Image your day consisting of a 2.4-mile (3.86 km) swim, a 112-mile (180.25 km) bicycle ride and a marathon 26.2-mile (42.2 km) run. This is without breaks and all events must be completed in 17 hours.
To participate you must have completed prior Ironman competitions under certain and strict guidelines.
Welcome to the Kona Ironman, which is the world championship of all Ironman.
TG is a patient who presented to Centeno-Schultz Clinic with the aim of successfully completing Kona despite ongoing knee pain.
TG is 54 y/o avid athlete and professional with a 15 month history of right knee pain localized on the medial aspect without radiations and associated with limp and intermittent swelling. Treatment to date included unloader brace, steroid injection, PT, massage, trial of NSAID and two knee arthroscopies with partial resection of the medial meniscus. MRI was significant for mild scarring of the ACL, tear of the medial meniscus, partially extruded medial meniscus , edema in bone on medial femoral condyle and thinning of cartilage in medial and patella femoral compartment and laxity of MCL.
Physical examination was significant for asymmetric calf girth, quadriceps weakness, decreased sensation in right big toes, laxity of the ACL and MCL( medial collateral ligament) and right knee swelling.
Lumbar spine x-ray demonstrated disc space narrowing and 3 mm anterolisthesis.(slippage)
What! Why the back? Refer to SANS in free Ortho 2.0 text
Treatment included:
x-ray guided prolotherapy of ACL and MCL.
Regenexx cSCP into the lumbar epidural space at L4/5 and L5/S1. Regenexx PL-Disc
Prolotherapy of the supraspinous, intraspinous, and iliolumbar ligaments.
Regenexx cSCP injected into ACL, MCL.
One of TG’s largest concerns prior to the competition was his knee and he reports that he ‘had no problems”.
We acknowledge all the time, hard work, commitment and dedication it took to qualify and complete in the Kona 2013 Ironman. Thank you for allowing Regenexx to assist you in achieving your goal.
CONGRATULATIONS !!