Fixed + knee injuries
Late last year I received a grade 1 medial ligament tear to my knee. I got some physio and after 6 weeks it was healed. I have been snowboarding since then, had a few falls and no repeat of the injury. I then rode DH on the weekend and had a bit of a stack. My left thigh got a bit of a cork but at the same time I tore the ligament again. I have just come back from physio on a bit of a downer as she mentioned that this sort of injury will keep popping up for the rest of my life.
It just has me thinking about bike priorities at the moment. Stacking is part of the sport, it happens when you don't expect it so there is nothing I can do about that. I want to know if anyone out there is riding fixed often with a similar sort of knee injury and how they handle it? I am just thinking priorities at the moment and riding singlespeed for reduced pressure on the knee is making sense at the moment.
theres a couple of threads about this already in the Help forum, have a look there perhaps.
The problem with a lot of these types of sporting injuries, knee or otherwise, is that they keep flaring up so long as you keep working that part of your body... especially joints.
Originally Posted by crash
Originally Posted by shifterbikes
What a n00b. Didn't even use the search function. Mods can lay the smack down on this thread now.
Last edited by EzyLee; 23-03-2011 at 02:03 PM.
when you get to 1000 posts, we cut you some slack.
besides, your question is a little bit different to the other threads.
i'd say that instead of a physio you should try to find an exercise physiologist. building up the muscles around the joint should stop it happening so often.
The physio I am now going to are very reputable in the cycling community in Canberra. They have a gym and excersise equipment so it isn't one of those places where they hook you up to an ultrasound machine and leave you (which is where I went before this).
As part of my rehab last time they gave me a lot of at home exercises to do that was specific to getting my muscles to 'turn on' for stabilising the knee which is what I needed when snowboarding. It worked for snowboarding I guess! My main concern is that I am going to have to give up a few riding styles in order to think more long term about my knee and the first style that comes to mind is riding fixed with the added pressure on the knee and it's joints. I know that sounds silly due to me receiving the injury when on the down hill bike though.
EDIT: FYI, this is where I am going to in Canberra
Last edited by EzyLee; 23-03-2011 at 02:29 PM.
Many differing and opposing view points on this, re fixed gear and knees.
The following is only my experience,and in no way intended to be taken as gospel or medical fact.
A couple of years back I tore my medial ligament and also my meniscus when squatting down.
anti inflammatories and physio healed the ligaments, but the meniscus was torn in such a way that it needed removal.
Unfortunately I lost 50% to the arthroscopic procedure.rehabbed my knee back with plenty of cycling and felt it was pretty good.
Started riding occasionally on track at 91 gear inches and immediately felt it hurt again,and feel like it was internally bruised.this bruising to the bone takes ages to fade away.Stopped it for a while and then had a recurrence of the ligament tear(milder)and a clunk start up in the joint again, due to a change of work tasks.Too much kneeling and twisting, caused a spur or horn to protrude from where the last site was trimmed.no surgery, but 9 months on it's still clunky internally , but without discomfort.Back on a fixed gear(brakeless) at 63 GI to see if that was more suitable. didn't take to long for the bruising and tenderness to recur from the back pressure and skids.
Through out this whole period i've continued to commute and rec ride my roadies to maintain muscle integrity and keep the synovial fluid lubricating the joint. my style has changed to a much more spinny, high cadence motion ,and this seems to suit me.
from time to time , i feel my knee begin to over extend or flex on the medial side from some innocuous move whilst walking or getting out of a car.i don't think my knee will ever be as structurally strong or trustworthy, no matter how much work i put into the muscles around it.
Riding fixed and even S/S on hills means I have to grind a little more than is comfortable for me, and that aggravates the site internally that is effectively bone on bone.
Once again i stress that this is only my experience personally ,and others may have a completely different experience.
I would however say to only listen seriously to folks who are talking from experience, not the opinions of the masses who are spouting/regurgitating internet research.
treat you knee with respect and get it to a comfortable zone with rehab and then try the things that may aggravate it and see for yourself, that's what I did.
good luck with it.
have you had a tear in the meniscus or any removed as yet?
Thanks for your input! Yes I have had a tear in my meniscus about 10 years ago from going over the handlebars and my foot staying in the cleats, I don't know if the current injury is somehow related... the physio does know about the previous injury so I guess they would have made mention of it if it were.
The main thing that went through my head when she said 'this could be with you for life' is what can I do to make sure that my main activity, being cycling, isn't going to be too effected by this. The only reason I ride fixed is to commute, I don't NEED to ride fixed as I have never ridden proper track. I just thought it would be a good way to train and build up some strength for XC riding. Is it a case of hanging up the fixed gears and concentrating on singlespeed or just the roadie... don't know. Thats why I am asking to see if there are any other fixed riders out there who have gone through the same thing and realised that the fixed gear isn't doing them any favours. I guess I just have to concentrate on the strength building and then go on the try it and see method. Gaaaah, frustrating old man knees!
I'm 42 this year
Originally Posted by EzyLee
Yeah it sucks don't it?
My surgeon tells me that now I've had cartilage removed and it's bone on bone, that I'm a likely candidate for arthritis as I get older.
No running, jumping off the back of utes or trucks,and no excessive kneeling squatting or twisting with feet placed firm.I have permanent restrictions written into my work conditions.
If I'd opted not to have the cartilage removed it would have kept moving(read clunking) and causing my ligaments to tear,and if dislodged and moved too much could cause knee lock up.
It will be with you for life so to speak, but if it's anything like mine then cycling will be the one thing that keeps it healthy.
Riding a bike, as endorsed by GP, Surgeon and physio is the only time when my knee feels normal,and it's noticeably more uncomfortable when I havn't ridden for 48 hrs or more.
I'm currently putting in around 150 k's a week,and am riding a recumbent HPV in the open class of the pedal prix events in S.A this year, so it's certainly not holding me back any.
Originally Posted by crash
Originally Posted by shifterbikes