Monday, January 28, 2008
Just got back from the doctor. My knee has degenerated into a cauldron of pain. I stayed off my legs all day Sunday. Ditto as best I could today. Been taking max dosage of Aleve too. Knee feels ok upon first getting up, but any standing or walking quickly produces severe burning sensations just below the joint in front of the tibia. Researching various knee injuries and causes, I suspected pes anserine bursitis before visiting the doctor. I have never experienced an overuse injury before. I suspected ramping up running the last few weeks was probable cause, but the doctor suspects otherwise.
After waiting more than an hour, the doctor finally comes in. Asks couple questions, then touches my pes anserine bursa. It was puffy and he could immediately see I had bursitis. I gave him run down of my cycling and skiing history, 600+ hours per year training, then 20 minute run takes out my knee. He didn't think so. He said bursitis is an overuse injury, and I couldn't have done enough running (about 50 minutes lifetime total) to have caused the bursitis. He suspected the skiing, especially if I did any skating. That is only technique I do. You see, his son is a high school skate racer, so he's somewhat familiar with the technique and how that could cause an overuse injury with that tendon. I did happen to do a 50km ski the Saturday before my 20 minute run on Monday. My knees were slightly tender from the hard weekend. The run may have been just enough to put me over the edge.
So now I must recover. I still don't know how long this will take or how big of a training hit this will be. I've already lost about 8hrs training volume, a race last weekend, a race this coming weekend, and probably the race the weekend after that. I asked about that. The doctor said if I really must race weekend after next and the pain is not subsiding by this weekend, to call, and they'll set me up with an orthopedist for a cortisone injection. The doctor did say cycling shouldn't be too much of a problem in the mean time, but skiing is not a good idea. I do know after this past Saturday's 50 mile hilly ride, my knee was a wreck. It doesn't hurt too bad while riding, but I'm practically disabled afterwards.
He put me on Voltaren. We'll see if that does a better job controlling the inflammation than Aleve. In the meantime, I have business trip in NJ, so Wednesday will be soonest I can try any aerobic activity. I haven't recovered this much ever, not even for Mt Washington. I can see the belt buckle straining already. Unfortunately, the eating machinery doesn't shut down just because the powerplant stops burning fuel.