Knee pain
Hello, Dr.
Zhou.
I am a soldier who has just started my service.
My question is that I often feel pain on the inner side of my knee after doing jumping jacks, and sometimes I experience a tingling sensation from my buttocks down to my thighs.
Additionally, when I squat with my feet together, I cannot keep my heels on the ground.
Are these two issues related? I also feel that my endurance while running is poor, and I often experience weakness in my legs.
Does this mean I am not suited for leg exercises? Furthermore, I had a hard landing during a parachute jump and hit my buttocks.
Although my lower back pain lasted for a week or two and then resolved, could there be any long-term effects? Is this related to the discomfort I experience during related exercises? Do I need to go to the hospital for an examination? Thank you for your response.
Liao, 20~29 year old female. Ask Date: 2003/12/28
Dr. Zhou Lizhi reply Orthopedics
Young individuals who have just enlisted often experience various symptoms due to an increase in physical training compared to their usual activity levels.
Here are the answers to your questions:
1.
Pain on the inner side of the knee ligaments after jumping jacks may occur due to strain, but this symptom is typically temporary.
Proper warm-up exercises before physical activity can help prevent injuries.
2.
If you are unable to keep your heels on the ground while squatting with your feet together, please consult an orthopedic specialist, as this may indicate a condition known as "frog phenomenon."
3.
If you have sustained an injury to your lower back and have experienced impact to your buttocks, it is advisable to get an X-ray at an orthopedic clinic.
Sometimes, there may be a tingling sensation from the buttocks down to the thigh, which could indicate nerve compression, such as sciatica.
Please seek a thorough examination from an orthopedic specialist.
Reply Date: 2003/12/28
More Info
Hello! Thank you for reaching out with your concerns regarding knee pain, numbness, and other related symptoms. It sounds like you're experiencing a combination of issues that could be interconnected, especially given your recent physical activities and the nature of your service.
Based on your description, the pain on the inner side of your knee during exercises like jumping jacks, along with the numbness extending from your buttocks to your thigh, could suggest a few potential underlying issues. One possibility is that you may be experiencing patellofemoral pain syndrome, which is common among individuals who engage in high-impact activities. This condition often results from overuse or improper biomechanics during physical activities, leading to pain around the kneecap.
The numbness you mentioned could be related to nerve compression or irritation, possibly from tight muscles in the hip area, such as the piriformis muscle. This muscle can sometimes compress the sciatic nerve, leading to symptoms of numbness or tingling down the leg. Additionally, if you have experienced any trauma to the hip area during your parachute landing, it could contribute to muscle tightness or even minor injuries that might not have fully healed.
Regarding your inability to keep your heels on the ground while squatting, this could indicate tightness in your calf muscles or limited ankle mobility. This restriction can affect your squat form and overall leg strength, leading to compensatory movements that might exacerbate your knee pain.
As for your concerns about running and experiencing leg weakness, it’s essential to consider your overall conditioning and whether you are gradually building up your endurance. If you are new to such physical activities, it’s common to feel fatigued or experience muscle weakness as your body adapts.
Given your history of a fall during parachuting, it would be wise to seek a medical evaluation. While your back pain resolved, there could be lingering effects from the impact that might not be immediately apparent. A thorough examination by a healthcare professional, possibly including imaging studies like X-rays or MRIs, can help rule out any underlying injuries to your spine, hips, or knees.
In the meantime, here are some recommendations to help manage your symptoms:
1. Rest and Ice: If you experience pain after activities, take breaks and apply ice to reduce inflammation.
2. Stretching and Strengthening: Focus on stretching your hip flexors, hamstrings, and calves. Strengthening exercises for your quadriceps and glutes can also help stabilize your knee joint.
3. Modify Activities: If certain exercises exacerbate your symptoms, consider modifying them or substituting lower-impact activities like swimming or cycling until you build strength and endurance.
4. Proper Footwear: Ensure you are wearing supportive shoes that provide adequate cushioning, especially during high-impact activities.
5. Consult a Physical Therapist: A physical therapist can provide tailored exercises and strategies to improve your strength, flexibility, and overall biomechanics.
In conclusion, while your symptoms may be manageable with conservative care, it’s crucial to consult a healthcare professional to ensure there are no serious underlying issues. Early intervention can help prevent further complications and improve your overall performance in physical activities. Best of luck, and take care of your health!
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