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Update - Musical Left Knee

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Update - Musical Left Knee

Posted by Happygal on February 06, 2003 at 20:11:24:

Hi Walt and everyone,

Today I went to see the Sports Medicine Specialist about my musical left knee. He said that kind of crepitis was due to chondromalacia patella. He showed me two exercises to strengthen the vastus medialus oblique muscle to correct the tracking of the patella and recommended that I use my stationary bicycle. I should avoid squatting, going down stairs (up is okay), and kneeling.

He said that for some people, it never reaches the point of pain but only causes noise, and for others it becomes painful. When I asked him, he said his recommendations will stop or slow the progression of damage to the cartilege but will not reverse it. I asked about glucosamine and he said fine. He mentioned some kind of injections to rebuild the cartilege but didn't think it necessary since it costs about $1500 and I'm not in any pain. He didn't think surgery was of much use because it brings only temporary benefits.

Some of my clients with joint pain take glucosamine and they say that if they go off it, the pain returns. That makes me wonder if it only soothes or if it actually rebuilds cartilege. If I take it, for how long is it safe to take it?

Is there anything else I can do to try to reverse, rebuild or strengthen the cartilege? Other than the weak vastus medialus oblique, I'm not sure that we know exactly what has caused this. The noise has existed for 15 years already and is not the result of trauma to the knee.

Thanks so much,
Happygal



Re: Update - Musical Left Knee

Posted by Lincoln on February 07, 2003 at 12:42:12:

In Reply to: Update - Musical Left Knee posted by Happygal on February 06, 2003 at 20:11:24:

"I should avoid squatting, going down stairs (up is okay), and kneeling. "

Anatomically, there is very little difference between squatting flat-footed and going up stairs.

Note that only in the U.S. and Western Europe is there such an aversion to squatting. In Asia and other parts of the world, people commonly squat instead of sitting. The cultural difference is so profound that it becomes a serious issue in knee replacement surgery! Manufacturers of artificial knees have to allow for a greater range of knee motion when selling to non-Western nations. Yet people who habitually squat deeply - Asians, Mexican farm workers, etc. - do not have a greater incidence of knee problems.



Re: Update - Musical Left Knee

Posted by EllieK on February 07, 2003 at 13:26:29:

In Reply to: Update - Musical Left Knee posted by Happygal on February 06, 2003 at 20:11:24:

I, too, have a musical left knee (and somewhat less frequently musical right knee). Thanks for posting the follow-up.
Now, a practical question: If you can go up stairs, but not down, how are you supposed to get back downstairs!?!?

(I'm sort of kidding, but I do have a 2-story house, and what goes up must come down...)



Does your doctor mean Prolotherapy?

Posted by Martha on February 07, 2003 at 17:10:12:

In Reply to: Update - Musical Left Knee posted by Happygal on February 06, 2003 at 20:11:24:

I want to give Prolotherapy a try for my crepitus-y neck. I also have no pain -- just a crunchy sound. It doesn't bother me much, but Prolotherapy can help to rebuild the ligaments, I believe. I wonder if that's what your doc meant? Hmmm... where are HY and Doc Stoll?

Good luck!

Martha



Re: Update - Musical Left Knee

Posted by Happygal on February 07, 2003 at 20:02:59:

In Reply to: Re: Update - Musical Left Knee posted by EllieK on February 07, 2003 at 13:26:29:

Hi EllieK,

The P.A. said, Take the elevator.

I haven't figured out how to do this at home yet, either. My computer is in the loft and I'm up and down the stairs at least 4 times a day. I'm trying to figure out how to slide down the banister but it looks precarious. So far the other option I've figured out is to go down one step at a time keeping the left leg straight -- but it takes twice as long.

If you come up with any good ideas, let me know!

The exercises are simple -- find a good PT or a sports medicine person to learn how to do them!

Best wishes,
Happygal



Re: Update - Musical Left Knee (Archive in knee.)

Posted by Walt Stoll on February 08, 2003 at 07:38:35:

In Reply to: Update - Musical Left Knee posted by Happygal on February 06, 2003 at 20:11:24:

Hi, Happygal.

Your sports medicine guy is telling you good!

A number of studies have shown widening of the xray joint space with glucosamine (orally); the injections have yet been shown to help. Widening is PROOF of the regeneration of cartilege--glucosamine being the only known thing that will do that.

Since the natural history of chondromalacia patellae is gradually worsening over the years, just holding your own would be a triumph. However, with glucosamine, most people are now seeing gradual improvement over years.

Walt

Follow Ups:


Re: Update - Musical Left Knee

Posted by Walt Stoll on February 08, 2003 at 08:30:45:

In Reply to: Re: Update - Musical Left Knee posted by Lincoln on February 07, 2003 at 12:42:12:

Thanks, Lincoln.

I think there is a GREAT difference between a people who squat from childhood to old age and those who do not and only do it as an irregular exercise.

Walt

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Re: Update - Musical Left Knee

Posted by Walt Stoll on February 08, 2003 at 08:47:02:

In Reply to: Re: Update - Musical Left Knee posted by EllieK on February 07, 2003 at 13:26:29:

Hi, EllieK and Happygal.

I have heard that sliding down the bannister is a wonderful thrill :o).

I just could not resist.

Namaste`

Walt

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Re: Does your doctor mean Prolotherapy?

Posted by Walt Stoll on February 08, 2003 at 09:22:10:

In Reply to: Does your doctor mean Prolotherapy? posted by Martha on February 07, 2003 at 17:10:12:

Sorry, Martha.

Hy is the resident expert on prolotherapy. I have never used it.

Walt

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Re: Update - Musical Left Knee

Posted by Sally on February 08, 2003 at 14:01:18:

In Reply to: Re: Update - Musical Left Knee posted by Happygal on February 07, 2003 at 20:02:59:

My friend always trained her kids to come down the steps via their rumps. Hey, it could work. I'd take it slow though.

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