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Knee Injuries?

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  • Knee Injuries?

    I wasn't sure if this was the best place for this thread, sorry if it belongs somewhere else.

    Have any of you had knee injuries caused by riding? If so are they one time injuries or are the something more long term?

    I have always had bad knees. (Great since I'm only 25.) As long as I can remember they have ALWAYS hurt. Sometimes are worse than others. I suspect I have some arthritis. I've had some injuries to both knees in the past as well. Nothing serious.

    I have been to the doctor and the suggestion was to see a specialist because I have a reoccurring Baker's cyst. (A sign of other issues.) The more I ride the more the knee hurts. Funny thing is while I'm riding it seems okay, it is the rest period after that is almost unbearable. Of course, even while riding lately it bugs me. It gets to the point the entire leg just throbs. I've take everything from OTC stuff to Vicodin. I'll be a bit better for a short period of time but the relief is really short lived.

    I know that it is likely related to my already crappy knees and I need to see a doctor. I just wondered if any riders had experienced something like this.

    I just wondered i

  • #2
    Bad joint is a bad joint....

    and yes, a bakers cyst is sign of something "wrong" between the bone ends, usually cartilage related.

    Serious is relative, small injuries can add up.

    Nothing mentioned about rehab or strengthening, which is critical in managing knee pain. Have you tried any?

    Then there are the numerous factors on and off the horse that may or may not have been considered. Has anyone looked at that aspect?

    The good thing you said is that your pain (until recently) did not occur with activity, but after. Is that the case when not riding? Do you have pain with simple daily activities, driving, etc?

    So yes, a good idea to get a definitive answer on what is causing the bakers cyst. Hard part will be blending on and off horse factors to help manage pain.

    Regards,
    Medical Mike
    equestrian medical researcher
    www.equicision.com

    Comment


    • #3
      I re-injured my right knee after being bucked off, into a jump last year. It took me about six months of no riding to recover. When I tried to ride, I'd be fine actually riding, but about 15 minutes afterwords I wouldn't be able to walk(from just below my knee up to my hip would seize up and be in excrutiating pain). I had to go to several specialists, an orthopedic surgeon, etc and taking that break, along with some physical therapy, actually helped a lot. It killed me not to ride, but it helped a lot in the long run; my knee doesn't hurt intensely like it used to, I can walk after I ride, and my riding has actually improved!

      I don't know anything about Baker's cysts but talk to your specialist about referring you to some physical therapy. A lot of times, just strengthening a weak part of your leg can make a world of difference. Also, and you'll hate this but, take some time off from riding if you can if it's really aggravating your leg. Good luck!

      Comment


      • #4
        Any kind of knee pain is a cause for concern, and "bad knees" is not a diagnosis. Find out what is exactly wrong. I would look into PT and taking time off from riding (like 6 months). It is probably hard to imagine taking off that much time, but in the end, it is little compared to not being able to ride at all. PT me if you want to commiserate!

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        • Original Poster

          #5
          Given that I have had knee injuries in the past I have been doing exercise that I was taught in PT to try to help. No luck with that. Of course, that doesn't mean anything as it could be the incorrect exercise of this given issue.

          As for what I mean by "bad knees", which I know is not a diagnosis, is that I know I have arthritis and places in the knee where the cartilage is nearly gone. Not bone on bone just yet, but that will happen in the future. Most of my family has knee issues so I'm not surprised that I do too.

          The pain while riding I can handle. It hurts, but not like it does after. The pain during normal activities is the worst. Driving and sitting at my desk at work has sent me to tears on several occasions.

          The pain starts in the area of the baker's cyst on the outside back of the right knee. Gradually, the pain will increase the the entire leg as if my hamstring is being over stretched. That mixed with the intense aching pain makes me want to cut off my leg.

          I will be going to the doctor eventually. I hate the doctor. I know, I NEED to go. As for a break from riding... I don't think I can swing that. I recently had my gallbladder removed and as I was getting on to the operating table from the gurney I told my surgeon that I would be riding my horse in the next 24 hours. It may be stupid but I just don't have it in me to take a break.

          Comment


          • #6
            If you don't have it in you to take a break, you NEED to go see a specialist before it gets completely painful all the time and you're forced to take a break.

            I had quad tendonitis in both knees last year fairly badly. I went to see a specialist whose daughter competes H/J and was strongly recommended to me on this BB - because I wanted someone who was NOT going to tell me to stop riding. He knew he'd already lost that battle when I walked in the door, and did a great job. Sent me off for 6 months of therapy and the therapist didn't try to tell me not to ride, either.

            I did my therapy over the winter, when I am riding less due to weather, but either way, no one said stop. However, if I hadn't gone, there's a good chance riding would've gotten too painful over time.
            ---
            They're small hearts.

            Comment


            • #7
              Had a hairline fracture of my patella from a fall that twisted my knee. Doctor looked at my MRI and assumed I was always in pain before the injury because I have little to no soft tissue under the patella to protect it from the joint. Actual pain was only when I ran, went up and down stairs and rode with short stirrups.

              Taking up biking after about 6-9 months of recovery has done more to strengthen my knee than any therapy. I'm almost completely pain free--much better that before the injury--3 years later.

              Comment


              • #8
                A place to start.....

                So it reads like Early onset arthritis in all three compartments of the knee.

                I'd guess to say the knee cap is the source of most of your symptoms.

                So if you are sure the MRI interpretation is loss of cartilage under the kneecap, then in my experience the most effective strengthening program incorporates the hip and ankle, with less focus on isolated quad exercises.

                In terms of on horse, my suggestions would be:
                More of a home foot if you want to stick with standard width stirrups or you can go with one of the wider brands. The goal being a more stable base for the foot.

                No "heels down"....forget about relaxing the calf to let the heel drop below parallel (hence why I like home foot). The ankle can be reactive to what is going on, just no consciously letting it down.

                Dump the knee blocks.....Promotes a knocked kneed position and makes it harder for you to open the angle between both hips and stretch your leg down to the stirrup.

                You can also try going with a narrower horse.

                REgards,
                Medical Mike
                equestrian medical researcher
                www.equicision.com

                Comment


                • #9
                  WELL.

                  I waited 6 months for an ortho consult and paid thousands for the MRI studies to confirm what I already knew- I have bad knees.

                  hahahahaha. The devil's in the details. Many small things wrong- lax ligaments, slightly torn cartilages, partially torn lateral ligaments, small bone spurs, small ganglion cyst in one. None of it "bad" enough to be surgically correctable. Or at least, the only surgical corretion may be worse than the problem as it involves knee replacemen.t and even I don't think its bad enough for that.

                  So I went to the physio to see about strengthening exercises as recommended by the (non riding) ortho.

                  And demonstrated the mounting technique which ( thanks to bad knees) I am getting pretty good at from both sides. You know- the one where you lift your entire body weight on one leg from the ground to 6 feet up on your horse. If you can mount, you have plenty strong quads etc.

                  And the physio said I was already plenty strong. Doesn't stop my knee from partially dislocating if I happen to torque a little more than usual while mounting (ouch). I have to be careful to use the "incorrect" mounting technique of facing the front of the horse so I don't twist on the knee as I mount.

                  If I was a horse they'd turn me out to pasture.

                  but seriously- as Mike says, knee blocks are not your friend and stop worrying about having your heels down all the time. Shorten your stirrups a bit if you are used to riding with long stirrups as for dressage and try lengthening if you are used to riding short stirrup in 2 point ( which is killer on your knees as you probably already know.) and you might also try either wedge pads for the stirrups or offset or flex stirrups too if you have pain while riding. Fortunately, my knees don't hurt while I am riding.
                  "The Threat of Internet Ignorance: ... we are witnessing the rise of an age of equestrian disinformation, one where a trusting public can graze on nonsense packaged to look like fact."-LRG-AF

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