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Knee Pain and Knee Injury
Knee pain and/or injury are fairly common. Knee
pain or injury can affect nearly anyone whether you are highly active
or fairly sedentary. There are many potential causes for non traumatic
knee pain, and physical therapy treatment may be the best treatment
option for you.
Knee Pain
How Physical Therapy Can Help
- Evaluation - a thorough evaluation helps identify your
specific issues
- Therapy - treatment regimen are suited to your individual
needs
- Education - you learn new healthy habits to reduce
future injuries
- Aftercare - the goal is to return you to a normal lifestyle
as soon as possible. By practicing new habits with the help of
a therapist, you can reduce the need for return visits
Preventing Knee Injuries
- Build strength by doing exercises
- Stay active; a decrease in activity level can contribute to
the vulnerability of your knees
- Take preventative measures to protect your knees
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Anatomy of a Bad Knee
Injuries to the knee can usually be grouped into
two categories:
Acute Macro-Traumatic Injury
An example of this type of injury is a tear of a ligament, which is
part of the passive restraint system of the knee. Perhaps the most
common in this category is the rupture of the anterior cruciate ligament,
which is usually caused by over-rotation of the joint. This is a very
common sports injury.
Micro-Traumatic Injury
These injuries are usually due to overstress of normal tissue. Instead
of damage from one event, the knee suffers many repetitive injuries
over a period of time. Micro-trauma often occurs with a sudden increase
in exercise levels.
Knee Injury Treatment Options
Unfortunately, there are no quick cures for knee injuries.
You typically have the option of physical therapy or surgery combined
with physical therapy, depending on the severity of the injury.
Physical therapy usually consists of two components: 1) maximum
protection - exercises specifically designed to help motion; and
2) return to function and maintenance - exercises specifically designed
to restore strength.
Surgeries have become much more affective and much less intrusive
with advances in surgical techniques. The most common form of surgery
is arthroscopic surgery, which employs small incisions to access
the joint. It involves a minimum of discomfort, has an excellent
success rate and heals more quickly as the entire joint isn't opened
up.
Common Injuries /Situations and Solutions
Injuries of the Meniscus may occur
if a person moves, falls or is injured in some way. Severe injuries
may require surgical intervention to repair, more minor injuries may
respond to rest, ice, compression and elevation (RICE). Once the initial
pain and swelling have subsided, a physical therapist can guide you
in returning to your normal activities.
Baker's Cyst is the term given to a fairly common
benign cyst that can develop behind the knee in what is know as the
popliteal fossa. The cysts may be painful and may be palpable. A consultation
with your medical doctor would be warranted, and many treatment options
are available including wait and see, surgical removal or physical
therapy treatment.
Anterior Cruciate Ligament (ACL) tear is more frequently
injured by females (8 times more often). The ACL is a ligament in
the knee that attaches the femur to the tibia. An ACL tear is nearly
always associated with a traumatic event and can occur in combination
with other injuries such as a meniscus tear and/or medial collateral
ligament (MCL) tears. Treatment usually requires surgical intervention
followed by physical therapy care to insure proper rehabilitation
and return to activities.
Patellofemoral pain is a general term used to describe
anterior knee pain. It is typically associated with improper tracking
of the patella (knee cap) due to muscle weakness or imbalance causing
pain and inflammation around the patella. Treatment usually consists
of specific strengthening exercises to the lower extremity to promote
proper patellar movement and modalities for pain and inflammation.
Osteoarthritis of the knee is the joint most commonly
affected by arthritis. There are many potential factors that can lead
to arthritis in the knee including obesity, trauma, ligamentous instability
and malalignment of the lower extremity. It is usually associated
with morning stiffness and pain, chronic swelling, crepitus and gating.
Sever cases may require surgical intervention (ie total joint replacement).
However, many times a proper strengthening and exercise program can
prevent surgical necessity and allow an individual to lead a normal
nearly pain free life.
Patellar Dislocation is more common in women than
in men, and typically in younger individuals. The causes of patellar
dislocation can be varied including trauma or just an awkward movement.
Women are more likely to experience this injury because of their knee
alignment, ligament laxity and muscle strength imbalances. Typically
a consultation with your doctor is warranted to insure no long term
damage was done during the injury. Then physical therapy treatment
can be beneficial to facilitate return to normal function and for
prevention of future reoccurrences. |
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