Patellofemoral pain syndrome

qclabrat

qclabrat

Well-Known Member
Anybody get this from standing too much? I recently started a new job where I'm using a standing desk about 75% of the time. I really can't sit for long in front of a computer as the discs on my neck are shot and I have IT band pain on my left thigh. The new pain is on my left knee and if I put light pressure on it, the pain ramps to high like it's hitting a nerve. Haven't been riding as I was hoping it would go away faster But it's been 3 months and has only gotten worse.
 
silly question…
What is the doctor(s) recommending?

It’s not apples to apples some injuries I’ve had I was like eh it’s just need time but what I needed was PT! And suck it up and make time for it
 
Throwing this out there - guy with a bad back at Bell Labs used a combination of standing and kneeling chair.
The chair encourages good posture - the adjustable desk/keyboard heights kept the ergonomics correct.

Change in footbeds might help too????

Good luck - might be time to visit HSS.
 
I wont begin to try and diagnose anything, and as mentioned before it's probably time to suck it up and take time off to go to a specialist. Everyone is different and Dr. google only gets you so far.

From Dr. Googe: Sounds about right:

Iliotibial band syndrome causes pain on the outside of the knee. It might affect one or both of your knees. The pain is an aching, burning feeling that sometimes spreads up the thigh to the hip. You might notice this pain only when you exercise, especially while running.

That being said I can only speak to IT Band Syndrome for me and how I manage it. I have very mild scoliosis and as a result, my hips are uneven which leads to IT Band issues and piriformis pain on my right side. I never knew I had these issues until I started riding more regularly 10+ years ago. A massage therapist at one of the charity events identified these issues for me and it was confirmed by my doctor. Foam roller sessions and home PT stretches worked wonders for this on a semi regular basis, along with the now popular Theragun or copy cat types of devices. The biggest thing I learned was that I have to do some of this preventatively and not just after a ride. Nowadays sometimes I may have a very mild flare up its mostly because I didnt follow my own plan so its a good reminder.

Beyond that, footwear/footbeds and a cushioned mat under your feet would also be something to think about.

But after 3 months, time to go see a Dr. Just being straight up not being a jerk. Good luck hope it gets better.
 
Sit on the exercise bike and feel the outside knee. When there is a disfunction you will feel the IT band snap. When mine was bad i started glute workouts and rolling.

I do lateral pelvic scretches too to keep my sides loose too. put your forearm on a wall and lean you hip into the wall.

On the neck pain issue when i'm getting referred arm pain i use a traction collar for 15 minutes and the space opens up for the nerves and i get some relief.
 
Anytime you injure, well anything really, you move differently. Guess what? Seasoned bodies rarely react well to strange alignment patterns. Are you wearing new or footwear that you haven’t worn in a while? You might consider some KT Tape to help support the joint until your body adapts to the new forces being put on it. I never suggest a knee brace for extended daily use because of my own lovely history of DVT’s.
 
iman29 said:
I wont begin to try and diagnose anything, and as mentioned before it's probably time to suck it up and take time off to go to a specialist. Everyone is different and Dr. google only gets you so far.

From Dr. Googe: Sounds about right:

Iliotibial band syndrome causes pain on the outside of the knee. It might affect one or both of your knees. The pain is an aching, burning feeling that sometimes spreads up the thigh to the hip. You might notice this pain only when you exercise, especially while running.

That being said I can only speak to IT Band Syndrome for me and how I manage it. I have very mild scoliosis and as a result, my hips are uneven which leads to IT Band issues and piriformis pain on my right side. I never knew I had these issues until I started riding more regularly 10+ years ago. A massage therapist at one of the charity events identified these issues for me and it was confirmed by my doctor. Foam roller sessions and home PT stretches worked wonders for this on a semi regular basis, along with the now popular Theragun or copy cat types of devices. The biggest thing I learned was that I have to do some of this preventatively and not just after a ride. Nowadays sometimes I may have a very mild flare up its mostly because I didnt follow my own plan so its a good reminder.

Beyond that, footwear/footbeds and a cushioned mat under your feet would also be something to think about.

But after 3 months, time to go see a Dr. Just being straight up not being a jerk. Good luck hope it gets better.
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The IT band is nagging pain, but I can deal with it. But the knee cap pain is another world. When I accidentally put my left knee down it's similar to nerve pain I've had in the past and it just crumples me to the ground.
 
qclabrat said:
The IT band is nagging pain, but I can deal with it. But the knee cap pain is another world. When I accidentally put my left knee down it's similar to nerve pain I've had in the past and it just crumples me to the ground.
Click to expand...

sounds like you've developed a spur or arthritis ????

Dr Haas, HSS.
 
Ironjunk said:
Sit on the exercise bike and feel the outside knee. When there is a disfunction you will feel the IT band snap. When mine was bad i started glute workouts and rolling.

I do lateral pelvic scretches too to keep my sides loose too. put your forearm on a wall and lean you hip into the wall.

On the neck pain issue when i'm getting referred arm pain i use a traction collar for 15 minutes and the space opens up for the nerves and i get some relief.
Click to expand...
I started using the foam roller and it's been helpful though, I feel I'd get deeper results with a firmer roller. As for my herniated discs, I also use a traction device but have not needed it for about a year. It's the bees knees but you have to be careful not to release the pressure too fast as the space may close back on a nerve. Serious ouch
17405314272228768604668190472764.jpg
 
Patrick said:
sounds like you've developed a spur or arthritis ????

Dr Haas, HSS.
Click to expand...
Yeah, I now work in a manufacturing facility so occupational safety is key for them. The reason I'm asking here is to determine if anyone has correlated using a standing desk with knee pain, as it would be classified as a work injury and fully covered by site insurance. Call me cheap, but why pay anything out of pocket?
 
qclabrat said:
I started using the foam roller and it's been helpful though, I feel I'd get deeper results with a firmer roller. As for my herniated discs, I also use a traction device but have not needed it for about a year. It's the bees knees but you have to be careful not to release the pressure too fast as the space may close back on a nerve. Serious ouchView attachment 256274
Click to expand...
My wife has that exact same traction device.

Ditto on seeing a doc, sounds like what I was/ am going through with osteoarthritis in my knees. Standing too long, odd alignments and bad shoes all aggravate them. Been relatively pain free since completing PT in 2023 but standing still hurts after 5-10 minutes, cycling no unless I’m using too tall a gear.
 
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