Knees, please?

topic posted Wed, March 26, 2008 - 6:24 AM by  offlineOttavina
(cross-posted from my tribe-blog in hopes to get an answer)

I've been digging ATS dancing a whole lot.

My knees, however, not so much.

I have a mild case of Ehlers-Danlos syndrome, so stuff likes to dislocate easily. That's part of the problem.

So I'm wondering if there are good exercises any of you do to strengthen or improve your knees (range of motion, prevention of pain, etc.)? Inquiring minds want to know.

(And I'm not doing, nor do I want to do, any Turkish drops, Brice-drops or anything anywhere near that. I do, at times, do yoga poses like the camel and a modified hero during which I'm on my knees.)

Thanks in advance.
posted by:
Ottavina
Wisconsin
  • Re: Knees, please?

    Wed, March 26, 2008 - 8:26 AM
    I would expect that, if you are in correct posture, ATS would hurt you or dislocate things no more often than regular walking (having severely dislocated a knee while just walking, I know that knees can go in all kinds of ways). Things to be wary of are taxeem, where you want to make sure you're using your obliques and not your knees to generate movement, and anything in the hip bump family, where aiming to have your weight evenly distributed left to right will reduce your odds of hosing your knees (or your back!).

    In addition to yoga, I practice a joint health routine called Intu-Flow that is fantastic for joint mobility & recovery: www.amazon.com/INTU-FLOW-.../B000M9BU2Q
  • Re: Knees, please?

    Wed, March 26, 2008 - 9:15 AM
    hi! aside from ats, i'm also a ballet & modern dancer... and have dislocated my right knee twice! woo! i was told to keep my thighs like an olympic runner's. that means quadriceps & hamstrings, with a little bit of adductor & abductor work too.

    i lift weights twice a week, usually doing leg extensions, leg curls, presses or squats. you can also do lunges holding weights, and adductor/abductor exercises with a cable machine or theraband to strengthen the assisting muscles on the inside & outside of the leg. oh! you can also do step-downs to work on stabilizer muscles. you find a step somewhere, and SLOWLY step down off of it, as slow as you can, before transferring the weight to the bottom step. and, you can also stand on stabilizer/wobble boards to help. note, these aren't exercises for a recently dislocated knee, but a healed & healthy maintenance program. i had other, easier, exercises for just after my knee had been hurt.

    whichever way your kneecaps tends to go during a dislocation, you need to build the opposite side of the leg. also, a knee brace for rehearsal or makeup-colored ace bandage can do great for slight stability & swelling. always wrap ace bandages from the bottom of the leg upward. i use a 4" wide ace wrap for the leg/knee. also, never underestimate the ice pack after a hard rehearsal! i have gel icepacks that mold to my knee, and if i'm at a camp or something intense, they're packed with me. i try to avoid pain medicine, and only reserve that for intense pain & swelling. pain is your body's way of telling you something's wrong, and you don't want to silence that voice and further damage things. i also have some dance kneepads for kneeling/ floorwork, though i still avoid drops. these can be found at any dance shop or discountdance.com.

    remember, that since the knee itself has no muscles, it's all those leg muscles that attach to the knee that are the key to knee health. you also might want to look into herbal & mineral supplements for joint health. i used to take something, but later switched to a multivitamin that has the same amount of that mineral.... i forget the name...

    hope this helps! feel free to PM me if you have more questions, and i'll see if i can answer! all that dance, kinesiology, and physical therapy has to come in handy sometime, eh? good luck! ~kelela ^_^
    • Re: Knees, please?

      Wed, March 26, 2008 - 6:08 PM
      "i was told to keep my thighs like an olympic runner's. that means quadriceps & hamstrings, with a little bit of adductor & abductor work too."

      "leg extensions, leg curls, presses or squats. you can also do lunges holding weights, and adductor/abductor exercises with a cable machine or theraband to strengthen the assisting muscles on the inside & outside of the leg."


      Yes yes yes! What Kelea said. My trainer makes sure to do all of the above with me, based on what I have showed her of ATS. the AB/ADuctor machines are very good to use. I keep things nice and varied, but I always use those.

      I am learning more and more just how important having strong, stable, rock solid thighs (oh that so does not sound good, does it? Haha) ... and those hamstrings and quads -- keep em' in check. They will serve you well if you stretch em out good, and maintain them/buff em up.



    • Re: Knees, please?

      Thu, March 27, 2008 - 4:57 AM
      ah, one other thing i've remembered:

      using higher weight, and making sure to add to the weight as you get stronger, will add strength and muscle mass.

      a medium weight, and just adding to the reps as you get stronger, will add some strength & endurance.... and not bulk up the muscles as much. it's more toning up than bulking up.

      so, for legs i do a moderate weight but like 20-30 reps, in 3 sets. that way i don't worry about huge thighs & butt. i do higher weights in reps of 8-14, 3 sets, for upper body which i want to bulk up to balance out my body shape.
    • Re: Knees, please?

      Sun, March 30, 2008 - 3:23 PM
      I second Kelela's tips. Strong muscles in thies and calves too are very important to kleep the knees safe. Not just for those who easily dislocate joints, but for everyone who practices a lot. Throw in some ab/obliique work too, and you'll get smooth transitions and good balance, and thus avoid sudden changes in position that could twist your knee and make it dislocate. Good luck. :)
  • Re: Knees, please?

    Wed, March 26, 2008 - 10:29 PM
    Thanks, everyone, for the suggestions. I suspected some of the strengthening exercises mentioned, but will try to incorporate most into my routine.

    I do have to watch the stretching, though, because my joint insertion points are huge the way they are, and, as I learned from a faulty prescription for lots of stretching to counter my tendinitis when it was first diagnosed a long time ago, typical stretching sets me up for more dislocations. (It was amusing, doing grad-school auditions, and having to stop playing to shove my thumb back into its place.) But I'm also learning that I cannot do without some kinds of stretching, so I'm trying to do more gradual, gentle, muscle-focused stretching (meaning if I feel the bones give too much, I'll stop).

    Really, I think a more serious incorporation of strength training has been missing for far too long in my regimen, so I'm hoping it will help on a lot of levels.

    Thanks again!
    • Re: Knees, please?

      Thu, March 27, 2008 - 2:09 PM
      Ya know what you need doll? You need to hire a trainer -- just for a bit -- one who will be willing to show you how to work out, with any limitations you may have. To get you on track, to teach you in person, and to show you that there are all kinds of ways to work your body parts out -- that get around most anything you have going on. There is always more than one way to skin a cat, and that's something a good trainer will teach you.

      When I say "trainer", don't get scared. I don't mean like one who will walk you around and boot-camp you till you cry. I mean someone, to just help you get going... work with you a bunch of times, personally. One who will watch your form, and make sure it's right. And one who has some brains and isn't just about "LOSE WEIGHT, GET BUFF!!!!" .... eh, those trainers are so not my thing.

      I'd lend you my trainer if you lived closer. You'd LOVE her... I do. She's wonderful :)

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