I have bruised the bone on the inside of my knee and it won't heal

Image via Wikipedia

Image via Wikipedia

Back in the summer I fell off my mountain bike and smacked the inside of my knee on the top tube, I guess I bruised the bone and it has been sore ever since. It’s pretty boney in there, which is sore to touch. I have rested it, iced it, massaged it, antiflamed it, stretched it just about everything I can think of. It doesn’t appear to be a tracking problem, the actual knee and kneecap seem to be running freely, just stiff and sore on the inside of the knee when straightening. Any ideas?








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Gary:

The injury appears to be either the medial ligament or to the adductor tendon where it wraps around the medial tibial plateau.  Both these injuries can be very slow to heal.  Incidentally, I wiped out on by mountain bike on the weekend and suffered the very same blow to the side of the knee!

Treatment is as follows:

Is your Achilles tendon injury really that: Or is it something else?

When people come to see me with their injuries and health problems, it is usually because they have exhausted every other option.  Achilles tendon injuries are near the top of the list of reasons for paying me a visit.  These injuries tend to be very poor healers.  The reason given most times is that this tendon has no direct blood supply to expedite healing.  There may be another reason why Achilles tendons fail to heal: The injury may not actually be to the Achilles tendon; but to one or more muscles immediately adjacent to it.  Of course, recovery will be poor if the wrong part is being treated.

If the first diagnosis is of, say “Achilles Tendonitis”, the tendency for all who may subsequently become involved in your treatment is to blindly continue down the Achilles pathway, even when the results are disappointing.  One reason why this may happen is the medical hierarchy and ACC claims setup makes it difficult for a therapist to