4/29/2011

Knee Disorders: Long Distance running and knee injury?


Long Distance running and knee injury?I just started the sport of long distance running about four months ago, but my knee has been starting to give me problems. I'm trying to train for the los angeles marathon. I recently got new shoes, but I don't think that's the problem because I feel the pain when I walk too. I feel some sort of popping in my left knee every time I take a step. And the pain is coming left of the kneecap. I really don't know what it could be. Do I need to go to the doctor?

- sully225
I had a problem with my IT band last year while training (the IT band runs down the side of the leg from below the hip and to the knee, where it hurts). This was most likely because I was not training for my cross country season as much as I should have and then tried to start training much more intensely right before the season started.

The pain for me was on the side of my right knee, but I there was no popping. One weird thing with this problem was that it would only hurt while running slowly and walking (race speed was not a problem).

Overpronation or running down steep hills could have caused this as well.

I iced, stretched and massaged the IT band until it felt better. I am not sure whether or not what you are feeling is the same thing but it is the closest injury that I can think of.

Talking to a doctor is always a good option and is probably your best bet.

- betty l
you need to see your doctor, at lease call your doctor before u continue running,

- Jogger2425
It sounds like Iliotibial band (friction) syndrome. The illiotibial band (ITB) is a band of fascia running from the hip (illium) to the tibia. When your leg is straight, part of the band is in front of a bump on the femur called the lateral femoral epicondyle. When you flex your knee, this part of the band is in back of the epicondyle. The pain is felt when the band passes over this epicondyle.

Stretch each ITB at least 10 minutes a day. Here is one stretch:
Stand. Cross your right leg in front of your left. Put your right hand on the right side of the hip, and push the hip to the left. Bend to the right. This stretches the left ITB. Reverse left and right to stretch the right ITB. Another stretch is to sit, and try to pull the left knee to the right armpit. Then, try to pull the right knee to the left armpit.

In addition to stretching, it might help if you rested your knees and applied ice.

American runners are more likely to get this on the left knee. British runners are more likely to get it on the right. This is because running on a cambered surface contributes to the problem, and when we run along a road, we run facing traffic.

Try running on a trail or bike path to either avoid camber, or run on a surface that is lower on the right instead of the left. Try to avoid hills, especially down hill, if possible. Prefer running on trails or tracks with "soft" surfaces. Try to avoid paved surfaces.

It is possible that it is your shoes. Sometimes running injuries can progress to interfere with non-running activities. Try shoes with more cushioning.

It is possible that you have a contributing bio-mechanical problem. If this is the case, you should see a orthopedic specialist for orthoses (orthotics).

(A few years ago, I had knee pain (not ITBFS) both running and walking. I built up part of the insoles with mole foam in my running shoes, my street shoes, and my work shoes. It acted like an orthosis.)

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