

    My advice is to do range of motion exercises religiously, and listen to whatever PT you can find.
    Eric

    2005 Trek 5.2 Madone, Red with Yellow Flames (Beauty)
    199x Lemond Tourmalet, Yellow with fenders (Beast)

    Read my cycling blog at http://riderx.info/blogs/riderx
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  5. #5
    carbon is too light procrit's Avatar
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    1000mg of ibuprofen (I'd recommend 600-800mg of naproxen or aleve, recovery is faster for some reason) for 4 weeks, no exercise other than the minimum amount of walking you do every day. Again, I recommend a good joint supplement and the herb cissus (found in products like super cissus rx). They really help.

    After 4 weeks (as long as the tendonitis isn't debilitating), you should start the rehab process. Here are the same things the PT will prescribe:

    http://www.med.umich.edu/1libr/sma/sma_jumpersk_rex.htm

    You can still take the meds during the rehab process, just lower the dose to a minimum, and try to not take them unless you need them, like after a rehab session, or if you suspect inflammation creeping back.

    I have had horrible tendonitis in both elbows and my left knee. I have been a patient of 4 different ortho's and my wife is a rehab specialist. This methods works, period.

  6. #6
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    Thanks Procrit. Please provide input on these thoughts if possible. The PT I went to claimed the difference in his practice is that he has this sophisticated Eccentric excercise machine, with computers, etc. Maybe this is true, but not sure if I am willing to spend $1000+ to find out.

    Also those excercises in the link look pretty easy. Prior to my pain I was doing gym machine single leg lifts at 20-60lbs per rep. Also do some squats, etc. I have been working my legs at the gym since my first experience with jumpers knee. I thought I was pretty strong. I took a few months off but started back about a month ago when I thought I needed to keep the quads strong. The ortho believed that the leg lifts were a major contributor to the pain getting worse, (knee-cap constantly rubbing tendon under great pressure.) But since the pain has gotten worse I can see my quad has atrophied, even as I have been biking 20 miles/4x wk and gym 2x.

    So basically, I am going to have a hard time taking these thera-bands seriously. I feel that if I could just get the tendon to heal I could go back to the aggressive leg lifts, etc which seems in my limited view to be a more hard core targeted effective..I can't help but think these thera-band excercises are for someone who is coming off surgery or never stepped into a gym.

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