Since that time I had done what Velogatto told me and go in with a PT who has been treating me free of charge since I have been giving her referalls to some of my cleients and athletes who are injured.
Anyhow. She thought it was my meniscus and has had been doing deep tissue work, band work including flexion, extension, abbduction, adduction, ultrasound, PNF Stretching and ice massage. I have been doing this for the past 2 weeks 2x per week. It has been getting a little better where I am able to do tempo work without pain but it still hurts a little during my first 4 strides if I accelerate hard. It does not hurt when I jump (nor has it ever) squatting is fine and RDL’s are fine If I am strict with form. GHR’s are still a problem. PNF stretching contract relax of ham was a big problem before but seems to be ok now.
I got an MRI on Wednesday which is exactly 10 weeks from when it first started to hurt.
This is what the outcome of the MRI was.
"SMALL JOINT EFFUSION. NO FOCAL MENISCAL TEAR. INTACT CRUCIATE LIGAMENTS.
THERE IS LESS THAN 2 CM LOW SIGNAL LESION IN THE POSTERIOR ASPECT OF THE LATERAL FEMORAL CONDYLE. THIS HAS THE APPEARANCE OF A FIBROUS CORTICAL DEFECT. HOWEVER COMPARISON TO PLAIN FILM IS NEEDED TO CONFIRM THIS AND TO CHARACTERIZE THE FINDINGS."
The PT now wants me to go to see a orthapedist to investigate this further. The thing is that I am not getting pain in the lateral side of my knee. The spot she palpates and has been doing the soft tissue work on has been the medial side of my knee near the MCL.
I personally think it may be tendonitis of my semimembraneous tendon of my hamstring which somehow is connecting to my knee.
FCD may occur when you have an injury to the lining of the bone or periosteum. Sometimes it’s an abnormality in your growth plate. It is a lesion or fibrous mass.
I didn’t read the old thread so I’m not up to speed on your injury. Sometimes people just have them and they don’t know they have them until they get an x-ray or MRI.
Follow up with an orthopedic surgeon is necessary. The doctor will moniter the lesion to see if it gets bigger over time. Most times the FCD will resolve itself.
I suspect the FCD was a result of injury as most of these are seen in adolescents.
Thanx for the info. I do have a feeling this has always been there. The reason I say this is because it is on the lateral femoral condyle and my pain is medial. The area the pain is coming from can actually be palpated and the PT thought it was the meniscus but the MRI rules this out. I am thinking it is the semimenbranoeus tendon of my ham which connect to the knee? There is no way this “lesion” could be causing the the pain in the area I just described can it?
The MRI actually also states each meniscus demonstrates an unremarkable shape without focal tear. Perahps a tear could have been missed but besides being highly unlikely I do not display any mensical tear symtoms aside from the palpation of who know what she was palpating. I still think it is the semiteninous or membranosus.
What you said about the lesion causing pain leading to fracture… would it cause it in the opposite side of my knee pain though??? As I said the lateral side is the side that was mentioned on the MRI and the pain i’m getting seems to be pretty localized on the medial side right near the MCL although when palpated I do get a bit of reffered pain to the anterior side.
When the FCD is larger than 50% of the diameter of the bone there is the likelyhood of fracture. I think if that was the case it would have been noted on the MRI and a more urgent response from the radiologist and doctor reading the image.
Not likely the pain would be refered to the opposite side of the knee.
Did you have the MRI sent to your family physician or orthopedist?
Pain with palpation over the anterior/medial joint line indicates meniscal injury. Also consider stress fracture of the proximal tibia.
I am taking the MRI to an orthopedist today. I will let you know how that goes.
As far as the pain it is on the medial side put palapted posteriorl and reffers a little bit anterior or just deep through the medial side of my knee. If there was a stress fracutre to the proximal tibia would this have been noted in the MRI. I mean then what good is the MRI?
Ok…as Thomas suggested the “lesion” was in fact asymtomatic and is characterized from an x ray as an area of dense bone or a bone island. Dr. said it has nothing to do with my pain.
Diagnosis:
TENDONITIS of either the semimembraeosus or tendonosus.
It is infact getting better and I was able to go through my full warmup and 85% accels with no pain. I will continue going to PT.
If anyone has any other suggestions please let me know.
If the consensus is you have tendonitis, you might want to try an herbal patch that I have been using on my athletes with similar conditions. It’s called a FASTT patch and is made by Wei Labratories www.weilab.com It’s a little pricy but worth the cost, especially with a tendonitis problem.
