My left knee hurts. When I put weight on it with my leg bent, like when I get out of the car, I feel a dull pain in my knee. My doctor and physical therapist have given me a diagnosis of patellofemoral pain syndrome, also known as “runner’s knee” or patellar knee-tracking syndrome. Simply put, my kneecap doesn’t run smoothly up and down its track—a groove called the trochlea.
Anyone can get patellofemoral pain syndrome, but for some reason it is more common in women than men—especially in mid-life women who’ve been running for many years. The problem, say researchers who just published a study in the journal Gait and Posture, is that lots of “mature” women develop alignment problems with their knees. The researchers compared younger female runners to older female runners and found misalignment of the knee to be much more common in the older women. Some knees sagged inward, others bowed outward or were rotated.
When the alignment is off, the kneecap can’t smoothly follow its vertical track as the knee bends and extends. This causes wear and tear on the joint. That leads to overuse injuries like runner’s knee and, down the line, osteoarthritis, which can really put a cramp in a runner’s career.
My physical therapist recommended that I support my kneecap by strengthening my quadriceps (thigh) muscles and that I stretch the iliotibial band, a long band of connective tissue that runs from the knee to the hip. When that tendon is too tight, it pulls the kneecap off to one side. I also decided to vary my exercise routine. I haven’t stopped running, but I did cut back to three days a week. On the other days, I do yoga, weight training, or bicycle—anything to cut down on the repetitive force that running places on my knees.
You can look up this condition and other common knee-pain problems in Harvard’s Special Health Report, Knees and Hips: A troubleshooting guide to knee and hip pain. It describes the causes of different kinds of knee and hip pain and the array of treatments available. It also helps evaluate when the problem has become severe enough to warrant a knee or hip replacement. That’s something I hope to put off as long as possible.
Bible verses for today’s meditation and inspiration: Matthew E. McLaren
Acts 4:18-31 And when they had summoned them, they commanded them not to speak or teach at all in the name of Jesus. But Peter and John answered and said to them, “Whether it is right in the sight of God to give heed to you rather than to God, you be the judge; for we cannot stop speaking about what we have seen and heard.”
2 Chronicles 25:19 “You said, ‘Behold, you have defeated Edom.’ And your heart has become proud in boasting. Now stay at home; for why should you provoke trouble so that you, even you, would fall and Judah with you?”
1 Samuel 2:3 “Boast no more so very proudly, Do not let arrogance come out of your mouth; For the LORD is a God of knowledge, And with Him actions are weighed.
Proverbs 11:2 When pride comes, then comes dishonor, But with the humble is wisdom.
Proverbs 16:5 Everyone who is proud in heart is an abomination to the LORD; Assuredly, he will not be unpunished.
Micah 2:3 Therefore thus says the LORD, “Behold, I am planning against this family a calamity From which you cannot remove your necks; And you will not walk haughtily, For it will be an evil time.
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