@pacha any thoughts on having MRI or equivalent for long running tendon issues?
Years of on/off Achilles problems. This time it feels different and is starting to effect everything (running, biking, walking and even just resting).
None of the normal rehab and/or quick fixes (insoles, straps, taping) seem to be helping.
MRI just going to tell me it’s damaged…or is there specific insights can get to treat it more accurately?
That’s the key really. Chances are there is damage but it is findjng the person to interpret who can help. I will reach out to see if I can find some help.
My op to remove the plate and pins from my shoulder is booked for 30 September.
I’m not overjoyed about the idea of surgery, but my right shoulder is a bit “clicky” and uncomfortable at times and I think this is the hook on the end of the plate grinding on the adjacent bone. The surgeon warned that this would probably happen and I would need the plate removed at some point
@Hammerer, @Poet I saw this and thought it might be relevant to you guys and also this was the best place rather than re-surface a load of covid nonsense. I have asked one of the authors why we cannot see the whole paper. But it looks like a combination of strength and easier aerobic training plus the use of one of those respiratory muscle training devices. Journal article HERE.
Edit: sorry I realise I didn’t say it was about rehab from long covid. I now have the full paper and will report back when I jave read it properly.
Cheers, thats interesting. One of the things ive noticed, cycling is fine on turbo if i keep it steady, swimming Im good but running, when i do “MAF” and keep to flat and walk to get HR down Im good but hills or get that HR up too much and i start blowing hard. Im also struggling with recovery but when my SPO2 levels hover 92 on bad days to 95 on a normal day then the oxygen can’t be getting to the muscles to aid repair. Sometimes i think it’s old age, lack of fitness, and maybe there is some of that, but im still fitter than large majority of the population!
Thanks 
But unlike you and @Hammerer , I can’t read Spanish 
Google translate 
Haha, don’t worry that isn’t the full paper but I have that now. I will give it a thorough read and post the relevant parts.
Still not right from my race in Belgium.
Over 100 athletes reported some form of D&V from the river. The authorities are covering their arses and won’t actually admit what on earth was in the river.
Either way, been 70-80% all week, and have the cramps under control. But this morning like being back in the 
storm.
Almost all the other effected athletes still feeling off.
When will it end!!??
Not sure if its the same race by someone from my triathlon club ended up in hospital with blue/green algae poisoning.
ETA - yes it was the same race
Dodgy shoulder. A combination of swimming and weight training I would think, with a side order of spending a week sleeping in a tent.
@JD-Scarabtri After being unhappy after seeing a couple of physio’s I went through my GP and arrived at where I am now. Surgery in 3-6 months time was suggested appropriate but I’ll asking on the injury thread for some opinions as a few of you have suffered from this because I am now having doubts about the best course of action.
I have some experience of this, I have some knee pain & had a meniscus trim that didn’t improve things after a scan revealed a tear. I actually gave up running after this before the accident.
Later I saw another sports specialist physio, he said quite a lot of things I suspected might be true but he confirmed.
Only people with knee pain go for a scan
Most scans reveal meniscus tears
Meniscus trim ops are not very successfull at fixing knee pain
See a consultant about knee pain, might as well book in the meniscus trim op at the same time because thats what they do.
Probably a scan of a healthy knee would reveal menuscus tears too.
Answer is LOTS of physio work to strengthen the knee. Most people get knee pain on the inside due to weak glute meads not tracking the knee properly.
I’m in a much better place after doing lots of strength work & I stll have got more to do.
Glute mead exersises you can Youtube.
+single leg squats, weighted when your stronger.
Side step on to a step, higher & weighted when your stronger.
How close to a pistol squat can you go? Gives an indication where your at.
Mentioned elsewhere I have had knee niggle for about 3 months & at first ignored it, but now am taking @Doka 's approach. Hate the idea of someone sticking metal tools into it, feel it would have to be really bad to even contemplate starting off on a route that might lead to that.
Working on quads & VMO strength, hamstring range, balance & core. Swimming, careful on the tumbles. Cycling with close attention to what feels ok. Not running at all at the moment.
It’s actually been a shocker to discover how kitten-weak my core is. Amazed I made it this far without more injuries. Hopefully just a wake up call & fixable & better habits in future.
@JD-Scarabtri doing a whole IM on that knee 
you must be hard as nails!
PS what’s the definition of an empathetic orthopaedic surgeon? One who cares deeply about the whole bone, not just the fracture.
Thanks for the replies already, you beat me asking about it on here. A bit of history. Day to day my knee is ok but randomly if some sort of twist occurs i.e. carrying a set of draws up stairs and the putting all the weight on my bad knee at the top of the stairs a twisting around the bannister my knee went (I appreciate this is an extreme example, but it is something I would have previously done and not thought twice about it or had any problem). More common is running and doing a bit of a shimmy around a traffic island rushing to cross the road before the traffic lights chjange i.e. just putting a spurt on plus a bit of twist and bang there goes the knee. I enjoy running off-road but last time in the Spring I rolled my ankle on a root which was ok but my knee went again. It usually has taken 1-2 weeks of no running before I can start building it up again and I have been sensible (for me) in building up slowly.
I was thinking (hoping really) that surgery would be the magic pill to fix all, but reading an article the other day really got me doubting surgery was going to be as good as I was lead to believe. Then reading a few posts on here after doing a Meniscus word search and your helpful comments already today is definitely making me doubt surgery is the best option. Keep your views on this subject coming, because I really do appreciate them as I think what we put our bodies through we really do know them well. I think this thread would also be helpful for others in the future because it does sound like a common injury for us and there is very mixed views out there and what @Doka says, which is what I was sort of thinking (I was referred to a private hospital by NHS) hence the question on here :-
@Doka I’ve never really done much strength training so just had to watch a video of how to do a pistol squat ! My range, in both legs is very bad and my bad knee was sore but not really bad i.e. I could get past the sore section to a similar not very good posiiton as my good leg. One of the physio’s I saw 6 months before Tenby had me doing single leg squats and I did struggle to get past the painful section on the way down and then back up, there was just one part of the range which was painful, if that makes sense. Even after Wales I don’t have the severity of pain in my knee as I did 6 months ago, so hopefully that does mean I can strengthen what needs strengthening to improve and hopefully fix it myself.
I will speak to another sports injury physio I know, who is more expensive than the usual ones, but in this case I am thinking this would be money well spent if I can sort myself out without surgery. In the meantime keep your thoughts coming 
thanks everyone
not in all cases. I’ve had 2 meniscectomies done. The first was to fix a left knee tear caused by a MTB injury (cracked my knee on the headset during a big crash) which was very painful just standing up - recovered quickly and no more pain. The second was last year to fix a tear in the right knee caused by the dog running into me as I was walking and had all the weight on that leg. It was painful when walking let alone doing anything else. Took a year to recover (age related I guess!) but no pain at all now.
This is my quandry, will it or won’t surgery work. I fully accept that every case is different and I guess I was wanting to believe that surgery would be a guaranteed magic pill i.e. an easy fix. Noting how long it will be before I will get a date for surgery I do have time to try the strengthening solution (which has to be a good thing anyway at my age) and if I can see improvement then can stick with it and I’m sure there won’t be a problem to delay surgery other than delaying the inevitable if surgery ends up as the necessary solution.
it’s always a risk having surgery but in my experience of myself, Mrs FB (she’s had 3), and others then they have sorted the problem.
the one I had last year was after I had a consultation with an orthopaedic surgeon who specialised in sports injury (turns out we both did IM Wales the same year - 2011) who recommended it for my tear. As it happens he became ill with a brain tumour (he is fit and back at work again now) and the op was done by one of his colleagues.
Didn’t we have an orthopaedic surgeon drop in here a while ago and share some wisdom? I can’t recall the username but pretty sure it was on this thread
Also there’s this thread:
I am sure it is on here. I tore the medial meniscus in my left knee a couple of years ago. Hurt a lot for a bit and esaed off. I couldn’t flex my knee more 90° for a couple of months and still can’t quite fully flex it.
I couldn’t run at all for a 2-3 weeks and when I could run, going downhill was too painful so had to walk. It is mostly fine now. If I have had a long day on my feet with lots of walking it can get sore in the late evening. A quite painful dull ache. It regularly has a sharp, stinging feeling that is instantly relieved by a quick straightening of the leg that causes the knee to crack. I possily could have had surgery either private on work health cover or maybe NHS but I knew there was a good chance that just leaving it and doing as much as I could and it would likely resolve. Running doesn’t bother it at all.
