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A Patient's Guide to Knee Pain

At Kleefeld Chiropractic patients often present with knee pain.  Dr. Kleefeld states that this is not surprising, as the knee has a somewhat unstable design and yet it must support the body's full weight when standing, walking and running. 

Anatomy

The knee is the meeting place of 2 important bones in the leg, the femur (thighbone) and the tibia (shin bone) with the patella or kneecap sitting on the front of the knee.  Synovial fluid lubricates the joint and very tough bands of tissue called ligaments brace the bones together.  Because the knee lacks a stable bony configuration, its stability is depended upon tight ligaments and strong muscles.

Examination

Before treatment, a working diagnosis must be established.  Careful history taking regarding the mechanism of injury can be very instructive.  In summary, routine knee examination consists of inspection for swelling, deformity or discoloration, joint range of motion testing and assessing the ultra important ligaments and muscles so important to knee stability.

man with knee pain

Treatment

At Kleefeld Chiropractic treatment is "diagnosis specific" and ranges from simple homecare measures to active treatment with joint mobilization and passive physical therapy modalities to orthopedic referral and surgery.

Sprains of the tendon, ligamentous and muscular elements are very common.  Conservative treatment typically consists of icing and ultrasound to reduce swelling and inflammation.  Activity modification and bracing during initial stage of recovery.  Nonsteroidal anti-inflammatory medication when indicated.

Torn meniscus is quite common especially after trauma.  Typically, the knee will not fully straighten.  Small tears can occasionally be reduced with joint manipulation.  More often large tears require arthroscopic surgery.

Osteoarthritis is the most common form of arthritis in the knee and typically affects the middle-aged and elderly.  Pain is usually experienced on weightbearing and especially at night.  Clicking and grinding can be noted on bending.  Intra-articular injections are often recommended.  When pain persists or recurs orthopedic consultation with MRI imaging is often prudent.

Should you require any additional information, contact Dr. Kleefeld today!

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