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the shizzle => diet, training and injuries => Topic started by: Fultonius on April 26, 2016, 07:16:15 pm

Title: Heel HooK Knee Pain - Gastrocnemius??
Post by: Fultonius on April 26, 2016, 07:16:15 pm
Ok folks,

As I said on YYFY - I've just been told my knee pain is not serious (nothing on MRI). He thinks iIve overused/strained my gastorcnemius. This is a new one to me - anyone else come across this?

Basically, it started 1.5 years ago,  the day after a hard boulder session with a big left foot heel-hook. Nothing seemed to "pop"  at the time, but the next day it was stiff and sore, subsided over the next 5 days.

The next month I did nothing bar a few surf sessions and some touristing around Indonesia. Then I did a trad route at Mt Arapiles in Australia with another heel hook and it was quite tender the next day.

The next 3 weeks I climbed a fair bit in Yangshuo and any heel hools and "pullling in" on toes were painful....I persevered.

Fast forward a winter of skiing and a summer of various sport and trad climbing, but not too much bother...

Now it is still painfull when really using my heel - especially on heel-hooks that are more "heel drags" - i.e. with a slight bend, maybe 20-35* I can often feel it pulling at the time, so I usually avoid.

The other time I notice it is doing bent leg stretches....imagine touching your toes but with your knees flexed 5 degrees.

The surgeon just said "find a climbing physio".   :shrug:

Any thoughts?
Title: Re: Heel HooK Knee Pain - Gastrocnemius??
Post by: TobyD on April 29, 2016, 11:02:11 pm
The surgeon just said "find a climbing physio".   :shrug:
Any thoughts?

where are you feeling the pain exactly, and is it as you say a 'pulling' type of pain? its pretty hard to say without properly assessing it. Sounds like a slightly unusual / dubious diagnosis to me.
Title: Re: Heel HooK Knee Pain - Gastrocnemius??
Post by: jonsse on April 29, 2016, 11:45:21 pm
They don't call it a gap year for nothing :punk:
Title: Re: Heel HooK Knee Pain - Gastrocnemius??
Post by: Fultonius on April 30, 2016, 09:31:27 am
The surgeon just said "find a climbing physio".   :shrug:
Any thoughts?

where are you feeling the pain exactly, and is it as you say a 'pulling' type of pain? its pretty hard to say without properly assessing it. Sounds like a slightly unusual / dubious diagnosis to me.

Hi Toby - somehow completely missed your reply.  The pain is just inside the outer hamstring tendon - at the back of the knee in the soft squidgy bit.
Title: Re: Heel HooK Knee Pain - Gastrocnemius??
Post by: finbarrr on April 30, 2016, 11:24:09 am
When I think of heel hooks gone wrong, I usually think of the meniscus and popliteus:
https://en.m.wikipedia.org/wiki/Popliteus_muscle

"Popliteus is also attached to the lateral meniscus in the knee; and draws it posteriorly during knee flexion to prevent crushing the meniscus between the tibia and femur as the knee flexes."
Title: Re: Heel HooK Knee Pain - Gastrocnemius??
Post by: Fultonius on April 30, 2016, 02:40:11 pm
Sounds more likely. Really fucked off with not actually getting the surgeon I had specifically requested (the one who knows hit shit and did a great job on my right knee op).

In fact, Dr Death...I think you possibly shared a room at uni with the guy I actually saw instead of Mr Walker. Forgotten his name now though.
Title: Re: Heel HooK Knee Pain - Gastrocnemius??
Post by: sheavi on April 30, 2016, 04:30:23 pm
Quite feasible it could be your gastrocnemius as it flexes the knee and plantar flexors the foot.  With heel hooking both joints will be doing just that - hence the gastrocs will be under significant load.

If not done so already why don't you take the consultants advice and see a good physio?

Chronic tendon injury that needs to go through a suitable rehab protocol?

http://semrc.blogs.latrobe.edu.au/10-things-not-to-do-if-you-have-lower-limb-tendon-pain/
Title: Re: Heel HooK Knee Pain - Gastrocnemius??
Post by: Fultonius on April 30, 2016, 04:44:58 pm
I only had the appointment on Tuesday so not got round to seeing a physio yet. I'll try and book one next week.
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