Osteoarthritis - Been told you have knee osteoarthritis? We can help! Exercise truly works wonders for this type of problem. Strengthening your thigh and hip muscles, along with weight loss and activity modification can often bring you a new lease to life.
Meniscal (cartilage) problems. You have extra cartilage discs which help with the fit of your joint and reduce friction. You have a medial (inner) and lateral (outer) meniscus in each knee. Twisting injuries are often causes in younger and sporty people, but innocuous tasks can be a trigger in people over the age of 40 due to degenerative ‘tears’, or wear over time. Rehabilitation has been shown to be as effective as surgery in an older meniscal problem! Though a big tear will require surgical trimming or repair, followed by rehabilitation!
Anterior cruciate ligament (ACL) injury. The ACL is a diagonal ligament inside your knee between your femur and tibia. It helps to prevent excess movement between the bones. It can be strained and become lax, or be completely torn (ruptured), mostly during a sporting activity. A complete tear generally needs surgical reconstruction in order to return to jumping or bounding sports, but a lax ligament responds very well to rehabilitation without the need for surgery in less sporty people.
Medial / lateral ligament problems. The medial (inner) and lateral (outer) ligaments run either side of your knee and help to prevent excess movement between the bones. They are often injured when you have twisted your knee with a foot fixed on the floor, and vary in severity from being minimally sprained (Grade I) up to a rupture (Grade III). Managed correctly both normally respond well to treatment and rehabilitation.
Patella tendonitis / tendinosis (jumpers knee). This refers to pain arising from the patella tendon which runs from your knee cap to your shin. Please read our tendinopathy article for more information.
ITB friction syndrome. This is normally a running or cycling problem. Pain is on the outer part of the leg just above knee level. This problem normally responds very well to treatment and rehabilitation of the hip muscles. Runners and cyclists can be screened for movement dysfunctions to stop it coming back!
Bursitis – you have a prepatellar bursa on top of the knee cap (housemaid’s knee), infrapatellar (deep and superficial) bursa below the knee cap and suprapatellar bursa between the quadriceps tendon and the femur. Modified activity and rehabilitation along with medication are the most effective ways of improving either.
Hamstring strain – The 3 hamstrings run down the back of your thigh from your pelvis to below your knee, 2 attach onto the tibia, 1 onto the fibula. A strain of them is a common sports injury, where pain in the back of the thigh is felt, and an accurate diagnosis of the degree of injury is key to rehab including movement screening.