Thank you for providing this information publicly. I've learned a lot from Barbell Medicine over the years.
In someone with a history of osteochondral defect of the medial femoral condyle, is this a situation to "listen to the pain" and be extra conservative with exercise dosage because of the pain more than it would for someone with acute onset low back pain?
To put this question in context, I am currently dealing with a knee pain flare up and have a history of osteochondral defect. I have pain with weight bearing knee in 0-40ish degrees positions, so squats in a bottom position and going up a flight of stairs are totally pain-free, yet walking out a squat and initiating the movement is excruciating. Pain seems to be intensifying with the more activity I do and even walking more than 10 minutes seems to flare up the symptoms. With previous injuries to low back and muscle areas, the more I did, the better I felt. However, this issue seems to have the opposite relationship. I'm asking to see if maybe I've been nocebo'd by my physician's description of my osteochondral defect, which was initially found about ten years ago when he said I would definitely need a knee replacement when I got older. Also trying to figure out if I'm sensitizing/further injuring my knee by doing bottom position lunges and other somewhat tolerable exercises.
In someone with a history of osteochondral defect of the medial femoral condyle, is this a situation to "listen to the pain" and be extra conservative with exercise dosage because of the pain more than it would for someone with acute onset low back pain?
To put this question in context, I am currently dealing with a knee pain flare up and have a history of osteochondral defect. I have pain with weight bearing knee in 0-40ish degrees positions, so squats in a bottom position and going up a flight of stairs are totally pain-free, yet walking out a squat and initiating the movement is excruciating. Pain seems to be intensifying with the more activity I do and even walking more than 10 minutes seems to flare up the symptoms. With previous injuries to low back and muscle areas, the more I did, the better I felt. However, this issue seems to have the opposite relationship. I'm asking to see if maybe I've been nocebo'd by my physician's description of my osteochondral defect, which was initially found about ten years ago when he said I would definitely need a knee replacement when I got older. Also trying to figure out if I'm sensitizing/further injuring my knee by doing bottom position lunges and other somewhat tolerable exercises.
Comment