one knee sore only when cycling

Pebble
Posts: 1934
Joined: 7 Jun 2020, 11:59pm

Re: one knee sore only when cycling

Post by Pebble »

Psamathe wrote: 27 Nov 2022, 12:37pm Internet diagnosis is not sensible. I have knee problems but don't interpret my issues (described below) and solution as being relevant to
Indeed, even consultant orthopaedic specialist with the benefits of clinical examination and MRI scans can't always come up with the answer so randoms on the internet will struggle.....

I get round my mystery knee prob by pedalling through my heel on very steep ground, but the bike-fit gurus always say anything other than the ball of your foot will damage the knee.

As a doctor friend has said to me many times - the medical rule book is easy to learn and understand, trouble is very few patients keep to these rules and too often present with entirely the wrong symptoms.
arnsider
Posts: 449
Joined: 27 Jul 2011, 12:44am
Location: Carnforth, Lancashire

Re: one knee sore only when cycling

Post by arnsider »

The huge problem for anyone suffering from skeletal issues is the reluctance of GPs to diagnose such.
You cannot blame them when they are under so much pressure. I have had knee and hip problems for a few years now and I even self-diagnosed Polymyalgia which my GP confirmed with CRP markers in my blood sample.
Luckily, an osteopath sorted one hip problem and I am consulting his surgery about my current knee issues.
Being referred to any NHS specialist these days is just a lottery.
Seeing an orthopaedic specialist privately costs a fortune and a CT scan alone cost nearly £700.
There are a number of Osteopathic and Chiropractic sites on the web that show you how to manipulate common knee problems to do with the Collateral ligaments and the Iliotibial band.
Psamathe
Posts: 17650
Joined: 10 Jan 2014, 8:56pm

Re: one knee sore only when cycling

Post by Psamathe »

arnsider wrote: 1 Dec 2022, 8:28am The huge problem for anyone suffering from skeletal issues is the reluctance of GPs to diagnose such.
...
My own experience is that, as you say, GP is not very ready to refer to a physio and long waiting lists ... but ...

But last time I had such need I called my GP practice at a quieter time and reception always asks about the problem (for triage). I said I suspected my problem was more physio than GP and they switched to a questionnaire with 5 questions "Is your problem ...?, Is your ...?". My answers and they categorised my problem as MSK and their practice has a MSK specialist visit half a day each week and they booked me an appointment that week. MSK "specialist" was actually a triage nurse not a physio but they tested my symptoms, said I need to see a physio, went on their computer asked if I prefer travel to <choice of towns> and booked me an appointment for 3 weeks away (all NHS).

It was interesting as I'd self-diagnosed but the "specialist triage" got me to do some weird stuff e.g. hold your hand straight out and lift you 3rd(?) finger and does that hurt?". Once home I Googled the tests she asked me to do and they were diagnostic tests for the condition(s) I'd self diagnosed - so she was knowledgeable and doing diagnostic tests not just checking your need was genuine.

My experience of GP services normally means I'm critical (probably as much limited money to primary healthcare as well as over stretched GP as well as GP focused on non-GP work ...) but I was really shocked by how well and quickly the physio route worked. Very contrary to what others have said and I suspect I managed to get on that "track" by initial call being a quiet time (late pm mid-week) and not "I need to see a GP" but suggesting I see somebody other than a GP.

Ian
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