Re: Exercise & Knee Pain
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Re: Exercise & Knee Pain
| Chris Braun | 13 Mar 2004 16:08 |
>I'm unfamiliar with knee wrapping. Can you explain? Knee wraps are long stretchy cloth bands that you wrap around your knee tightly (and secure by tucking under an end). They provide support for squatting and deadlifting -- especially helpful for those with knee issues. They can also improve your squat poundage because they give you a little more strength out of the hole. (They're legal in competition -- even raw meets -- because they're viewed as safety gear.)
I use the Titan Gold wraps, seen here: http://www.titansupport.com/products/wraps/wraps.htm.
Here you can see some pictures of people using them: http://www.usapowerlifting.com/newsletter/17/results/womens_art.html
Chris
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| Dally | 13 Mar 2004 15:49 |
>>I'm having a twinge in my knees these days from my sumo deadlifts. I'd >>love to get my form checked but when I hired a trainer (and specifically [quoted text clipped - 9 lines] > > (Obviously, the trainer was wrong :-) .) Yes, I did catch that part. (Right away, it's not like I hadn't looked up Krista's deadlift page first!)
I'm unfamiliar with knee wrapping. Can you explain?
Dally, who had never heard of singlets until you posted a link
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| Chris Braun | 13 Mar 2004 14:24 |
>I'm having a twinge in my knees these days from my sumo deadlifts. I'd >love to get my form checked but when I hired a trainer (and specifically >told him it was to learn deadlifts) he thought sumo deadlifts were >"straight leg deadlifts with a really narrow grip" and he demonstrated >holding the hands together on the barbell. Um, no. I don't deadlift much anymore -- just too much else to do -- but when I did I always did sumo. It can be hard on the knees, but probably less so than conventional form. Have you ever tried using knee wraps? They can help protect your knees from undesired rotation. Also, experiment with the amount of turnout in your feet.
(Obviously, the trainer was wrong :-) .)
Chris
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| Dally | 13 Mar 2004 14:03 |
> The 90 degree squat limit is widely propagated, but there are many who > disagree. I'm one of those, I guess. For me, higher squats put a lot [quoted text clipped - 3 lines] > the lift, as though you were going to sit in a chair, which takes > stress off the knees. However, this does take learning. And stretching! I have to stretch my ankles, hip flexors and hamstrings before I can keep my pelvis tilted back in the right way. I was dipping my butt in at the bottom of my squat and that's bad.
But I agree with you that low squats are easier on my knees that mid-level squats.
I'm having a twinge in my knees these days from my sumo deadlifts. I'd love to get my form checked but when I hired a trainer (and specifically told him it was to learn deadlifts) he thought sumo deadlifts were "straight leg deadlifts with a really narrow grip" and he demonstrated holding the hands together on the barbell. Um, no.
Dally
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| Chris Braun | 13 Mar 2004 13:59 |
>> Well, as I said at the start of my post, my recommendations are just >> based on my personal experience. I know leg extensions are [quoted text clipped - 28 lines] >90 degrees. I also avoid stairs if possible and wear flat shoes if >appropriate. It sounds like this coach did good things for you -- definitely not something one can count on :-).
I agree entirely about strengthening the muscles above and below the knees. That's what helps keep knees in alignment. And it's one of the reasons that many people do recommend leg extensions.
The 90 degree squat limit is widely propagated, but there are many who disagree. I'm one of those, I guess. For me, higher squats put a lot of stress on my knees that is relieved by going lower. I wouldn't have thought this possible either until I learned it. I think the form is actually different when you go lower -- you sit back more into the lift, as though you were going to sit in a chair, which takes stress off the knees. However, this does take learning. And I think we all have to be guided by what works for us.
I have pretty crummy knees also, but I'm maintaining them pretty well for now (and for age almost-56).
Chris
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| Julianne | 13 Mar 2004 02:46 |
> Well, as I said at the start of my post, my recommendations are just > based on my personal experience. I know leg extensions are [quoted text clipped - 3 lines] > training (which involves jumping and squatting). Others' experience > may differ. Chris:
When I moved to the states during high school after living in Australia and Jamaica, I had to meet all the requirements for graduation at my new high school. This included so many hours of phys ed which American students were allowed to carry over from Jr. High school. Alas, we did not get credit for 'sports' as they were called in Australia so I had to take additional courses. The only one available to me was weight lifting.
I played tennis several times a week down under but because I have long legs and the stress of tennis, I came to weight lifting with very weak knees. Our coach encouraged me to work the muscles directly below and above the knee. He said it would add stability. As an adult, I wonder if I should have trusted his word about knees, etc., but it worked. He was very careful about the angle that my knee was bent and he wouldn't let me do certain things like squats with heavy weights until I could do lighter weights without bending my knees more than 90 degrees.
It worked. I am 43 with the same knees. I suspect I will have knee replacements one day but until then, I will strengthen muscles directly above and below my knees and I make it a point to never bend them more than 90 degrees. I also avoid stairs if possible and wear flat shoes if appropriate.
j
> >I'd be very careful with deep squats if you have chondromalacia. OK, > >if they don't hurt (either while you're doing them or cause a "flare [quoted text clipped - 11 lines] > > Chris |
| Chris Braun | 13 Mar 2004 02:22 |
>If you're talking about starting with your knee bent at a 90 degree >angle like this http://www.exrx.net/WeightExercises/Quadriceps/LVLegExtension.html [quoted text clipped - 4 lines] >position. But the standard leg extension for PFPS is the straight-leg >raise. See http://www.santerehab.com/hurts/exercise/othr_kne.html Well, as I said at the start of my post, my recommendations are just based on my personal experience. I know leg extensions are controversial, but I have found them extremely helpful when my choondromalacia flares up. If my knees are feeling a bit iffy, I'll also do a few sets as warmup before I start doing my Olympic lifting training (which involves jumping and squatting). Others' experience may differ.
>I'd be very careful with deep squats if you have chondromalacia. OK, >if they don't hurt (either while you're doing them or cause a "flare >up" within a day or two afterwards) and you do them in proper form. >(Of course this is ture for any exercise...) I submit that that many >with PFPS will have trouble doing them in proper form due to muscle >tightness, etc. I think that deep squats take some learning for most people, so I just suggested that Jayjay work on learning to do them, if she doesn't already.. I have found them extremely beneficial, whereas I find that 90-degree squats are painful and aggravate my knees. But I agree that if these -- or any other exercise -- result in knee pain a day or two later, they should be avoided. Again -- just my personal experience.
Chris
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| Chris J | 12 Mar 2004 19:23 |
All good advise, but a couple of comments...
> I had a very serious problem with chondromalacia several years ago. > I'm now generally pain-free, but I still get little flare-ups of it [quoted text clipped - 9 lines] > knees. I find them therapeutic when my knees flare up. I don't > bother with them unless I'm having knee pain. If you're talking about starting with your knee bent at a 90 degree angle like this http://www.exrx.net/WeightExercises/Quadriceps/LVLegExtension.html - these are controversial. I understand a lot PT's don't recommend them anymore, even for healthy knees but particularly not for people with PFPS (chondromalacia). One way to alleviate the risk is to only work the upper range and stop with your leg halfway to the 90 degree position. But the standard leg extension for PFPS is the straight-leg raise. See http://www.santerehab.com/hurts/exercise/othr_kne.html
> * Do deep (below parallel -- a.s to grass) squats. If you don't know > how now, learn this. Start with no added weight if you're new to it. > Keep doing them after your knees recover, to help prevent future > problems. I'd be very careful with deep squats if you have chondromalacia. OK, if they don't hurt (either while you're doing them or cause a "flare up" within a day or two afterwards) and you do them in proper form. (Of course this is ture for any exercise...) I submit that that many with PFPS will have trouble doing them in proper form due to muscle tightness, etc.
> * Do hamstring, quad, and achilles tendon stretches -- religiously, > twice a day. [quoted text clipped - 16 lines] > > Chris |
| Chris Braun | 10 Mar 2004 02:00 |
I had a very serious problem with chondromalacia several years ago. I'm now generally pain-free, but I still get little flare-ups of it now and then.
Here are the things I'd recommend, based on my experience. (I should note that I'm not a physician and that YMMV and all that stuff.)
* If you're not already doing it, start taking glucosamine/ chondroitin.
* Do leg extensions if they don't feel like they aggravate your knees. I find them therapeutic when my knees flare up. I don't bother with them unless I'm having knee pain.
* Do deep (below parallel -- a.s to grass) squats. If you don't know how now, learn this. Start with no added weight if you're new to it. Keep doing them after your knees recover, to help prevent future problems.
* Do hamstring, quad, and achilles tendon stretches -- religiously, twice a day.
* Avoid impact exercises like running or lots of walking, particularly on pavement. Avoid stairs when possible. Avoid jumping (well, at least the landing part :-) ).
* Don't do the stationary bike if it hurts. You might find an elliptical trainer more comfortable. Water exercise is also great for someone whose knees hurt. If a repetitive exercise is painful, it's not a good choice for you.
* Ice your knees if they're sore.
* For always -- not just when your knees are bothering you -- avoid twisting your leg with your foot planted on the ground.
Good luck!
Chris
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| Jayjay | 09 Mar 2004 18:09 |
Crossposted to ASD and MFW for input.
Stats: Female age 32yrs 5'3", 135lbs workout with combo of weights and cardio
I've been dealing with knee pain for a while now and finally sucked it up and went to the doc. After a 45min wait in the waiting room, another 15 in the exam room, a 10 min consult and doc says:
"Chondromalacia"
OK, so flash backs to highschool - this is what I had back then. This is what is bothering me know.
Treatment: PT, for 4 weeks. Spend lots of time on the stationary bike. If no improvement, off to Othropedic for further treatment.
Now, the question is..... What are the suggestions from those in the group? How do I handle workouts?
Running/jogging? Biking? Weights? Squats? Lunges or deadlifts?
What should and shouldn't I do at this point. I now have to go spend time researching this to determine my next course of action.
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