By Anthony Mychal http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain This is a preview preview of An Athlete’s Athlete’s Guide Guide to Chronic Knee Knee Pain: Theories Theories and and Solutions for Patellar Tendonitis, Jumpers Knee, and Patellar Tracking Problems. Problems. Check Check out the full website website and the full eBook at the link above. above.
© Anthony Anthony Mychal Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
DISCLAIMER The author will not be held responsible for any issue (be it injuries, pains, aches, equipment misuse, animal fertilization, or other) that results results from reading reading this eBook. Its purpose purpose is strictly informational and legal action cannot be taken against the author for any reason on account of this written work. Although the author admittedly bases the medical industry, understand that he is not legally authorized to replace your physician as a clearance prior to engaging to physical activity. Be sure to get clearance from the appropriate professional personnel prior to becoming physically active or engaging in a rigorous exercise regimen. My name has been cleared.
© Anthony Anthony Mychal Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
EXPECTATIONS Greetings. As you probably know, my name is Anthony Mychal— another one of those online writers and trainer guys. I know I’m just one in a sea of qualified people, but I’m glad you somehow landed here. I asked a lot of people to spread around this free report, because I wanted to help as many people as possible. And being that not everyone knows me (yet), I had to make some friends along the way. So want to thank everyone that helped me get the word out. Before I go on, I want to dismiss the perception that I was always someone that knew how to fix chronic knee pain. That I am simply relaying information in a textbook. In fact, not too long ago, I was on the other side of this word document—the reading what others were kind enough to provide. I still am that person a lot of times. I love learning and I can’t get enough of health, fitness, and athletics. But I want to talk specifically about knee pain. Back in 2008-2009, I was a wreck. I was plagued with injuries—notably a lower back injury, a groin injury, and a knee injury. Over time, my lower back and groin somehow fixed themselves. My knee, on the other hand, didn’t have the same fortune. It hurt when I squatted. It hurt when I jumped. It hurt when I power cleaned. It hurt when I deadlifted. It hurt when I ran. It hurt when I walked and down steps. It hurt when I got in and out of my car. It hurt. Looking back, calling myself a “wreck” is an understat e ment. But perhaps more detrimental than the physical damage, was the emotional damage. At the time, my friends and I did something called “tricking.” It’s basically a barrage of acrobatics thrown together in an aesthetically pleasing display of movement. Now, my friends and I had been doing this since 2001. It was something we were all passionate about. We texted each other move combinations and we drew tricks on each other’s folders in high school. © Anthony Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
Yet here I was, at the age of 21-22, unable to trick because of chronic knee pain. Tricking kept us young, and it formed a strong bond between me and my friends. I remember telling myself that this knee pain was more than not being able to walk up steps—something that was also mentally taxing—but it was it was also cutting into my social and personal life. Of course, I eventually fixed my chronic knee pain. And I put it into a neat eBook, which is precisely why we’re both here right now—as if you couldn’t tell. But I want you to realize how chronic knee pain can interfere with your life. So back to the story. I spent one year experimenting with different rehabilitation protocols. You’ll see more of those adventures and my feelings on them in the book, so I won’t go into much detail here. But after those protocols failed, I built my own theory from the bottom up. And after practicing and testing these method on myself, my students, and my athletes, I started to work with clients online. Time and time again, I get clients that come to me, wanting me to heal their chronic knee pain. On the exterior, that’s all there is to it. But one of my clients—after going through the rehabilitation process—sent me many praises. None of them were about being able to barbell squat again. Sure, that was one perk, and he enjoyed doing it. But Simon (his testimonial is on the main website) was most excited when he was able to help a friend of his move (which involved repeatedly walking up and down steps), and being able to dance an entire night without knee pain. Now, I’ve been without knee pain for a few years (except after I broke my foot, more on that later). But what I pride myself in most isn’t being able to squat or deadlift. It’s about being able to sit in a deep squat while looking for food in the bottom of the refrigerator. It’s about running up and down steps recklessly. It’s about acting and feeling like a kid again. It’s about playing sports without regard for those aches and pains that used to haunt me in the past. Here’s a list of things about chronic knee pain that suck: © Anthony Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
Pain when squatting, running, and jumping Wasting time and money at medical professionals that turn out to be no help Ineffective treatments, braces, and creams Not being able to play your sport Having pain during activities of daily living
And yes, those things do suck. But they are far from the real pain of chronic knee pain such as:
Being self conscious about your body imagine, and not being able to exercise to fix it Never reaching your athletic pinnacle, potentially hindering scholarships Missing out on camaraderie amongst friends during recreational sports (I can attest to this) The thought of needing surgery and how this affects your life, job, and everyone around you
Back in 2009, this all applied to me. I went to my general practitioner in hopes of fixing my pain. I left poorer ($25 copay) and with painkillers. That didn’t work well, so I went to a sports medicine specialist next. I left poorer ($30 copay) and with a knee brace (which proceeded to break in a matter of minutes). I was unhappy with how I looked, and I couldn’t do anything about it. I was an athlete at heart, and was detraining to the point of, well, not training. I couldn’t trick, which meant I was missing out on camaraderie among friends. Worst of all, I thought I was destined for surgery. I didn’t know what to do. So I did what any sensible person at the time would do—I searched and asked online. I asked Mark Rippetoe numerous questions on his forum. I emailed Kelly Baggett and Alex Vasquez. Everything I found and learned was tested and finally compiled in a notebook. The same notebook that would eventually become this eBook you’re reading about.
© Anthony Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
I know you’re here for the free stuff. The goodies. The cha ching. We’ll get to that, but I want to let you know that you can see more of my story up on the main website. Oh yeah, you can find the eBook there to. It runs for about half the price of a new video game, so it’s pretty affordable. Especially considering that healthy knees are something you’ll probably need at some point in your life.
CLICK HERE TO GET TO MAIN WEBSITE When I was compiling this notebook, I was lost and confused. My Google searches weren’t producing good results. Sure, I found information on patellar tendonitis, patellar tracking problems, and jumper’s knee, but the
© Anthony Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
rehabilitation strategies were abstract. I was an athlete at heart, and none of them resonated with me. Stretching my quads for 30 seconds and then doing a set of leg extensions just wasn’t “enough,” especially because it never worked. But things eventually started coming together. I promised myself that if I somehow found a solid way to fix chronic knee pain, I would deliver it cheap—less than half the price of competing products (that I didn’t feel like paying for at the time, so I didn’t). I also wanted to deliver it without the sleazy sales tactics. I don’t know about you, but I go to websites, I don’t want to be bombarded with pop-up ads and other shenanigans, regardless of whether or not I’m going to buy anything. That’s one of the reasons why this report is available to you for free to download at your convenience on the main website. Most “high tech salesman” in today’s age would have you sign up for a newsletter to get access to something like this because then they could e-mail you at their will, convincing you to buy other things. I pride myself in being an “everyday guy,” for the most part. Sure, I’m an athlete (or, I tell myself I am), but I’m not here to convince you into buying something you don’t need. Marketing gurus hold crazy sales with one million percent off and other things to entice you to buy something you really don’t want. Well, I’m holding myself to a different standard. My eBook is one price, all the time. Always the same. Fully refundable. If you don't think you (or a client or athlete) will experience, or have ever experienced, knee pain, then I respect your decision. Likewise, if you don’t k now if this eBook is for you, e-mail me at
[email protected] . I’ll gladly see whether or not you can benefit from it. If you can’t, I’ll refer you to something else that might be of help. Ok, now that that part is over, it’s time for the free stuff.
A LITTLE ABOUT THE BOOK This book isn’t laden with science that you can’t understand. It’s just me telling it like it is. Just see the content below to get a better idea. © Anthony Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
We learn better if things are relatable. In the class movie, Road Trip, two of the main characters—Josh Parker (played by Breckin Meyer) and Ruben Meyer (played by Paulo Costanzo)—are trying to figure out how one of them is going to pass a philosophy less than two days away. The conversation goes like this: Rubin: What class is that again? Rubin: Ancient philosophy. Rubin: Well I can teach you ancient philosophy in 46 hours. Josh: Really? Rubin: Yeah, I can teach Japanese to a monkey in 46 hours. They key is
just finding a way to relate to the material. That was my goal in writing this. You’re probably wondering why I keep bashing the medical profession. I'm not, really. In fact, I advise everyone to meet with their doctor regularly, especially when it comes to an issue like knee pain. Serious issues need serious care. Read my disclaimer. They can do things that I can’t. But what I'm saying is that if you want to know what it feels like to get punched in the eye, you don't go and talk to someone that's never been in a fight. I’ve lived through this and fought my way out. And I think that gives me some “informal” credentials.
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An Athlete’s Guide to Chronic Knee Pain
How to Instantly Cure Knee Pain This post originally appeared on Bret Contreras’s Blog as a guest blog post.
I’ve battled chronic knee issues just about as much as anyone could in life. If you don’t believe me just check out the video I posted on YouTube back in 2009. Through a lot of troubles and experimentation, I managed to fix my Rice Krispies knees—a miracle in itself. All was well in the world. That was until January 28, 2011, when I broke my right foot in five places. I was on crutches for eight weeks. This meant my left leg—the one prone to chronic issues—was the only useable leg I had. Welcome home, chronic knee pain. After getting off crutches and going through another six weeks of relearning how to walk (I had a severe limp), I got back into training. But a combination of built up stress (from the crutching) and huge imbalances between my legs (both strength-wise and mobility-wise) forced me to make a tough decision. I stopped caring about back squatting. I’m a meathead at heart, and I’ve squatted for years. But I have to admit, I prospered without them. I felt great. I felt healthy. But this backed me into a corner. Previously, I branded myself as a knee guru. After all, I had spent the past few years researching and writing about knee pain, boiling my experiences and knowledge into an eight week corrective system dedicated to reprogram the body in a more “knee friendly” way. And yet here I was, ignoring the squat because of chronic knee pain. I was a hypocrite. It was my job to squat once again. But instead of following my tested eight week program, I thought I’d see if there was an easier way, or—at the least—a quicker way. I wanted something that provided immediate results. My theory of knee pain goes like this: feet + hips = knees. So I—like Bret Contreras—am a proponent of getting the glutes more involved on lower body lifts. But where I differed from Bret was that I preferred doing this from a standing position, meaning I wasn’t a big fan of hip thrusts.
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An Athlete’s Guide to Chronic Knee Pain
Yet after a few discussions with Bret, I gave the hip thrust another shot—specifically high rep hip thrusts after reading this blog post . Why? Because the hips are one piece of my equation, and I thought that high rep hip thrusts to the point of a crazy pump—one that has the muscles so engorged with blood that you almost cry—would provide immediate sensory and proprioceptive feedback. I have to give credit to Kelly Baggett of Higher Faster Sports for instilling this philosophy in me. He claims that in the presence of a glute pump, you’ll feel a lot more “up” on your forefoot (the second part of the equation). But I never tried it because I didn’t have an exercise that “did it” for me. Traditional “activation exercises” don’t really activate the muscles too well from a peak voluntary contraction standpoint. THE METHOD
It’s simple. Load the bar and do “as many” hip thrust repetitions as you can before you cry. The goal is to hit 20 reps, but don’t stop until your body is refusing the movement. It’s difficult. Yes. It’s metabolically taxing. Yes. It’s mentally exhausting. Yes. But go until you can go no more. I haven’t done hip thrusts that much, but I used 225 pounds for this the first time around and surpassed 20 repetitions, albeit in agony. If you can hip thrust 315+, go with 225. If not, try 135 or 185. As you reach your lactic threshold, every rep is grueling. After you finish the set, your heart rate is jacked through the roof. But the true magic happens when you get up to walk. Just as Kelly promised, your glutes are so pumped and engorged with blood that you feel them with every stride. And, of course, you feel like you’re walking on your tippy toes. This is the way you want your body to function at all hours of the day— relying on your glutes and forefoot. If you can do that, not only will your knee pain decrease, but you’ll notice some other strange feats of athleticism going on. As Bret has mentioned a few times in his writings, higher class athletes know how to use their hip muscles better than lower class athletes. So while you have this pump, do some bodyweight squats and deadlifts and just feel how differently your body is moving. Feel how much your glutes are working. Go sprint and see why high class runners get something called “glute lock.”
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An Athlete’s Guide to Chronic Knee Pain
While this method is great for immediate feedback, the downside is that it ends as soon as your pump does. And while it feels great when it lasts, it’s not a long term solution. It’s just a learning tool. If you want your body to function like this regularly, you have to reprogram it. That’s why my regular program is eight weeks long. But for those of you seeking immediate relief, follow the circuit cocktail below: 1) Soft Tissue high and low on the quadriceps with a lax ball or PVC pipe. 2) Hip Thrusts (high reps). 3) Movement – unweighted squatting, deadlifting, running, jumping, walking Repeat the circuit three times; noting how your body changes when your glutes are “on” and your soft tissue restrictions are alleviated. So while it may not be comprehensive, and it may not be a long term solution, it’s worth the ten or fifteen minutes it takes to do it. Who knows, maybe it will be “just enough” for you.
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An Athlete’s Guide to Chronic Knee Pain
12 TIPS FOR THOSE SUFFERING FROM CHRONIC KNEE PAIN Knee Tip #1: The Doctor Visit
Swallow your pride and make sure your pain isn’t a serious medical problem. Check with your insurance company and make sure this won’t cost more than a co-pay. You also want to be wary of anything the doctor tries to give you, like a brace. These are considered luxuries, not covered under insurance. Knee Tip #2: Your Outlook
As a general rule, internal damage will require heavy medical assistance. Other small problems like patellar tendonitis/jumpers knee and patellar tracking problems can be fixed without tremendous intervention. Knee Tip #3: Clear Your Mind
Everything you know is wrong, including the ‘dominant’ movements theory. Doing hip dominant movements in favor of quad dominant movements will do nothing because it’s more about exercise execution and not exercise selection. Knee Tip #4: Macho, or Stupid?
Training through pain is a surefire way to always have pain. Knee Tip #5: Guilty as Quads
Don’t blame your quadriceps, they are not the problem. Knee Tip #6: Physical Physics
Physics and force can explain the cause of your pain if you have the ability conceptualize it.
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An Athlete’s Guide to Chronic Knee Pain
Knee Tip #7: Strength isn’t the Answer
Your knee pain is caused by lack of voluntary control over the hip, not a lack of strength of the hip. Knee Tip #8: Brace Yourself
Braces have their place, but are not to be used as a permanent fixture. Use them like a nicotine addict would use nicotine gum; with an end in sight . Knee Tip # 9: Sleepy Time
Bed rest will only appear to cure your knee pain. Knee Tip #10: Get the Kid a Happy Meal
As silly as it sounds, your knee is kind of like a crying child. You MUST induce positive feelings into it if you want it to heal. If it constantly feels pain, it won’t know life without pain. Knee Tip #11: Stay in Lane
The knee must track over the second toe. Knee Tip #12: Infamous Footwear?
Almost all shoes will hinder your ankle function, and as a result, can cause knee pain.
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An Athlete’s Guide to Chronic Knee Pain
PELVIC POSITION AND KNEE PAIN Reach down and cradle your patellar tendons between your middle and pointer finger. If you’re like most people, you’re lower back is going to be rounded in this position. Your tendons will also be lax. Keep your hands there and begin anteriorly rotating your pelvis. Note the tightness of the tendon. The further you go, the tighter it gets. Now do the same drill only squeeze your glutes at random intervals. Note the tightness. The tighter the glute, the more lax the tendon gets. Learn how to put that into practical use.
JUMP AS HIGH AS YOU CAN IN THE AIR No one lands on their heels after doing a maximal vertical jump. I would dare you to try it, but I don’t want to subject you to that kind of pain. The foot helps us control the force throughout the lower body, specifically the forefoot. If you take the vertical jump example, landing on your forefoot is the natural way to cushion yourself from a jump. Ninjas don’t land on their heels. They move on their tip toes because it helps them cushion force. The more cushioned the force is at the foot, the less the knee has to do. Use your forefoot.
VIDEO DEMONSTRATION
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An Athlete’s Guide to Chronic Knee Pain
HIPS + FEET = KNEES From a movement standpoint, the knees are simple. They flex and extend. Boring. Not much can go wrong there (aside from rotational forces and things slamming into the side of your leg, but that’s a different story.) But if you think of the leg as a chain, the hip and ankle are at both ends of the knee. The hip has a host of responsibilities, as does the ankle. Not only do they flex and extend, they internally rotate, externally rotate, adduct, and abduct. In other words, the leg is like a seesaw and the knee is the middle fulcrum. Ultimately, it’s the ends that determine the movement. And if it’s the ends that are causing the problems, traditional rehabilitation methods that focus on the quadriceps aren’t going to cut it. Remember this equation.
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An Athlete’s Guide to Chronic Knee Pain
3 Little Known Facts About Knee Pain, and The Key to Unlocking Your Athletic Potential
FACT #1: GOOD FEET + GOOD HIPS = GOOD KNEES. The truth is that your knee isn’t dysfunctional, but your hips and feet are. The knee is just the middle man,
caught between two faulty structures.
FACT #2: By using rehabilitation strategies that focus on the knee, you’re only making the problem worse. Don't succumb to leg extensions and hamstring curls to fix the problem.
FACT #3: Changing the way you move to put less stress on the knees requires total motor reprogramming. And by reprogramming the body in a way to put less pressure on the knees, there's a crazy side effect (see next page).
© Anthony Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
THE KEY TO UNLOCKING YOUR ATHLETIC POTENTIAL This might seem too good to be true, but using these methods to fix chronic knee pain has a pleasant after effect. By reprogramming your body to drive movements from the hip and use the larger muscles, you become much more athletic. Take these still shots below, for example.
Both are from the amortization (fancy word for transition from down to up) phase of a vertical jump. The guy on the left touts a 30” vertical jump (even though that's probably stretching it), but notice how UPRIGHT his torso is. This means he’s using mostly his quadriceps and thighs to lift him in the air, with little contribution from the hip. Now take the guy on the right. He touts a near 50” vertical jump (I'm saying 40" to prevent from internet inflation as 50" is huge). Look at how his torso is almost parallel to the floor. This means he is using his hips and posterior musculature considerably more! A 10-20” difference in vertical jump is huge, and the differences between these two guy’s muscular recruitment patterns are obvious. An Athlete’s Guide to Chronic Knee Pain teaches you to “use” and “tap” into your hip muscles so that your knees work less. A huge side effect is that you become way more athletic.
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An Athlete’s Guide to Chronic Knee Pain
BRACE YOURSELF The first line of defense against pain is wearing a brace. But which work, and which should you use? Regardless of your decision, decide what brace to wear after your warm up. You will learn how to judge the health of your knee before expecting and planning for a pain threshold that may not be there. When the spring season is around the corner, you peek your head out of the window to feel for the weather before deciding what to wear. PATELLAR TRACKING BRACE
They are large and cumbersome. Unconsciously, it pulls your knee cap in the direction of mis-tracking—a very weird sensation. Wearing one feels like your kneecap is in a tug-of-war battle. Develop proper tracking yourself, and not with strange assistance. It’s a temporary mask for a permanent problem. GENERAL KNEE BRACE
Some are bulky and stable, others are small and mobile. The difference is the mental stability they provide. It’s not about what can be done in them, it’s about what can’t be done. The bigger ones restrict movement and serve as a reminder of your injury. Let the severity of your pain be your guide. Ultimately, a crutch. PATELLAR TENDONITIS STRAPS
It’s a small strap with an elevated, half cylindrical foam piece that pressures the patellar tendon. The bonus? It works. Don’t let it become your newest body part, because it becomes very psychologically comforting. Mental addictions are harder to break than physical problems. Only use when you have to. Decide after the warm up.
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An Athlete’s Guide to Chronic Knee Pain
BOOK PREVIEW PREFACE THE SPAWNING
My written experience with knee pain started when I made a fitness blog. I was a lifetime sufferer, and after rehab my confidence was climbing alongside my health. “The Bee’s Knees” was finalized in five articles, detailing easy ways for athletes to stop knee pain. But my blog wasn’t popular, so the information just sat in cyberspace. School work forced me to neglect my blog, and I forgot I had ever written the articles. Life went on. A few loose thank you e-mails trickled to my inbox from “The Bee’s Knees,” months later. This was encouraging enough for me to want to read the originals. I was embarrassed at what I found. Perhaps it was my novice writing style or how much I had grown since then, but my only chance for redemption was to rewrite them, the way they deserved to be written. I’m wondering if I’ll say the same about this eBook in a year’s time. IS IT FOR ME?
Ignorance rules the fitness industry. One side of the bridge houses Ph.D.’s with no experience outside of a Petri dish athletic
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An Athlete’s Guide to Chronic Knee Pain
environment. The other side, personal trainers that found their credentials after an eight hour weekend workshop. It’s best to look at people that have done what you want to do. Don’t search the weak to find strength. Don’t listen to the small to get big. Experience is better than science because the two highways haven’t merged. As Timothy Ferriss alluded to in his newest book, The Four Hour Body , doctors could learn about steroids if they chatted with bodybuilders. This text isn’t about shoulder health, how to cut hair, or giving a woman a fifteen minute orgasm (with the success of The Four Hour Body I should reconsider). It’s for people that live feeling twenty years older than their age. It’s for athletes with tendonitis and tracking problems. It’s for people with knees that make more noise than the rocking chair in the corner of the living room. It’s for the athlete that looks to the sky for a semblance of health. It’s for you. Experts say you need medicine, surgery, or expensive physical therapy. I hate medicine, I don’t like cutting flesh, and I’m poor. I looked for another way.
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An Athlete’s Guide to Chronic Knee Pain
CHAPTER ONE – AUTOBIOGRAPHY HISTORY = FUTURE
At 21 years old, I could have a conversation with my knee and enjoy a beer at the same time. My problems started way before that though. When I was a kid, my knees clicked on command. My mother warned of permanent problems to frighten me. I grew, and my problems shrunk. But my left knee still clicked, and after a season of basketball I ended up in the doctor’s office with a broken finger and achy knees. He did his special tests—twisting, bending, and turning— waiting for me to wince. I didn’t. He asked for my activity history, which was pretty loaded. I played basketball six days a week and I was a closet acrobat. My problems weren’t shocking to him. Telling your doctor that you do backflips in your backyard won’t end well. My knees were overused and my finger was beyond repair. At least, that’s what he told me. I was given pills and told to rest. Turns out he was right about my finger. My knees, not so much. Years later, I fell in love with barbell weight training. Legs were my strong point, and I squatted often (to stave off upper body embarrassment) using what most call an olympic squat— high bar position, close stance, and deep. My knees would hurt, just like they did in high school. I didn’t think they could be fixed. After all, they were just overused, right? What was I supposed to do? Not walk? © Anthony Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
I mingled around the fitness industry and became obsessed with fitness, strength, and health. My favorite book was Starting Strength by Mark Rippetoe and Lon Kilgore. After reading the squat chapter, my high bar squat transformed into the low bar squat described in the book. An injury forced me to start back at the beginning, so I ran the Starting Strength program as written. After work one day, I prepared for my workout – three sets of five, at 335. During my first work set, my right knee popped as instability radiated through my leg. My knee always made noise, but it was never this audible and the feeling wasn’t the same. Normally, when my knee felt stiff I could make it click to relieve pressure. But I couldn’t. My superhero clicking powers were gone. And that’s when I learned the difference between a click and a pop. I guessed that my meniscus was partially torn. I feared the doctor because I feared surgery. No news was better than bad news. The healing process was a struggle. The pain was above the tolerable level I seesawed with through my teens. I ended up going to a sports medicine doctor. My hopes were low, but my psyche was so unstable that I needed reassurance. My appointment was more of the same that I encountered four years back—x-rays, tests, and recollection. My knee described my problem better than I could, because I had severe crepitus. Surprisingly, my meniscus was healthy, but I was diagnosed with patellar tracking problems and patellar tendonitis. Instead of going to physical therapy (he said I didn’t need to because my © Anthony Mychal 2012 - http://anthonymychal.com
An Athlete’s Guide to Chronic Knee Pain
quadriceps were well muscled), he gave me some exercises and a knee brace. My medical expenses were adding up fast. My insurance didn’t cover the $50 brace, which broke when I tried to put it on. Add the two $25 co-pays from my other visits, and that’s how you blow $100 on knee pain. K n e e Ti p # 1
Swallow your pride and make sure your pain isn’t a serious medical problem. Check with your insurance company and make sure this won’t cost more than a co-pay. You also want to be wary of anything the doctor tries to give you, like a brace. These are considered luxuries, not covered under insurance.
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An Athlete’s Guide to Chronic Knee Pain
CHAPTER TWO – PAIN MEDICAL BABBLE
You’ve read everything the internet has to offer. You know the anatomy of the knee inside and out. You’re 100% confident in saying you know what your problem is. You’re wrong. You need to see the inside. This requires a doctor appointment, so schedule one. X-Rays are better than your eyeball, but not as good as a MRI or CT-Scan. See what your insurance covers so you don’t screw yourself financially. And before you go, have a diagnosis ready for the doctor. Telling them what you think is wrong will give them an idea of not only where the pain is, but also what you’re going through. INJURIES
Injuries can occur for many reasons. When it comes to knee pain that can be fixed without surgery, you’re looking for an achy pain that fades in and out with no origin. The pain is chronic, meaning it has been occurring over a long time. Typical overuse problems fall into this category. What starts as knee pain becomes pain left of the knee cap, which becomes, “I need a cane.” Although this sounds depressing, chronic injuries don’t require the needles, knives, and Novocain. But acute injuries surely do. They affect the deep structures that stabilize the joint, are usually severe, and can be traced back to one moment in time. Snapping or popping noises are signs,
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An Athlete’s Guide to Chronic Knee Pain
especially after one particular incident. Fall off of a ladder and hear a pop? Yeah, you have problems far beyond my control…
IF YOU WANT TO SEE MORE OF THE BOOK, CHECK OUT THE OFFICIAL WEBSITE OF AN ATHLETE’S GUIDE TO KNEE PAIN Thanks for reading. Be sure to share this with as many people as you can! -Anthony Mychal
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An Athlete’s Guide to Chronic Knee Pain