All Posts Tagged: knee pain

knee pain

Details to be considered before Knee Joint Repair in Glasgow & Ayrshire

When it comes to chronic knee pain, there are several rehabilitation options available to relieve pain and improve function, including Osteopathic therapy. However, there are cases where a patient can opt for total knee arthroplasty (TKA). In certain cases, they may be able to continue their day-to-day routines, but a section of patients may not reach a successful result. How do we learn from these patients who can advise us when not to recommend surgery for knee pain?

In one study , the researchers evaluated TKA patients one year after their treatment to determine their results with respect to the range of motion and function of the knees, as these are critical for performing day-to-day tasks such as the ability to put on shoes and socks, to squat down to pick items up from the floor, to get up and down from sitting, to climb and descend down stairs, etc. The study team observed that patients with impaired range of motion before surgery, as well as those with poor coordination of the knee (tibial-femoral angle) were less likely to have a favourable outcome.

Several experiments have shown how hyperpronation of the ankle can affect the alignment of the knee, bringing extra tension to the joint, as it can affect the operation of the hip. These matters should be discussed prior to the consideration of TKA. That is why it is necessary for clinicians to examine the patient as a whole for a musculoskeletal disorder because the cause or underlying factors for the injury may be beyond the region of the main concern. In certain cases, a combination of manual treatment and precise exercises offered by an Osteopath can return proper mobility to the injured hip or ankle, which can also help the knee.

Manual treatments can also break up adhesions and scar tissue that may hinder the mobility of the knee. When the knee can function as expected, the pressure from regular activity can help to bring nutrients to the remaining cartilaginous tissue, decreasing inflammation and discomfort.

The take-home lesson is that there might be a time when TKA is the only alternative to a patient with knee pain, but if the knee is poorly balanced or the range of motion is reduced, TKA may not be the solution. Luckily, there are problems that may be treated by osteopathy therapy, which can prolong or even minimise the need for a surgical operation.

If you are having knee or any joint issues please book in to see us at one of our clinics which can be found at this link www.cramosteopaths.co.uk/book-online

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knee pain

Causes of Knee Pain

When we experience knee pain, is it the knee the issue is stemming from?

Several studies have been written stating a link with knee pain to problems with the lower back, hips, ankles, and feet. Because we walk on two legs, everything from the ground up affects the rest of the body. The first “link” in this “kinetic chain” is our feet, and the last link is the head.

If any of the lower links are affected this has a ripple effect up through the rest of the body and in most instances, having a negative effect. For example, a “knocked knee” can be a cause of a flat foot or pronated ankle whereby the foot rolls in the way. If you look around you when you are in town or in the supermarket you will see how people walk on their insteps.

You will see this in particular on holiday amongst those wearing shorts and flip flops. It is estimated that the vast majority of us are over-pronating by the age of 30. Many of us are born with flat feet and as a result can be suffering from this from the minute we start to walk.

There are several tissues in the knee that can produce pain. In the over-pronation situation, the knee is overloaded so the medial, or inside compartment, of the knee is opening up excessively whilst the lateral, or outer compartment, over-compresses or jams together. We often find medial and/or lateral compartment pain in the over-pronated ankle/knocked-knee side.

The front section of the knee houses the kneecap that slides in a groove, and the knocked-knee results in overloading on the outside of the knee cap/groove creating a condition called lateral patellofemoral pressure syndrome and/or chondromalacia patella.

When you present for an Osteopathic evaluation, your Osteopath will pay attention to your gait or walking rhythm and look for over-pronation. You can correct the pronation effect with an orthotic foot wedge, which would hopefully prevent any conditions from arising in the future, such as arthritis.

Exercise is key as it is so important to keep the muscles around the knee stretched and strong. There is one muscle in particular, the vastus medialis oblique or VMO that connects our upper/inner kneecap to the medial/inside leg. It is the muscle that counteracts the outward pull by the other quadriceps muscles that attach to the kneecap. Your Osteopath can show you how to specifically exercise and isolate the VMO, if necessary. Book online now at https://www.cramosteopaths.co.uk/

Adapted Article, credit: https://chiro-trust.org/joint-pain/knee-pain/causing-knee-pain/

 

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