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Knee problems moving to back problems - body asymmetry?
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firestonej


Dec 10, 2008, 5:54 PM
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Knee problems moving to back problems - body asymmetry?
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Howdy,

I posted here a while ago wondering if I had patellar tendonitis, as several doctors had told me.

I finally wound up getting referred to a knee specialist, who determined it as patellar tracking disorder, to the inside, which was presenting as tendonitis due to the muscles trying to maintain my kneecap's position.

I've been in physical therapy for it for a while, and my knees are getting stronger. However, I'm starting to have other problems. I've always been asymmetrical - my right hip sticks out about an inch further than my left, which I was always told was no big deal.

Now, after a lot of PT work on my knee, I'm starting to get pain in my lower back, only on the right side. When I was climbing 4-5 days a week last year, I would generally get more sore on the right, but it was never painful, per se. My therapist has said this could just be due to my body compensating for being crooked; but it could be part of a bigger problem, i.e. the fact that I walked on the inside of my feet due to the knee issue causing my back to be screwed up or twisted.

For instance, if I do one-leg squats, I can do them on my right side, on the heel/toe/outside of my foot (i.e. proper arch support position), without wobbling and with my knee over my foot. On my left side, I can't even stand one legged in the proper foot position, much less squat with my knee straight.

I'm wondering if anyone has had experience with this kind of problem. I've heard of things like disc problems causing these sort of issues.

In the meantime, I'll just keep doing single-plane exercises on my knees and get some new exercises going for my back. After such a long while of not climbing hard, it's starting to get frustrating to maintain discipline and not just say screw it and go to the gym..

Thoughts/suggestions? Will I be forever crooked?

Thanks,

Jesse


roy_hinkley_jr


Dec 10, 2008, 6:05 PM
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Re: [firestonej] Knee problems moving to back problems - body asymmetry? [In reply to]
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A full course (10 sessions) of rolfing could be a big help.


firestonej


Dec 10, 2008, 6:10 PM
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Re: [roy_hinkley_jr] Knee problems moving to back problems - body asymmetry? [In reply to]
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I've heard of that, but since it lacks rigorous study evidence, I'm not entirely convinced that it works.

I know that the knee issues are the result of many years of misuse (essentially, I've been walking wrong) and from what my specialist has told me, this can only be corrected by appropriately strengthening the muscles, i.e. moving properly and forcing myself to pay attention every time I place weight on my knees. I guess rolfing sounds like snake oil to me.

Have you experienced it firsthand?


granite_grrl


Dec 10, 2008, 7:28 PM
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Re: [firestonej] Knee problems moving to back problems - body asymmetry? [In reply to]
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I have been stuggling with my patella tracking for a while. Root cuase of mine was a bad injury that kept me from weight bearing and the muscle atrophy that occured. Still my left leg is stronger than my right, but both are much weaker than they were pre accident.

I wouold think that the best solution is to get advice from your PT. It sounds like you're not happy with the answers that your current PT is giving you, maybe its time to go to another. There's quite a variety to be had from different PTs and the way they treat their patients.


roy_hinkley_jr


Dec 10, 2008, 7:42 PM
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Re: [firestonej] Knee problems moving to back problems - body asymmetry? [In reply to]
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The underlying principles of rolfing are fairly sound. Essentially deep tissue massage with the goal of realigning the body. Not nearly as mumbo-jumbo as a lot of other alternative therapies. I was rolfed after a broken collarbone left my back out of whack from compensating. It definitely helped.


mike_devildog


Dec 10, 2008, 8:11 PM
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Re: [firestonej] Knee problems moving to back problems - body asymmetry? [In reply to]
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While you are at it go and get yourself a couple pairs of SUPERFEET shoe insoles, i had patella tendonitis(runners knee) in my right knee. i put these insoles in my shoes i really havent had a problem since! The insoles keep everything in line, from your ankle, to your knee, to your hip, to lower back! The insoles allow you to properly walk without pronating, which causes alot of the pain! Trust me,..they are trim to fit, so you can take them in and out of other pairs of shoes!


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