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And then disappointment set in....

Don't worry, Steve Austin 19.
We can make you faster, stronger, better than before.
Our budget has been cut down from $6 million to about $13.95, but we can do amazing things with duct tape these days.
Just remember to make those stupid sound effects whenever you run from now on....
 
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Things are going well. I am not allowed to run or walk long distances but I am doing about one kilometre every two days on the beach in hard sand every second day. I also am allowed to do strength exercises in the gym.

There is a very good gym near the office and I can do most things but must stop any exercise that induces even slight knee pain. I also have a list of exercises to avoid and can't do anything that puts pressure on the knee joint, twists the knee joint, or requires twisting motion even higher in the body. The key is to keep active without further injury.

Dr Tim Noakes of the Sports Science Institute is one of the world's leading authorities on knee injuries and running injuries and his text is widely prescribed across the US. I have another appointment at Sports Science in about ten days and then we will get our first good look at an ultrasound and see whether arthroscopy is necessary. There was still too much inflammation inside the knee last week for ultrasound, but that doesn't really mean much and it could still be ligament or tendon injury, not cartilage.

Cartilage injuries in runners typically present with a "hot poker" sensation inside the knee that comes on gradually. Soon, it starts within 100 yards of starting a run. I am encouraged because this was a sudden onset thing that from a nasty fall. Usually, that doesn't tear cartilage but it could have.

I have stopped the anti-inflammatories and am icing it three times a day for twenty minutes. I can already walk virtually pain free 90% of the time.

I've run more than 30,000 kilometres in the last twenty years and it feels really strange to not run. I'm just taking it as a time to work a bit harder on upper body strength and assuming that the worst that can happen is six months off running. In the back of my mind, I really am focused on running again sometime next month.
 
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Thanks to everyone for the support and messages. It is no fun waiting a month to see if you need surgery and I appreciated everyone's support more than you will know.

I had the "day of reckoning" at the Sports Science Institute today with the ultrasound and full exam on my knee, now that the swelling has gone down. Our Olympic team train and get their support there and the facilities were unbelievable. I had a half hour exam by the top guy in the country and a complete MRI exam from four perspectives. I am amazed at the detail they can assemble. He even picked out that I had had a small episode with patella tendonitis lasting about a week in 1995!

The bottom line is that I have a Grade II MCL and stress fractures in both the tibia and the femur. That sounds like bad news but the stress fractures are relatively localized and minor and they and the MCL are healing nicely.

I should be able to jog slowly in about four weeks, beginning with small runs of about two miles.

The great news is that the cartliage involvement that appeared to be a problem at first has now been ruled out. It looked really quite good. So, it's onto light anti-inflammatories for two more weeks (ibuprofen), icing, work in the gym, and then back to running.

There was some bad news. The stress fractures were indicative of injury that did not occur in the fall. Rather, the earlier meniscus work may have produced some bone on bone contact and that may be the cause of the niggliing leg pains I have had sporadically in recent months.

So, no more cross-country mountain racing (a real bummer) and I am strongly advised to cut down to about 1000 kilometers a year (about 33% down) and to no more than three runs a week. I also have to get my weight down 5 lbs in order to get below 180lbs. Ideally, down to 175lbs would be best.

But, the future is going to have to involve some cycling, which I hate, but otherwise I am unlikely to be running much past 60. I want to be one of those buggers doing the half marathons at 80, so I need to start making changes now if I want to be there thirty years hence.

Nevertheless, a great day! The surgery that seemed certain is now no longer a threat and I am appreciative of all of your support and encouragement!
 
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Glad to hear the news was good for you, Steve.

And however many miles you're still able to run, it's that many more miles than I'll be running (by choice). :biggrin:
 
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Glad to hear the good news.
Steve my friend you are getting old and your joints are telling you so. I think most serious runners have some sort of cartilage damage. Lots of pounding on a joint not intended for the stress. You are damn lucky tibs is not your doctor.:tongue2:
 
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Maybe this can be made into a made for TV movie on Lifetime.

Somebody hand Tibs a hanky. He's getting all choked up.

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