What’s up with it?

Jan 11th, 2014

Paul Nedd asked The Guru for the following Physiotherapy Advice:


I am a runner and Recently, well 4 weeks ago i was training for an ultra and struggled to do 35 miles cross country because of pain in my left knee. A week prior to this training session, I had new trail shoes and mis-stepped on a track and jolted my left knee & lower back. After the 35 miler I rested for 3 weeks hping this would cure. So last week I tried a slow run less then 5 miles but my knee ‘gave way’ and I had to literally limp home – stopping serveral times. I have felt to the left hand side of my left knee and when bending it ‘clicks’. No other bruising or pain whilst standing or walking – (unless over 2-3 hours). Your advice on what’s wrong and what I can do between now and 30/09/2012 being the day I am supposed to be running 56miles. Thank you!

Jan 11th, 2014

The Guru Responded:

Hi Paul

I think that anything which makes an ultra trainee turn tail and head
for home may be potentially serious, and time is of the essence.

There may (or may not!) be a correlation with your back and shoes but
your description sounds more internal than soft tissue related.

Is there any swelling? What’s deep squatting like?

On the face of it this may may an issue with your lateral meniscus,
the mis-step being the guilty bit….doesn’t sound like ITB as that’s
generally below the knee, but can cause giving way and limping!

I think it’d go an see someone as soon as, be it your GP or a decent
physio. A MRI would be definative, but a good examination will also
give you lots of clues..

Good Luck

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