Comments for Dr. Lee Miller Injury Prevention & Treatment Information for Runners

Comment on ORTHOTICS by Welcome to Complete Running » Site Archive » Dr. Miller on Orthodics

Welcome to Complete Running » Site Archive » Dr. Miller on Orthodics — Sat, 19 Aug 2006 02:26:31 +0000

[...] Dr. Miller on Orthodics article/post categories: running(t) , Injuries(t) November 15 2005 November’s article is the second in Dr. Miller’s two-part series discussing Pronation, Supination and Orthodics. It’s a great read that you can check out here. Bookmark this article on:These icons link to social bookmarking sites where readers can share and discover new web pages. [...]

Comment on CHONDROMALACIA by Cassandra

Cassandra — Fri, 08 Apr 2005 20:40:47 +0000

I just went to an orthopaedic who gave me the dx of
CHONDROMALACIA/tracking px. I am going back to physical therapy 3 times a week for one month. The exercises are VMO exercises and quad wall exercises, plus electrostim on the VMO. The last PT evaluated me and said I have a problem with the way the knee cap is tracking medially now. Not laterally. Also the knee cap is slightly tipped I guess. It is causing me a lot of pain. I also have a knee brace which does not help me. I will go back to the surgeon in 3 weeks. I will try to find out the biomechanical issues you mentioned such as the q-angle or rotation of the tibia. One other problem that I have is a bit knock kneed, but this has never caused me problems before in my 34 years. The surgeon I saw is very conservative about surgeory and so am I, but if this round of PT doesn’t help, I will find someone else. Thaznks for listening. I just want my knee back.

Comment on SACROILIAC JOINT SYNDROME by Rachel

Rachel — Tue, 05 Apr 2005 03:05:52 +0000

I have been experiencing hip pain for more than 3 months now due to running. I am now 36, have been running for only 1 year and have run one marathon and two half-marathons. I had hip pain before the last half-marathon and then experienced difficulty when stretching that emphasized to me that something was wrong. I can no longer sit “Indian style” or drop my knee to the ground in another stretch. They’ve always laid flat before.

My chiropractor has been working with me and I’ve recently seen a D.O. He first took and x-ray and had me lay off running for 2 weeks due to a stress fracture in my right tibia. After the 2 weeks off and no real improvement in the hip, the D.O. had an MRI done. That showed nothing as well. He eventually diagnosed “hip strain/sprain”. He mentioned that my hip clicks when he maneuvers it.

The pain is a sharp, jabbing pain that suprises me. It does not hurt to run or walk but “comes out of no where” when I turn this way or that. Getting into the car, getting into bed, uncrossing my legs, scooting something aside with my foot, etc. have all been movements that have sent me writhing in pain. I am very discouraged by my lack of improvement and very ansy to get back to running.

My question to you is “what do I do now” and can a “hip strain/sprain” cause these jabbing pains? What exactly is going on and will it get worse with running and better without or is it something I just have to deal with?

Thank you for your time and suggestions. Rachel P

Comment on CHONDROMALACIA by Cassandra

Cassandra — Tue, 05 Apr 2005 01:20:18 +0000

Also, I keep wondering, am I doomed to do VMO and quad exercises for the rest of my life? This is what my PT told me. I never had any knee problems before. (34 YO female) Depressing as I like to run and be an athletic person.

Comment on CHONDROMALACIA by Cassandra

Cassandra — Tue, 05 Apr 2005 01:17:20 +0000

Dr Miller,
I have just been diagnosed with chondromalacia. Last year I also was told I have a patellar tracking problem – laterally tracking. The orginal problem started in Feb 2004. Last year I underwent 5 months of physical therapy. This helped somewhat but the pain just came right back (under my knee cap and in my patellar tendon). as soon as I got out of PT. I am now going back to PT for more VMO exercises and quad exercises, but this is after a year of unsuccessful treatment. At what point does one consider surgery? Please help. My knee really hurts.

Comment on by james

james — Sun, 03 Apr 2005 18:22:44 +0000

hi,

I am 25 and walk a lot. I was an athelete in my childhood. Now i have a problem in my left calf joint. doctor said problem is with the sagatarian nerve. i am unable to sqat on the floor. Moreover i hear a sound in my right knee when i climb the stairs. What should i do. I fear going to the doctor and am really worried about this.

regards
james

Comment on SPORTS INJURIES by Laura Cavaness

Laura Cavaness — Thu, 24 Mar 2005 06:26:07 +0000

Dr Miller,
I’m hoping you’ll be able to help me! Fifteen months ago I had a baby. Six weeks later my OB said I could get back to running.(Before the baby I was running about 30 miles a week easily). Ever since I got back into running the out side of my lower right leg has been extremely sore down into my foot. I run on a treadmill and outside. I’ve been to two orthoscopic surgeons who basically told me after an MRI that my right ankle was weak and to stop running for 6-8 weeks and do PT. I tried that and the pain never truely went away. I’ve decided to just deal with the pain and now I’m training for a half marathon. Call me crazy! However, I’m concerned because even at rest the outside of my leg is tender. When I’m at work I usually sit with the ball of my foot on the floor and roll my heal outwards to stretch my leg! Please help if you have any diagnosis or suggestions please let me know! Laura

Comment on ILIOTIBIAL BAND SYNDROME by Joanne

Joanne — Tue, 22 Mar 2005 18:36:28 +0000

I have a question related to ITBS. All of the articles I have read refer to pain radiating from the outside of the knee. I have pain which is located on the upper ITB (about 1/3 of the way down from the hip to the knee) and at times I will also have pain high in the upper butt on the same side

Does this sounds like ITBS ? I almost wondered if it was bursitis but it doesn’t sound like the pain is in the right area for that.

Any help or advice would be greatly appreciated. I am in training for my second half marathon and am desperately trying to stay on track. I stretch at least 5 x per day and ice after running.

Comment on PLANTAR FASCITIS: by Dr. Alastair Younger

Dr. Alastair Younger — Sat, 12 Mar 2005 15:12:55 +0000

Hi;
I am somewhat upset that Dr. Miller does not clearly state his medical training upfront in this web page: I had to search hard for it.
He should declare himself as a Chiropractor on the front page: Not to is very misleading.
The information on plantar fascitis is however correct and useful.
Regards, Alastair Younger.

Comment on CHONDROMALACIA by Dr. Miller

Dr. Miller — Mon, 07 Mar 2005 18:54:41 +0000

Dear Christina,
As it has been 6 months with no changes, we must determine why. Have you
been doing appropriate rehabilitation? As mentioned in my article you still
need to adress causes of why the cartilage deteriorated. In a nutshell,
rehab should consist of making sure all the muscle groups surrounding the
knee joint have adequate strength, flexibility, and endurance. If no
evaluation has been done as to the cause of this problem, get one done. As
far as multiple surgeries; I have had patients who have required these, but
none so soon as 6 months after the first, it is usually a few years between
procedures. I am not a surgeon, but if the procedure was done properly, this
would seem way too soon for another. A suggestion is to start supplementing
with 1500mg of glucosamine sulfate per day for at least 8 weeks to begin
with. Glucosamine sulfate has a protective effect on joints and appears to
stop degenerative changes from progressing (lots of studies to support this
exist). I have many patients taking this supplement and have had good
results with many types of joint problems. I hope this helps you out. If
you have further concerns consult your surgeon and ask if these results are
typical for his patients.
Kindest regards, Lee