Knee Pain
Treatment
Knee pain can be caused by many conditions.
Some of these include, but are not restricted to :
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- Patella tendinopathy (inflammation of the patella tendon)
- patella femoral pain syndrome
- Injuries, tears/strains of ligaments and/or tendons
- Iliotibial band (ITB) syndrome (which can also cause hip pain)
- bursitis
- bakers cyst
- Arthritis (Rheumatoid, Osteo etc) and many other inflammatory/ autoimmune conditions.
- Runners knee (Chondromalacia patellae): Softening of the cartilage under the knee cap.
- Cancer
- etc
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Accurate diagnoses is necessary to achieve best treatment outcomes. This can be achieved through combination of :
- clinical assessment
- medical history & location and history of pain)
- imaging (X-ray, US, MRI)
Please seek guidance from one of our experienced podiatrists at Malvern foot and clinic before commencing treatment.
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During a pain flare up:
- Rest (avoid aggravating activities, and intense exercises such as running and squats)
- Ice : intermitent 10-15 minutes on, 10 min off x 3
- Compression : taping and knee bandages can help provide support and stability. However its important not to overuse these agents as it can lead to muscle weakness.
- Stretching: gentle stretching will increase range of motion and reduce joint stiffness that often accompanies pain.
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Long term treatment :
- Strengthening of musculature - particularly Gluteus Medius and quadriceps (VMO if weak)
- Soft tissue therapy and shock-wave therapy to encourage healing through angiogenesis and collagen formation.
- Cycling, swimming and pilates to help build stability and strength within the joint without causing a flare up.
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Stretching
This is a great combination stretch targeting ITB, hamsterings and calfs.
The stretch should be held for 20 seconds and repeated 3 times.
During stretching, mild to moderate pain and pulling sensation can be experienced. This is normal and desired as it means the muscle is being stretched. Avoid aggressive pulling or stretching to the point of strong pain.
Quadriceps stretch:
hold for 20 seconds, repeat 3x daily.
Stretching ideally should be done before and after exercise.
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If suffering from knee pain, consult with one of our sports podiatrists at Malvern foot and ankle clinic to ensure proper diagnoses and personalized treatment plan is obtained.