I made an ama a couple of days ago, and i liked the response, som im making a new one.
Basicly. Im a med student working at a sportstraumatology department. I arrange joint-examination courses for med students, im the head of the students sportsmedicine union and ive just done a shitton of stuff about joints.
Throw out some questions for me! It can be about anything. If i dont know the answer, ill ask one of the surgeons
Id like to remain anonymous. Im from europe though.
Sportstraumatologists in my country are basicly orthopedic surgeons who prefer dealing with sports-related injuries. The orthopedic surgeons sometimes take a diploma in sportsmedicine.
My right knee seems instable as fuck when the leg is extended, its totally fine when bend, can do heavy squats and everything but really habe to focus on not extending my leg completely
Orthopedic doctor made an xray and bone was fine, something was off about the kneecap but nothin major, hes not sure what may cause the instability, maybe something ripped but not sure yet
He told me meniscus is fine and that i have to wear one of those kneebands which hold the kneecap in place when doing sports, can train legs without problems wearing this, even 400+lbs squats
NOW MY QUESTION
i wanna run today and do some sprints, should i wait fir my next orthopedic checkup (4 weeks) or should i go for it? Dont want to lose my kneegains
Also, what could it be?
How much does muscle development aid in the prevention of joint injuries? More specifically, can well developed leg muscles 'take stress off' of your knee joints when it comes to running\lifting?
have you had any previous knee traumas? when did the instability start? have you had an MR?
I presume the ortho made a ton of examinations on your knee and by the looks of it, it sounds like hes worried about your MPFL (medial patellafemoral ligament) which makes up for 30-70% of the power which prevents your knee from dislocating. That is probably why he wants you to wear the band.
Whereas normal orthos deal with a wide range of diseases/injuries like infections, tumors, congenital disorders, fractures, spine surgery, hip replacements etc. sporstraumatologists mainly deal with stuff like rotator cuff tears, ACL/MPFL/MCL/LCL, meniscus, adhesive capsulitis.
Sportstraumatology is not at all removed from normal ortho. Its just like an oncologists who has decided only to deal with children.
Where is the pain? when does the sound occur? usually, unless "sounds" are accompanied by pain or swelling, its not something we worry about
No previous knee traumas, instability started this year, probably after a drugged out new years party
Not sure tho
No MR yet, gonna habe to wait these 4 weeks, if it doesnt get better he will appoint MR
Cartilage, bone, connective tissue etc are living tissues meaning that it needs training/stimulation in order to "develop". By going to the gym and hitting the squats, you not only stimulate remodelling in your muscles, but also in the tissue around your muscles making them stronger.
Its hard to say how much muscle development aid in the prevention of joint injuries, since it varies from injury to injury, but generally: it helps a goddamn shitton. I had a younger patient with knee arthrosis after an injury + surgery. He decided to go crazy on his lifting, as in: slow and steady progression without missing a single workout, and he went from 6/10 pain whilst walking up stairs to being able to squat 160kg without any pain
Phew. Thats always a hard one. People do weird shit when drunk and they can never remember it.
The doctors thought here is: your knee is not swelled up to triple size. You can squat without pain. Your menisci are fine. All the other obvious ligaments are fine (i presumed he checked those). Instead of going all-in lets wait and see if the problem sorts itself out.
It might seem weird, but sometimes they do.
I wouldnt do 1RM squats 7 days a week, but i also wouldnt stop lifting completely. I see no obvious problem in running, only in doing side-stepping sports like basketball, soccer, handball etc.
>I arrange joint-examination courses for med students, im the head of the students sportsmedicine union and ive just done a shitton of stuff about joints.
What are some of the most common joint problems you encounter, and what could be done to avoid them or minimize them?
(think trauma, repetitive stress, wearing, bad posture, w/e)
thanks in advance
How do various medical departments look upon forensic pathologists? I wish to be one.
I know the general public and laymen think the profession is odd, gross, weird, or some combination of them. How do other MDs, DOs, and MBBSs reegard the specialty?
I mean my summer job is at a giant pathology lab, and some of the doctors have been really nice. I think it's mainly to do with the very limited patient interface.
Plus they get nice little offices and car parks while the rest of us slum it
The alltime most stupid thing i see is shoulder impingement due to close-grip upright rows or behind the neck press. People keep doing them, and people keep getting impingement. I hate those 2 exercises with a passion.
Also since the "uprising" of crossfit we get tons of crossfitters into the clinic with varying injuries due to the fact that their personal trainer told them to do
10x40kg clean & jerk
or whatever. All this even though they have only trained for 3 weeks and doesnt even come close to doing squats or clean and jerks with proper form. I actually attended the a meeting at the national sportsmedicine society where we discussed this problem and what we can do about it.
about 8 weeks ago i had a teacher look me into the eye and tell me to stick my hand into the rectum of a dead woman. Doctors have done a large degree of disgusting stuff, and as far as i know, there are no really bad thoughts going towards forensic pathology. To me, personally, it just seems really cool. Like a sherloc holmes mystery. I would say go for it. Its probably really difficult, but exciting aswell
I'm a clinical research facilitator currently and my department is next to pathology. Some of the docs look really goony, and I can tell this dude is the odd type (sloppy dress/zero professional fashion, creepy mustache, haunched back, no wedding ring, etc.)
I like the aspect of mixing forensics with medicine, however people often tell me my personality would be wasted sitting in a lab or in a morgue. I just have no interest in dealing with sick people. Maybe I'll just be a professor of pathology/anatomy or get into admin or something.
this is true, I mean even dentists have to go through extensive anatomical training.
I love puzzles/mysteries and anatomy/medicine. However, like I said in my last post many people, myself included, feel that my outgoing personality would be wasted in a morgue. I do enjoy human interaction so I'm not in it to avoid people all together, I just don't like the projected lifestyle of hospitalists, internal medicine seems boring but you make your own hours and get guap, and idk all the other specialties don't really jump out at me. Maybe I'll find my calling during my rotations, who knows?
The vast majority of my joints are hyper mobile, the worst being my shoulder which have a tendency to shift around and sometimes cause serious pain if I'm unlucky while benching. How do I make my shoulders more stable?
Hey, major time noob here, with a minor, although annoying problem.
My elbow joint keeps popping from time to time when I do seated triceps extensions, which are of varying degrees of pain. It doesn't happen all the time, but if it starts in a workout it's guaranteed to still pop back and forth until the exersice is done.
Do you habe any alternatives to train the triceps, and is there anything I'm doing wrong? Can I fix this somehow?
I asked about psoriatic arthritis last time, got a great answer. I scheduled an appointment with my doctor, however i want to know if i can still do squats/leg exercises if it turns out i have psoriatic arthritis. Thanks!
I can take off and fly like a fairy immediately with my winged scapula.
Really annoying/little hurting when incline benching (I guess too much pressure on them?)
Any way to fixate my wings through exercises?
Im almost 1000% positive I have carpal tunnel. Should I get it fixed or man up?
I've got acromioclavical osteolysis in both shoulders.
Hurts to bench OHP and right now I can't bench more than 60kg without pain.
I'm also a competitive swimmer. What are my options?
I just wanted to start to lift again. I don't know why (tfw I know why because I'm a lazy piece of shit), but I stopped working out about 6 months ago.
Now suddenly I have knee pain. It's in the lower part of the knee where the shin begins.
I read that it's when overstressing. However I didn't run nor did i do squats. I'm 6'5 and weigh 115kg (250lbs).
Maybe the overstressing comes with the overweight.
Maybe it's just my hobo boots. The shoe sole is seperating and my therefore my walk is different. Could this be the reason?
If not is it going away with time?
I have it everyday since maybe 10 days. It is in the morning as painful as in the evening.
When I squat without music on I can hear this grinding/tearing sound from m hip-thigh joint on every rep. There's no pain associated with it at light weights, but some heavy sets cause the area to get disproportionately sore. Should I be worried?
I've just started running and have just done the first week of C25K and about half way through my second and third runs my right foot got tingly/numb. It felt like it was most of my foot except for the top part. When I finished the third run I could feel a slight tingling sensation in my left foot as well.
I tried loosening my laces after it happened the first time but it didn't help. Should I just go to a doctor or try replacing my shoes? Is there anything else I can do to prevent this?
Also should I be running if I'm 89kg at 5"8- 5"9? I don't want to unnecessarily damage my joints.
i keep getting this thing now where the thigh meets the hips, that joint thats kind of near your crotch keeps popping. it never used to. but sometimes ill be sitting in a chair and it will feel tight, and all of a sudden loudly pop and i can feel like it just shifted, its very uncomfortable feeling
Why do med students think the know shit about training?
Why are the most of them DYEL's that spout bullshit from the 70's like squatting below parallel increases stress on ACL and patella tendon when it has been proven otherwise for 20 years?
Meds students dont know shit:
1. What is the prime mover in a bench press
2. At what angle does Maximal EMG come from glutes and hamstrings in a squat?
3. What is the difference between a low bar and high bar squat, on EMG of Quad/Ham and with degree of flexion of hip and knee joints
4. what are your lifting stats?
not sure if this counts as a "joint"
but I've had lots of back pain, everything is fine but when I do deadlifts, even with supervised form, my lower back hurts a lot.
When I went to a physio, they just told me to lie on my stomach but it made it even worse.
Another physio said it was my hip but never gave me exercises or resolutions...
What do? Go back and see another physio?
third year student in Physical Therapy School
have BS in Kinesiology, Athletic Training Certification, Personal Training certification (that I wipe my ass with) and 4 years personal training experience.
325/455/525 last PL meet at 165 lbs
long term wear and tear of putting stress on joints.
Try stretching a rubber band or rubber lacrosse ball over and over again and see how it loses it's integrity. You are adjusting your joints without knowing how to adjust them. Sure the short term relief feels nice, but its at the cost of your joints integrity
A joint is anything where bones meet. They could be moving or not moving. your vertebrae is a non moving synovial joint that allows for movement.
I would see a chiropractor or physio.
See if stretching and foam rolling would help.
Being more specific in the explanation of the pain please, so I can help more.
Btw this med student fag is googling your answers.
Idk if you're still here OP but I have had patellar tendonitis (jumpers knee) for a little less than a week. What do you recommend? I'm not taking NSAIDs or using ice right now but have been doing cross friction massages and decline eccentric one leg squats 3x15. What else do you recommend so I can get back to squatting as normal.
I've had that too.
Take one rest week., no knee loading at all.
After that, decline eccentric single-leg squats are GOAT for patellar tendinits.
Start with 5 days rest between heavy knee loading, and gradually decrease that to twice a week.
HOLY FUCK YES FINALLY!
dude please help, when I do triceps, and sometimes biceps, I feel a rippling in pic related, sometimes on the inside facing side, sometimes on the back of the elbow, other times on the back side of the upper arm
(Started gym 2 weeks ago)
During squats yesterday, I started having a sharp pain in my wrist, around or a bit higher than that bump. It feels a bit sore when I make a fist, but is not sore to the touch. I get the sharp pain when I suicide grip something, but not when I overhand grip. It feels a bit bruised where my thumb meets my hand, but is not painful or sore in any other situation.
Sorry about cat head.
looks like a ganglion, but im not a doctor so i could be wrong