The Fool's Progress

Monday, December 19, 2005

What's Ailing You

I have been trying to summon the necessary forces within me to get on the road to full recovery and training again. It's been nearly a year and half of yo-yo between injured and semi-recovered since I was fully healthy and training at a high level. It's now become a foregone conclusion that I will have knee surgery in the coming months, only I don't know exactly what's going on in there.

Last year, I had the following diagnoses: strained MCL, possible meniscus tear, beginnings of arthritis, and pes anserine bursitis. Treatment consisted of physical therapy on two separate occasions, specialized orthotics, anti-inflammatory meds, and rest. I did all of that religiously and began training only when I felt pain-free. It always comes back. The pain is interesting in that it is not debilitating, just sharp and annoying enough for me to know that it's here to stay. When I run, it appears when my hamstring is flexed and my knee bent at the top of th gait cycle. When I ride, I feel it when I am in the 12-5 o'clock positions. Both are bad for any athlete planning on higher performance.

The self-diagnosis: Medial Synovial Plica irritation. It makes sense. What I have read tells me that it masks itself as all of the above mentioned diagnoses, and cannot be diagnosed until all of those are ruled out. The band must be rubbing on my femoral chondyle as I flex the knee. Good news is that I can live without it, bad news is that in order to get rid of it, I have to have a scope done. I wonder if I can insist that my meniscus and articular cartilage are not touched unnecessarily?

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