Orthopedic Pain Management

Why does it still hurt even though I stretch?

This is a common misconception. Simply stretching can only temporarily relax a tight iliotibial band, but it cannot solve the problem of “weak gluteal muscles.” When the gluteal muscles are weak (this is the real culprit), the body forces the iliotibial band to compensate and maintain stability when running, causing it to repeatedly tighten. Therefore, “strengthening the gluteal muscles” is often more important than simply stretching.

Should I apply ice or heat to my knees?

Depending on the stage of the illness: Acute phase (new injury, redness, swelling, heat, and pain): Apply ice for 15 minutes at a time to help reduce inflammation and relieve pain. Chronic phase (long-term stiffness and soreness): Apply heat to promote blood circulation and muscle relaxation.

Will runner’s knee heal on its own?

Mild symptoms may subside with rest and reduced intensity. However, if underlying causes such as “weak gluteal muscles,” “pelvic instability,” or “poor posture” are not addressed, symptoms are likely to recur once exercise resumes. If pain recurs, it is recommended to seek professional evaluation to address the underlying problem.

How is this different from anterior knee pain (patellofemoral pain syndrome)?

Both are commonly known as runner’s knee, but their locations are quite different. Iliotibial band syndrome: Pain is located on the outer side of the knee, mainly due to fascial tightness and friction/compression. Patrofemoral pain syndrome: Pain is located on the front of the knee (around the patella), often related to pressure on the knee cartilage. It is recommended that a doctor perform an ultrasound examination for differential diagnosis to ensure the correct treatment approach.

What is a rotator cuff tear? Is it the same as a shoulder strain?

They are different. A rotator cuff tear is a partial or complete rupture of the shoulder tendon, a structural injury; a typical muscle strain is usually a temporary inflammation or micro-tear of the fibers. If you experience shoulder weakness, inability to raise your shoulder high, or nighttime pain, a rotator cuff tear should be highly suspected, rather than a simple strain.

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