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VMO trigger point, where to stop (to avoid tendon/ligament damage)

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  • March 26, 2018 at 12:20 pm #28287
    Xcessiv

    Hello guys,

    I am trying to address VMO trigger points via massage and roller.

    It took about 2 weeks, but I can now say that 90% of the VMO is back to normal.

    I still have what feels like a trigger point on the very low area of the VMO. Massaging the area seems to make it worse. This leads me to believe that I’m probably upsetting the VMO tendon, or a ligament around it (MPFL?). 

    This is the area I’m describing (in red), a lateral view with the patella on the extreme left:

    http://xcessiv.net/VMO.png

    I’m wondering if I should:

    • keep massaging, the trigger point is probably more serious and will take several days to address
    • stop everything and rest
    • go see a physio

    Any related experience?

    Thanks! 

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  • March 27, 2018 at 9:20 pm #915443
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    zzk

    OK, so “VMO trigger points”

    OK, so “VMO trigger points” are not a diagnosis, but simply implying it hurts when you press near the musculotendinous insertion of the VMO. Understanding how the pain has developed may give insight into the problem, e.g. sudden onset, gradual with training volume/ intensity of efforts, new kit, saddle, bike, set up etc. Any impact or traumatic injury or past history etc. 

     

    Are you cnfident in your bike set up. If in doubt get a club colleague to help or check out some of the online or bike fit books. Pay up for an expensive fit if you want, buyt most people should be able to get sorted without.

     

    As for the injury, it very much depends on above. If relatively recent onset, and its more muscular than tendon related a short period of reduced volume/ intensity and stretching should be sufficient. If more chronic and tendon related rest, stretching and a little lay off may be required and consideration of eccentric loading as it settles. If persistent an MRI scan would help assess the severity of the issue and give an idea of recovery time, rehab plan etc.

    March 26, 2018 at 3:09 pm #915441
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    peted76

    Stop everything and rest,

    Stop everything and rest, then go see a sports physio (not a normal one). Who’ll probably say keep off it, and rest.

    The only thing you should massage on your knee in this case I’d say is to gently massage away any fluid build up.

    If you can ‘feel’ a trigger point, it may feel better but it aint fixed yet and if it’s ligament stuff.. don’t massage it, I’m not a doctor, or very clever, but I’ve had enough injurues to remember not to massage ligament issues.

    March 26, 2018 at 3:03 pm #915439
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    Boatsie

    I have no idea precise of
    I have no idea precise of your premise.
    I’m sore at the moment.
    We were taught to sweat flu though.
    Stilling pain recovers better gain.
    Water. Drink plenty and remain hydrated.
    Have 2 of 3;
    Quick, cheap, quality.
    Pretty sure physios are normally quick and quality.
    I’d normally stand around with eyes shut pre pretending that my balance will improve yet aye, knot; injury; feels so similar.

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