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kimpatt
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Post by kimpatt »

Tex--

Sounds like you did have an incarcerated mensicus. They do sometimes reduce back into place and heal (depending on whether the tear was in a vascular area of the meniscus), or you could have had a 'floating body' that worked itself out of the way of your joint eventually, or was resorbed into your joint fluid. Glad its not bothering you any longer & that glucosamine seems to be helping! Though the research has been iffy, I think its a decent supplement to take, since there's at least a small chance that its helpful. For the same reason, I take Zyflamend myself (natural anti-inflammatory that is based on some strong, pungent spices--turmeric, ginger, etc.)

Polly, in regards to exercise, I do it all: running, strength training, spinning, stair climbing, etc. Since my last surgery in July (hardware removal), I have been thrilled to return to running. I limit myself to twice per week, but with diligent muscle work on my part, my knee is feeling good with it! Meaning: I do often get tight, sore muscles. This is due, in part, I think to having to stop/start my exercise so much due to surgeries, rehab, pregnancies, etc. Now, I feel I'm back on track! I do not have any medial compartment pain. There were at times pain in that general region, but after implementing some deep self-massage techniques (www.julstro.com is a lifesaver!!), I think I was having muscle spasms due to return to exercise-->muscle contraction-->effectual muscle shortening-->pulling on joint-->pain. Anyway, six days a week I'm working out quite hard and doing well!

I agree with you that its best to keep as much articular cartilage around as possible! However, losing a small amount of mensicus will not significantly set you up for arthritis, in my opinion. Losing the entire mensicus would, of course, be more likely to give you some knee pain, over the long haul. Keeping your muscles strong (like you're doing already) :barbell: is key to reducing excess strain/pain on the knee joint. Good for you for doing it early. MDs are rather frustrating in their misunderstanding of the importance of physical therapy. I'm a therapist though, so I suppose I have an opinion on this. Of *course* it makes sense to start a patient on PT before surgery, but then again, we in the US just never did quite get that *preventive medicine* thing!! We'd rather fix the problem once it exists rather than preventing it all along. :roll:

You won't be a victim of disuse atrophy if you keep up your muscle work. I think you'll be surprised by how well you do. Ice as much as you can for the first few days (or 1st week) afterward. Keep it elevated while doing your quad sets, and get your full extension as soon as possible. The flexion will come more easily as your swelling decreases.

So glad I was able to ease your mind a bit. As they say, "don't waste your pain." So, I'm glad I was able to share my first-hand knee knowledge with you :) You are a wealth of help regarding MC issues, so thank you! Keep me posted on the knee issue! Oh, also, I noticed that when I'm in an MC flare, my knee is more swollen and painful...just fyi.
Kimberley
MC diagnosed 2004
Suspected Eosinophilic Gastroenteritis...??
Meds/Supplements: Probiotics, Prenatal Vitamins, Vitamin D3.
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tex
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Post by tex »

Kimberley,

I appreciate the insight. Apparently, I was very lucky that it healed on it's own. I'll look into the Zyflamend, and give that some thought.

Thanks,
Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Polly
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Post by Polly »

Mornin' Tex!

I agree, it does sound like you had a meniscus problem that healed. Lucky you. I know you feel that the glucosamine helps. Even though the human research has been iffy (as Kim correctly notes), the veterinary research has shown that glucosamine/chondroiton sulfate are available at the cellular level in dogs. My old golden has done so much better in the last 6 mos. since we started it. Of course, this is only one anecdotal story, but it truly does seem to help him. BTW, now you're really gonna think I've lost it, but I took him for his first acupuncture treatment (for arthritis) last week. :roll: Several friends whose horse/dogs responded well to it recommended it. Will let you know how it goes........

Hi Kim!

Ohboyohboyohboyohboy! A real live P.T. :grin: I had guessed you were a professional from your very specific and excellent knowledge. I couldn't agree with you more about the medical professions's failure to embrace prevention. Actually, that's why I went into pediatrics - it was more into prevention than almost any other specialty. One of these days this country will wake up and shift its focus to prevention......we can hope, right?

It is so reassuring to read about the intensity and variety of your fitness program! I have been regularly into running/walking/wts. now for 21 years now, so I am truly a believer. That's why this period of forced rest is driving me crazy - I'm particularly bummed about missing my favorite season outside. Once I am back on my feet, I'm going to take a serious look at what I should be doing - not just more knee strenthening but also improving balance, fexibility etc. The latter is KEY, I believe and one that I have ignored, even though stretching has always been difficult for me. My hunch is that a lot of "aging" and related injuries are due to lack of flexibility. I think the reason I got this injury is due to not being fit enough overall plus easing off exercising (and resuming too quickly) when my Mom was on hospice.

OK, now I'll pick your brain a little if you don't mind. Are you aware of any program that incorporates all of the components of fitness for maximum benefit? (I am not planning to do marathons or anything competitive). Like, is there a book or an exercise video that would be helpful? Or is it best to get a personal trainer to learn about this?

Thanks again for your help - the post-op suggestions are great, and I will try to follow them. Will check out julstro - am not familiar with it.

Love,

Polly
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tex
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Post by tex »

Polly,

Hmmmmm. Well, maybe I've got some dog genes in my makeup. After all, I always have been prone to prefer to lie around in the shade during the heat of the day, and then I become much more active during the cool of the evening. I'm too lazy to chase cars, though. :lol:

Yep, acupuncture for animals is a new one on me. It'll be interesting to see how that turns out.

Love,
Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
kimpatt
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Post by kimpatt »

Hi there! My last continuing education info reported that a lack of balance is the key component that will first lead to injuries, falls, etc. as we age. So, to that end, I think that any activity which causes you to work on balance/proprioception should be a priority. I've recently started taking BodyFlow classes; I like them, because I really *need* some flexibility/balance training, but I can't stomach an entire hour of yoga. It's just not my cup of tea. BodyFlow combines many yoga postures with some Pilates, stretching, tai chi & a bit of strength. It's one of the Les Mills exercise programs that some gyms offer.

I bet that tai chi classes, and even some yoga classes would give a good dose of balance work, too.

As for a total program, hmmm...I'm not aware of one I could recommend to the exclusion of any others... I think as a basic guideline, I'd recommend 3-5 good, hard cardio sessions per week, depending on the individual. These could consist of indoor (or outdoor) cycling, speed-walking, running, 'boot camp' type classes, other indoor cardio options. Along with that, 2-3 sessions of challenging strength training. I'd probably do one or two sessions of full-body basic exercises with a challenging load (squats, push-ups, pull-ups (modified, if needed), lunges, deadlifts, etc.) and maybe try to hit most other large muscle groups in an additional session once per week. I currently do 4 days of strength training. On the first, I train legs (squats, machines for quads & hamstrings, calf raises, lunges). The second is chest and back (bench press, pull-ups, rear flyes, etc.) The third is arms--this is a short effort for biceps & triceps (not really necessary, but I enjoy it). The fourth is a 'knee rehab' day (all sorts of knee-specific exercises) geared toward strengthening my surgical knee. Sometimes, I'll squeeze in a body pump class (all over weighted barbell that is geared more toward muscle endurance than muscle strength), and I try to work abdominals 2-3 times per week.

And finally, the last (or first!) component of your program is balance/flexibility. These could likely be met as I mention above, or you could always work in a stretch session or two each week, along with some of your own balance training (standing on one leg while doing a number of activities).

I think if you can find a great trainer, they could probably set you up on a sound program, that you could then follow after working with them for a set time. For injury prevention, especially as you rehab and get back to exercise post-surgery, do check out the julstro site. She has a book that is helpful to have on hand for general direct pressure techniques, both as maintenance & for injury treatment.

Tex, your post reminds me that I have some Glucosamine lying around. I think I'll start taking it just for good measure.

Talk to you all soon!
Kimberley
MC diagnosed 2004
Suspected Eosinophilic Gastroenteritis...??
Meds/Supplements: Probiotics, Prenatal Vitamins, Vitamin D3.
Matthew
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Post by Matthew »

Hello all-

In the year before I started to have lots of digestion problems I had more and more aches and pains. After turning several hundred stair balusters I tied up a muscle in my left side that put pressure on the sciatic nerve that was sending shooting pains through my left leg. My sister recommended that I go see her chiropractor. She said “Gee Matt, ever think about stretching” For years I stretch every day. Don’t get the idea that i spend hours doing yoga. I just cant do it. My stretching is very spontaneous .

While I wait for the water to boil for green tea at breakfast I do a few stretches.

While lunch heats up I stretch.

While dinner cooks I do a few stretches.

When I cant figure out what to do with a restoration project in the shop I stretch and breath.

When an add comes on TV I stretch.

Breathing is an important part of stretching. Just as important as the the physical part is getting oxygen to every part of the body. Muscles and joints don’t work well without a good supply of air. Breath.

I also love Qigong , a centuries old practice of slow moving exercises that increases life energy, develops conscious breathing , reduces stress, builds a strong and supple spine , Dramatically improves balance , calms body and mind and through the breathing part increases lung capacity. What A joy !

Long bicycle rides are something that I truly love.Lots of streching before during and after. Running made it impossible to work in the shop because my joints hurt so bad so letting the bike carry my weight made all the differece as long as I never tried to push big gears that gave me painfull knees.

Hope this gives some members some good ideas. I love simplifing things. Why make it hard when in the end it is so easy and fun.

Love Matthew

I am so lucky I live in a neighborehood where I can walk everywhere. I love walking !
:-)
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