THE CLINIC: Knee Pain From Nowhere?

Thu, 6 Sept. 2012 - 2:25 a.m. MT
Credit: ARA Staff - American Running Association

QUESTION:

 I was slowly sitting down into a low chair when I felt a sharp pain under the lower part of my knee. I'm 6' 2", 200 lbs. I had been running 10 to 15 miles a week. The incident occurred eight months ago, and I still have crunching and a little pain in my knee when I walk. I can actually hear a kind of slipping and popping in the knee socket when my left heel touches the ground. If I walk a lot and then sit, the knee gets stiff and sore. What can I do to get through this and back to running?

 

George Gale

Ashland, MA

 

ANSWER:

 Instability of the fibular head is possible, but is usually caused by significant trauma, for example, a car accident; and there are usually other ligament injuries as well. A simple exam by an orthopedic surgeon can determine whether the head is subluxing (slipping). One treatment for this consists of fusing the head of the fibula to the adjacent tibia. This is a relatively short and predictable operation and should allow you to return to running. That said, I don't quite have a good explanation for why this has occurred in the first place, so upon examination you may find yourself with an altogether different diagnosis.

 

Klaud Miller, MD

Evanston, IL

DISCLAIMER: The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be patient education, does not create any patient-physician relationship, and should not be used as a substitute for professional diagnosis and treatment. Please consult your health care provider before making any healthcare decisions or for guidance about a specific medical condition.

The American Running Association (ARA) and its Clinic Advisory Board disclaims responsibility and shall have no liability for any consequences suffered as a result of your reliance on the information contained in this site. ARA does not endorse specifically any test, treatment, or procedure mentioned on this site.

(RUNNING & FITNEWS® May / June 2008 • Volume 26, Number 3)




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