Like you I don't, usually. I just hurt. When I learned to surf it was the days of big boards for every waves and we all paddled on our knees. We got knots but that was a badge of honour. They'd swell and bleed and hurt like hell but we were vain and stupid. Ah youth! Anyway along came the short boards and my knots eventually disappeared.
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OMG. Then you are the real adventurer here! Haha
Good news is that my knees still work. Get better soon! We love your posts.