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Jumpers Knee or something worse pls help??

10 year old skateboarder here. no injury ever! been suffering from patellar tendinitis for over 1 year now.. went to see a psychical therapist did everything he told me! then an orthopedic and he gave me orthopedic soles because I also have flat feet  but only on one leg tho...

the doctors all tell me the same! that I have weak hips and flat feet that are causing my knee tendon to hurt. I have trained like a mad man but I see 0 improvement! the pains is right under my kneecap it feels as if someone is cutting my tendon with a knife when I bend my knees or jump or do anything...

When I compare my good leg to my bad leg my bad leg seems to have a lose tibia and the foot is pointing outward which lead me to something called "miserable leg alignment" if you compare my 2 legs there is a difference in how they are aligned.. my orthopedic also thought that maybe it could be a MCL tear causing the pain in my tendon but he is not sure and might get a arthroscopic surgery soon!

But if I sit down and stretch my legs u see that my bad leg has the femur and tibia misaligned and or the foot!

Any ideas what this could be? I'm also 24 if that matters at all.

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973741 tn?1342342773
Here is a sad fact, some activity is hard on us and we can't sustain doing it.  Ask any runner that eventually had to give it up due to their knees.  I have competitive runners in the family (sons) and I will say that shoes directly affect just about everything.  Depending on the shoe issue, they will have pain in knees, in feet, in calves.  No joke, shoes they've gone to a specific store to purchase shoes from that have been fit to their feet usually solves the issue so it taught me to never underestimate having the right shoes.  There are also telling you that your hips are weak.  Can you not strengthen those by working with a trainer and/or physical therapist?   This is something a lot of athletes I know have issues with, IT band syndrome.  https://www.medicinenet.com/iliotibial_band_syndrome/article.htm  Anything like that look familiar to you?
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Oh.  At first you said you were 10, and you didn't sound as young as 10.  I don't know that flat feet cause anything bad to happen in most people, other than a higher than average occurrence of plantar fasciitis. (But so do people with very high arches, so it goes).  I have a similar thing, though I'm a lot older than you are, my right foot sticks out to the right.  Don't know when it started, but I do have a pelvis that is permanently a bit tilted and I've had a lot of injuries that weren't dealt with very well.  But here's what I'm confused about with you -- an MRI should show if you have a meniscus or MCl problem.  Manipulating your leg, as it appears has been done, also tells a lot.  Because you've quite young, I'm thinking it's not likely to be a wear and tear injury and so there should have been a point where you first noticed it.  Was there?  If there was, what were you doing at the time?  You say you're an avid skateboarder, do you always push off with the bad leg?  Usually when this kind of thing happens you get analyzed and then sent to physical therapy to see if it can be fixed without surgery, unless an MRI shows an obvious bad tear that has to be operated on.  That doesn't appear to have happened in your case.  The first thing physical therapists usually do is get you to stop doing whatever it is you're doing so they can work on strengthening the areas above and below the injured area to take the stress off of it.  If the injury is chronic, you may have to find something else to do. though not usually at such a young age.  I can't tell you at all what's going on, but I have been through the process over and over as I've been very active and got old and this stuff adds up over the years.  If it is bad mechanics, it's good to get it fixed early in life, but only someone with expertise in sports medicine and movement can do that, not just anyone.  As always, if the docs you've seen aren't giving you what you think is accurate info, get another doc.
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Hey! thanks for your answer... sorry I meant I have been skateboarding for 10 years! and yes did an MRI scan it they did not see anything wrong or any tear then again my orthopedic told me that even though they can't see it on the MRI it could still be a tear and knowing that I had this injury for over a year and with my age they want to do surgery to see if something worse is going on! and that's the thing I don't remember a starting point really... I had a few "akward" falls where my tibia was in a weird position but mostly the pain began almost 2 years ago but very very slowly got worse and worse. and like I said looking at me leg the femur, tibia and foot are not aligned and I can't get them to align. the pelvis is straight though! everything else is fine too in my body..
Obviously your surgeons know more than us, but often when a tear can't be seen on an MRI even if you have one it can be healed by the body.  It depends on where the tear is.  For example, let's say you have a torn meniscus, which it does sound a bit like.  If the tear isn't large enough to show on an MRI and it's at the edge, that part gets blood flow and can heal.  If it's in the middle, that part doesn't get blood flow and so it's very hard for the body to repair itself.  So it depends.  Know that once surgery is done, if they find something and fix it, you won't be the same person anymore no matter how much better you feel.  Structurally, evolution is much better at this than surgeons are.  So if you do have the surgery, listen to the doc and the physical therapist and do what they tell you to do before you get back to thinking everything is hunky dory.  Take your time with it so you don't start exercising heavily on a temporarily weakened body part.  Professional athletes do this all the time, and the next thing you know they get the same thing on the other side of their body or somewhere else because that's how the body compensates.  All the best and listen to your docs.  Now, if it is patella tendonitis, I've been diagnosed with that "maybe" and I've been diagnosed with a torn meniscus "maybe."  I wear a patella knee band and it does help, but every so often it comes back, and I can't run anymore.  So again, take it as slowly as they tell you.  And those falls, who knows?  Skateboarding, if you're doing a lot of tricks, is a very dangerous pastime and so with the fun comes some pain.  If you love it you risk it, but life is what it is.  Peace.
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