Injury recovery: on or off the bike?
Results 1 to 14 of 14
  1. #1
    RoadBikeReview Member
    Reputation:
    Join Date
    Nov 2004
    Posts
    101

    Injury recovery: on or off the bike?

    Recently been diagnosed w/ tendonitis @ the point where my hamstring connects to knee tendons (interior/posterior part of knee). I forget the name of the ligament. I basically have a rather sharp pain in the interior tendons behind my knee when pedaling. (This is not a knee tracking injury like chondromalacia - have that already.)

    Has anyone else experienced this kind of injury? What did your road to recovery look like? I was fixin to do my first race in April, but I'm concerned that these few weeks off the bike will hurt my fitness level even tho I was training hard and consistently up until about the beginning of February. Grrr....

    My doctor recommended taking it easy and only spinning on the bike, and doing some light weight-lifiting to strengthen the area (leg curls).

    However, I have pain, discomfort, and soreness both DURING and AFTER riding, and this is clearly a cycling related injury. I am looking to get my bike fit tweaked as this may be related to positioning. I have since lowered my seat height hoping it would help, but it didn't.

    This may be a no-brainer, but to those of you who've experienced tendonitis to this degree:

    1) Is it really possible to heal this while riding w/ low intensity? Will the pain/soreness eventually disappear after a few wks of ez rides?

    - or -

    2) Is it the kind of injury that will disappear quicker if I simply lay off the bike for a week or 2 and do other things that don't agitate it?

    I have the funny feeling that option #1 will only prolong the recovery and the soreness, right?

  2. #2
    jaded bitter joy crusher
    Reputation: Fredke's Avatar
    Join Date
    Dec 2004
    Posts
    19,723

    Go back to your physician

    Quote Originally Posted by EazyBe
    This may be a no-brainer, but to those of you who've experienced tendonitis to this degree:

    1) Is it really possible to heal this while riding w/ low intensity? Will the pain/soreness eventually disappear after a few wks of ez rides?

    - or -

    2) Is it the kind of injury that will disappear quicker if I simply lay off the bike for a week or 2 and do other things that don't agitate it?
    I would seriously go back to your physician on this. If he is a general internal medico, find an orthopod. Depending on the details of your case it might be best to keep spinning despite the pain, but it might be that you could seriously mess up your tendons. Don't assume that someone else's tendinitis is the same as yours. Don't rely on advice from a web chat board. Get real advice from a real MD who can examine you and make recommendations specific to your injury.
    Fredke commented in your thread. You won't believe what happens next!

  3. #3
    GIMME MY BIKE!
    Reputation: vonteity's Avatar
    Join Date
    Feb 2005
    Posts
    7,786
    You really should see your doctor and get a referral to a physical therapist. They'll be able to tell you how to recover and if you can ride.

    From personal experience, I was not able to recover from achilles tendinitis until I got OFF the bike and stopped trying to recover so damn much. I basically fought it off as best as I could through the bike season, cut my season a month short and then spent an entire month off the bike (couldn't run either, so I had to swim), then spent a month getting my fitness back. After that I was able to do 'cross, and managed to do pretty well, so the recovery didn't hurt me too much. It was just a real pain and took quite a while. Well, not that long, I'm just impatient. ;)

  4. #4
    RoadBikeReview Member
    Reputation:
    Join Date
    Nov 2004
    Posts
    101

    appreciate it

    i agree that it's time to see a specialist/PT about this injury, and recently made an appt. It's now going on 3 weeks of this nagging soreness/pain, and that's longer than any normal muscle pain ever lasts for me. The writing is on the wall that it's time to get OFF the bike and get well - or my whole damn racing season might be down the toilet...

    I have truly learned an excellent lesson here about "too much, too soon" in early season training. I can pinpoint the week that this injury occurred, and I had approximately 40% more mileage that week and 2 more days of intensity than I was used to @ that time of year. That week - in late January - was comparable to one of my most intense weeks mid-race season. I feel like an idiot for getting duped into riding hard w/ the guys on my team who were heading off to the VOS race last weekend. Silly me.

  5. #5
    GIMME MY BIKE!
    Reputation: vonteity's Avatar
    Join Date
    Feb 2005
    Posts
    7,786
    Yup, I did 175 miles in two days, which was just shy of my normal 200 mile training week... on TOP of my regular 200 mile training week. It wasn't the most intelligent thing I've ever done... but it was for a good cause (Multiple Sclerosis). I've learned my lesson, though!

    I think the smart thing to do would be to get off your bike and start your recovery ASAP with that physical therapist. Give yourself a month of healing and a month to return (slowly!) to the bike. You'll be back in time to take on the better part of the road season. Better to take care of it now then to really have a problem in June and try to fight it off for the rest of the season.

  6. #6
    RoadBikeReview Member
    Reputation:
    Join Date
    Nov 2004
    Posts
    507
    Smart move getting a specialist on this.

    I've never heard of treating tendonitis with motion. Doesn't mean it isn't done and I am ignorant of a great many things, but it's a fairly common injury and one that usually benefits from complete rest.

    Does it have that distinctive "creaking" sensation?

  7. #7
    RoadBikeReview Member
    Reputation:
    Join Date
    Nov 2004
    Posts
    101

    hmmm...dunno if I'd call it that

    Quote Originally Posted by Ronsonic
    Smart move getting a specialist on this.

    I've never heard of treating tendonitis with motion. Doesn't mean it isn't done and I am ignorant of a great many things, but it's a fairly common injury and one that usually benefits from complete rest.

    Does it have that distinctive "creaking" sensation?
    I wouldn't necessarilyt call it "creaking", but rather a sharp, nagging pain behind my knee where the hamstring connects. It is most acute when laying it down and pedaling hard.

    Yeah, I was very suspect when my GP recommended recovering from tendonitis on the bike by spinning and also lifting light weights. That appears to be what one should be doing in the late stages of recovery to rebuild strength when soreness is completely gone. It doesn't take a medical degree to figure that one out...

    Considering it's the pedaling motion that exacerbates it, I thought something was fishy w/ the idea of spinning as recovery. I think rest is the only way to go @ this point - so I've hid my bike in the basement so I can't see it in an effort to alleviate the mental anguish of not begin able to ride it. bummer .

  8. #8
    GIMME MY BIKE!
    Reputation: vonteity's Avatar
    Join Date
    Feb 2005
    Posts
    7,786
    Quote Originally Posted by EazyBe
    Considering it's the pedaling motion that exacerbates it, I thought something was fishy w/ the idea of spinning as recovery. I think rest is the only way to go @ this point - so I've hid my bike in the basement so I can't see it in an effort to alleviate the mental anguish of not begin able to ride it. bummer .
    Yes, rest. And ice, ice baby. (Sorry, couldn't resist.)

    You might want to take 800 mg of ibuprofen every 8 hours for the inflammation, too.

  9. #9
    RoadBikeReview Member
    Reputation:
    Join Date
    Nov 2004
    Posts
    101

    thankx

    Quote Originally Posted by vonteity
    Yes, rest. And ice, ice baby. (Sorry, couldn't resist.)

    You might want to take 800 mg of ibuprofen every 8 hours for the inflammation, too.
    beenn resting and icing for a few wks now, and also taking ibuprofen, but I think rest is the most important component in my case. don't notice a great deal of relief when using ice or ibuprofen. i know it's beneficial, though, so I'll keep doing it.

  10. #10
    Every little counts...
    Reputation: Spunout's Avatar
    Join Date
    Aug 2002
    Posts
    3,924
    Me too, fluid buildup and a calcification at hamstring connection interior to the knee. Where my hamstring attatches and wraps around the head of my tibia, it rubs when swollen. I lost half of a season last year.

    Get a real doctor (a cyclist, a sports doctor). 2 weeks off the bike. No weights. one month of easy spinning, gradual working up to tempo, alot of physiotherapy, massage, ice, and Naproxen. 10 months later, I am easing into threshold work but have to be careful. Stretch, stretch, stretch. Longer hamstrings have more room for muscles, therefore are better protected(in my case anyways, as it was a length and rubbing injury).

    On the bike: Spin. No more big ring climbing for me, ever. Work slowly up to sprint workouts, keep RPMs over 120 when doing form sprints. Let the power come naturally with the big gears, but keep everything moving. Massage. Warm-up oil. Always wear knee warmers unless you are sweating.

  11. #11
    RoadBikeReview Member
    Reputation:
    Join Date
    Nov 2004
    Posts
    507

    Tendonitis "creaking"

    Quote Originally Posted by EazyBe
    I wouldn't necessarilyt call it "creaking", but rather a sharp, nagging pain behind my knee where the hamstring connects. It is most acute when laying it down and pedaling hard.

    Yeah, I was very suspect when my GP recommended recovering from tendonitis on the bike by spinning and also lifting light weights. That appears to be what one should be doing in the late stages of recovery to rebuild strength when soreness is completely gone. It doesn't take a medical degree to figure that one out...

    Considering it's the pedaling motion that exacerbates it, I thought something was fishy w/ the idea of spinning as recovery. I think rest is the only way to go @ this point - so I've hid my bike in the basement so I can't see it in an effort to alleviate the mental anguish of not begin able to ride it. bummer .
    You won't feel the affected tendon creaking - it'll just hurt, sharp and dull, but if you put a couple fingers on the area and then move the joint gently through it's range of motion (don't want to do anything fast with it) you'll feel something like wet rope or leather creaking under your finger tips. That's the "old-school" tendonitis test. It's pretty common as an overuse / misuse injury among musicians. Something I know more about than cycling. Guitar players and violinists discover it with excess tension in their playing and / or poor form.

    Now maybe the doc is using "tendonitis" as a generic term here, but properly, it gets the full RICE treatment. And for weeks not days. It can be very stubborn and can ruin seasons and concert tours. Fighting through it has actually wrecked some musical careers. As long as it takes to recover, it's faster to just sit out than to try to rush it. Sadly it only afflicts the sort of people who are not disposed toward sitting it out.

    Do get better medical advice than mine or your present doctor's and best of luck.
    Ron

  12. #12
    RoadBikeReview Member
    Reputation:
    Join Date
    Nov 2004
    Posts
    101

    that's EXACTLY the injury i have

    Quote Originally Posted by Spunout
    Me too, fluid buildup and a calcification at hamstring connection interior to the knee. Where my hamstring attatches and wraps around the head of my tibia, it rubs when swollen. I lost half of a season last year.

    Get a real doctor (a cyclist, a sports doctor). 2 weeks off the bike. No weights. one month of easy spinning, gradual working up to tempo, alot of physiotherapy, massage, ice, and Naproxen. 10 months later, I am easing into threshold work but have to be careful. Stretch, stretch, stretch. Longer hamstrings have more room for muscles, therefore are better protected(in my case anyways, as it was a length and rubbing injury).

    On the bike: Spin. No more big ring climbing for me, ever. Work slowly up to sprint workouts, keep RPMs over 120 when doing form sprints. Let the power come naturally with the big gears, but keep everything moving. Massage. Warm-up oil. Always wear knee warmers unless you are sweating.
    Wow - thanks for sharing your story - I appreciate it. I know no 2 people are the same so my recovery may be slower/quicker than yours - but the insight is still helpful.

    I'm curious, though. After that 2 week break, were your symptoms pretty much gone before you got back on the bike? Were you able to ride w/o pain and soreness & swelling? If not, how long did the soreness/pain persist throughout your recovery?

    And finally, do you think you know what caused this injury in the first place? Was it a result of too much big ring climbing, in your case? I tend to be more of a masher than a spinner when it comes to climbing, so that may be part of my problem. However, in some of the long, steep climbs out here in Colorado there's often no choice but to mash away in a race w/ a 12x25 cassette. Maybe I should put my 27 back on and give those tendons a rest during recovery, huh!?

  13. #13
    RoadBikeReview Member
    Reputation:
    Join Date
    Nov 2004
    Posts
    101

    ahh, i see what you mean - the creaking...

    Quote Originally Posted by Ronsonic
    You won't feel the affected tendon creaking - it'll just hurt, sharp and dull, but if you put a couple fingers on the area and then move the joint gently through it's range of motion (don't want to do anything fast with it) you'll feel something like wet rope or leather creaking under your finger tips. That's the "old-school" tendonitis test. It's pretty common as an overuse / misuse injury among musicians. Something I know more about than cycling. Guitar players and violinists discover it with excess tension in their playing and / or poor form.

    Now maybe the doc is using "tendonitis" as a generic term here, but properly, it gets the full RICE treatment. And for weeks not days. It can be very stubborn and can ruin seasons and concert tours. Fighting through it has actually wrecked some musical careers. As long as it takes to recover, it's faster to just sit out than to try to rush it. Sadly it only afflicts the sort of people who are not disposed toward sitting it out.

    Do get better medical advice than mine or your present doctor's and best of luck.
    Ron
    ok, i see what you mean about the creaking - but half of my body makes that kinda racket if I put my finger places... No, but honestly, I appreciate your insight. You are so right that it afflicts only those who hate sitting things out. Yucko.

  14. #14

    Reputation:
    Join Date
    Nov 2004
    Posts
    79
    Quote Originally Posted by vonteity
    You really should see your doctor and get a referral to a physical therapist. They'll be able to tell you how to recover and if you can ride.

    From personal experience, I was not able to recover from achilles tendinitis until I got OFF the bike and stopped trying to recover so damn much. I basically fought it off as best as I could through the bike season, cut my season a month short and then spent an entire month off the bike (couldn't run either, so I had to swim), then spent a month getting my fitness back. After that I was able to do 'cross, and managed to do pretty well, so the recovery didn't hurt me too much. It was just a real pain and took quite a while. Well, not that long, I'm just impatient. ;)
    gosh, thats funny I was just reading along the thread and thought what you had to say was pretty nifty--looked at your name and ITS YOU!

    que pasa!

Similar Threads

  1. Burley Runabout commuter bike review in DirtRag Magazine
    By meat tooth paste in forum Commuting, Touring and Ride Reports
    Replies: 0
    Last Post: 02-18-2005, 01:48 AM
  2. The Fixie (essay, long)
    By Beantown in forum Fixed/Single Speed
    Replies: 7
    Last Post: 01-26-2005, 08:37 AM
  3. Longest an injury has forced you off the bike and how to cope?
    By kabs in forum General Cycling Discussion
    Replies: 18
    Last Post: 10-14-2004, 11:50 AM
  4. Meeting The Ghost (a story for y'all)
    By Gregory Taylor in forum General Cycling Discussion
    Replies: 22
    Last Post: 08-29-2004, 06:35 PM
  5. Oddly Touching "Found" Poetry --
    By Gregory Taylor in forum General Cycling Discussion
    Replies: 5
    Last Post: 08-24-2004, 08:49 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

THE SITE

ABOUT ROADBIKEREVIEW

VISIT US AT

© Copyright 2020 VerticalScope Inc. All rights reserved.