Knee Pain

Although the knee joint is relatively stable, it involves a complex series of muscles, ligaments, tendons, and “floating bones” all working together to help you move.

If any of this isn’t working in sync, the knee is another common area for both acute and chronic pain.

Many times you remember a sporting injury, or that time you twisted your knee having it swell up after. Others cannot recall a specific incident, with pain starting one day out of nowhere. But everyone with knee pain knows the end result of pain during everyday life.

The most common issues that occur with knee pain include:

  • Walking

  • Standing

  • Going up and down steps

  • Squatting/getting in and out of chairs

  • Running

  • Jumping

  • Getting on and off the floor

Common Diagnosis We Treat:

  • Osteoarthritis

  • Meniscus Tear

  • Total Knee Replacement

  • Jumper’s Knee (Patellar Tendonitis)

  • Runner’s Knee (Patellofemoral Pain Syndrome)

  • ACL Reconstruction

  • MCL/LCL Sprain

  • IT Band Syndrome

  • Quad Tendon Repair

Don’t let knee pain keep you from getting on the trail. Talk to one of our Physical Therapists to help you get on the road to recovery.

FAQ’s for Knee Pain

Do I Need Surgery For A Meniscus Tear? 

For most people, all available evidence would suggest no. Numerous studies have now shown that there is no difference between physical therapy and surgery on outcomes with patient function. Surgery has also been shown to increase the risk and speed of arthritis development over PT. There are specific indications of when surgery might be indicated, and all of our PTs are well trained to identify these early and refer you to the correct provider when necessary. 

What Does The Hip Have To Do With The Knee?

Patellofemoral pain, a very common type of knee pain, often has its origins related to hip strength. For a number of reasons hip strength has been shown to help with knee pain both related to patellofemoral pain and other types of knee pain. We use a full body approach to address all the areas contributing to your pain, not just the painful area. Treating you as a whole moving body, and not just a knee or a hip leads to improved pain relief and longer term success.

How Do I Know If I Am Ready To Return to My Activity? 

That’s a great question. This is highly dependent on each individual person and their specific injury or surgery. However, a combination of experience and objective testing is used to make this determination. The key is making testing objective. A great example of this is after ACL surgery, where quadriceps strength is one of the biggest factors related to returning to sport. The best way to determine if this strength has returned is with testing on an isotonic dynamometer. We are the only PT practice in the area to have one on site to ensure your recovery is complete, whether you’ve had an ACL repair or other surgery, we have all the necessary equipment to help. 

Injections And Surgery For Knee Osteoarthritis

These are the only things that can help for arthritis right? Wrong. Physical Therapy can be even more effective than injections in reducing pain and delaying knee replacement. Something else to consider, steroid injections have a degenerative effect on cartilage and can actually speed up arthritis progression. Even better, the stronger you are, the better and more quickly you can recover from surgery if and when it’s needed. 

References

 
  1. Kirkley A, Birmingham TB, Litchfield RB, Giffin JR, Willits KR, Wong CJ, Feagan BG, Donner A, Griffin SH, D'Ascanio LM, Pope JE, Fowler PJ. A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2008 Sep 11;359(11):1097-107. doi: 10.1056/NEJMoa0708333. Erratum in: N Engl J Med. 2009 Nov 12;361(20):2004. PMID: 18784099.

  2. Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Kalske J, Nurmi H, Kumm J, Sillanpää N, Kiekara T, Turkiewicz A, Toivonen P, Englund M, Taimela S, Järvinen TLN; FIDELITY (Finnish Degenerative Meniscus Lesion Study) Investigators. Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial. Br J Sports Med. 2020 Nov;54(22):1332-1339. doi: 10.1136/bjsports-2020-102813. Epub 2020 Aug 27. PMID: 32855201; PMCID: PMC7606577.

  3. Lack S, Barton C, Sohan O, Crossley K, Morrissey D. Proximal muscle rehabilitation is effective for patellofemoral pain: a systematic review with meta-analysis. Br J Sports Med. 2015 Nov;49(21):1365-76. doi: 10.1136/bjsports-2015-094723. Epub 2015 Jul 14. PMID: 26175019.

  4. Zwolski C, Schmitt LC, Quatman-Yates C, Thomas S, Hewett TE, Paterno MV. The influence of quadriceps strength asymmetry on patient-reported function at time of return to sport after anterior cruciate ligament reconstruction. Am J Sports Med. 2015 Sep;43(9):2242-9. doi: 10.1177/0363546515591258. Epub 2015 Jul 16. PMID: 26183172.

  5. Deyle GD, Allen CS, Allison SC, Gill NW, Hando BR, Petersen EJ, Dusenberry DI, Rhon DI. Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee. N Engl J Med. 2020 Apr 9;382(15):1420-1429. doi: 10.1056/NEJMoa1905877. PMID: 32268027.

  6. Zeng C, Lane NE, Hunter DJ, Wei J, Choi HK, McAlindon TE, Li H, Lu N, Lei G, Zhang Y. Intra-articular corticosteroids and the risk of knee osteoarthritis progression: results from the Osteoarthritis Initiative. Osteoarthritis Cartilage. 2019 Jun;27(6):855-862. doi: 10.1016/j.joca.2019.01.007. Epub 2019 Jan 29. PMID: 30703543.