Doctor, it hurts when I do this! Then don’t do that. – Henny Youngman
I’ve been running a long time, consistently since the late 1980s. Over the course of those 30+ years I have had mostly pain-free miles, but I think I have had just about every type of common running injury there is – iliotibial band issues, plantar fasciitis, piriformis, bruised toenails, and Achilles tendonitis just to name a few. Sometimes they seem serious and take a while to heal, while others I just train through them. Now I think I might be experiencing the dreaded Runner’s Knee. I say “I think” because I tend to self-diagnose, and I don’t really know for sure. Plus, the term “Runner’s Knee” doesn’t seem to be specific to one condition. So here’s what I found out about the condition.
Runner’s Knee is probably something that I have had in the past, but it wasn’t enough of an issue that I remember it specifically. There are a handful of causes but I think my issue is due to overdoing it for the past three years as I have stepped up my mileage training for ultras, being an older runner, and lack of flexibility in my leg muscles. Basically, I’m wearing out my already worn-out legs and I don’t stretch. Running injuries really all stem from overtraining or overexertion.
There are two types of injuries that are sometimes called Runner’s Knee, Chondromalacia Patella (CMP), and Patellofemoral Pain Syndrome (PFPS). Both deal with knee pain, with Chondromalacia Patella dealing more with pain in the knee cap and degradation of the knee cap cartilage. Patellofemoral Pain Syndrome is more generalized to the muscles and area around the knee. Symptoms of Runner’s Knee that I am experiencing include pain while sitting with my leg bent, especially in the evening, knee pain while using the stairs, and pain while bending the knee. I do not have any grinding or unusual sensations while bending my knee, so therefore, I think my type of Runner’s Knee is more in line with the broader PFPS condition.
Either way, both conditions tend to respond to rest, OTC pain meds, stretching, and physical therapy if needed. There are plentiful videos online in which physical therapists describe stretches and exercises for the condition, so I think I’ll skip the hassle of seeing my doctor for a referral for PT. So far, I have found some relief just from the quadriceps, hamstrings, iliotibial band, and Achilles tendon stretches that I have done. This may be one of those short layoffs from running and I can get back to the long and slow training that is needed to prepare for the three ultras I have in the fall.
‘Tis but a scratch. Just a flesh wound. – The Black Knight
Have you ever dealt with Runner’s Knee? How did you handle it? I’d love to hear from you in the comments below.