Thursday 16 September 2010

Knee Diagnosis

Just back from MRI knee scan feedback appointment. There is no trace
of any injury to soft tissue of muscle/ligament across any section.
These structures have a 100% clean bill of health. There is an area
of doubt in the medial meniscus shown by the MRI scan. Neither
conclusively damaged nor healthy. A further physical exam seemed to
back up that the pain mistaken for tendonitis could well be referred
pain from the joint itself. However aggressive manipulation of the
knee joint elicited no pain whatsoever and side by side comparison
yielded no discernible difference. So good that it is not tendonitis,
since pain here is a major warning sign to ease up and hence severely
hampering training this year. However concerning that it is more
untreatable, unresponsive cartilage. I'm going to view the outcome
positively. I'm 41 and done a ton of climbing & running, if I've got a
minor joint issue that doesn't stop me being active then I've done
well. All good that my new love is low impact cycling. I'm pretty
sure that I did have tendonitis over the previous 18 months, but being
proactive in sorting that out, it has done and before the MRI. I will
try and run over the winter and see how it goes, any pain is unlikely
to mean further joint damage, so it will just serve as self limiting
when running volume is too great. I've the option to revisit this
with a knee surgeon at a later date after feedback from recommencing
running. However, knee surgery is a very unlikely option due to the
high probability of making it worse. So bring on 2011.

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