Joint Wear and Tear (Osteoarthritis)

JenAJenA Member
edited August 2012 in General Discussion
Sooooo... anyone got any wonderful and uplifting stories about how they've been dealing with joint wear and tear (aka osteoarthritis)?

If wonderful and uplifting is too much of a stretch, I'll go for mildly positive stories. :-)
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  • I have a total hip replacement and a reconstructed ACL. I'm 32, so it's not a great trajectory. But I can't think of many better activities than swimming for gravity-challenged folks like us :)
  • JenAJenA Member
    I'm pretty sure mine was *caused* by swimming, @evmo. :-)

    Met with the surgeon today and he was speaking about taking dead cadaver skin, washing out the DNA and using it to resurface the ball part of my humerouses. *shudder*
  • Doesn't sound very pleasant. Though I suppose that we are lucky to have the technology to do these sorts of things. Did the doctor say that you would be able to return to normal activity (or in the case of marathon swimming... continue your abnormal activity :D )
  • JenAJenA Member
    @Jim_Pape: I did ask if it was OK to continue swimming, and he encouraged me. As I reflect on the moment, I may actually have used the words "grind my body into the ground"... LOL He was definitely pro-swimming, but not exactly endorsing of 18++ hours of nonstop swimming. I don't think he would endorse that for anyone though. :)

    Here's hoping for wonderful medical advances between now and when I need them. :)
  • jgaljgal Member
    i've had 4 ankle surgeries from my days as a pool swimmer, but turns out you don't really need ankles for open water, so woo hoo!

    my latest issue are my wrists. ever since my jersey swim, i have had awful arthritic pain that doesn't seem to go away even when i rest. (i rested >10 months with no swimming, and they still hurt!) your elbows sound insanely painful, so i hope the dr. can do something for you! ya poor pet!

    julie
  • JenAJenA Member
    edited August 2012
    @jgal: Hey Julie. Shoulders, not elbows.... other end of the humorous? Maybe I explained it wrong. Anatomy was never my strong point. :)

    Because of shoulder drama, I actually haven't swum decently in three years. My goal for Summer 2013 is a 12.7km swim with one arm. (Ah, lefty!) :-)

    Sure, it feels a little Monty-Python-and-the-Black-Knight, but it's all about what feeds your soul... :)
  • jgaljgal Member
    ohhh ok. still, brutal! i broke my ulna at the humorous (i am not made for land) so was thinking elbow. i would say go for it...my fella got knifed on the shoulder and he's much better now than pre-surgery.
  • "my fella got knifed on the shoulder" Ah, you Texans! :D
  • jgal said:

    my fella got knifed on the shoulder and he's much better now than pre-surgery.

    I guess that will teach him not to mess with you again.


    jgal's homicidal tendencies aside... I have osteoarthritis in my right A/C joint (the joint ABOVE the shoulder) from repeated falls down mountainsides while cross country skiing. I went to several very high-powered docs about it and they agreed that I should NOT have surgery unless it was absolutely necessary. The opinion was that any surgery would potentially make the area weaker and make swimming long distances harder. They said to "Put up with the pain as long as you can." That was 12 years ago and I'm still at it, surgery-free, so they must have known what they were talking about.

    -LBJ

    "Only those who will risk going too far can possibly find out how far one can go." - T.S. Eliot
  • JenAJenA Member
    @Leonard_Jansen: thanks, that's very encouraging! :)
  • I've heard glucosamine-chondroitin is totally ineffective, but haven't really done the research. True or false?
  • I am really struggling with knee pain, under the knee cap on the inside. Too much breastroke. I have spent the past two weeks doing a dolphin kick but haven't swam for four days. The dull ache has subsided, but I reckon it will be more acute as I start proper leg kick again.

    Any bright ideas for strengthening my knees, stretches etc? Should I stop doing breastroke kicks? I have tried to do a much narrower kick but that doesn't stop the pain. Only the nearly three weeks of not kicking properly seems to be working.

    When not swimming, my knee aches after about 30 minutes driving. It is getting quite a worry.

    I will never get to France like this.
  • Jim_PapeJim_Pape Member
    edited August 2012
    Hello Haydn,
    I had something similar when I was running regularly and went to see an orthopedic doctor. He told me that the pain in the knee was due to a muscle imbalance in the quads. Some of the four muscles that make up the quad were stronger than the others and pulled the kneecap more to the left or right as it glides over the femur. Since the kneecap rides in a groove in the femur, this pull will cause it to rub to one side and hence the pain. The cure was to do a series of exercises to strengthen all of the quad muscles. Here is what he told me to do:

    Quad Strengthener

    Front Thigh: Lie on your back with an ankle weight on your right leg. Fully extend that leg and lock your knee. Keeping your foot relaxed and in a neutral position, lift your leg straight up toward your head as far as you can. Your goal should be to position your leg perpendicular to your body. Return to the starting position.

    Inner Thigh: Do the same exercise, but this time, turn out your right leg (toes pointing away from you) to target your inner thigh muscles.

    Outer Thigh: Repeat the same exercise again with your right leg turned in (toes pointing toward you) to isolate the muscles of your outer thigh.


    Though before you start this I would highly recommend that you pay a visit to a orthopedist to make sure that what you have is indeed a muscle imbalance. I'm not a doctor but after doing a lot of distance cycling, running and moderate distance swimming I've had my share of injuries and assorted pains. So this is what works for me when I get this sort of pain.

    Also, if the above is the case, you might want to consider adding an hour at the gym 1 or 2 days a week for general strengthening to minimize imbalances elsewhere. I'll usually get a session with a trainer when I change my training volume in one area (swimming now) and get a routine to target the areas that could become issues down the road.

    Jim
  • That's a great answer. For the past few years I have been swimming mostly legs only, with fins, or full front crawl stroke. I use a raft which carries my supplies and when not towing it, I will simply lay on it and kick for hours watching the coast go by. I guess my leg muscles will be imbalanced as far as a breaststroke kick is concerned. So I guess the muscle attached to the inside of my thigh at the knee is weak or short, and is suffering with the sideways stress. How do I ensure I strengthen this area and not continue to strengthen the other muscles (assuming it is not a matter of strengthening the muscles equally, which would maintain the imbalance)?

    Will keeping doing the breastroke kick, weaken or gradually strengthen the knee?

    I haven't swam now for a week and the knee no longer hurts. But I have two weeks by a lake next week and planned to do a lot of miles. I am worried about more repetitive stress.
  • When I had the issue from running, the therapist had me do all of the exercises, they did not differentiate between muscles. Should you keep doing the breaststroke? The only person qualified to give you that answer I would think would be a doctor once they assess proper root cause.
  • IronMikeIronMike Bishkek, KyrgyzstanCharter Member
    I had/have same prob with my right knee. "Strengthen quad muscles" is what they told me. What really worked for me, though, was to not do breast kick, and to climb stairs and walk a lot. With that Rx, I've managed to avoid knee surgery and still manage to swim lots.
  • I am in too deep with breastroke. I need to find a way through this.
  • @evmo I looked into it for my arthritic dog, (no offence!) and found no real evidence for its efficacy (including talking to my vet who said it was waste of time & money). Here's a great quick-check tool for various supplements which can lead to further investigation. http://www.informationisbeautiful.net/play/snake-oil-supplements/
  • MvGMvG Member
    Here's a hopefully uplifting story: when preparing for the EC in 2011 my shoulder and neck joints felt so worn-out that I could only swim with painkillers. My neck was even making a creaking noise when I would turn it.
    But now, two years later and again in all-out training, I feel nothing at all, everything's going smooth, I haven't touched ibuprofen or paracetamol in months (except for the occasional hangover...). It's as if my joints have slowly caught up with the exercise I am subjecting them to. Is that possible?
    On the downside I have started having pain in my ankles this year. I hope they will catch up too...
  • @evmo, glucosamine / chondroitin was recommended to me by a leading physio, who also sold it (at cost he said). I bought 3 months worth. Couldn't tell whether I was improved or not after the three months was up. Seems like snake oil to me.
    I would be interested to hear about anyone who did notice any improvement though.
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