Re: Ever get a bruised knee bone from doing a long hike?

Thanks, JD.  Please elaborate on "avoiding whenever possible putting my
feet in front of my mass".

I have been doing Knee Exercises on Cybex machines at the YMCA for 10
months under a trainer's guidance.
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On Thu, Aug 23, 2012 at 3:23 PM, JD Schaefer <[email protected]> wrote:

>
>
> Roleigh
> Hope the recovery is quicker than you think.  I have knee problems but
> after incorporating frequent ham-string stretches, never walking
> pigeon-toed and avoiding whenever possible putting my feet in front of my
> mass, the problem diminished significantly.
>
> Hike on!
> JD
> Raleigh (North Carolina that is)
>
>
> On Thu, Aug 23, 2012 at 3:12 PM, Roleigh Martin <[email protected]>wrote:
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>> **
>>
>>
>> I did fine on my 2012 3rd full-thru JMT hike for the first 16 days of
>> hiking but on the 17th and 26th day of hiking the ordinary schedule is to
>> do about 4-5 miles uphill then 10-11 miles downhill (with the downhill
>> being about 3800 and 6000 feet of descent (respectively descending from
>> Muir Pass and Mt Whitney (the tallest mountain in the 48 contiguous
>> states)).  Each of these two days, my left knee became inflamed and I ended
>> up favoring the right knee to the point it became sore too.  After the Muir
>> Pass descent, the knee quickly recovered in about 5-6 days (I was hiking
>> with a limp though), but after Whitney (which was the final exit day of the
>> full JMT trail), my knees were so sore, that 12 days later (today), I'm
>> still sore (not as much when not using the knee) and slowly handle stairs
>> and walk a little slowly.
>>
>> I should have taken two days apiece to do each long descent and I&#39;d
>> have been in much better shape now (perhaps not have the problem at all).
>> I did not have this problem prior to the torn knee meniscus issue (which
>> I've reported on earlier<http://www.backpackinglight.com/cgi-bin/backpackinglight/forums/thread_display.html?forum_thread_id=54921>and which happened July 2, 2011), so I know that the prolotherapy sessions
>> have not healed my knee 100% fully.  I need to continue the treatments and
>> will. I hope I did not worsen my knees because of those two days
>> (particularly the last day).  I feel like I am only about 2% better each
>> day so I know it will be probably 1-2 months before I know the full
>> impact.  I was told that prolotherapy treatment for older people can be up
>> to 6-9 sessions.  I have had 3 stem cell prolotherapy treatments and 3
>> standard prolotherapy treatments.  I am going to continue my treatments but
>> have switched clinics to one locally in Avon, CT.  A Dr. Paul at
>> http://jockdoctors.com -- I think he is as good as the provider who did
>> the stem cell treatment from Chicago.
>>
>> I feel like daily I am getting about 2-3% better so I think in 1-2
>> months, I'll be back to normal.  I wondered what had happened to me and
>> after some Google Research feel I suffered a non-surface visible knee bone
>> bruise.  I found some interesting links on this:
>>
>> http://www.wisegeek.com/what-are-the-symptoms-of-a-bone-bruise.htm
>> "Sometimes the bruise is visible on the skin when other soft tissues are
>> bruised, but the only definitive way to determine if swelling is the result
>> of a bone bruise is with an X-ray."
>>
>> http://www.livestrong.com/article/24790-bruised-bone/
>> http://www.livestrong.com/article/84542-treat-deep-bone-bruise-knee/
>>
>> http://www.livestrong.com/article/423506-physical-therapy-for-a-bruised-knee-bone/
>>
>> http://tinyurl.com/9gqtw4l <http://www.healio.com/.>
>> "Magnetic resonance imaging of 1546 patients revealed bone bruises in 19%
>> of patients without an associated meniscal or ligamentous injury. For those
>> patients presenting with at least one meniscoligamentous injury, the
>> frequency of bruising was 60% at 0 to 4 weeks, 42% at 4 to 10 weeks, and
>> 31% at 10 to 26 weeks postinjury."
>>
>> http://www.ajronline.org/content/189/3/556.full
>> "RESULTS. In 80 patients, 157 bone bruises were found. The estimated
>> median healing time was 42.1 weeks. Healing was prolonged in patients
>> having a higher number of bone bruises and in the presence of
>> osteoarthritis. Resolution of individual bone bruises was prolonged in the
>> presence of osteoarthritis and greater age. Reticular lesions were less
>> likely to be present after 6 months than other bone bruise types."
>>
>>
>> http://www.livestrong.com/article/538956-how-to-recover-from-a-knee-bone-bruise-after-running/
>>
>> I'm going to be contacting Dr. Tortland shortly.
>>
>> I'll update this posting after seeing him.
>>
>> I am wondering if others have had a similar problem.  I plan on doing a
>> JMT in 2013 again (my 6th but 4th planned full thru-hike of the JMT) but am
>> currently planning on doing the distance I did in one day apiece for the
>> Muir Pass and Trail Crest Pass descents into two days apiece so that I do
>> not have such long continuous downhill descents in one day.
>>
>> Thanks in advance!
>> -------------------------------------------------
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>> _
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