Pain in the Knee...

Is the lot of a lot of active people. From runners to cyclists, skiers to skaters, basketball to soccer players, anyone who participates in a sport knows someone who complains of "bad knees."  The problem can be structural, caused by poor technique, improper equipment, inadequate conditioning, or simply by a fall or collision. Bad knees can put an end to an otherwise promising athletic career or sideline a skier for a whole season.

The knee is a complicated structure. A hinged joint which allows for the motion of walking, the knee depends on ligaments for stability. Anterior and posterior cruciate ligaments control the back-and-forth movement of the knee and collateral ligaments control side-to-side movement.  Cartilage coats the knee to prevent the ends of the shin and thigh bones from rubbing together, the meniscus cartilage helps in stabilizing and weight bearing. And the whole joint is controlled by two sets of muscles... the quadricepts from the front thigh, and the hamstring from the rear thigh.

Any one of these complicated and interrelated elements is subject to damage. From tearing a hamstring muscle to torn cartilage, stretched ligaments to the bane of all athletes... the torn ACL injury.

Some injuries are largely preventable. Chondromalacia or Patellar Pain Syndrome, for example, involves pain and a grinding sensaton under the kneecap. It is typically caused by too much activity, using worn out running shoes, or a poorly fitted bicycle which puts too much strain on the knee. Treating the problem will help with pain management, but the solution is proper body mechanics, appropriate equipment, matching your level of activity with your level of fitness, and in the case of injury caused by repetitive motion... breaking up the activity with stretches or alternate activities to take strain off the knee.

Personalized PT works with people who are suffering through knee pain to help them get back on their feet again. Whether you're suffering from the complex.. a complete knee replacement or recovery from an ACL tear, to the relatively mundane, such as tendinitis, knee pain can put you right on the couch and out of action. Your therapist will work with you to minimize your pain, so you can get off the couch and back to doing what you love to do!

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Treatment

If knee pain lasts more than a few days, you should call your doctor. If there is deformity or extreme pain you should seek help immediately. Otherwise, ice, elevate, and wait, may be your best option while you're waiting to see your physical therapist.

Prevention

The best way to prevent a knee injury is to stretch every day to protect the muscles that protect your knees.  Develop balanced strength in your leg muscles to support the knee joint, and don't overdo it. Many knee injuries are caused by asking our bodies to do too much, too quickly. Personalized PT customizes exercise and stretching programs to fit your needs, to both repair and prevent injury. Contact us to arrange a consultation.

Meanwhile, protect your knees from injury by protecting yourself. Stretch and warm up before work and sports.

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