What exactly was the physio you were doing out of curiosity?
The link you posted doesn’t appear to be working any longer. Does anyone have a copy of the document?
Has anyone with knee pain had PRP (platelet rich plasma) therapy? I had severe pain in my right knee back in 2016 or so. The knee was absolutely fine, then one day using the leg press intense pain. No apparent injury just pain, out of the blue, and I had never had problems with my right knee previously. After a couple weeks of dealing with this pain I decided to rest it completely for three months, no weights, and only easy riding when I got the occasional chance to pedal.
Three months later my first leg workout was okay and I kept the weights low, but my knee hurt again during the second one a few days later even with lower weight. As a Hail Mary I then had PRP done, took months off again, and it has been fine ever since. Not once has it bothered me.
Maybe I needed the extra time off and that would have done the trick without PRP, but I don’t know. Given that my leg workouts are more strenuous today than they were before the pain in 2016 and the knee has been fine, my guess is that PRP did whatever was needed for the knee to heal properly (it significantly reduces inflammation while allowing healing - though that’s weird since inflammation is part of the healing process).
I also had PRP on my shoulder at the end of August (the shoulder issue had been ongoing since around 2000 and I never did anything for it besides long periods of rest). After doing bench presses for a couple months in spring/summer 2023 the pain came back and I could not do a single push-up in mid-August. While my shoulder is not 100%, since November I’ve been able to do sets of 15-20 push-ups, though I will have some mild pain so I have to be careful. I am also doing PT for the shoulder.
Insurance is unlikely to cover PRP but I am glad I had it done.
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Hi, do you have by any chance a copy of the pdf saved on your computer that you could share since it is no longer possible to access it trough the link provided above. Been struggeling with left knee pain myself ever since I started cycling 3 years ago and nothing has helped so far (physio, bikefitting, insoles, etc. you probably know the drill). So I am kinda desperate and would really appreciate it, if you could help me out by resharing the pdf.
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Pretty sure this is it
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Internet archive also has a copy: Resources to Download | The Honest Physio
I can confirm this is the correct document linked here! All the best with your knee pain and I hope the document helps.
For those with knee pain, has anyone evaluated their hip?
I was dead 110% certain that I needed a new knee, and my old (and older) bone doc said ‘Yep, but you need to be older’. And he finally retired, so went to the ‘new hotness’ younger surgeon and he took a look at me and said, ‘what would you say if I told you it was your hip’. Well, I’d say you were insane! Dr , said I needed a new knee, so was he wrong? ‘Well, lets get you an x-ray, and see what it shows’. (He’s got an in-house x-ray machine) ‘Well, your knee has great margins, and nothing near bone-on-bone yet, and I can see the past surgeries. Lets get an MRI to see the knee and hip’.
Came back for the consult, and he threw up the images. 'Knee looks fine, but your hip (throws up images) is pretty bad! (The live-in physician gasps, starts crying 'I dragged your butt around Disney World on THAT hip!? I’m so sorry!)
I was diagnosed with ‘nerve impingement syndrome’ where a nerve that goes through the hip gets irritated and causes differed pain in the knee and often down the leg. I didn’t have the leg pain until the 6th hour of Disney World.
Apparently my hip had a genetic issue that over time just got worse and caused the sometimes excruciating pain in my knee. Since it was so bad, it took over a year for the knee pain to go away. (I was still doubting his opinion to varying degrees post-op)
Even if a bone-doc says it’s an actual knee issue, given my experience, I’d recommend a second opinion and have someone check hip structure. On my last post-op checkup, I asked the ‘Did I need all those knee surgeries’ question, and he thought about it for a few seconds. ‘It’s hard to say now, so I can’t answer that question. It’s probably a good idea that you didn’t get that last procedure though as it wasn’t in your knee’. I found out that the old retired doc didn’t like doing hips, and had actually been sued a few times for doing people’s knees when the issue was elsewhere.
I would get pain while riding, and the endorphins would kick in and happy day! Perhaps that is what attenuated the leg pain, don’t know. But the knee pain is completely gone.
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Who is the live in physician?
Joe
Wife…
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I also recommend looking further than just the knees.
I had intermittent knee issues years ago and one day had the epiphany that my broken left sit bone was making me sit slightly crooked on my saddle which created a functional length discrepancy in that leg. I put a shim under that cleat and things have been great ever since.
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I know this is old but I’m kind of going through the same thing (bilateral knee pain. X-rays look great MRI showed hoffa pad impingement on both sides).
A little curious about how your pain got resolved - was it just a matter of time? It just took that long for the impingement inflammation to go away?
And as for the PDF, did it go away completely after sort of changing the mindset or do you still keep having niggles here and there? I’ve read the PDF, but I find it hard to differentiate between it just being a hypersensitivity thing vs something actually wrong. Like I can feel the pain at times, and the diagnostic fat pad issue would suggest that at least something might be wrong