Getting an MRI on Tuesday……. (5 Viewers)

[Alex P Keaton]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

 

[gianmarco]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

 

[MTskibum]

Going to have to amputate.

Thoughts and prayers.

 

[belljr]

Ball cancer

 

[Alex P Keaton]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

Thx gian. I also thought an ER unnecessary (!!) and have the orthopedic appointment on Tuesday scheduled already. Technically the MRI isn’t scheduled but I’m surmising the ortho will have me do one either that day or later in the week.

I’ve known for years that basketball would likely end in an injury. And I take your counsel to heart — with the caveat that people are blowing out AcLs and Achilles left and right playing pickleball (the lamest, pansiest “sport” of all time). So should I avoid pickleball too? Skiing - lots of knee injuries. Boom. I hate swimming - that’s out. Running……well, I love it but my body doesn’t……

Anyway. Getting old sucks. Thx for the reply.

 

[MAC_32]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

 

[Alex P Keaton]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

Probably if you are asking the question y you already should have stopped.

 

[MAC_32]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

Probably if you are asking the question y you already should have stopped.

Lol, of course, any activity is non-zero risk, increasing with middle age. Just trying to get a sense of that risk quantified. I've pivoted to trail run / hiking and strength training as my primary forms of exercise (and golf if that counts), but mix in other things sparingly when the kids are involved.

 

[Alex P Keaton]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

Probably if you are asking the question y you already should have stopped.

Lol, of course, any activity is non-zero risk, increasing with middle age. Just trying to get a sense of that risk quantified. I've pivoted to trail run / hiking and strength training as my primary forms of exercise (and golf if that counts), but mix in other things sparingly when the kids are involved.

All I’ll say is this: I’ve been talking about basketball leading to a “career ending injury” for over a decade now. That overlaps with your current age (I’m 50 now).

Best thing for me to do would have been a transition to cycling and doubles tennis. Maybe trail running. All of those still involve some risk, but it has to be far far lower than basketball.

I WISH that swimming was of interest to me. But alas — I hate it.

Cross country skiing is also a solid activity. Great exercise and far less risk than downhill.

Anyway, I defer to actual medical experts (like Gian). But again, if you are asking the question (like I have for years now) then you already probably know the answer.

 

[Mitchie]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

unless gianmarco knows you very well it's a pointless question as age is only one factor, people can have very different levels of fitness, genetics and injury history.

 

[NutterButter]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

Probably if you are asking the question y you already should have stopped.

Lol, of course, any activity is non-zero risk, increasing with middle age. Just trying to get a sense of that risk quantified. I've pivoted to trail run / hiking and strength training as my primary forms of exercise (and golf if that counts), but mix in other things sparingly when the kids are involved.

All I’ll say is this: I’ve been talking about basketball leading to a “career ending injury” for over a decade now. That overlaps with your current age (I’m 50 now).

Best thing for me to do would have been a transition to cycling and doubles tennis. Maybe trail running. All of those still involve some risk, but it has to be far far lower than basketball.

Cycling is the way. Mix in some yoga and light weight training and you're on a path towards longterm success

 

[Gally]

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

I would be more worried about achilles than ACL at advanced age (not referring to this specific injury - just as a general old person).

 

[Kev4029]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

Too soon.

 

[The Dreaded Marco]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

Sorry to hear that APK.

I'm not an orthopedic surgeon, but that sounds more like a hamstring to me. A torn ACL usually blows the knee up like a balloon within an hour. Could be either. Regardless, best wishes for a speedy recovery.

And, sorry to say it, but time to take up biking and swimming. I'm right there with you. I just had a total knee replacement---not fun but ultimately will be well worth it.

 

[MAC_32]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

unless gianmarco knows you very well it's a pointless question as age is only one factor, people can have very different levels of fitness, genetics and injury history.

Based on the below...

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

...it doesn't appear that way. Obviously general guidance must be applied individually, but it appears he may have some data to cite. There was a time in the not too recent past I was in the top 1% in health for my age group, but that's changed over the last 3-5 years. I'm still probably in the top 10-20%, but I've added some bad weight and lost both endurance and balance / agility. Plus while I don't recall how much I've shared, Gian at least knows the cliff notes of my various ailments and fitness.

 

[MAC_32]

Cycling is the way. Mix in some yoga and light weight training and you're on a path towards longterm success

I eluded to it in a different thread (fat to fit?) recently, but this isn't a great fit for me.

I don't live in a great biking area, to get more than a few miles of motor vehicle free biking I have to travel a ways, and most of those options are flat. The city is slowly creating more bike friendly streets, but the key word there is 'slowly.' The popular routes around here are not safe ones - low shoulder, windy roads, heavily wooded, and modest traffic.

Additionally, it takes about twice as long to burn the same amount of calories biking as it does running / hiking. That's a major problem in my current stage of life. I don't recall specifics of what you've shared before, but iirc your kids are older. Ours are at the stage that require A LOT of our time. Through careful planning I carved out ~45 minute windows Mon evening and Tue afternoon. I might have ~30 mins Wed lunch. I should have time for something of greater consequence either Fri or Sat am, but unlikely to be much more than an hour. That's enough weekly cardio (I try to target closer to 4 hours) for running / hiking, but not biking.

There will be a time in my life in which I can create large enough windows to bike, but that ain't any time soon.

---

I am planning on starting to re-integrate yoga once the weather starts to turn though. I really need to find a class and stick to that schedule. It's something I enjoy once it becomes routine, but I've found it's something I struggle doing on my own now that it's so far removed from my regimen.

 

[Mitchie]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

unless gianmarco knows you very well it's a pointless question as age is only one factor, people can have very different levels of fitness, genetics and injury history.

Based on the below...

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

...it doesn't appear that way. Obviously general guidance must be applied individually, but it appears he may have some data to cite. There was a time in the not too recent past I was in the top 1% in health for my age group, but that's changed over the last 3-5 years. I'm still probably in the top 10-20%, but I've added some bad weight and lost both endurance and balance / agility. Plus while I don't recall how much I've shared, Gian at least knows the cliff notes of my various ailments and fitness.

well the statement that everyone who plays basketball into their 50's and beyond tears their ACL is ridiculous

 

[NutterButter]

Cycling is the way. Mix in some yoga and light weight training and you're on a path towards longterm success

I eluded to it in a different thread (fat to fit?) recently, but this isn't a great fit for me.

I don't live in a great biking area, to get more than a few miles of motor vehicle free biking I have to travel a ways, and most of those options are flat. The city is slowly creating more bike friendly streets, but the key word there is 'slowly.' The popular routes around here are not safe ones - low shoulder, windy roads, heavily wooded, and modest traffic.

Additionally, it takes about twice as long to burn the same amount of calories biking as it does running / hiking. That's a major problem in my current stage of life. I don't recall specifics of what you've shared before, but iirc your kids are older. Ours are at the stage that require A LOT of our time. Through careful planning I carved out ~45 minute windows Mon evening and Tue afternoon. I might have ~30 mins Wed lunch. I should have time for something of greater consequence either Fri or Sat am, but unlikely to be much more than an hour. That's enough weekly cardio (I try to target closer to 4 hours) for running / hiking, but not biking.

There will be a time in my life in which I can create large enough windows to bike, but that ain't any time soon.

---

I am planning on starting to re-integrate yoga once the weather starts to turn though. I really need to find a class and stick to that schedule. It's something I enjoy once it becomes routine, but I've found it's something I struggle doing on my own now that it's so far removed from my regimen.

Your popular routes sound like the routes I ride. There's certainly an inherent risk but I feel its reasonable. I only road ride in the warmer months in NJ (mountain the rest of the year) and that first ride back on the road is a little edgy but I'm quickly back into the routine where I don't even think about the cards. I'm a big hiker as well but unless you've got some good elevation gain hikes near you, I don't think you're getting the same workout. For people that don't exercise much, something is better than nothing but I don't think its comparable. Running definitely burns more but I don't think its 2:1. And the tradeoff is the wear and tear. But YMMV. All good options but for me cycling is that sweet spot between enjoyment, convenience and results. But you're right about my life stage. And I work remotely so its very easy for me to get rides in before work in the summer and during the day the rest of the year. I'm well aware of your stage when I was commuting and it was rough. Lots of trying to squeeze in whatever you can whenever you can.

 

[MAC_32]

I'm a big hiker as well but unless you've got some good elevation gain hikes near you, I don't think you're getting the same workout.

Depends what you define as 'good.' My work is a variety in-office and regional visits - 106 sites within an hour or so from home base. This is the list of weekday workouts from the last 2 weeks:

45 mins 628'
44 mins 381'
61 mins 721'
29 mins 496'
47 mins 381' (different route, elevation just a coincidence)

Those were all amidst my daily routine, and not every week will break as favorably as the last 2. On my plan for this week only Tuesday will allow for this sort of workout - may just do urban hill repeats if I can sneak out Wed. But what I cited above is almost exclusively technical routes - rocks, roots, steep inclines, creek crossings, single track, etc. Ones where the flatter sections still require technical running. Conditions will eventually force me to more bridal trails, but it'll net similar elevation and footwork demands, it's just those demands shift more towards ice. I'm not familiar with NJ's terrain, but I assume this area has some similarities to the NW section of the state as it's Appalachian foothills - I'm sure we deal with more ice though. It's difficult for me to get to our best routes amidst a normal week, pretty much need to have one of about a dozen sites on the list with a gap before / after, but when I have large enough windows (at least 2.5 hours) I'll get out there like I did Sat am.

69 mins 997'

When I get in better shape, I'll be able to go a further. I was gassed at an hour and thrilled most of the final mile was downhill. I doubt I'll get to more than 90 mins this year, but if this habit sticks, I expect to when things dry out next year. As I get in better shape I'll definitely cover more ground though. I used to pace these things under 10 min / mi avg, whereas I didn't have any miles under 10 on Sat - I turned around early due to both fatigue and available time Sat. I'd need to scroll through my history to see if I've had any 2K+ elevation routes, but I've had several in this area with four digits.

 

[tri-man 47]

Physical ailments interrupting our fitness routines? Hold my beer.

 

[Terminalxylem]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

At what age do you suggest postponing things like basketball? My plan was to continue to play intermittently during practice in-season as long as I'm coaching. I'm 42 and either have 2 or 5 more years.

No single answer to this question, but IIRC, you’ve already had injuries to both legs. Explosive sports, like basketball annd soccer, are terrible for middle aged people, always at or near the top for sports-related injuries. In your shoes, I’d give it up now.

 

[AAABatteries]

Thanks for the detailed description — that helps narrow things down. Based on what you’ve shared, here’s a breakdown of the most likely diagnoses, with the most probable listed first:

---

Most Likely Injury: Distal Hamstring Tendon Tear or Strain​

• Why it fits:
  • You had prior hamstring soreness for several weeks.
  • The "pop" sensation with a sudden movement is a hallmark of tendon tearing.
  • Pain is localized behind the knee, where the hamstring tendons insert.
  • Immediate weakness and difficulty bearing weight support this diagnosis.
• Severity can range from:
  • Grade I/II strain (partial tearing)
  • Complete distal hamstring avulsion (rare but more serious — tendon pulled off the bone)

---

Other Possibilities to Rule Out:​

1.Popliteus Strain or Tear​

• Located deep behind the knee, stabilizes during turning motions.
• Less common, but can be injured during rotation and pivoting, especially if the hamstring was already weakened.

2.Posterior Cruciate Ligament (PCL) Injury​

• Usually involves a direct blow to the front of the shin, but can also occur with twisting motions.
• Less likely if your pain is only in the back of the knee, with no instability or swelling in the front of the joint.

3.Baker’s Cyst Rupture​

• Could cause a pop behind the knee and swelling, but usually not this sudden or disabling.
• More likely in older individuals or those with prior knee issues

4. Ball Cancer

---

Red Flags — Consider Seeing a Doctor ASAP If:​

• You still can’t put weight on the leg 24–48 hours later.
• There’s visible bruising or swelling in the back of your leg or calf.
• You notice foot weakness or numbness/tingling (could indicate nerve involvement).
• There’s a noticeable lump where the hamstring inserts near the knee — may indicate a tendon retraction.

---

What You Should Do:​

1. Rest and Ice: Elevate and ice the back of your knee to reduce inflammation.
2. Compression: Use a soft brace or elastic wrap.
3. Crutches: If you can’t bear weight, don’t force it — crutches are a smart move.
4. Orthopedic Evaluation: You’ll likely need an MRI to confirm if a tendon is torn or just strained.

---

Would you like help preparing questions to ask your doctor, or advice on how to rehab this type of injury depending on severity?

 

[Terminalxylem]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

Thx gian. I also thought an ER unnecessary (!!) and have the orthopedic appointment on Tuesday scheduled already. Technically the MRI isn’t scheduled but I’m surmising the ortho will have me do one either that day or later in the week.

I’ve known for years that basketball would likely end in an injury. And I take your counsel to heart — with the caveat that people are blowing out AcLs and Achilles left and right playing pickleball (the lamest, pansiest “sport” of all time). So should I avoid pickleball too? Skiing - lots of knee injuries. Boom. I hate swimming - that’s out. Running……well, I love it but my body doesn’t……

Anyway. Getting old sucks. Thx for the reply.

Agree the ED was unnecessary. Just see the orthopod and get the MRI. PEACE and LOVE in the meantime:

The PEACE and LOVE protocol is a modern approach to managing soft tissue injuries, emphasizing immediate care with protection, elevation, avoiding anti-inflammatories, compression, and education (PEACE), followed by long-term recovery through loading, optimism, vascularization, and exercise (LOVE). This method aims to enhance healing and recovery compared to traditional methods like RICE.

Cycling, hiking, walking hills, swimming, tennis, golf, and yoga are all relatively safe exercises. Even skiing isn’t that bad, if you avoid bumps and jumps. FWIW, I’ve seen a lot more old skiers than basketball players.

And while it’s tough to get into as an older athlete, (indoor) rock climbing is also great for maintaining strength, balance, and flexibility.*

*My current hamstring injury notwithstanding

 

[Terminalxylem]

Thanks for the detailed description — that helps narrow things down. Based on what you’ve shared, here’s a breakdown of the most likely diagnoses, with the most probable listed first:

---

Most Likely Injury: Distal Hamstring Tendon Tear or Strain​

• Why it fits:
  • You had prior hamstring soreness for several weeks.
  • The "pop" sensation with a sudden movement is a hallmark of tendon tearing.
  • Pain is localized behind the knee, where the hamstring tendons insert.
  • Immediate weakness and difficulty bearing weight support this diagnosis.
• Severity can range from:
  • Grade I/II strain (partial tearing)
  • Complete distal hamstring avulsion (rare but more serious — tendon pulled off the bone)

---

Other Possibilities to Rule Out:​

1.Popliteus Strain or Tear​

• Located deep behind the knee, stabilizes during turning motions.
• Less common, but can be injured during rotation and pivoting, especially if the hamstring was already weakened.

2.Posterior Cruciate Ligament (PCL) Injury​

• Usually involves a direct blow to the front of the shin, but can also occur with twisting motions.
• Less likely if your pain is only in the back of the knee, with no instability or swelling in the front of the joint.

3.Baker’s Cyst Rupture​

• Could cause a pop behind the knee and swelling, but usually not this sudden or disabling.
• More likely in older individuals or those with prior knee issues

4. Ball Cancer

---

Red Flags — Consider Seeing a Doctor ASAP If:​

• You still can’t put weight on the leg 24–48 hours later.
• There’s visible bruising or swelling in the back of your leg or calf.
• You notice foot weakness or numbness/tingling (could indicate nerve involvement).
• There’s a noticeable lump where the hamstring inserts near the knee — may indicate a tendon retraction.

---

What You Should Do:​

1. Rest and Ice: Elevate and ice the back of your knee to reduce inflammation.
2. Compression: Use a soft brace or elastic wrap.
3. Crutches: If you can’t bear weight, don’t force it — crutches are a smart move.
4. Orthopedic Evaluation: You’ll likely need an MRI to confirm if a tendon is torn or just strained.

---

Would you like help preparing questions to ask your doctor, or advice on how to rehab this type of injury depending on severity?

If it ends up being distal hamstring, I can give a lot of additional info. But the twisting mechanism and ability to fully extend the knee without changing pain kinda speaks against it, as does knee pain.

 

[Alex P Keaton]

Thanks for the detailed description — that helps narrow things down. Based on what you’ve shared, here’s a breakdown of the most likely diagnoses, with the most probable listed first:

---

Most Likely Injury: Distal Hamstring Tendon Tear or Strain​

• Why it fits:
  • You had prior hamstring soreness for several weeks.
  • The "pop" sensation with a sudden movement is a hallmark of tendon tearing.
  • Pain is localized behind the knee, where the hamstring tendons insert.
  • Immediate weakness and difficulty bearing weight support this diagnosis.
• Severity can range from:
  • Grade I/II strain (partial tearing)
  • Complete distal hamstring avulsion (rare but more serious — tendon pulled off the bone)

---

Other Possibilities to Rule Out:​

1.Popliteus Strain or Tear​

• Located deep behind the knee, stabilizes during turning motions.
• Less common, but can be injured during rotation and pivoting, especially if the hamstring was already weakened.

2.Posterior Cruciate Ligament (PCL) Injury​

• Usually involves a direct blow to the front of the shin, but can also occur with twisting motions.
• Less likely if your pain is only in the back of the knee, with no instability or swelling in the front of the joint.

3.Baker’s Cyst Rupture​

• Could cause a pop behind the knee and swelling, but usually not this sudden or disabling.
• More likely in older individuals or those with prior knee issues

4. Ball Cancer

---

Red Flags — Consider Seeing a Doctor ASAP If:​

• You still can’t put weight on the leg 24–48 hours later.
• There’s visible bruising or swelling in the back of your leg or calf.
• You notice foot weakness or numbness/tingling (could indicate nerve involvement).
• There’s a noticeable lump where the hamstring inserts near the knee — may indicate a tendon retraction.

---

What You Should Do:​

1. Rest and Ice: Elevate and ice the back of your knee to reduce inflammation.
2. Compression: Use a soft brace or elastic wrap.
3. Crutches: If you can’t bear weight, don’t force it — crutches are a smart move.
4. Orthopedic Evaluation: You’ll likely need an MRI to confirm if a tendon is torn or just strained.

---

Would you like help preparing questions to ask your doctor, or advice on how to rehab this type of injury depending on severity?

If it ends up being distal hamstring, I can give a lot of additional info. But the twisting mechanism and ability to fully extend the knee without changing pain kinda speaks against it, as does knee pain.

Only pain is lower thigh and behind the knee. No pain on front or side of knee. Still no swelling or bruising 30 hours later.

 

[Alex P Keaton]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

Thx gian. I also thought an ER unnecessary (!!) and have the orthopedic appointment on Tuesday scheduled already. Technically the MRI isn’t scheduled but I’m surmising the ortho will have me do one either that day or later in the week.

I’ve known for years that basketball would likely end in an injury. And I take your counsel to heart — with the caveat that people are blowing out AcLs and Achilles left and right playing pickleball (the lamest, pansiest “sport” of all time). So should I avoid pickleball too? Skiing - lots of knee injuries. Boom. I hate swimming - that’s out. Running……well, I love it but my body doesn’t……

Anyway. Getting old sucks. Thx for the reply.

Agree the ED was unnecessary. Just see the orthopod and get the MRI. PEACE and LOVE in the meantime:

The PEACE and LOVE protocol is a modern approach to managing soft tissue injuries, emphasizing immediate care with protection, elevation, avoiding anti-inflammatories, compression, and education (PEACE), followed by long-term recovery through loading, optimism, vascularization, and exercise (LOVE). This method aims to enhance healing and recovery compared to traditional methods like RICE.

Cycling, hiking, walking hills, swimming, tennis, golf, and yoga are all relatively safe exercises. Even skiing isn’t that bad, if you avoid bumps and jumps. FWIW, I’ve seen a lot more old skiers than basketball players.

And while it’s tough to get into as an older athlete, (indoor) rock climbing is also great for maintaining strength, balance, and flexibility.*

*My current hamstring injury notwithstanding

Very much appreciate the post and suggestions. I’m already a tennis guy, so shifting my time to doubles tennis is an easy thing. Also a big fan of hiking, and typically walk 5-6 miles a day anyway. Mrs APK wants me to do yoga with her……I’ve offered to do classes that are mostly populated with late 20s/early 30s women in yoga pants, but so far she hasn’t committed to that plan.

Quitting basketball will be really hard to do, but my mother told me years ago that aging involves acceptance of loss in various forms. I can do it, it will be hard, and that’s ok.

 

[Terminalxylem]

I'm a big hiker as well but unless you've got some good elevation gain hikes near you, I don't think you're getting the same workout.

Depends what you define as 'good.' My work is a variety in-office and regional visits - 106 sites within an hour or so from home base. This is the list of weekday workouts from the last 2 weeks:

45 mins 628'
44 mins 381'
61 mins 721'
29 mins 496'
47 mins 381' (different route, elevation just a coincidence)

Those were all amidst my daily routine, and not every week will break as favorably as the last 2. On my plan for this week only Tuesday will allow for this sort of workout - may just do urban hill repeats if I can sneak out Wed. But what I cited above is almost exclusively technical routes - rocks, roots, steep inclines, creek crossings, single track, etc. Ones where the flatter sections still require technical running. Conditions will eventually force me to more bridal trails, but it'll net similar elevation and footwork demands, it's just those demands shift more towards ice. I'm not familiar with NJ's terrain, but I assume this area has some similarities to the NW section of the state as it's Appalachian foothills - I'm sure we deal with more ice though. It's difficult for me to get to our best routes amidst a normal week, pretty much need to have one of about a dozen sites on the list with a gap before / after, but when I have large enough windows (at least 2.5 hours) I'll get out there like I did Sat am.

69 mins 997'

When I get in better shape, I'll be able to go a further. I was gassed at an hour and thrilled most of the final mile was downhill. I doubt I'll get to more than 90 mins this year, but if this habit sticks, I expect to when things dry out next year. As I get in better shape I'll definitely cover more ground though. I used to pace these things under 10 min / mi avg, whereas I didn't have any miles under 10 on Sat - I turned around early due to both fatigue and available time Sat. I'd need to scroll through my history to see if I've had any 2K+ elevation routes, but I've had several in this area with four digits.

Yeah, you can get in great shape walking hills.

Pre-injury, vO2 max was nipping at my age, just from briskly walking ~5 miles/day, with ~900 foot elevation gain, which takes 90 minutes. My fastest mile is somewhere around 13 minutes. There’s also a shorter, steeper hike which packs 1200 feet into 3/4 mile, which many local military and triathletes use to train.

 

[Terminalxylem]

Thanks for the detailed description — that helps narrow things down. Based on what you’ve shared, here’s a breakdown of the most likely diagnoses, with the most probable listed first:

---

Most Likely Injury: Distal Hamstring Tendon Tear or Strain​

• Why it fits:
  • You had prior hamstring soreness for several weeks.
  • The "pop" sensation with a sudden movement is a hallmark of tendon tearing.
  • Pain is localized behind the knee, where the hamstring tendons insert.
  • Immediate weakness and difficulty bearing weight support this diagnosis.
• Severity can range from:
  • Grade I/II strain (partial tearing)
  • Complete distal hamstring avulsion (rare but more serious — tendon pulled off the bone)

---

Other Possibilities to Rule Out:​

1.Popliteus Strain or Tear​

• Located deep behind the knee, stabilizes during turning motions.
• Less common, but can be injured during rotation and pivoting, especially if the hamstring was already weakened.

2.Posterior Cruciate Ligament (PCL) Injury​

• Usually involves a direct blow to the front of the shin, but can also occur with twisting motions.
• Less likely if your pain is only in the back of the knee, with no instability or swelling in the front of the joint.

3.Baker’s Cyst Rupture​

• Could cause a pop behind the knee and swelling, but usually not this sudden or disabling.
• More likely in older individuals or those with prior knee issues

4. Ball Cancer

---

Red Flags — Consider Seeing a Doctor ASAP If:​

• You still can’t put weight on the leg 24–48 hours later.
• There’s visible bruising or swelling in the back of your leg or calf.
• You notice foot weakness or numbness/tingling (could indicate nerve involvement).
• There’s a noticeable lump where the hamstring inserts near the knee — may indicate a tendon retraction.

---

What You Should Do:​

1. Rest and Ice: Elevate and ice the back of your knee to reduce inflammation.
2. Compression: Use a soft brace or elastic wrap.
3. Crutches: If you can’t bear weight, don’t force it — crutches are a smart move.
4. Orthopedic Evaluation: You’ll likely need an MRI to confirm if a tendon is torn or just strained.

---

Would you like help preparing questions to ask your doctor, or advice on how to rehab this type of injury depending on severity?

If it ends up being distal hamstring, I can give a lot of additional info. But the twisting mechanism and ability to fully extend the knee without changing pain kinda speaks against it, as does knee pain.

Only pain is lower thigh and behind the knee. No pain on front or side of knee. Still no swelling or bruising 30 hours later.

Oh, I misunderstood your OP then - thought you had dull pain at front and sides of knee as well. Regardless, it’s PEACE and LOVE, until the orthopedic eval.

 

[Terminalxylem]

Ok FBGs doctors……good times here in the APK household. Since FBGs has the best of everything — doctors, athletes, thinkers — here is the situation:

Injured myself playing basketball yesterday. Had two sore hamstrings as of 5 weeks ago, gradually nursed them to what I thought was health. Didn’t do anything particularly athletic yesterday - just took a step and turned to run, and felt a pop behind my knee. Immediately couldn’t put weight on my leg. Felt pain right behind the knee, and general weakness in the leg.

I did the RICE method immediately. No noticeable swelling. No bruising. Able to extend and bend my leg. Pain is a 2.5 or 3 on a scale of 10 when I’m just sitting with the leg immobilized. Just low level annoying aches. Some dull pain on the sides and front of the knee.

I’m going for an MRI on Tuesday. Went to the ER yesterday because that’s what my BIL (doctor) said to do since I couldn’t put weight on the leg. Of course they did an x-ray, of course it shed zero light on things, of course they said “well, you really need an MRI.”

What do the FBGs experts think is the most likely diagnosis given the situation and current symptoms?

Sounds suspicious for an ACL injury.

ER was likely unnecessary for this. You just need to get in to see an orthopedic doctor. A lot of them have injury/walk in clinics. Even without that, you can usually get in within a couple of days.

I would do that before getting the MRI. You'll likely still get the MRI, but start with ortho. In the meantime, RICE as you are and don't put any weight on it. Get crutches (and fit them) and use those until you are seen.

Sorry :(

And, on a side note, this is why those of us at our age shouldn't be doing basketball. Not a matter of if, but when that ACL goes. If you're lucky and it's not that, take this as a warning to give it up.

Thx gian. I also thought an ER unnecessary (!!) and have the orthopedic appointment on Tuesday scheduled already. Technically the MRI isn’t scheduled but I’m surmising the ortho will have me do one either that day or later in the week.

I’ve known for years that basketball would likely end in an injury. And I take your counsel to heart — with the caveat that people are blowing out AcLs and Achilles left and right playing pickleball (the lamest, pansiest “sport” of all time). So should I avoid pickleball too? Skiing - lots of knee injuries. Boom. I hate swimming - that’s out. Running……well, I love it but my body doesn’t……

Anyway. Getting old sucks. Thx for the reply.

Agree the ED was unnecessary. Just see the orthopod and get the MRI. PEACE and LOVE in the meantime:

The PEACE and LOVE protocol is a modern approach to managing soft tissue injuries, emphasizing immediate care with protection, elevation, avoiding anti-inflammatories, compression, and education (PEACE), followed by long-term recovery through loading, optimism, vascularization, and exercise (LOVE). This method aims to enhance healing and recovery compared to traditional methods like RICE.

Cycling, hiking, walking hills, swimming, tennis, golf, and yoga are all relatively safe exercises. Even skiing isn’t that bad, if you avoid bumps and jumps. FWIW, I’ve seen a lot more old skiers than basketball players.

And while it’s tough to get into as an older athlete, (indoor) rock climbing is also great for maintaining strength, balance, and flexibility.*

*My current hamstring injury notwithstanding

Very much appreciate the post and suggestions. I’m already a tennis guy, so shifting my time to doubles tennis is an easy thing. Also a big fan of hiking, and typically walk 5-6 miles a day anyway. Mrs APK wants me to do yoga with her……I’ve offered to do classes that are mostly populated with late 20s/early 30s women in yoga pants, but so far she hasn’t committed to that plan.

Quitting basketball will be really hard to do, but my mother told me years ago that aging involves acceptance of loss in various forms. I can do it, it will be hard, and that’s ok.

PRO TIP: Climbing gyms are also populated with fit 20/30 somethings in yoga pants.

 

[Alex P Keaton]

Thanks for the detailed description — that helps narrow things down. Based on what you’ve shared, here’s a breakdown of the most likely diagnoses, with the most probable listed first:

---

Most Likely Injury: Distal Hamstring Tendon Tear or Strain​

• Why it fits:
  • You had prior hamstring soreness for several weeks.
  • The "pop" sensation with a sudden movement is a hallmark of tendon tearing.
  • Pain is localized behind the knee, where the hamstring tendons insert.
  • Immediate weakness and difficulty bearing weight support this diagnosis.
• Severity can range from:
  • Grade I/II strain (partial tearing)
  • Complete distal hamstring avulsion (rare but more serious — tendon pulled off the bone)

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Other Possibilities to Rule Out:​

1.Popliteus Strain or Tear​

• Located deep behind the knee, stabilizes during turning motions.
• Less common, but can be injured during rotation and pivoting, especially if the hamstring was already weakened.

2.Posterior Cruciate Ligament (PCL) Injury​

• Usually involves a direct blow to the front of the shin, but can also occur with twisting motions.
• Less likely if your pain is only in the back of the knee, with no instability or swelling in the front of the joint.

3.Baker’s Cyst Rupture​

• Could cause a pop behind the knee and swelling, but usually not this sudden or disabling.
• More likely in older individuals or those with prior knee issues

4. Ball Cancer

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Red Flags — Consider Seeing a Doctor ASAP If:​

• You still can’t put weight on the leg 24–48 hours later.
• There’s visible bruising or swelling in the back of your leg or calf.
• You notice foot weakness or numbness/tingling (could indicate nerve involvement).
• There’s a noticeable lump where the hamstring inserts near the knee — may indicate a tendon retraction.

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What You Should Do:​

1. Rest and Ice: Elevate and ice the back of your knee to reduce inflammation.
2. Compression: Use a soft brace or elastic wrap.
3. Crutches: If you can’t bear weight, don’t force it — crutches are a smart move.
4. Orthopedic Evaluation: You’ll likely need an MRI to confirm if a tendon is torn or just strained.

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Would you like help preparing questions to ask your doctor, or advice on how to rehab this type of injury depending on severity?

If it ends up being distal hamstring, I can give a lot of additional info. But the twisting mechanism and ability to fully extend the knee without changing pain kinda speaks against it, as does knee pain.

Only pain is lower thigh and behind the knee. No pain on front or side of knee. Still no swelling or bruising 30 hours later.

Oh, I misunderstood your OP then - thought you had dull pain at front and sides of knee as well. Regardless, it’s PEACE and LOVE, until the orthopedic eval.

Yeah, the dull pain was there yesterday but is gone as of this morning now. Not sure what to make of that but will let the ortho figure that out!

 

[NutterButter]

I'm a big hiker as well but unless you've got some good elevation gain hikes near you, I don't think you're getting the same workout.

Depends what you define as 'good.' My work is a variety in-office and regional visits - 106 sites within an hour or so from home base. This is the list of weekday workouts from the last 2 weeks:

45 mins 628'
44 mins 381'
61 mins 721'
29 mins 496'
47 mins 381' (different route, elevation just a coincidence)

Those were all amidst my daily routine, and not every week will break as favorably as the last 2. On my plan for this week only Tuesday will allow for this sort of workout - may just do urban hill repeats if I can sneak out Wed. But what I cited above is almost exclusively technical routes - rocks, roots, steep inclines, creek crossings, single track, etc. Ones where the flatter sections still require technical running. Conditions will eventually force me to more bridal trails, but it'll net similar elevation and footwork demands, it's just those demands shift more towards ice. I'm not familiar with NJ's terrain, but I assume this area has some similarities to the NW section of the state as it's Appalachian foothills - I'm sure we deal with more ice though. It's difficult for me to get to our best routes amidst a normal week, pretty much need to have one of about a dozen sites on the list with a gap before / after, but when I have large enough windows (at least 2.5 hours) I'll get out there like I did Sat am.

69 mins 997'

When I get in better shape, I'll be able to go a further. I was gassed at an hour and thrilled most of the final mile was downhill. I doubt I'll get to more than 90 mins this year, but if this habit sticks, I expect to when things dry out next year. As I get in better shape I'll definitely cover more ground though. I used to pace these things under 10 min / mi avg, whereas I didn't have any miles under 10 on Sat - I turned around early due to both fatigue and available time Sat. I'd need to scroll through my history to see if I've had any 2K+ elevation routes, but I've had several in this area with four digits.

For my basis of comparison the biggest climb in my area which I do regularly leading up to my hiking trips is 1200' gain in slightly more than a mile. That probably takes me about 50 minutes out and back. I think that's how long it takes. Maybe more. I'm doing it tomorrow morning so I'll time myself again. Heck of a workout but if I had to choose, I still think my road ride of a similar time duration is more intense. My regular route has a handful of short steep climbs and I guess its just that I'm pushing myself close to the max on each of them so I feel I'm just expending more effort. Now I could do a flatter route in which case that hike might be more demanding but if I was comparing apples to apples in terms of difficulty between the two activities, I think cycling is the more demanding. But either is a great activity as you get older so we're really just splitting hairs. I do think hiking takes more of a toll on your body (especially the knees on technical downhils) if you're doing these steeper routes so in terms of longevity cyling is the way to go as long as you don't crash. People do die or need rescuing hiking as well so maybe the odds of catastrophic injury are equal for both.

 

[Terminalxylem]

I'm a big hiker as well but unless you've got some good elevation gain hikes near you, I don't think you're getting the same workout.

Depends what you define as 'good.' My work is a variety in-office and regional visits - 106 sites within an hour or so from home base. This is the list of weekday workouts from the last 2 weeks:

45 mins 628'
44 mins 381'
61 mins 721'
29 mins 496'
47 mins 381' (different route, elevation just a coincidence)

Those were all amidst my daily routine, and not every week will break as favorably as the last 2. On my plan for this week only Tuesday will allow for this sort of workout - may just do urban hill repeats if I can sneak out Wed. But what I cited above is almost exclusively technical routes - rocks, roots, steep inclines, creek crossings, single track, etc. Ones where the flatter sections still require technical running. Conditions will eventually force me to more bridal trails, but it'll net similar elevation and footwork demands, it's just those demands shift more towards ice. I'm not familiar with NJ's terrain, but I assume this area has some similarities to the NW section of the state as it's Appalachian foothills - I'm sure we deal with more ice though. It's difficult for me to get to our best routes amidst a normal week, pretty much need to have one of about a dozen sites on the list with a gap before / after, but when I have large enough windows (at least 2.5 hours) I'll get out there like I did Sat am.

69 mins 997'

When I get in better shape, I'll be able to go a further. I was gassed at an hour and thrilled most of the final mile was downhill. I doubt I'll get to more than 90 mins this year, but if this habit sticks, I expect to when things dry out next year. As I get in better shape I'll definitely cover more ground though. I used to pace these things under 10 min / mi avg, whereas I didn't have any miles under 10 on Sat - I turned around early due to both fatigue and available time Sat. I'd need to scroll through my history to see if I've had any 2K+ elevation routes, but I've had several in this area with four digits.

For my basis of comparison the biggest climb in my area which I do regularly leading up to my hiking trips is 1200' gain in slightly more than a mile. That probably takes me about 50 minutes out and back. I think that's how long it takes. Maybe more. I'm doing it tomorrow morning so I'll time myself again. Heck of a workout but if I had to choose, I still think my road ride of a similar time duration is more intense. My regular route has a handful of short steep climbs and I guess its just that I'm pushing myself close to the max on each of them so I feel I'm just expending more effort. Now I could do a flatter route in which case that hike might be more demanding but if I was comparing apples to apples in terms of difficulty between the two activities, I think cycling is the more demanding. But either is a great activity as you get older so we're really just splitting hairs. I do think hiking takes more of a toll on your body (especially the knees on technical downhils) if you're doing these steeper routes so in terms of longevity cyling is the way to go as long as you don't crash. People do die or need rescuing hiking as well so maybe the odds of catastrophic injury are equal for both.

Yeah, I bike up the same ridge that I walk. It’s harder than walking going up, with max gradient ~15-20%, IIRC. Issue is, the decent is waaay easier, so total time in zone 2+ HR is lower.

But agree that cycling is a good overall exercise. While it spares the knees, can be rough on lumbar discs.