K is for Knee

When we think of the knee (which is a modified hinge joint), and indeed any form of hinge, we would be mistaken to think that it is a simple joint – but it is far from that. Look at the snapshot on the left which shows a front on view of the right knee. You can see there’s a lot of muscles, tendons and ligaments and other (hidden) soft tissues all converging around this joint. Injuries to ligaments are probably the most common at this joint, and unfortunately often quite debilitating. In addition to ligament injury the knee is at … Continue reading

I is for ITB

Illiotibial bands – or ITBs have been mentioned a number of times before on this blog. However, it’s always good to revisit things as there is pretty much always something more to say. If you are a runner or a cyclist you may well have had some kind of issue with the Illiotibial Band, the connection of fascia from the hip area down to the knee area. If you have issues either in your hip or in your feet which make your gait somewhat less efficient than normal, the ITB can “tighten” and pain results in the knee area. It … Continue reading

A is for Adductors

An interesting muscle group that doesn’t really get the attention in a lot of massages – and they should. Found on the inside of your upper leg, they are involved mainly in 2 actions, adduction – pulling your leg toward the midline, and also extension – pulling your leg backwards. (not all of them do this, but bear with me as this isn’t meant to be a physiological tour de force, just an introduction). There are 5 adductors, Pectinius, Adductor Brevis, Adductor Longus, Adductor Magnus and Gracilis. They all start on the lower area of the pelvis and attach in … Continue reading

Pre-Edale Skyline Knee update

I thought it might be a nice idea to write a quick update on my knee and the way it’s going after my last blog about the overuse injury. After a lot of reading and researching through various books, ebooks, and other such things, it was evident that the issue was not, as most people assume, to do with the knee. As previously mentioned, the knee can’t really do much wrong in and of itself unless you hit it with or against something hard and solid. I certainly did not do that, so the injury had to be a chronic … Continue reading

High Peak Marathon induced knee pain

Since finishing the High Peak Marathon a couple of weeks ago, I (Tim) have been having issues with my knees. Actually, let me clarify that, I have been having an issue with my left knee. The right one is fine and dandy, I could hop about on that all day not really be all that bothered. It’s the left one that is causing the issues. I could be a classic runner/lifter/cyclist and just ignore the pain, think, oh, it’ll get better over time, I’ll just ignore it and train through it. But I’m not that kind of person, and I’ve … Continue reading

ITBs (Illotibial Band Syndrome)

ITB syndrome is relatively common among the runners and triathletes that I have treated. It’s described variously as a sharp pain on the lateral (outside) edge of the kneecap, so painful that its like someone is poking a hot pin in there and twisting it around. It can also be felt further up the Band, toward the hip, but for this article, Im going to concentrate on the knee problem. The distal (bottom) part of the ITB, and potential painful spot. As you would expect, this tends to have an effect upon running style, generally a pronounced limp, followed swiftly … Continue reading