Bad news, Good news May 16, 2008

During my run at IM Arizona, I went through a multitude of sensations. No marathon ever feels good, but doing one after a 2.4 mile swim and a 112 mile bike in scorching temperatures is best described as tortuous. That being said, my run at IMAZ went fairly well. I experienced some cramping that I managed to work through, and some knee pain that was new to me. My left knee had been giving me trouble since February, but I had a handle on it. My right knee, however, became a bit grumpy during IMAZ. I made it through the race and hoped that with some rest, every thing would be ok. Not the case. I haven’t had a pain free run since early April. The pain reached the point where I decided to get an MRI. Verdict: my meniscus was fine, but I do have a plica. What in the world is plica?? Google to the rescue!
http://www.athleticadvisor.com/Injuries/LE/Knee/plica_syndrome.htm
It’s a bothersome little fold in the synovial sack within my knee that’s been getting pinched between my femur and patella. It’s stinks that I have to deal with this, but I’m glad to know what the source of the pain is now. I meet with the surgeon on Monday, and we’ll decide what our course of action will be…steroids or surgery. For the time being, I’ll work on my short irons.
Randy,
A non-surgical treatment may help. There is a small muscle just above the knee cap that tightens the synovial membrane of the joint capsule so it does not get pinched when the quadraceps are tightened. It should fire prior to the quads. It can be restricted or have adhesions limiting its mobility, leading to a plica. There is a manual therapy called Active Release Techniques (ART) that may help. The closest ART provider to Durango is in Telluride.
Ms. Michael Arnold CMT
Telluride Fitness Center
303 South Mahoney Drive
Telluride, CO 81435
970-596-3432
Live your passion.
Chet Collins, DC