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  1. #1
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    6 months after ACL surgery

    my knee is really clicking still like lots of clicking it doesnt hurt when i walk but when i walk it will click sometimes i dont know what to think of it has anyone has this happen before to them let me know!! thanks hopefully a PM please and thankyou!

    im able to deadlift and squat 135-155 for 3 sets of 10 no problem there is no pain there is just recently ALOT of clicking all of a sudden like i walk and click clank in there and i can feel it moving around it almost feels as its loose
    Last edited by Newb.Enigma; 12-01-2009 at 10:14 PM.
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  2. #2
    Registered User braindx's Avatar
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    Clicking is generally fine without any pain.

    If you are still concerned, make an appointment with your doctor and talk with him/her
    No post is professional medical, nutrition or training info!

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    http://eatmoveimprove.com/2010/01/on-muscle-strains
    http://eatmoveimprove.com/2010/02/so-you-hurt-your-lower-back
    http://eatmoveimprove.com/2010/03/cracking-and-popping-and-clicking-oh-my
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  3. #3
    Registered User Newb.Enigma's Avatar
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    Originally Posted by braindx View Post
    Clicking is generally fine without any pain.

    If you are still concerned, make an appointment with your doctor and talk with him/her
    Like it's my knee cap grinding mu physio therapist said I think I'll ask her what's up
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  4. #4
    Registered User braindx's Avatar
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    May be chondromalacia patellae..

    Yeah, as your PT.
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  5. #5
    Registered User Newb.Enigma's Avatar
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    Originally Posted by braindx View Post
    May be chondromalacia patellae..

    Yeah, as your PT.
    whats this?
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  6. #6
    Registered User Newb.Enigma's Avatar
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    Physio said it wad my knee cap grinding and to go see a
    family doctor
    to refer me to a specialist
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  7. #7
    Registered User braindx's Avatar
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    Chondromalacia patellae is basically wearing down/grinding of the articular surface of the patella/femur causing pain.

    This can likely be resolved with some physical therapy.
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    http://eatmoveimprove.com/2010/02/so-you-hurt-your-lower-back
    http://eatmoveimprove.com/2010/03/cracking-and-popping-and-clicking-oh-my
    http://eatmoveimprove.com/2010/10/a-firm-foundation-focusing-on-the-feet/
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  8. #8
    Registered User Newb.Enigma's Avatar
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    Originally Posted by braindx View Post
    Chondromalacia patellae is basically wearing down/grinding of the articular surface of the patella/femur causing pain.

    This can likely be resolved with some physical therapy.
    They are sending me for some
    x rays and they said it could be because of my quad muscle not strong enough yet going to see if I need to get another surgery
    Last edited by Newb.Enigma; 12-03-2009 at 07:10 PM.
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  9. #9
    Registered User Newb.Enigma's Avatar
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    seems to be just clicking there is no pain, but when I lock out still feels weak, unstable. when i ride the bike for 10 minutes in the warm up still a bit of clicking but feels alot better when i walk around still abit of clicking when i walk heal to toe for locking out but still the discomfort of walking will always be in the back of my head till it goes away.
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  10. #10
    Registered User braindx's Avatar
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    Originally Posted by Newb.Enigma View Post
    seems to be just clicking there is no pain, but when I lock out still feels weak, unstable. when i ride the bike for 10 minutes in the warm up still a bit of clicking but feels alot better when i walk around still abit of clicking when i walk heal to toe for locking out but still the discomfort of walking will always be in the back of my head till it goes away.
    I'm surprised your physio didn't have you strengthening your quad, if at least, using isometric exercises. Very weird.

    Try to strengthen your quads as much as possible if they're weak/unstable WITHOUT painful exercises. Experiment a bit to find which ones will help. Quad sets, maybe some wall sits, etc.

    Let us know once you get X-rays and/or whatever else.
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    http://eatmoveimprove.com/2010/02/so-you-hurt-your-lower-back
    http://eatmoveimprove.com/2010/03/cracking-and-popping-and-clicking-oh-my
    http://eatmoveimprove.com/2010/10/a-firm-foundation-focusing-on-the-feet/
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  11. #11
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    starting to do more sets of quad extensions and free squats on the halfball with flat plastic top.
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    still tons of clicking, some minimal pain from when i sit down to long and get up and start going but that's because i do not have full ROM yet.
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    started jogging/ running 5.0 - 5.5 on the tredmill for now still in the back of my head can my knee hold it , still tons of clicking surgen is out of the country must wait for him before anything.
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    Personally I wouldn't go with leg extensions, leg curls is the better way to go!! Try some stabilization excersises that require a lot of balance! One leg squats or squats on a balance board etc. Do them with the best form possible, 15-20 reps.

    After ACL surgeries it is very important to train the quads and stabilize the knee area, I do that with all my patients in rehab!

    If you'd like to get further advice, let me know!

    Have a nice day!
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  15. #15
    Registered User Newb.Enigma's Avatar
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    Originally Posted by Physio35 View Post
    Personally I wouldn't go with leg extensions, leg curls is the better way to go!! Try some stabilization excersises that require a lot of balance! One leg squats or squats on a balance board etc. Do them with the best form possible, 15-20 reps.

    After ACL surgeries it is very important to train the quads and stabilize the knee area, I do that with all my patients in rehab!

    If you'd like to get further advice, let me know!

    Have a nice day!
    thankyou sir. im just worryed about the clicking you think after 7 months ur getting better but then all this loud clicking makes you wonder where your at now.
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    I had my ACL and MCL repaired same age as you, its about 8yrs later now and I still get some clicking from time to time. As long as your doctor finds no other issues your best solution is to build as much muscle on your quadricep as possible to help support the strain on your knee.

    I suggest you wear a patella support strap around the front part of your knee to help keep your knee in tract. Also invest in a good joint support supplement and plan on using it the rest of your life.

    Just avoid exercises that further inflame or aggravate your knee and tailor make your workout program around that.
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    Okay, coming back to this thread...

    First off, I suggest reading this... not sure why I didn't recommend reading it last time.
    http://www.eatmoveimprove.com/2009/1...-dysfunctions/

    For chondromalacia patellae / patellofemoral you'll want to do:

    1. Do glute activation and strengthening work
    2. Do hamstring strength work
    3. DO NOT let your knee go valgus (collapsing in) during any exercise
    4. Do soft tissue work and stretch out your quads, IT band, tensor fasciae latae.
    5. Increase ROM in calves especially if you're going valgus

    Get inflammation down with fish oil, massage, and possibly ice.
    No post is professional medical, nutrition or training info!

    MRIs: Upload & PM

    Injury articles:
    http://eatmoveimprove.com/2009/08/on-tendonitis
    http://eatmoveimprove.com/2009/11/shoes-sitting-and-lower-body-dysfunctions
    http://eatmoveimprove.com/2010/01/on-muscle-strains
    http://eatmoveimprove.com/2010/02/so-you-hurt-your-lower-back
    http://eatmoveimprove.com/2010/03/cracking-and-popping-and-clicking-oh-my
    http://eatmoveimprove.com/2010/10/a-firm-foundation-focusing-on-the-feet/
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  18. #18
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    Originally Posted by braindx View Post
    Okay, coming back to this thread...

    First off, I suggest reading this... not sure why I didn't recommend reading it last time.
    http://www.eatmoveimprove.com/2009/1...-dysfunctions/

    For chondromalacia patellae / patellofemoral you'll want to do:

    1. Do glute activation and strengthening work
    2. Do hamstring strength work
    3. DO NOT let your knee go valgus (collapsing in) during any exercise
    4. Do soft tissue work and stretch out your quads, IT band, tensor fasciae latae.
    5. Increase ROM in calves especially if you're going valgus

    Get inflammation down with fish oil, massage, and possibly ice.
    thankyou great information. repped.

    started running on the tredmill it feels like if i run to slow it clicks every step but soon as i speed up it just goes away even if i do lock out, maybe i just dont feel it but thats that. starting to be able to stretch my legs out before i couldn't because of lack of ROM now its starting to get better and better. clicking still there every step PHYSIO Therapist said that there could be floating around cartilage or the doctor missed it when he went to go and clean up my knee.

    running i get pain sometimes but other times i dont.. why dont i get it all the time?
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    Don't use the treadmill. Walk up stairs if you have to for your cardio.

    Treatmill pulls the ground under you for you, so it eliminates a lot of the hamstring work. That's likely why your hamstrings are weak in the first place (besides maybe not doing correct technique on squats, deadlifts or whatever).


    Differences in treadmill vs. ground study:
    http://www.sciencedirect.com/science...220a1057ea77eb

    No clue why you don't get it all the time. Could be a warmup thing or something else. There's too many variables for me to say anything especially over the INternet.
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    Originally Posted by braindx View Post
    Don't use the treadmill. Walk up stairs if you have to for your cardio.

    Treatmill pulls the ground under you for you, so it eliminates a lot of the hamstring work. That's likely why your hamstrings are weak in the first place (besides maybe not doing correct technique on squats, deadlifts or whatever).


    Differences in treadmill vs. ground study:
    http://www.sciencedirect.com/science...220a1057ea77eb

    No clue why you don't get it all the time. Could be a warmup thing or something else. There's too many variables for me to say anything especially over the INternet.
    so do stair master ? or something like that is what your saying?
    when i run faster it seems like the pain goes away.
    worked my legs for the first time in a few weeks due to winterbreak and i can barely walk since they are so soar haha.

    would you suggest biking over running??
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    Originally Posted by Newb.Enigma View Post
    so do stair master ? or something like that is what your saying?
    when i run faster it seems like the pain goes away.
    worked my legs for the first time in a few weeks due to winterbreak and i can barely walk since they are so soar haha.

    would you suggest biking over running??
    Stairmaster, stairs, etc. are fine. So are lunges, etc.

    Just make sure your knees are tracking over your toes and you're doing them with correct form.

    Biking over running for now yes. Just because running is impact and you don't wanna tear up your articular cartilage when your knee isn't articulating correctly with patellofemoral.
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    Originally Posted by Newb.Enigma View Post
    my knee is really clicking still like lots of clicking it doesnt hurt when i walk but when i walk it will click sometimes i dont know what to think of it has anyone has this happen before to them let me know!! thanks hopefully a PM please and thankyou!

    im able to deadlift and squat 135-155 for 3 sets of 10 no problem there is no pain there is just recently ALOT of clicking all of a sudden like i walk and click clank in there and i can feel it moving around it almost feels as its loose
    Dude i have the exact same problem! except its been 16 months since i had my surgery. I can squat 135-155, bike, run all that but biking is way more confortable for example. I click almost every time i walk and in the back of my head its always bothering me like its loose or something yet i dont think its loose at all. It is very annoying, thought it would go away with time but its still there.
    Id love to know what your doctor said!
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    Originally Posted by braindx View Post
    Stairmaster, stairs, etc. are fine. So are lunges, etc.

    Just make sure your knees are tracking over your toes and you're doing them with correct form.

    Biking over running for now yes. Just because running is impact and you don't wanna tear up your articular cartilage when your knee isn't articulating correctly with patellofemoral.
    starting to do olyptical but still my knee clicks with every revolution it goes around, gives me a good sweat. thankyou for everything man.
    Last edited by Newb.Enigma; 01-12-2010 at 10:53 AM.
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    Originally Posted by Newb.Enigma View Post
    starting to do olyptical but still my knee clicks with every revolution it goes around, gives me a good sweat. thankyou for everything man.
    Clicking is OK as long as your knees are tracking right and there's no pain.
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    So what did the doc say ?
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    Originally Posted by braindx View Post
    Clicking is OK as long as your knees are tracking right and there's no pain.
    yes but there is like 5-6 clicks every time i fully extend my knee which is super annoying and it hurts my brain to think that its still not healed/ able to be pushed yet.
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    If you're that worried get it checked out by a doc.

    Most of the time clicking is due to improper articulation of the joint usually due to msucle imbalance.

    If your quad/hamstring strength ratios are off that would do it. Usually with ACL tears you see significant quad atrophy so most of the rehab work is focused on quad strengthening.

    I haven't seen you personally so I don't know if its your quad or ham that needs more strength work and/or you need to be doing proper technique to get the muscles involved correctly in things like squatting.
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    Originally Posted by braindx View Post
    If you're that worried get it checked out by a doc.

    Most of the time clicking is due to improper articulation of the joint usually due to msucle imbalance.

    If your quad/hamstring strength ratios are off that would do it. Usually with ACL tears you see significant quad atrophy so most of the rehab work is focused on quad strengthening.

    I haven't seen you personally so I don't know if its your quad or ham that needs more strength work and/or you need to be doing proper technique to get the muscles involved correctly in things like squatting.
    So you are saying simply strengthening quads/hams should = no clicking? How heavy can i go?
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    Originally Posted by GTac01 View Post
    So you are saying simply strengthening quads/hams should = no clicking? How heavy can i go?
    No, I didn't say that.

    I said that IF you have an imbalance and/or improper motor patterns THEN possibly fixing the imbalance using proper technique during movement will rectify the problem.

    Simple strengthening with no regards to the aspects of what is going on with the area may or may not work.

    I would ask your PT to evaluate your strength and look for possible improper motor patterns within your knee lower body complex. You probably don't have enough knowledge to do it yourself.
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    starting to run for 15-20 minutes at 6.0 - 7.0 depending on the mood im in. clicks when i hyper extend minor pain just from the impact started doing single leg lunges into a half ball with no shoes dont know if thats gonna help but still lots of clicking when i hyper extend. squatting 155 for 10 165 for 8 175 for 6 all leg exercises getting stronger, but when doing quad extensions scared of locking out due to all the clicking while doing the exercise.
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