This is our latest newsletter.
Most people can sympathise when it comes to knee pain. Knee pain can be caused by a sudden injury, an overuse injury, or by an underlying condition, such as arthritis. Treatment will vary depending on the cause.
The knee is the largest joint in the body. The upper bone (femur) and lower bones (tibia and fibula) of the knee are separated by two menisci (cartilage in lay terms), and are connected by ligaments, tendons, and muscles. The surface of the bones inside the knee joint is covered by articular cartilage, which absorbs shock and provides a smooth, gliding surface for joint movement. Not everyone will suffer from knee issues but certain jobs or recreational activities may pre-dispose you to increased risk.
Sudden (acute) injuries may be caused by a variety of incidences, these can include:-
· Meniscal tear
· Ligament tears
· Breaks (fracture)
Overuse injuries occur with repetitive activities or repeated or prolonged pressure on the knee which stresses joints and other tissues and can lead to irritation and inflammation. Overuse injuries include:-
· Inflammation of the small sacs of fluid that cushion and lubricate the knee (bursitis)
· Inflammation of the tendons (tendinitis) or small tears in the tendons (tendinosis)
· Thickening or folding of the knee ligaments (plica syndrome)
· Pain in the front of the knee (chondramalaciapatella)
· Irritation and inflammation of the band of fibrous tissue that runs down the outside of the thigh (iliotibial band syndrome)
Other issues which can cause knee pain include:-
· Arthritis family including osteoarthritis, rheumatoid arthritis, gout, and lupus
· Osgood-Schlatter disease which is more common in boys ages 11 to 15.
· A popliteal cyst (or Baker's cyst)
· Infection in the skin (cellulitis), joint (infectious arthritis), bone (osteomyelitis), or bursa (septic bursitis)
· Referred pain such as from the hip or back
So what can cause knee pain?
· Biomechanics – if you change your gait this can knee pain
· Excess weight – increased weight can mean increased stress on the knee joint
· Overuse such as running or work
Some symptoms of knee pain can include:-
· Difficulty walking due to instability of the knee
· Limping due to discomfort
· Difficulty using steps
· Locking of the knee
· Excessive heat around knee
· Redness and swelling
Treatment for a knee problem or injury may include a variety or measures. An osteopath will be able to ask questions relating to the symptoms and will examine the knee and other areas impacting on the knee. They will then be able to advise which treatment modality will be suitable.
Ilia Tofari Street 2
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