WHAT IS GOING ON WITH MY KNEES?

by Sara

hi, i am 13 years old and have been playing soccer for as long as i can remember. I play competitive soccer so that means i play tons of tons of soccer. I have hurt my knee many times but nothing serious. But lately in this past year i have really had a problem with my knees. In May i hurt my knee playing soccer. It locked up and i was out for about a month and a half. Went to sports doctor said i needed to strengthen muscles around my knee. gave my a knee brace and referred me to a physical therapist.


I was still playing soccer now wearing brace because the doctor said their would be no harm well not the situation. I took physical therapy coming up to my fourth visit and i was improving a lot then i injured my knee in a tournament.

I stepped on it wrong and feel a sharp pain so i went back to my physical therapist she said i re-injured my knee and there was nothing she could do. Again i was referred to a sports doctor. he then looked at my knee no tears no ligament damage. He told me i had patella femoral syndrome and i needed to strengthen my muscles...basically the same thing as last time.

So i went to physical therapy what i have been doing she gave me more exercises to work on my knee. I am wearing a brace and playing soccer. Except my physical therapist does not approve of it. She says i should take the season off for further injury accident.

Well I'm like why the sports doctor said if i waited two weeks and i played with no pain i should be fine playing soccer while doing my physical therapy.

SO I AM PLAYING SOCCER AGAIN. BUT NOW I AM STARTING TO HAVE A LOT OF POPPING IN MY RIGHT KNEE WITH PAIN EVERY NOW AND THEN ON THE INSIDES AND OUTSIDES AND BELOW MY KNEE. AND ON THE KNEE THAT HAS PATELLA FEMORAL SYNDROME I HAVE PAIN UNDER THE KNEE CAP AND WHEN I PUSH ON THE BONE BELOW MY KNEE. MY THIGH MUSCLES SOMETIMES HURT AND I CAN NOT SIT OR BEND MY KNEES FOR LONG PERIODS OF TIME WITHOUT PAIN. WHAT SHOULD I DO?

I NEED HELP DO YOU SEE SOMETHING ELSE THAT MAY BE DEVELOPING IN MY KNEES?

PLEASE RESPOND.

THANKS FOR YOUR TIME
SARA

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Aug 26, 2008
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Sports during therapy...
by: Bart - SII

Playing sports during therapy can sometimes work - however, it is a fine line between maintaining your situation vs. going backwards. When playing gets to the point where you are going backwards, then it is time to back off a bit and focus on your recovery.

The popping, if not painful, is generally not something to be concerned about.

The pain under your kneecap is indiciative of patella femoral syndrome. The key is to make sure that your therapy is focusing on the right things to get you better. Did your PT look at your feet at all, or watch you walk barefoot? Biomechanical issues at the foot and ankle can contribute to PFS. Sometimes it is as simple as adding an orthotic to the shoe to help with this.

Did they examine how well your lower and upper back moves? Mobility restrictions in these areas can contribute to PFS as well.

Strengthening of the hips, in my opinion, is the most important part of therapy for patella femoral syndrome. Focusing only on the quads and stretching the hamstrings won't work.

You have to decide whether you feel like you are going backwards - if so, take the time to recover fully now so that you can get back to playing without pain - I know it is hard to stop playing, but a few weeks now focused on treatment may mean you get all the way better rather than just getting by with continuing with sports.

Bart

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