CONTACTS
SUBJECTS
Knee Injury Right Leg MCL Mecial Collateral Legament Slight Strain T
0503 -
0503 - ..
0504 - Summary/Objective
0505 -
050501 - Follow up
050502 -
050503 -
050504 -
050505 -
050507 - ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Yesterday morning while hiking 11 mile route in Concord, twisted right
050902 - foot in a heavily rutted shoulder after crossing Ygnacio Valley Road
050903 - nearing Oak Grove. This occurred because heavy rush hour traffic
050904 - required sprinting across the street when a quick break in traffic
050905 - occurred, rather than waiting until getting closer to Oak Grove where
050906 - there is smooth concrete sidewalk, reported in case study on 140101
050907 - 0600. ref SDS 1 6O6F
050908 -
050909 - [On 150421 1210 reported pain due to right knee MCL strain,
050910 - during meeting with VA Medical Center. ref SDS 3 6Y8K
050912 - ..
050913 - [On 140101 0600 case study reporting on 150523 substantial
050914 - recovery MCL injury right knee. ref SDS 1 NN8F
050916 - ..
050917 - [On 140101 0600 cast study reporting on 151016 pain in both
050918 - knees over half way hiking 15 mile route, took 400 mg
050919 - ibuprofin - may signal recurrence MCL injury. ref SDS 2
050920 - SY4I
050922 - ..
050923 - At the time the ankle twisted, there was no immediate severe pain nor
050924 - other indication of serious injury. The ankle hurt for about 100
050925 - yards or so, but nothing else, so was able to complete next 4 miles of
050926 - the hike, including more running at several stop light locations. Had
050927 - a good time of 166 minutes, however the last mile or so of the hike
050928 - seemed to begin feeling slight tension in right knee.
050930 - ..
050931 - This was noticable yesterday, because for 30 years have had difficulty
050932 - with degenerative arthritis in the left knee from falling 40 feet into
050933 - a pump station at a jobsite. There were 2 surgeries, the first in
050934 - 1973 within a week of the accident in 1973. The follow up surgery was
050935 - in 1988. Continuing problems with the left leg have hampered sports.
050936 - Had to give up tennis in 2002, due to knee problems. Fortunately,
050937 - beginning in about 2004, Glucosamine Chrondroitin has enabled resuming
050938 - high level of endurance training hiking 11 miles per day, with limited
050939 - running at most 2 miles during these daily hikes, and sometimes hiking
050940 - 22 miles per day (i.e., 2 laps), without causing progressive injury to
050941 - the left knee. In all this time, there has never been a hint of
050942 - arthritis in the right knee. Therefore, tension in the right knee
050943 - yesterday was new and very noticable.
050945 - ..
050946 - As a result, took more Glucosamine Chondroitin before the 2nd hike of
050947 - 3 miles at Lafayette Reservoir, which normally is not needed. Felt
050948 - nothing during the hike on either leg. After this hike we drove for
050949 - about 20 minutes to a restaurant for lunch. Getting out of the car,
050950 - there was definite pain on the lower-inside area of the right knee.
050951 - This is different from the pain in the center and front of the left
050952 - knee that occurs after heavy exercise when Glucosamine Chondroitin is
050953 - not taken.
050955 - ..
050956 - Research indicates injury to the right knee may be the medial
050957 - collateral ligament (MCL) - likely a strain or sprain, since did not
050958 - suffer direct blows, and there has been no evident swelling.
050959 -
050960 - http://www.webmd.com/pain-management/knee-pain/picture-of-the-knee
050961 -
050962 - http://en.wikipedia.org/wiki/Medial_collateral_ligament
050964 - ..
050965 - Ligaments provide stability for joints, e.g., ankles, knees,
050966 - shoulders, elbows.
050968 - ..
050969 - Tendons connect bones to muscles.
050971 - ..
050972 - Research indicates twisting can cause MCL injuries. More ominously,
050973 - MCL injuries can occur gradually from overuse. Hiking 8500 miles
050974 - since October 2010, and 5,000 miles the past 2 years could be causing
050975 - the current condition. This propsect is more serious because, if is
050976 - the cause, rather than the twisted ankle yesterday, recovery may
050977 - require reducing the level of endurance exercise training that has
050978 - increased HDL 70 from HDL 30 the past few years, and further improved
050979 - other lipids, other lab panels, and strengthened cardio vascular
050980 - system, i.e., significantly aided health.
050982 - ..
050983 - Symptoms of MCL injury are swelling and pain. Pain can occur with or
050984 - without use, and from pressure agaist the skin at the MCL location.
050986 - ..
050987 - This injury today however shows no evident swelling. There is slight
050988 - pain standing up and sitting down, some pain while walking. There is
050989 - very slight pain pressing the MCL area on the inside of the right
050990 - knee.
050992 - ..
050993 - This may indicate minor MCL strain rather than a tear.
050995 - ..
050996 - Hope that rest will repair MCL strain, so that hiking can resume in a
050997 - few days.
050998 -
050999 - [On 150421 1210 reported pain due to right knee MCL strain,
051000 - during meeting with VA Medical Center. ref SDS 3 6Y8K
051001 -
051002 - [On 140101 0600 case study reporting on 150523 substantial
051003 - recovery MCL injury right knee. ref SDS 1 NN8F
051005 - ..
051006 - Wikipedia says in part...
051007 -
051008 - An MCL injury can be very painful and is caused by a valgus
051009 - stress to a slightly bent knee, often when landing, bending or
051010 - on high impact. It may be difficult to apply pressure on the
051011 - injured leg for at least a few days.
051013 - ..
051014 - Pain in this case is minor and there is no pain when applying
051015 - pressure on the injured leg today, 1 day after the incident.
051017 - ..
051018 - Wikipedia says in part...
051019 -
051020 - Depending on the grade of the injury, the lowest grade (grade
051021 - 1) can take between 2 and 10 weeks for the injury to fully
051022 - heal. Recovery times for grades 2 and 3 can take weeks to
051023 - several months.
051025 - ..
051026 - Hopefully, this will not take 10 weeks for recovery.
051027 -
051028 -
051030 - ..
0511 -
0512 -
0513 - 1924
0514 -
051401 - Within past several hours right knee has become more painful, possibly
051402 - swollen. It is more difficult to stand up and to walk, particularly
051403 - up and and down stairs.
051405 - ..
051406 - Feel slightly more pain now when pressing against the skin at MCL
051407 - injury location of right knee.
051409 - ..
051410 - Seems like it should be getting better since did not go hiking today.
051412 - ..
051413 - As well, looks like will have to lay off exercise for several days to
051414 - a week.
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