One thought is that it might be a more ‘central’ nerve issue coming out of the lumbar spine, and not just a peripheral issue at the peroneal nerve locally. Treating the lumbar spine with mobility might yield some more positive results. Of course there are fascial issues across the region that also interplay with the nervous system. Finally, I recommend single leg strengthening along the lines of single leg step downs to build better support and control of the knee before venturing into explosive efforts. Also, meniscus does not resolve with rest. Hope this gives some food for thought!
This is both a follow up and request for new ideas/tips in recovery from an ongoing issue.
The gist: I’ve had pain at the outside/back of my left knee when at full extension or flexion. This pain was in response to running with a lower hamstring and limited ROM in knee for a few months. About 2 months of foam rolling and light hip exercises cleared up the lower hamstring pain. The pain at the outside/back of knee has remained.
The issue was diagnosed as a peroneal nerve issue by a PT. The PT fully tested my knee for meniscus and/or ligament issues and found no problems there. It was assumed that any meniscus issue was resolved by the 2 months of rest and soft-tissue work. I started a specific stretching, jump squats, and graduated running program. The condition has improved over 3 months, but is still ongoing. (I also visited an orthopedic surgeon who tested the knee joint and simply said I was tight and that it wasn’t a nerve issue. They didn’t recommend xray or MRI follow up.)
I can hike, including steep terrain, comfortably. The running program seems to help more than hurt. However, if I miss a few days of stretching out the area the issue gets a bit worse. Waking up in the morning still involves a stiffer movement to full leg extension. The joint doesn’t feel as “loose” or “free” between extremes as my healthy right leg. As I’ve continued with the PT program I’ve noticed pain at the front of my ankle joint as well. I can now get much closer to sitting on my heels (previously impossible on my left side), but really only after loosening my quads considerably. Working on full flexion usually leads to pain at extension, and vice versa.
The issue has improved, but it’s been 5 months of various active recovery efforts and I’m hoping it’s not going to last forever…does anyone have additional thoughts on the cause or potential solutions? Have you dealt with this before?
Any feedback is greatly appreciated!
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