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Old 04-29-12, 01:03 PM   #1
mm718
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Chronic quad tightness from cycling causing patellar tendonitis after running...

I've read that tight quads can cause patellar tendonitis. My quads are *always* tight from cycling and every time I try to start a running program—no matter how much I ease into it—I get pain in my patellar tendons. Stretching hasn't helped. I am not willing to take NSAIDS. Would icing make much a difference? Any other thoughts?

Thanks,

-Mike

Last edited by mm718; 04-29-12 at 01:53 PM.
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Old 04-29-12, 06:30 PM   #2
jim p
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Do a yoga routine that emphasizes quad stretches. Some poses like camel, hero, wheel, king pigeon, and dancer. Take a look at yogatoday.com and some of the youtube videos about yogatoday and you may find what you are looking for. I don't know any way to stretch/lengthen muscles and tendons except by gently stretching over a period of months.

I also think that it is advisable to do your stretching after the muscles are warm or at the end of your ride.
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Old 04-29-12, 06:33 PM   #3
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Maybe try one of the many patella tracking bands or braces? They're generally stocked at sporting/running stores. I've heard good things but never used them myself.
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Old 04-30-12, 10:07 AM   #4
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Hey Mike, where are you? PM me if you want it private. I may have a few suggestions...
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Old 04-30-12, 10:13 AM   #5
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Compression leggings when your not ridding helps...
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Old 04-30-12, 10:42 AM   #6
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Thanks, everyone. I'll try the yoga stretches. I probably haven't been stretching enough. I had a dream about those tracking bands last night! Yet another option. I'll look into the leggings as well.

I've just been surprised at how unrelenting the quad tightness has been. I would expect this in the beginning but after several months of cycling it's still an issue. Is this an age thing? I'm 48...
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Old 04-30-12, 09:57 PM   #7
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Just rehashed your original post - Patellar tendinitis is VERY BAD - Especially if its supra patellar - That is right on top of the patella - This is not an injury that comes from cycling or tensioned quadriceps - It is the precursor of over stressing your knee joint and in most cases its an injury that comes from walking and running down hill - It is usually followed by meniscal pain as your femoral head slides over the edges of your tibial plain - For now - Until the pain goes completely away fro at least a month do not do down if you can help it - No down hill runs or walks - No down the stairs - This is really not so bad as you still can push your self up - Up stairs or hill is OK - Its down that will get you - More bad news - Most of this comes from age - I remember a Jack LaLane type 70 year old Yosemite Park ranger retired that I treated for his osteoarthritis - This strong good looking man told me that he could still hike with the best of them but he could no longer do down...
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Old 05-02-12, 05:06 PM   #8
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Thanks, Zandoval.

The tension/pain is in the tendon just below the knee. I haven't done any downhill running but last summer when I really over did the running and had this same injury walking down stairs was painful.

After taking about 10 days off. I did a short run and I had mild tension but no pain in the tendon. I waited 3-4 more days and ran again and experienced the same thing--tension but no pain. I am thinking about holding my distance (2 miles) and just going twice a week while cycling on the other days... and see where that gets me.
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Old 05-02-12, 06:39 PM   #9
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Zandoval seems to know what he is talking about. My comments were for helping you stretch only. But stretching may not be what you need.

I have heard that seat height being incorrect can cause knee pain. I think that a seat that is too low causes pain in the front of the knee and a high seat causes pain in the back of the knee.

It is always best to get a good doctor to tell you what is going on. So if you can go and get a diagnosis and then you will know your best route to recovery.
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Old 05-03-12, 02:48 PM   #10
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My Airrosti doctor says Americans tend to have overly developed quads, because we start sitting at desks at age 5 and never look back, while in Asia people squat. Do more squats so you can build your glutes, and you won't have such quad tightness and problems.
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