I knew I was working from home today so, last week, I made an appointment to see my GP just to make sure that there was nothing fundamentally wrong that was causing/contributing to the knee problems I am having. Thankfully there doesn't appear to be but the doc was surprised that the muscles (especially my calves) are substantially more developed in my right leg than on my left. After a few customary questions about the exercises I have been doing, my footwear etc. she suggested that I see a physio if I was going to continue running.
I decided that there was no time like the present and made an appointment to see a physio this afternoon. There was an awful lot of poking and prodding in addition to a full blown "biomechanical analysis". I was given a long explanation of the results as well as a report but the 'highlights' are:
1) I have an excessive pelvic drop on my left side (even when walking) which has placed additional demands on my entire right side (I never even noticed this!)
2) The only viable way for me to run is striking with the forefoot. I could not heel strike even when I tried to!
3) I need to transition to a shoe which is more "natural". The cushioning and 11mm heel to forefoot pitch/drop on my current shoes is causing to me to have a gentle "stamping" motion with a mid-foot strike which is the root of my knee (goose's foot) issues.
4) For someone my age, I have great strength/flexibilty in the tendons and ligaments in my feet as well as my Achilles.
The physio gave me the green light to start running but my right knee needs to be covered with sports tape (the placement is very scientific but it takes 7 strips to keep my body properly aligned). I also have a whole gamut of exercises that I need to do to increase strength in my left hip, quad, hamstring and calf.
Aside from having a significantly lighter wallet, I am pleased that I went today. I have a lot of work to do but there is nothing fundamentally wrong and the issues that I have been having appear to have come from extraordinary biomechanic defects rather than me being a "bit of a wuss" as my son had suggested. The physio was fantastic and whilst more open wallet surgery in 3 weeks time isn't good, I know I am in the hands of someone who knows what he is talking about.