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dewei 
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Post subject: A new knee problem
 Posted: Sep 29, 2011 - 04:57 PM
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First post: Apr 20, 2011
Total posts: 252
Location: Brum
Status: Offline
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Hey
Just want to see what people think...
I started riding 6 months ago and it has been about once a week since then. I have been doing a lot of cycling in the previous 3 years and I have had a twinge to the left and bottom of my knee cap on and off which I think is due to a tight iliotibial band. Snowboarding initially did not cause any knee pain.
In August, I was away for 3 weeks with no snowboarding. I went to a gym 3-4 times and did quite a lot of squatting. I was pushing myself a bit but it was nothing more than I had done over the years, I thought. Anyway, at the last visit I had a new twinge on the medial (right) aspect of the left knee (where the left knee would touch the right knee when standing feet together and pointing forwards). I stopped squatting ever since. Initially, snowboarding did not bring back the twinge but the last 3 sessions has been followed by 1-2 days of twinge in the same area. It feels quite superficial and tender to touch. I presume I must have strained the medial collateral ligament from the squatting and maybe snowboarding is not helping.
My stance is 22in +15,-15 regular. I'm 5'7. Custom footbeds from a non Grill-approved store (TSA).
What should I do?
Stop riding for 2 months ?( I do not want that!)
Change by stance width? Narrower or wider?
Narrow the angles to 12,-12?
Cheers |
_________________
Piste - park - pipe - pow, I love it all.
Starting snowboarding?afterbang
Looking for Tamworth shredding mates?Midland Shredderz
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gjilks
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Post subject:
Posted: Sep 29, 2011 - 05:02 PM
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First post: Oct 13, 2008
Total posts: 57
Location: Stevenage, UK
Status: Offline
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From the sounds of it you need to be put down mate 
I would probably advise seeing the old GP in the first instance. They will probably refer you to a physio who can give a proper assessment.
Gordi |
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Member of the JRF
Burton Mayhem 158
Forum Contract 154
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snowgirl1324
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Post subject:
Posted: Sep 29, 2011 - 05:26 PM
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First post: Jan 26, 2005
Total posts: 3799
Location: Chippenham, Wiltshire
Status: Offline
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You probably haven't strained your ligaments by squatting, that normally requires a traumatic incident, if you have a tight ITB then this can cause patellar maltracking which can cause pain as you describe, that said the only way to find out is to visit a physio, dont mess about with your knees, you can probably get this totally sorted with ITB massage (OMG) and correct exercises  |
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Oh don't be so silly!
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philw
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Post subject:
Posted: Sep 29, 2011 - 05:40 PM
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First post: Nov 30, 2004
Total posts: 519
Location: uk
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| Not sure precisely what you're saying, but if snowboarding is hurting your knees, I'd look at your stance and set-up, which of course is one of your suggestions. I can feel my knees if I do a lot of loaded up walking (eg Alps in the summer or something), but snowboarding doesn't really work them, especially if you're cycling fit. So I'd experiment a bit, but only you will know what works and what doesn't. Change one thing at once, a little at a time... |
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powder mountain CoC snowboarding safety
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rob_vet69
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Post subject:
Posted: Sep 29, 2011 - 06:06 PM
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First post: Jan 06, 2011
Total posts: 473
Location: Teeside
Status: Offline
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First step for me would be go and see a decent GP (granted there aren't that many around...) . They may refer you to a physio, or better still to an orthopod.
It's important that you find out if there's something there because:
1) You've had a previous knee issue, granted your iliotibial band syndrome is unlikely to cause medial pain, usually more lateral - but it might be you have a compensatory injury.
2) you need to know if continuing to board is going to damage this further.
A medial ligament injury is possible, but medial pain can also be a sign of a meniscal injury or degenerative joint disease. I would only start playing around with your angles and things once you're sure there is nothing else underlying. |
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jamieleemorrison
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Post subject:
Posted: Oct 09, 2011 - 03:14 PM
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First post: Oct 09, 2011
Total posts: 2
Status: Offline
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| You might want to check how your feet stand when you are squatting and boarding i.e. flat footed, collapsed arch etc, a lot of times knee problems are symptoms of foot problems. See an orthotics practitioner. Also yoga when done correctly really helps massively with the knees, the standing postures etc |
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darn603
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Post subject:
Posted: Oct 15, 2011 - 10:03 PM
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First post: Jul 02, 2010
Total posts: 9
Location: Ardrossan, Scotland
Status: Offline
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snowgirl1324 wrote:
You probably haven't strained your ligaments by squatting, that normally requires a traumatic incident, if you have a tight ITB then this can cause patellar maltracking which can cause pain as you describe, that said the only way to find out is to visit a physio, dont mess about with your knees, you can probably get this totally sorted with ITB massage (OMG) and correct exercises
i had exactly the same pain, there are two stretches for it and a few times a day and your fine, it affected me running but not boarding, but it is extremley uncomfortable. |
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dewei
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Post subject:
Posted: Oct 18, 2011 - 04:45 PM
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First post: Apr 20, 2011
Total posts: 252
Location: Brum
Status: Offline
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Thanks for the suggestions. 
The twinge on the inner (medial) side of my left knee has now gone.  I have 3 long sessions (>3hrs) of snowboarding in the last 2 weeks with no ill-effect.
I am not quite sure why it has got better. I have not changed my set up at all.
Has the injury from the squats just healed itself?
Was it made worse by one of my many falls and it has now healed itself?
Better stance? I have found out that I had picked a few bad habits. I was leaning too much over the front leg while riding and had lost the centred position. This has now been corrected in the last 2 weeks.
I also started to question the boots and the footbeds. I had one or two sessions when the left foot was sore but that was after a fall when I pulled a few muscles in the left leg. All settled now!
Anyhow, I am relieved and pleased.
My left knee is still not completely out of the woods though. I have restarted cycling and the iliotibial band ache on the outer side of the knee is back!
My plan
Regular stretching
Be obsessed about my riding stance, get people to spot any fault
Stay away from squats for another month and then very very gently restart after getting my stance reviewed
Any recurrence, run to the physio and GP. |
_________________
Piste - park - pipe - pow, I love it all.
Starting snowboarding?afterbang
Looking for Tamworth shredding mates?Midland Shredderz
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Finn
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Post subject:
Posted: Oct 18, 2011 - 09:01 PM
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First post: Nov 04, 2009
Total posts: 5
Status: Offline
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Hi,
I just saw your post, sorry i am a bit slow to help you out. I am a physio and would def recommend you looking at your riding technique/stance if you are getting reoccurring knee problems whether medial or lateral!! If you are twisting when riding or not keeping your knees in a good alignment then you may be causing strain through the soft tissues which can cause patellofemoral pain (including ITB dysfunction and medial knee pain).
I would recommend doing any squat work in front of a mirror and making sure your knees go directly over your second toe (NOT inwards). secondly it may be worth going on a riding technique course. I would recommend Definition as i have been on one of their courses and they talked sense. (I think they are running one in Hemel in November!) As a physio i was happy that we were singing from the same sheet. They worked on biomechanics so you get the best from your body and board and improve your technique.. but what they failed to mention was that the positions they recommend also means less injuries!! The benefit from going on one of these courses is that you get video feedback and its amazing what you see when you watch yourself back on video..
Hope that helps |
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J_Smith
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Post subject:
Posted: Oct 19, 2011 - 12:52 AM
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First post: Sep 30, 2008
Total posts: 2145
Location: Southampton
Status: Offline
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1) Snowboard fitness-inspired stretch routine (im sure there are methods and techniques on google)
2) Narrow more natural angles (how do you stand?)
3) If its superficial (to touch) perhaps one of those blue-stretchy brace/supports available from Boots for an arm and a leg (see what i did there?) - but if you look in your nearest 99p/weird shop with german-fairy liquid and 'lays' crisps rather than walkers (you know the shops) you'll be able to get them dirt cheap - i wear them when i bike/climb/run & snowboard as i feel they do really help!
4) ski.
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når helvete fryser over, ville jeg snøbrett der også
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dewei
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Post subject:
Posted: Oct 19, 2011 - 08:38 AM
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First post: Apr 20, 2011
Total posts: 252
Location: Brum
Status: Offline
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J_Smith wrote:
4) ski.
Haha!
Ski is meant to be worse for knees although I didn't have any knee problems when I skied in the past!
My stance is 22in +15,-15. I'm 5'7. That's pretty middle of the road? |
_________________
Piste - park - pipe - pow, I love it all.
Starting snowboarding?afterbang
Looking for Tamworth shredding mates?Midland Shredderz
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J_Smith
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Post subject:
Posted: Oct 19, 2011 - 02:36 PM
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First post: Sep 30, 2008
Total posts: 2145
Location: Southampton
Status: Offline
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dewei wrote:
J_Smith wrote:
4) ski.
Haha!
Ski is meant to be worse for knees although I didn't have any knee problems when I skied in the past!
My stance is 22in +15,-15. I'm 5'7. That's pretty middle of the road?
Personally i find riding 15/15 to be pretty umcomfortable for anything other than lapping the park - if im just riding about i find +12,-9 to feel really natural, and my stance is a few cm wider than 'suggested' - im just over 6' though.
Try playing with your angles and highback alignment, you never know |
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når helvete fryser over, ville jeg snøbrett der også
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