Physio and knees/hips

edited 30 November -1 at 1:00AM in Sports and Fitness MoneySaving
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BananaRepublicBananaRepublic Forumite
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edited 30 November -1 at 1:00AM in Sports and Fitness MoneySaving
I used to run for many many years, doing 10 km twice a week, but it took a toll on my knees. So for the last 3 years I've ice skated, and I now also do some gym each week. As a result my knees are much stronger and I no longer get the severe pain I once had. Anyway, I can skate on one leg, and lower myself down by bending that leg, with the other knee bent, but I can't do pistol squats whereby one leg sticks out in front. I can't even do an assisted pistol squat at the gym, where you use ropes to take some weight. My supporting knee feels like it is going to give way. And when I walk, the left one has a weird internal click, as if something large is lose. I also sometimes get soreness in my hips after skating. I assume I have wear to the cartilage in the knee, and maybe something similar in the hips.

I know you can do exercises to strengthen the knee muscles, but I was wondering if the NHS could be of any use? If I went to my doctor, would he/she forward me to a physio given that the issues are not serious, and would it be likely to be of use? I suppose I'm asking if anyone where has had similar issues, and benefited from a physio, either NHS or private.
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  • edited 26 July 2019 at 11:04PM
    Manxman_in_exileManxman_in_exile Forumite
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    edited 26 July 2019 at 11:04PM
    Yes. (See thread above, "Working out after injury").


    You should be able to ask your GP for referral to a NHS physio. Where I live I can get a physio appointment at my local surgery within a week to ten days. It's also possible to do a self-referral to our local NHS physio service. Ask your surgery what's available. If NHS waiting list is too long in your area you ought to be able to find one privately. But you might be paying about £50 per half hour session


    The physio will manipulate your leg (hopefully painlessly) to perform certain tests to assess the injury. They'll also give you an exercise plan.


    You may find (as I did) that the knee pain is caused by a foot or gait problem and you really need to see a podiatrist. See other thread referred to above.


    There may be nothing wrong with you. A pistol squat is quite extreme - I've not attempted one for nearly 30 years!
  • trailingspousetrailingspouse Forumite
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    You don't say how old you are?



    If you used to be able to do pistol squats in your younger days, but now find that you can't do them, how long is it since you were doing them? Or have you never done them before? I'm just trying to gauge why this particular movement is important to you, as most of us have gone through our lives without even attempting them, and yet still consider ourselves perfectly fit and healthy.
    As to the strange clicking, you need to find out what's causing it, and soon, before you potentially do any more damage - which will happen if it's a cartilage problem. Make an appointment with the doctor, and take it from there.
  • edited 28 July 2019 at 12:35PM
    Manxman_in_exileManxman_in_exile Forumite
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    edited 28 July 2019 at 12:35PM
    You don't say how old you are?



    If you used to be able to do pistol squats in your younger days, but now find that you can't do them, how long is it since you were doing them? Or have you never done them before? I'm just trying to gauge why this particular movement is important to you, as most of us have gone through our lives without even attempting them, and yet still consider ourselves perfectly fit and healthy.
    As to the strange clicking, you need to find out what's causing it, and soon, before you potentially do any more damage - which will happen if it's a cartilage problem. Make an appointment with the doctor, and take it from there.


    I think the clue is that the OP is practising ice-skating. A pistol squat is a relatively common skating movement, often involving a spin.
  • BananaRepublicBananaRepublic Forumite
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    Thanks for the informative replies. I am 56, and my hobbies include ice skating and ice hockey. A pistol squat is an ice skating move. I don’t do jumps and spins, mainly because I don’t want to stress my joints too much. It’s not that I need to do a pistol squat, but I am concerned at the weakness. I’m tempted to put it all down to age, but there is a danger that we ignore something dismissing it as due to age, when it is really due to inadequate exercise, or a gait issue as mentioned above.
  • Manxman_in_exileManxman_in_exile Forumite
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    Thanks for the informative replies. I am 56, and my hobbies include ice skating and ice hockey. A pistol squat is an ice skating move. I don’t do jumps and spins, mainly because I don’t want to stress my joints too much. It’s not that I need to do a pistol squat, but I am concerned at the weakness. I’m tempted to put it all down to age, but there is a danger that we ignore something dismissing it as due to age, when it is really due to inadequate exercise, or a gait issue as mentioned above.


    Get your GP to refer you to a NHS physio. If the wait is too long, try to find one privately. (Do you have a coach or ice hockey team members who can recommend someone?).
  • BananaRepublicBananaRepublic Forumite
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    Get your GP to refer you to a NHS physio. If the wait is too long, try to find one privately. (Do you have a coach or ice hockey team members who can recommend someone?).

    Now you mention it, that’s a good idea, I’m more likely to get someone with experience of ice skating related injuries and stresses.
  • trailingspousetrailingspouse Forumite
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    I think the clue is that the OP is practising ice-skating. A pistol squat is a relatively common skating movement, often involving a spin.


    Yes, I know what a pistol squat is - I was asking the OP if this was a move he'd been able to do in the past or if it was a move that was new to him.
  • trailingspousetrailingspouse Forumite
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    I’m tempted to put it all down to age, but there is a danger that we ignore something dismissing it as due to age, when it is really due to inadequate exercise, or a gait issue as mentioned above.


    You're absolutely right - I'd been told my neck pain was due to wear and tear, my hip pain was due to wear and tear, and there was nothing that could be done about my plantar fasciitis.
    Since starting to go to the gym 3 - 4 times a week, just over a year ago, everything is fixed and I have no pain at all. I'm 58.

    Go to the doctor, go to the physio (one that specialises in sports injuries), heck, go to an aromatherapist if it helps - but don't give in to it. Even if you eventually find that it just isn't something that you can do any more, at least you'll know you've given it your best shot.
    I wonder if you might need to do some other form of exercise as well as the ice skating? Sometimes doing just one thing doesn't keep us fit enough to do that one thing (does that make sense?) I know I heard someone once say that playing squash doesn't keep you fit enough to play squash.
  • elsienelsien Forumite
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    My GP outsourced to a sports physio - best of both worlds.
    All shall be well, and all shall be well, and all manner of things shall be well.

    Pedant alert - it's could have, not could of.
  • BananaRepublicBananaRepublic Forumite
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    You're absolutely right - I'd been told my neck pain was due to wear and tear, my hip pain was due to wear and tear, and there was nothing that could be done about my plantar fasciitis.
    Since starting to go to the gym 3 - 4 times a week, just over a year ago, everything is fixed and I have no pain at all. I'm 58.

    Go to the doctor, go to the physio (one that specialises in sports injuries), heck, go to an aromatherapist if it helps - but don't give in to it. Even if you eventually find that it just isn't something that you can do any more, at least you'll know you've given it your best shot.
    I wonder if you might need to do some other form of exercise as well as the ice skating? Sometimes doing just one thing doesn't keep us fit enough to do that one thing (does that make sense?) I know I heard someone once say that playing squash doesn't keep you fit enough to play squash.

    Thanks for the inspiring post. I do one hour in the gym with a PT to help general fitness, and I try to do stretching at home, nothing extreme, just to help me loosen up as I spend all day at a desk. Generally doing one sport can lead to tight muscles in some areas, as you focus too much on a small number of movements.
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