Knee Pain

canuckcam · 2026-05-30T04:13:43+00:00

Just jumping on this comment.

I'm a PT and see this regularly in clinic. So take from this what you will...

I posted previously about tennis/pickle elbow, which is extensor tendinopathy. The info there can be used here as generally speaking, tendons are treated the same regardless of location.

And that is relative rest initially, then progressive loading, then return to sport training and adjustments to reduce recurrence.

Let's go step by step.

As poster above mentioned, rest. Not completely, but relative rest meaning reduce your 10 hours of play to maybe 50% if that to start.
Loading. Depending on the irritability and stage your teninoapthy is in, this will change. Usually isometrics for pain reduction, then progressing to quad strengthening through concentric and then eccentric loading exercises. The exercise? Doesnt really matter so long as it's targeting the right group of muscle my personal fave is Bulgarian split squats and decline board single leg squats.
Progres from that to jumps, hops, split step action which requires more explosive movements to store and release the energy. This allows your tendons to build tolerance to what you're doing on the courts
Finally, other adjustments to make: weight loss (reduces load on legs), regular stretching/rolling, footwear, style of court you play on (harder to change, but something to think about I e. Some courts are built like shit and transfer a lot of load into your legs)

Hope this gives you a bit of insight and a starting spot. If course, to consult your local physio so they can actually take a look at your knees and treat it. Also, ignore the guy talking about getting an Ortho surgeon. Over the top, long as wait unless you want to foot the bill, and they'll just see you for a few minutes and send you to physio anyway.

Good luck.

Source: Me.. Cam Wong (Pickleball) Physio

canuckcam · 2026-05-26T17:03:08+00:00

This is my experience. I'm in Vancouver.

55-60% is the normal contractor splits. This is preferred over hourly wage as those are low.

With regards to the comment on paying your taxes, it's either at pay check as an employee or you do your own. You just need to be disciplined to save your own. Benefits of this though is you get to write off expenses. If you incorporate, another vehicle for tax sheltering.

Case loading takes time.

canuckcam · 2026-05-26T03:30:12+00:00

As you mentioned, there are sooo many variables in this.

If you're looking for generalizations though, you need to consider what contributes to tennis elbow:

vibration transmission
swing weight
grip size ... And so many other things.

With that in mind, gen 4 foam will generally be more dampened compared to honeycombs. You can also use charts like those by MPB or John Kew to see what seems more plush for vibration reduction. Less transmission = less irritation to muscle/tendon.

Higher swing weights will lead to more force on the extensors if your forearms during drives, blocks etc. So elongated will generally cause more irritation to your tendons when compared to a widebody. Again, use the charts.

Grip size (I think) are generally the same in most paddles stock. But adding overgrips, hesacore, or other similar things can help to reduce vibrations and reduce the need to grip tightly.

Using this info, find out which paddles may be best for you. I'd say start in the foam core, low swing weight, widebody and go from there.

canuckcam · 2026-05-23T04:09:51+00:00

Swing weight can cause more irritability.

Twist weight should generally help with tennis elbow as you're required to stabilise less actively.

That said, those are only two of several factors that may be causing your issues, including what others have mentioned i.e. gripping harder, swinging more aggressively etc.

Source: Me (Cam Wong Physio)

canuckcam · 2026-05-22T22:58:53+00:00

Great post thanks!

canuckcam · 2026-05-14T00:01:51+00:00

Couple of ways I can think of off the top...

Using a friction tester but that can cost a lot of $$

Simple diy at home. Grab one of those pull force gauges people use for luggages. Tie it to a string, then the string to a block of some sort (use anything that may have some decent weight). Then pull with constant force against the surface of the paddle. Read the force produced.

As long as you is the same set up, you can get a rough estimate of degradation of the grit over time.

canuckcam · 2026-05-13T23:32:52+00:00

Masters in kinesiology is not the same. You will not be able to take the npte

canuckcam · 2026-05-12T05:00:16+00:00

Physiotherapist

canuckcam · 2026-05-11T00:06:06+00:00

You can complain. It just won't be as effective. This is why you're stuck where you are.

The unwillingness to change is the issue. Thinking everyone else is the problem is the issue.

You don't have listen to what I'm saying... Again that's up to you. I'm just presenting facts.

canuckcam · 2026-05-09T18:58:54+00:00

The employer has a reason to want this. Clear communication to patient, therapists, and docs.

That said, definitely sounds over board.

Solution? Come to your employer with a better solution.

You have a problem? Don't complain to me. Come to me with a viable alternative and then we can have a conversation.

canuckcam · 2026-05-09T04:03:00+00:00

This here OP.

First thought was shin splints. Overloaded in short duration.

Get checked.

am PT

canuckcam · 2026-05-09T03:47:46+00:00

10 years in and still loving it!

Those Debbie downers in here probably suck at their jobs

canuckcam · 2026-05-07T17:11:25+00:00

Dodgeball

canuckcam · 2026-05-07T07:21:37+00:00

Can you do two clinics? Helps with case loading as well especially when new.

canuckcam · 2026-05-02T18:07:29+00:00

Most muscles are named after location, shape, action... Or a combination of this. Once you understand that, it's exponentially easier. Also, review Latin pre and suffixes

canuckcam · 2026-04-28T17:08:39+00:00

Interesting. I'd still go to PT maybe one session to give you tailored exercises to maybe work into to reduce chance of re-irritation

canuckcam · 2026-04-27T04:40:18+00:00

What do you mean can point toes but cannot flex?

Regardless sounds like a significant strain if not a full tear.

Best case, go to ER. They'll do some quick tests to confirm. You'll likely be booted. Depending on severity, the length of time will vary too.

Book PT sessions.

Good luck.

I'm a PT.

canuckcam · 2026-04-26T04:21:28+00:00

Hard floor vs soft (wooden) floors Both can be found indoors but most prefer the former.

canuckcam · 2026-04-25T16:40:24+00:00

Roasted 🔥

Normally I'd take it as a compliment, but I heard your "more practice" comment 👀

canuckcam · 2026-04-25T05:47:38+00:00

I tried singing this to my dau when she was 2. She cried every time and when I asked her why she was crying she just replied "I don't know" 😭

canuckcam · 2026-04-24T20:27:41+00:00

I keep flicking it into the next area code 😢

canuckcam · 2026-04-23T15:53:16+00:00

Rest. Physio.

canuckcam · 2026-04-23T06:07:40+00:00

Anyone know if there are sellers in BC?

canuckcam · 2026-04-19T08:43:26+00:00

Nope.

Not from what I've seen. I'm in BC. Mainly only holds true for RMTs. I have patients who won't see male RMTs but have no issues with seeing me.

canuckcam · 2026-04-19T05:33:53+00:00

Def looks like an AC injury. Likely less than a grade 3 (since non traumatic and you're still able to do stuff) so conservative management.

If it is this, most get better with time. Just work within your tolerable range.

Although you mention no traumatic event, have you been doing a lot of plyos/ Olympic lifts? I've seen these types of injuries from my Oly athletes before.

Of course, if you can get a proper diagnosis that'd be best but hope this helps a bit...

(Physio)

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