Knee Pain

Knee Pain

 Knee injuries

Overview:
Knee pain is one of the more common complaints encountered by the practitioners at Gladesville Healthcare. There are some alarming statistics regarding knee pain and injury within the population.

 

 

Anatomical view of the knee areaAnatomy:
The ‘knee’ is essentially made up of three joints (tibiofemoral, tibiofibular and patellofemoral); all working together to allow this hinge joint to perform flexion and extension – its primary range of motion.

The tibiofemoral (true knee) joint is the junction between the thigh bone and the shin bone. This joint is supported by the collateral ligaments (MCL & LCL), cruciate ligaments (ACL & PCL), the meniscus (medial & lateral meniscus) as well as multiple muscle groups (hamstrings, quadriceps, ITB, adductors, calf etc).

The patella (knee-cap) is a bone that glides up and down in a groove in the femur. It is controlled by the quadriceps muscle group and aids in increasing the mechanical power produced by these muscles.
The tibiofibular joint is the junction between the two bones of the shin and supports the knee joint through muscular and ligament attachments.

Drawing of Patella and surrounding area

There are many causative factors that result in knee pain, some common examples:

  • Direct or indirect Trauma
  • Accumulative straining to the supportive knee structures or knee joint itself
  • Referral or radiation of pain to the knee
  • Biomechanical dysfunction of the feet, particularly pronation or ‘flat feet’ Biomechanical dysfunction of the hip and pelvic girdle causing poor knee function
  • Growth plate irritation in children
  • Anatomical variation: narrow groove, wide hips, tibial torsion, knock knees, asymmetrical patellae
  • Osteoarthritis / Wear and tear (secondary to above causative factors

Treatment:

First an accurate diagnosis must be made before a treatment program can be formulated.Such a treatment program will depend on the nature of the injury.

Including: An Ice Pack on the knee to reduce swelling

An Ice Pack on the knee to reduce swelling

  • In acute injury control inflammatory response through PRICE management (Protective taping/bracing, Rest, Ice, Compression & Elevation)
  • Modification of activities to minimise loading of knee Correction of faulty foot mechanics through Custom Orthotic Therapy
  • Correction of any underlying hip and/or pelvic girdle mechanical dysfunction
  • Corrective knee taping.
  • Strengthening exercises to balance the muscular loads on the knee or neighboring tissues
  • Shoe advice, change of footwear if required
  • Prevention strategies through possible change in sport or life-style, or modification of activity (think of how you kneel when gardening!)
The practitioners at Gladesville Healthcare are experts in treating knee injuries, so please contact us to seek advice and treatment for your knee problems.

 

Knee Exercise Video – Level 1:

 

Knee Exercise Video – Level 2:

 

Knee Exercise Video – Level 3:

 

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Gladesville Healthcare Clinic
74 Morrison Rd
Gladesville NSW 2111.

Clinic Hours: Monday to Friday: By Appointment
Tel: 9816. 3071
Fax: 9816 2037
Email: info@gladesvillehealthcare.com.au

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