I just did my first physical therapy homework (aka home workout customized to unfuck my knees) and I Did Not Die!™

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I just did my first physical therapy homework (aka home workout customized to unfuck my knees) and I Did Not Die!™
I'm doing things now that I have my powerchair that I never would have done when I was "able bodied". I'm slowly realizing that I was physically disabled for years before I developed CFS and was just in denial about it. The IST severely limited my ability to stand up for a long time and my knees kept me from doing things that required walking. My life used to be constantly controlled by "is that too much walking/standing for me?" and it's just not as much anymore. I've always struggled with big live shows because of the slow shuffle out, same way with getting on and off of planes, and in line at amusement parks. I just think of all the times I was miserable at fun events and how much more fun I would have had if I had a small powerchair or a manual chair with power assist. I punished myself because I was told I would get better if I exercised and I thought I was lazy for struggling to exercise and not being well enough to do things.
First run in a week! Still recovering from both tonsillitis and runner's knee.... Thought a week off would be enough for the knee but i guess not. Started out at a nice pace but once the knee started aching i had to slow down. I think i will be able to gut out the half marathon since i have done the distance twice this year but it won't be pretty. -12 celcius but with that wind it felt like -20! I don't want to see any more complaining about running weather on tumblr! I haven't seen any snow in any pictures where you all are running!
This knee brace is having another effect on me besides just relieving knee pain—it's causing me to treat myself like someone with a mobility limitation, instead of someone with some annoying/inconvenient pain who needs to just power through.
Which is correct! I AM currently someone with a mobility limitation. This one is hopefully only temporary, but it exists, and the experience of wearing a medical device for it is confronting me with just how reluctant I've been to acknowledge this as an actual physical limitation. I've had a wonky knee for YEARS and I didn't once speak to a doctor about it until it reached the point where the pain was causing me to struggle going up and down stairs. That's...not ideal. I would like to not be like this about my body's limitations.
Knee Pain When Walking Upstairs: 8 Causes & What to Do About It Climbing stairs places 3 to 4 times your body weight through the knee joint — which is why even a mild knee problem can suddenly feel very painful the moment you hit the first step. This infographic from The Knee Clinic Manchester, created by Mr Bilal Barkatali (Consultant Knee Surgeon), breaks down exactly what's causing your stair pain and what to do about it. 🦵 8 Causes of Knee Pain on Stairs: 1️⃣ Patellofemoral Pain Syndrome (Runner's Knee) — kneecap not tracking correctly, dull ache at front of knee 2️⃣ Chondromalacia Patellae — cartilage breakdown under the kneecap, grinding sensation 3️⃣ Knee Osteoarthritis — worn cartilage, stiffness after rest, gradual worsening 4️⃣ IT Band Syndrome — sharp outer knee pain, worse going downstairs 5️⃣ Meniscal Tear — locking, clicking, swelling after activity 6️⃣ Patellar Tendinopathy (Jumper's Knee) — pain below kneecap, common in athletes 7️⃣ Pes Anserine Bursitis — inner knee pain, often underdiagnosed 8️⃣ Weak Quads & Hip Muscles — no structural damage needed to cause significant pain 🪜 Smarter Stair Technique: ⬆️ Going UP — lead with your STRONGER leg ("up with the good") ⬇️ Going DOWN — lead with your WEAKER leg ("down with the bad") ✋ Use the handrail & take one step at a time
🏠 Home Management: 💪 Strengthen quads & hips — wall sits, glute bridges, step-downs 🏊 Switch to low-impact exercise during flare-ups 🧊 Ice 15–20 mins after stair activity, use a compression sleeve ⚖️ Every 1kg lost = 3–4kg less force through the knee on stairs
🚨 See a knee doctor near you if: — Pain has lasted more than 4–6 weeks with no improvement — Knee is swelling, locking, or giving way — Pain is now present on flat walking or at rest — You are over 50 and have never had a knee assessment 📍 The Knee Clinic Manchester — Mr Bilal Barkatali, Super-Specialist Knee Surgeon across Manchester, Cheshire & Lancashire. 📖 Full blog: https://medium.com/@kneeclinicm/knee-pain-when-walking-upstairs-what-it-means-813b4466bd1a 🌐 www.thekneeclinicmanchester.com | 📞 07722 646 372
I have not yet started physical therapy for my knee (it'll be a few weeks probably, I'll know when I call tomorrow and make the appointment) but I HAVE gotten stability shoes and a knee brace and spent altogether way too much money on these items but I just brought my laundry up to my fourth-floor walkup apartment while wearing the shoes and the knee brace and experienced significantly less pain than I have while climbing stairs in many MANY months, so. Worth it.
TIL that you can get runner's knee without running! so that's fun
(seriously though at least it's not arthritis)
(yet)
Still Calling It “Runner’s Knee”? You Might Be Missing This in Your Assessment…
If your patellofemoral pain assessments stop at the VMO and hip strength. You’re treating compensations, not the root cause.
Chronic anterior knee pain often hides deeper dysfunction: 🧠 Neurogenic inflammation 🧬 Dysregulated autonomic signals ⚡ Disrupted bio frequency & tissue conductivity
🔍 Here’s how top clinicians assess differently with ANF Therapy:
Palpate key ANF Points to detect neuro-inflammation
Scan along the femoral nerve for tension, tenderness & altered tone
Map compensation zones in lumbar, hip flexors & fascia
Correlate with autonomic & biochemical dysfunctions: not just ortho tests
The result? ✅ Faster diagnosis ✅ Targeted treatment ✅ Real, lasting outcomes
You just need better assessments and new tools. And that tool is ANF Therapy.