Struggling with Knee Issues

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  • aokoye
    aokoye Posts: 3,495 Member
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    briscogun wrote: »
    as @Mari22na said, swimming is the one basically ZERO impact activity that you can do.
    Swimming is low impact...and can still be hard on one's joints. For example, the breaststroke kick can be very hard one one's knees, especially if there's already an injury, you're recovering from knee surgery, or have anatomical issues.

    All of the suggestions that I would give, as someone with a long history of knee issues and who has had four major surgeries (I had my 30th day of PT for my most recent surgery yesterday), have already been given and dismissed. It is unfortunate that the OP isn't willing to actually spell out his diagnosis (as if there aren't people here who would understand the medical terminology), but even then - getting medical advice over the internet is almost never a good bet.
  • aokoye
    aokoye Posts: 3,495 Member
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    If you know what you have, and what you need to do, Do that.

    Or spell it out here, and maybe someone with the same thing can give you some additional tips for exercises.

    For example. MY runner's knee, is a glute/quad imbalance with hypermobility in my knee and tightness in my hip flexors.

    For example. My patellofemoral pain and bone-on-bone grinding is due to patellar tracking syndrome. I find that consistent cycling strengthens the musculature surround my knee cap, stabilizes the knee and alleviates the pain.

    And as an example of someone who knows what you're talking about, I also had patellar tracking syndrome bilaterally. In my case the cause was patella alta and then I don't have a trochlear groove on my right knee. I ended up having tibial tubercle osteotomies on both knees as well as MPFL reconstructions because conservative treatments (including a lot of PT) were very clearly not working. I was already a cyclist and it was pain that I had while cycling that tipped me off that I should see an orthopedist.

    One more data point for the OP as to why it's useful to spell out what your diagnosis is.
  • Diatonic12
    Diatonic12 Posts: 32,344 Member
    edited May 2018
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    For example. MY runner's knee, is a glute/quad imbalance with hypermobility in my knee and tightness in my hip flexors.

    For example. My patellofemoral pain and bone-on-bone grinding is due to patellar tracking syndrome. I find that consistent cycling strengthens the musculature surround my knee cap, stabilizes the knee and alleviates the pain.

    Yaaasssss. Exactly. When I bike in the therapy pool, the stress is less but I still find relief. I get the drift that the OP is not interested in swimming, might be due to budget constraints. I get that.

    I don't think anyone here is giving medical advice but suggestions. Swimming is low impact not zero impact. You know when you're pushing it to the razor's edge, your body tells you. I started ever so slowly and have worked my way out of not being able to get off the floor, unable to sit with knees bent for very long and unable to walk without that bone on bone grinding pain.

    He's been to the doctor several times, duly noted. But if you can't afford PT and you're in pain, simply walking backwards in the pool is where I started. That's not going to throw anyone for a loop. You've got to begin somewhere or stay on the couch finding little improvement or relief.

  • tbright1965
    tbright1965 Posts: 852 Member
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    Shadow87 wrote: »

    that's not always the case actually. I've struggled with eating ENOUGH calories at times (I can go a day or more without eating at all), or eating 1200-1400 calories to compensate for being less active for months now (I'm 5'11" and 237 lbs...my maintain weight calories according to MFP is around 22-2500) and still gain weight- a lovely trait I got from my dad and his side of the family- so I do in fact need to be active and exercise to lose weight, and my knee so far has kept me from doing that, hence my saying that I gained due to my bad knee

    For clarification, are you suggesting that you gain weight on 2200-2500 calories/day?

    I'm 5'11" and was 265 14-15 weeks ago. I am now 228, and lose about 1% / week on 2250 first and then, after the first 26 pounds, on 2135/day.

    Now I'm more active, but even days where I don't have a workout, I believe I easily burn 2500+ calories/day at a weight that is less than yours.

    How accurate is your logging of food? Do you weigh your food with a food scale?

    I'd think you would easily lose 0.5-1 pound a week at 2000 calories a day before you even did a single workout.

    The answer, or at least part of it may be to tighten up your food logging and drop some more weight. That may help with some of the knee pain as you are able to reduce the loads on your knees.
  • fitcrt
    fitcrt Posts: 76 Member
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    I also have knee issues, I have chondromalacia patella in both knees and suffered a degenerative meniscus tear in February that I have been in PT for ever since. I was recently cleared to start exercising again, but it's challenging to find cardio that does not irritate my knee. The potential causes of knee pain are vast and varied, if you could afford at least one visit to a PT they could diagnose the root cause(s) of your pain and provide you with exercises you can do at home to correct your issues. I never would have been able to determine my issues and imbalances on my own and wouldn't have known what to do to properly care for myself without the assistance of my therapist. Also, the process of correcting the root issues is a slow process. Once you know what your issues are and have a good base of exercises to perform at home to correct the issues, you can then search the internet for additional exercises as you progress. Since you could cause damage that can lead to serious injury (and an expensive surgery) I highly recommend investing in at least one trip to a good PT.
  • WickAndArtoo
    WickAndArtoo Posts: 773 Member
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    Try yoga!!! Seriously, it’s so much harder than it looks and it will help strengthen and stretch your muscles. I actually found the yoga helped my knee pain a ton, and my back pain! It also helped me lose weight. There are lots of free videos online, I use beach body on demand (which does cost a little bit-but nothing outrageous) they have a great beginners set of videos my husband and I do.
  • Shadow87
    Shadow87 Posts: 27 Member
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    Thanks everyone
    First of all, I'm a girl :) and it's not that I'm unwilling to say what the condition is, it's that I don't remember what it's called specifically since the last time I went for my knee was over a year ago, and I barely remember what I did 2 days ago. Add to that it was a complicated medical term that I had never heard before...Hence my saying its runners knee since that IS what I remember him saying-so I was also kind of hoping someone would say what they had and it would jog my memory as to what mine is called. I don't see swimming as an option not only because I can't afford it, but because I CAN'T swim, and where I live there are no water aerobics type things nearby that don't require an expensive gym membership. And as much as I'd love to see a PT again, I have 0 insurance and only work part time for a community college so can't afford to pay.

    tbright-yes, I can EASILY gain weight on 22-2500 calories with little to no activity. When I was more active I could eat that and still lose, but it's not just the amount of calories that I was eating, but the fact that I was eating a lot of premade frozen foods with lots of preservatives and sodium and such. I know this was one of the biggest issues so I've been trying to change and eat more whole, real foods...as hard as it is. I'm doing better-already down 23 lbs since I changed my diet in April, but I want to strengthen my knee muscles as I lose weight, and build some muscle tone, cause I know having some helps burn fat as well.

    WickAndArtoo-I've tried Yoga, and I really enjoy it, but some of the poses still aggravate my knee and I worry that I may do more damage without someone to make sure I'm doing the move properly. But I would love to get back into it if I can at some point. And I'm so jealous, I'm trying to talk my hubby into signing up for BeachBodyondemand, but sadly, I have to refer back to money-or lack thereof .

    I'm sorry my post seems to be annoying people more than anything-I was just hoping for a bit of advice to keep me from giving in to despair since I feel like I'm at the end of my rope. But I will keep focusing on my diet as many of you have repeated, and hopefully one day I can say my knee is no longer an issue...
  • stanmann571
    stanmann571 Posts: 5,728 Member
    edited June 2018
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    Shadow87 wrote: »
    Thanks everyone
    First of all, I'm a girl :)
    Ah, That's useful info. And explains why your maintenance is 500-700 calories lower. Your picture is ambiguous, so I apologize for not checking.
    and it's not that I'm unwilling to say what the condition is, it's that I don't remember what it's called specifically since the last time I went for my knee was over a year ago, and I barely remember what I did 2 days ago. Add to that it was a complicated medical term that I had never heard before...Hence my saying its runners knee since that IS what I remember him saying-so I was also kind of hoping someone would say what they had and it would jog my memory as to what mine is called. I don't see swimming as an option not only because I can't afford it, but because I CAN'T swim, and where I live there are no water aerobics type things nearby that don't require an expensive gym membership. And as much as I'd love to see a PT again, I have 0 insurance and only work part time for a community college so can't afford to pay.

    tbright-yes, I can EASILY gain weight on 22-2500 calories with little to no activity. When I was more active I could eat that and still lose, but it's not just the amount of calories that I was eating, but the fact that I was eating a lot of premade frozen foods with lots of preservatives and sodium and such. I know this was one of the biggest issues so I've been trying to change and eat more whole, real foods...as hard as it is. I'm doing better-already down 23 lbs since I changed my diet in April, but I want to strengthen my knee muscles as I lose weight, and build some muscle tone, cause I know having some helps burn fat as well.
    As I said above, if you're certain there's no injury, get some good neoprene wraps, and walk/strength train(squats/deadlift)-Starting strength/Stronglifts style program. Be prepared for discomfort, Ice/heat after training for 15/30 minutes.

    AND again, as above, if there is an injury, you're going to make it much worse, by working around it.

    You can also try "flossing" prior to training, to temporarily reduce fluid/inflammation.

    WickAndArtoo-I've tried Yoga, and I really enjoy it, but some of the poses still aggravate my knee and I worry that I may do more damage without someone to make sure I'm doing the move properly. But I would love to get back into it if I can at some point. And I'm so jealous, I'm trying to talk my hubby into signing up for BeachBodyondemand, but sadly, I have to refer back to money-or lack thereof .
    I wouldn't recommend any of the Beachbody programs for someone with tricky knees

    I'm sorry my post seems to be annoying people more than anything-I was just hoping for a bit of advice to keep me from giving in to despair since I feel like I'm at the end of my rope. But I will keep focusing on my diet as many of you have repeated, and hopefully one day I can say my knee is no longer an issue...

  • WickAndArtoo
    WickAndArtoo Posts: 773 Member
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    Shadow87 wrote: »
    Thanks everyone
    First of all, I'm a girl :)
    Ah, That's useful info. And explains why your maintenance is 500-700 calories lower. Your picture is ambiguous, so I apologize for not checking.
    and it's not that I'm unwilling to say what the condition is, it's that I don't remember what it's called specifically since the last time I went for my knee was over a year ago, and I barely remember what I did 2 days ago. Add to that it was a complicated medical term that I had never heard before...Hence my saying its runners knee since that IS what I remember him saying-so I was also kind of hoping someone would say what they had and it would jog my memory as to what mine is called. I don't see swimming as an option not only because I can't afford it, but because I CAN'T swim, and where I live there are no water aerobics type things nearby that don't require an expensive gym membership. And as much as I'd love to see a PT again, I have 0 insurance and only work part time for a community college so can't afford to pay.

    tbright-yes, I can EASILY gain weight on 22-2500 calories with little to no activity. When I was more active I could eat that and still lose, but it's not just the amount of calories that I was eating, but the fact that I was eating a lot of premade frozen foods with lots of preservatives and sodium and such. I know this was one of the biggest issues so I've been trying to change and eat more whole, real foods...as hard as it is. I'm doing better-already down 23 lbs since I changed my diet in April, but I want to strengthen my knee muscles as I lose weight, and build some muscle tone, cause I know having some helps burn fat as well.
    As I said above, if you're certain there's no injury, get some good neoprene wraps, and walk/strength train(squats/deadlift)-Starting strength/Stronglifts style program. Be prepared for discomfort, Ice/heat after training for 15/30 minutes.

    AND again, as above, if there is an injury, you're going to make it much worse, by working around it.

    You can also try "flossing" prior to training, to temporarily reduce fluid/inflammation.

    WickAndArtoo-I've tried Yoga, and I really enjoy it, but some of the poses still aggravate my knee and I worry that I may do more damage without someone to make sure I'm doing the move properly. But I would love to get back into it if I can at some point. And I'm so jealous, I'm trying to talk my hubby into signing up for BeachBodyondemand, but sadly, I have to refer back to money-or lack thereof .
    I wouldn't recommend any of the Beachbody programs for someone with tricky knees

    I'm sorry my post seems to be annoying people more than anything-I was just hoping for a bit of advice to keep me from giving in to despair since I feel like I'm at the end of my rope. But I will keep focusing on my diet as many of you have repeated, and hopefully one day I can say my knee is no longer an issue...

    It’s beginners yoga, just stretching... not workouts
  • GaryRuns
    GaryRuns Posts: 508 Member
    edited June 2018
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    Since swimming is out how about spinning? You still need to either find a gym or buy a spin bike, but short of walking there aren't many zero-cost, low-impact, methods of exercising. And what about walking? If you're in pain just walking your options are going to be limited. There's also the hand bike and rowing machine, but, again, you'll only really find something like that in a gym.

    Also, just thought of this, don't underestimate the impact on your weight loss things like body weight exercises, or just weight lifting exercises in general, can have. Push-ups, pull-ups, dips, sit-ups, etc. Add in a few inexpensive dumbbells from Target or Walmart and you have a whole host of further options, none of which impact your knees.
  • AnnPT77
    AnnPT77 Posts: 32,359 Member
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    GaryRuns wrote: »
    Since swimming is out how about spinning? You still need to either find a gym or buy a spin bike, but short of walking there aren't many zero-cost, low-impact, methods of exercising. And what about walking? If you're in pain just walking your options are going to be limited. There's also the hand bike and rowing machine, but, again, you'll only really find something like that in a gym.

    Also, just thought of this, don't underestimate the impact on your weight loss things like body weight exercises, or just weight lifting exercises in general, can have. Push-ups, pull-ups, dips, sit-ups, etc. Add in a few inexpensive dumbbells from Target or Walmart and you have a whole host of further options, none of which impact your knees.

    Rowing machine can be a problem for knees. Here again, it depends on the specifics of a diagnosis . . . but rowing machine is mainly leg-powered (plus some other parts, but the legs are the primary engine).
    If OP can't cycle without aggravating her knee (I think she said she can't), there's a decent chance she can't row, either - same kind of straight-line hinging motion against resistance, just that the resistance is more circular and legs-below-body with cycling, and straight-line and legs-outstretched with rowing.

    With my particular torn meniscus/arthritis diagnosis, cycling and rowing are the two main leg-intensive things I can tolerate, but I have a fairly clear visceral understanding of the respective stresses.

    OP, think about upper body exercise. I know you aren't elderly/decrepit, but take a look at various forms of chair exercises for ideas (YouTube), think about doing upper body circuit-training type moves (lower weight, higher reps) as a form of cardio, etc. The push-ups, pull-ups, etc. that PP (GaryRuns) suggests can be good, too. Take a look at knee-strengthening exercise videos on YouTube (search for "knee pain" and that sort of thing), focusing on those by credentialed physical therapists. You may not be able to do all the moves, but look for some you can do.

    Ice your knee after every workout (I do); it may help. I understand that you can't walk for exercise, but assume you have to walk some in daily life. How you walk, and how you climb stairs, can add to knee stress. Seeing a PT would be the best thing, but I hear that you can't afford that just now.

    For me, focusing on glute engagement helps reduce knee stress when walking (thinking about contracting my butt muscles with each step). I did a bunch of PT for my particular issues as related to stairs, but a couple of key points were stretching out tight muscles around my pelvis daily (3-direction pelvic tilts on a ball, mostly); and thinking about pushing my weight up the step with my back foot rather than using my upstairs foot to power climbing. On the way down, straight leg as long as possible on the downstairs leg was a help. Since you're doing what you're doing, and have the problem you have (not doing what I was doing and having my problems ;) ), those ideas may not help, but it's all I've got.

    On the water exercise thing, I'm hearing you about not being able to afford a fancy gym and not being able to swim. Is there anywhere affordable you can get in a pool, lake, or whatever, without classes? For some people, just walking in water is a good exercise, and sometimes the buoyancy takes enough weight off the knees to make it less body stress than walking on land. If you have a place you could go, it might be worth a try.

    Best wishes - hoping you can find a solution!