Thinking about starting a new blog: Medial Knee Plica Recovery. For the past six months now, that has been the main focus, the IT band almost completely fading to the background.
Overall, much like before, it's more of the same and slowly improving. The IT band itself is fine; the ligaments and tendons around the operated site are getting stronger and pretty much don't get sore any more. I'm still managing the plica irritation by keeping the cycling regular and controlled. The longest single ride so far has been some 32 km, the longest week just over 40 km.
I have been suspecting for some time that tights and knee warmers are contributing to the plica irritation, and I've been able to confirm it as the weather got warm enough to have a few rides with uncovered knees. If things keep improving as they have so far, I should be able to progress to longer rides more rapidly in during the summer. Unfortunately, it still doesn't seem likely that I'll be able to get anywhere close to three digit distances until next year; but, my endurance being what it is right now, I can actually make even the 30 km rides satisfyingly hard and that definitely helps with the outlook during this whole thing.
Other than that, I'm still doing weekly gym sessions to keep the core, glutes, quads and hamstrings fit, strong and coordinated. I've made a break in jogging, but I'm slowly including that back into the workouts as well. It's not a goal by itself at the moment, so I don't really care even if I don't really make a lot of progress with running as long as I do some from time to time. I am also still visiting the physio once every three to four weeks, primarily to keep my progress in check and to keep me honest, not skipping workouts and not overdoing the cycling.
Goals for the summer: keep improving. Hopes for the summer: get to at least 50 km single rides and 60-70 km weekly mileage.
Showing posts with label Plica Syndrome. Show all posts
Showing posts with label Plica Syndrome. Show all posts
Saturday, April 29, 2017
Friday, January 27, 2017
6 Months
Now this was a long gap in posting. I just never felt like updating when I didn't really have anything new to post. My progress has been really slow recently due to the medial knee pain, and after a visit to the orthopedist this morning, I at least have the name for this new game: it's called synovial plica syndrome. The treatment is no different from what I've been doing so far, just keep working with the physiotherapist, doing the exercises at home and slowly be increasing the load all the time listening to the knee and how it feels. The long term plan is familiar too: if it doesn't improve, steroid shots are next, then arthroscopy as a worst case scenario.
On the bright side, the ortho has spent some time studying the old MRI scans of both of my knees, and he thinks the original diagnoses were a bit too eager to proclaim structural problems that would match the symptoms. In his opinion, there is no damage to the cartilage or the menisci in either of my knees, so that's a relief.
When it comes to cycling, as I said the progress has been slow lately. After several weeks of sporadic activity due to going on vacation etc, in the last month and a half I've been working on building a solid base of regular workouts and rides with intensity and volume that doesn't trigger pain in the knee. This means one solid gym or physio workout, including 25 minutes of run/walk intervals (still at 3:2 minute ratio), and one 20 km bike ride per week. At the moment this seems to be functioning well, with no pain in the knee, though I can still feel some irritation when cycling before it gets warmed up. The goal for the next few weeks is to introduce another, shorter ride in the week, and then work on bringing it up to the same distance as the longer one. If that works out well, I'll have built up a base of regular 40 km per week that I can then hopefully start extending into more serious distances.
Regarding the IT band, it is doing well, no complaints. The ligaments in the lateral knee area do feel bit strained and sore from time to time, but that's a sign that they are still adapting to the increased loads after the IT band release. I haven't had any pain from the IT band itself during cycling, running or walking (and I've had some long walks on consecutive days during the vacation a couple of months ago). It could be said that the focus of my recovery work in the last three months has shifted from the IT band to what I now know is the plica syndrome, so I consider the surgery to have been a success so far. There might be some doubt that the new issue is somehow related, but I have had some pain in the area even before the surgery. I'm thinking that it's just a combination of anatomical predisposition plus overuse, as is usually the case, and is something that would have probably happened anyway.
On the bright side, the ortho has spent some time studying the old MRI scans of both of my knees, and he thinks the original diagnoses were a bit too eager to proclaim structural problems that would match the symptoms. In his opinion, there is no damage to the cartilage or the menisci in either of my knees, so that's a relief.
When it comes to cycling, as I said the progress has been slow lately. After several weeks of sporadic activity due to going on vacation etc, in the last month and a half I've been working on building a solid base of regular workouts and rides with intensity and volume that doesn't trigger pain in the knee. This means one solid gym or physio workout, including 25 minutes of run/walk intervals (still at 3:2 minute ratio), and one 20 km bike ride per week. At the moment this seems to be functioning well, with no pain in the knee, though I can still feel some irritation when cycling before it gets warmed up. The goal for the next few weeks is to introduce another, shorter ride in the week, and then work on bringing it up to the same distance as the longer one. If that works out well, I'll have built up a base of regular 40 km per week that I can then hopefully start extending into more serious distances.
Regarding the IT band, it is doing well, no complaints. The ligaments in the lateral knee area do feel bit strained and sore from time to time, but that's a sign that they are still adapting to the increased loads after the IT band release. I haven't had any pain from the IT band itself during cycling, running or walking (and I've had some long walks on consecutive days during the vacation a couple of months ago). It could be said that the focus of my recovery work in the last three months has shifted from the IT band to what I now know is the plica syndrome, so I consider the surgery to have been a success so far. There might be some doubt that the new issue is somehow related, but I have had some pain in the area even before the surgery. I'm thinking that it's just a combination of anatomical predisposition plus overuse, as is usually the case, and is something that would have probably happened anyway.
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