That is a fairly significant MRI finding, I would be interested in your Orthopedics recommendations. For sure, pain free training is still indicated for the health of the tendon tissue. I would find a ‘baseline’ level of activity that doesn’t cause an increase in symptoms, then explore greater loading activities. Quick, dynamic, eccentric high load activities are the most significant stress to the tendon. If you’re not having significant pain, a reintroduction to strength with lower weights to start, would help the area of tendon that can still be responsive to strain. The same goes for hill climbs, start slow with some modification in grade and load. I usually recommend that you should fail a progressive rehabilitative approach before considering surgery if your symptoms haven’t ‘shut you down’.
I signed up to climb Denali in late May and have been on the 24 month big mountain plan for a little over 2 months.
I’ve also had a dull ache on the front side of my right knee for over 9 months or so. It comes and goes. It hasn’t prevented me from training, but it has been a constant nuisance. My doctor told me it was a VMO issue and I that I needed to strengthen the muscles connected to my knee (this is a pretty typical response I’ve heard from a few people). I was never completely comfortable with this explanation for a bunch of reasons I won’t bore you guys with.
After a few months I finally pestered my doctor about it enough that he ordered an MRI. I got the results back today.
I have a “moderate” 9mm x 4mm tear in the center of my patella through about 50-60% of the thickness of the tendon.
I scheduled an appt with an orthopedic surgeon for next week, but I have no idea what to do in the interim.
Do I stop training completely? I’m very hesitant to continue with max strength training and steep hill climbs but running and stationary bikes with resistance (Rogue Echo bikes) don’t cause me any issues at all.
Any advice would help.
Thanks very much.
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