It sounds like you may be having some difficulties with the accessory motion in the knee. This can be caused by muscle and or various soft tissue imbalances. You could easily have some of these or developed some after your surgery. Sometimes minor biomechanical dysfunctions become magnified and given the nature and intensity of your work, this could happen more quickly for you than for someone who is not as active.
I would recommend seeing a physical therapist first to see what is happening biomechanically with your lower quarter (hip and leg) in order to ensure that you have the least stress on your knee. Find a PT at: www.moveforwardpt.com If necessary, then you should go back to see your orthopaedic surgeon.
For starters, it sounds like you need to reassess your workout plan/schedule and it would be helpful to do this with a certified trainer or a physical therapist. You can Find a PT at: www.moveforwradpt.com
Some things to consider may include, but are not limited to, the following: - taking a day off - cross training more than you are currently - adding in swimming to your winter workout, even once a week can be beneficial - try foam rolling for your muscles, but be careful with your shoulders when you do this: it also works your core muscles which can be an added benefit - look at how you are stretching - possibly you are over stretching and this could make things worse rather than better - make sure that the adjustments are set up correctly for your size and height on the recumbent bike otherwise this can cause knee, hamstring and or low back pain -finally, but importantly, yes, you do want to try to work on losing weight to be at a healthy weight for you, but it needs to be gradually and you may want to consult with your PT who can let you know if you need to consult further with your primary MD and or a nutritionist
There is more, but hopefully this gives you a few things to think about and to start with for now. Take it one step at a time, sometimes literally; otherwise you may make too many changes at once, and then you may not know what is helping and what is not. Good luck!
It sounds like you may have what is called subluxation of the patella or kneecap. This often happens when there are muscle imbalances in the lower extremity. This can include weakness in the hips and thighs that can affect the knee.
Often, a program of specific strengthening of the muscles of the hips, legs and core - along with appropriate stretching and cardiovascular work - can resolve the knee dysfunction of 'popping'.
However, it is important to have your knee assessed by your primary care doctor or an orthopaedic surgeon, or a physical therapist before you start your exercise program. You can find a PT at Find a PT at: www.moveforwardpt.com
Any time you have major surgery such as you had with your reconstructive knee surgery, your opposite leg has to compensate for some time while you recover and learn to bear weight and walk normally with the leg that had surgery. It is very important to ultimately have balance between all muscles in the lower quarter, meaning from the waist down to the feet. This means that front to back and side to side - the muscles should be both strong and flexible and equally so on both sides of the body. You could have an imbalance of some sort going on with your non-operated leg.
I would assume that you have been working with a physical therapist at some point during your rehabilitation. A PT can assess your biomechanics and muscle and soft tissue length and strength and determine what interventions are needed to get you feeling better. This could include exercises and or manual therapy, which would include the type of muscle treatment that you mentioned.
If you need to find a PT you can do so at Find a PT at: www.moveforwardpt.com
Whether or not you need to use crutches can depend on a couple of things. First, it can depend on what type of tear you have in the meniscus and where it is located. Second, you need to see how your knee responds to your daily activities. If you find that by the end of the day your knee is swollen and warm, then you may need to use the crutches, at least for some of the time. If you do not use both crutches, then you can use one crutch in the opposite arm, for example, if it is your right knee, then use the crutch in your left arm and put it forward at the same time as your right leg when you walk. Additionally, if you have swelling and or pain in the knee, then ice for 10-20 minutes at the end of the day for the knee is helpful as well.
There could be many possible reasons for this dent that you see in your thigh. This could include, but is not limited to, the following: - a partial muscle tear - muscle wasting - a soft tissue deformity: in fact, sometimes this can be from habitual positions that cause pressure - fascia imbalances - muscle imbalances
It is difficult to know for sure without assessing your strength and soft tissue in the involved area.
I would recommend checking with a physical therapist who can do a full assessment. You can find a PT near you at Find a PT - www.moveforwardpt.com
Once you determine the cause, then the PT can assist with your recovery.
It sounds like you have been to your doctor for this already. I would recommend that you see a physical therapist. You can find someone in your area by looking at Find a PT at: www.moveforwardpt.com
I am not sure of your age or the mechanism of injury. These are things that should be taken into account while planning your rehabilitation. This generally includes rest and then a program of flexibility and strengthening for the hips, core and legs. It is important to proceed at an appropriate pace though and therefore a physical therapist can advise you individually.
If you do not have relief of your pain, then I would recommend seeing a DPT or MD for further asessment. They can determine the cause of the problem. It sounds like it could be musculoskeletal and therefore an evaluation by a professional would help you get to the bottom of the problem.
It sounds like there is a positional pressure issue that is occurring. My first question would be what is your mattress like? Ideally, the studies show that you should have a mattress that is moderately firm. You want enough support for your back. If the mattress is too soft, then it will not support your back and could be a potential cause of pain. The mattress does not need to be too firm though. If you want to add a pillow top or a thin tempurpedic type topper over the moderately firm mattress, that is usually ok.
Do you get this same pain if you lie down on a couch or another flat suraface? If not, then it points to some issue with your mattress. If you also have discomfort when lying on other surfaces, then it may be more of a positional issue with your spine. If you have more pressure on one side of your back, then this can get worse over time as you sleep during the night.
The best sleep position are on your back or side. When on your back you can put a small pillow or two under your knees if this is comfortable. You can also try sleeping on your left side. Keep you spine neutral and bend your hips and knees and finally put a pillow between your knees to keep the legs and back more balanced. You can also try this on the right side to see if that helps. When on your side, you can also try a small towel roll at your waist, which can further support the back in neutral. You should use enough pillow to keep the neck supported in neutral as well when you are sleeping. Sleeping on your stomach is not an ideal position, especially for the neck.
When turning, try to brace with your abdominal muscles and roll as a log when you do have to turn. When getting out of bed, roll onto one side and then push yourself up with your arms when on the side and let the legs go over the side of the bed. This is better for your back than getting out of bed by sitting straight up.
If the above-mentioned do not help your pain, then I would recommend seeing a DPT or MD for further asessment. They can determine the cause of the problem. It sounds like it could be musculoskeletal and therefore an evaluation by a professional would help you get to the bottom of the problem.
A tight groin can definitely be part of the problem with hip and back problems. The low back and hips work closely together to have you functioning optimally with cycling and your everyday activities. Your body is looking for a balance of strength and flexibility for your back, hips and lower extremities. If anything is tight or weak, then you end up with dysfunction and pain.
With cycling, you are obviously in a flexed or bent forward position. This can further tighten the psoas and surrounding muscles. Therefore, it is important to stretch those muscles on a regular basis. You also want to make sure that the extension, or backward bending, is within normal limits for your spine.
Have you had your bike fit to you? There are places like BikeFit.com where therapists are trained specifically in the proper bike fit. It is important to have a physical therapist do this fitting because the PT will pay specific attention to the problem areas and determine the cause.
Even though you may cycle many miles, you could still have certain muscles in the lower quarter, low back and legs, that may be weak. Again, this can be another part of the cause. Have the PT assess your muscle strength and then work on strengthening any weak muscles. This can often include the gluteal and thigh muscles.
With any back pain, I would also recommend that you monitor your postures, body mechanics and ergonomics. Use good support in the lumbar spine when sitting. Get up and stretch backwards and or walk around the room every 30 minutes. Make sure your computer is set up ergonomically for you, your back and your hips and lower extremities.
Hopefully, this gives you a few places to start. Remember, it is all connected and balance is key. Good luck.
The opinions expressed in WebMD Communities are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. Communities are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Do not consider Communities as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.