{"id":2673,"date":"2012-07-20T12:48:47","date_gmt":"2012-07-20T19:48:47","guid":{"rendered":"https:\/\/www.wkiri.com\/today\/?p=2673"},"modified":"2012-07-20T20:13:53","modified_gmt":"2012-07-21T03:13:53","slug":"runners-knee","status":"publish","type":"post","link":"https:\/\/www.wkiri.com\/today\/?p=2673","title":{"rendered":"Runner&#8217;s Knee"},"content":{"rendered":"<p>Last December, I started training for my first triathlon, which for me primarily involved running.  I&#8217;d never done any sort of regular running, but I soon found that <a href=\"https:\/\/www.wkiri.com\/today\/?p=2404\">I really loved doing it<\/a> (far more than, say, <a href=\"https:\/\/www.wkiri.com\/today\/?p=2305\">swimming<\/a>).  In March, <a href=\"https:\/\/www.wkiri.com\/today\/?p=2378\">I successfully entered and completed the Pasadena Sprint Triathlon<\/a> &#8212; what a high point!  I&#8217;d worked up to 3-mile runs without any trouble.  After the triathlon, I continued running, and kept increasing the distance until I made it to 5 miles.  That run actually wasn&#8217;t so much fun, so I backed off from there to ~3.5-mile runs again.<\/p>\n<p>By June, however, I started experiencing knee pain.  Not while running, but at other times, like just walking around, and especially when going downstairs.  The final straw was when I was hiking in Scotland and had to cut a hike short (one I&#8217;d done two years before with no trouble!) because it was just too painful.  I took a couple of weeks off of running but still was feeling achiness in my knees.  That&#8217;s right, knees plural &#8212; not just the one I&#8217;d injured skiing last year.<\/p>\n<p>Today I visited my doctor and learned that I&#8217;ve developed <a href=\"http:\/\/orthoinfo.aaos.org\/topic.cfm?topic=a00382\">runner&#8217;s knee<\/a>, also known as &#8220;patellofemoral pain,&#8221; which often manifests as aching below the kneecap, most strongly when going downhill or downstairs.  This can be caused by a variety of things including imbalance in musculature or mechanical problems with how your patella (kneecap) slides over the knee, but it&#8217;s very common in runners who increase their distance or speed too aggressively, and also twice as common in women as in men.  Argh!  I was being cautious, but I hadn&#8217;t really abided to the suggested &#8220;only increase by 10% each week&#8221; rule because I was feeling fine.  In fact, my knees don&#8217;t hurt much or at all while I&#8217;m running.  It&#8217;s afterwards (for days?) that I notice it.  So this all points to the running aggravating the joint, and it means I need to back off, take it easy, and be more gradual in my efforts.  As my doctor said, &#8220;Run for enjoyment, not for achievement,&#8221; and then chuckled self-deprecatingly before he segued into a story of his own over-ambition and series of injuries in his determination to run a half-marathon even if it killed him (or his knees).  There are also some strengthening exercises for the quad muscles that can help, and I can go to a running shoe store to get an assessment and their recommendation for shoe styles (many friends have advised this).  His other advice was to avoid running downhill (here I&#8217;d thought downhill bits were my chance to improve my average speed!) and online I&#8217;ve read that I should be running on a track or something softer than sidewalks\/roads.<\/p>\n<p>I hope to improve soon!  I am really, really missing my running.  The good news is that the doctor said there&#8217;s no reason someone my age shouldn&#8217;t be able to run 3 miles 3-4 times a week, so I should be able to build up to that pain-free.  It was good to hear this confirmation of my own expectations, rather than a dim outlook and some dire words about the effects of aging.  Bah!<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last December, I started training for my first triathlon, which for me primarily involved running. I&#8217;d never done any sort of regular running, but I soon found that I really loved doing it (far more than, say, swimming). In March, I successfully entered and completed the Pasadena Sprint Triathlon &#8212; what a high point! I&#8217;d [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[33,49],"tags":[],"_links":{"self":[{"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/posts\/2673"}],"collection":[{"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2673"}],"version-history":[{"count":7,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/posts\/2673\/revisions"}],"predecessor-version":[{"id":2701,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=\/wp\/v2\/posts\/2673\/revisions\/2701"}],"wp:attachment":[{"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2673"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2673"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wkiri.com\/today\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2673"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}