The most common causes of knee pain that we address in our office:
Meniscal Tears: The meniscus, a rubbery disc that acts as a shock absorber in the knee, is a common cause of knee pain. Bad knee biomechanics will cause meniscal tears, but very often bad biomechanics in the hip or ankle will cause the knee to be a victim. Addressing the meniscal tear with surgery without restoring proper knee, ankle or hip biomechanics, will not fix your knee pain. Finding and fixing adhesion in the knee, hip, or ankle, will allow the knee to function properly. The New England Journal of Medicine published a study that found arthroscopic surgery on the meniscus was no more effective at fixing knee pain than a sham surgery was in degenerative meniscal tears.
Runner’s/Jumper’s Knee: These are catch-all terms for damage to the knee cartilage (runner’s knee), or damage to the patellar tendon (jumper’s knee). They don’t establish why the cartilage or tendons are being damaged. Addressing only the site of pain in these conditions will yield poor results. Finding and fixing adhesion in the muscles that act on the knee. Restoring full knee, hip, and ankle range of motion is required to slow down the degeneration and eliminate knee pain.
Osteoarthritis: As we age, and muscle adhesion develops from overuse, our joints are not loaded properly. Osteoarthritis, a bone-building, degenerative condition, is caused by a limited range of motion In a joint, where the forces through that joint are not evenly placed. The body responds by building up the bone on the part of the joint that is loaded and will lead to cartilage degeneration and chronic joint pain. Restoring range of motion can slow down the progression of arthritis.
Patellar Tracking Disorder: This is another catch-all term for patellar (kneecap) pain. The quadriceps muscle will often become overused and develop adhesion. Adhesion will limit the length and strength of the quadriceps and put more force into the quadriceps tendon (aka patellar tendon). This will cause the patella to not track properly. Finding and fixing adhesion in the quadriceps is critical to solving patellar tracking disorders.
Baker’s Cyst: With overuse of the knee, adhesion will develop in the muscles around the knee, this will cause the joint to be loaded improperly, and osteoarthritis to develop. Since osteoarthritis is a bone-building disease, the sac of tissue that is meant to protect the knee joint becomes irritated and fills with fluid, becoming a cyst. It is important to restore as much range as possible to the knee and to remove all adhesion in the muscles around the knee. This will take pressure off the cyst and reduce irritation and inflammation.