Knee Ligament strains
We have 4 ligaments in the knee joint. The anterior cruciate and posterior cruciate which are both inside the knee , the medial ligament on the inside of the joint and the lateral ligament on the outside of the joint. Ligament strains are common sporting injuries . They occur when the ligament is over stretched.
The medial ligament and the lateral ligament can be palpated and treated by your physiotherapist. Electrotherapy can be used to optimize the healing process. Heel wedges can be used to alter the pressure and decrease the stress on the affected ligament. Exercised will be prescribed to keep the joint moving freely as the ligament strain heals and also to keep the muscles working on the knee strong.
Osgoode Schlatters Disease.
This is a condition that causes pain and tenderness at the front of the knee at the top of the shin bone. It is common in teenagers that play a lot of sport. It occurs from repeated stress on the growing area of the bone. Rest is an important part of physiotherapy management.
At swords physiotherapy we will do a full biomechanical analysis of the legs and feet to determine any predisposing factors such as poor foot mechanics or muscle imbalances. Ice is helpful for controlling swelling and pain.
This knee problem is also known as patella femoral pain syndrome. It affects women more than men and causes pain at the front of the knee joint. The cartilage at the back of the knee cap becomes worn and irritated .There can be pain and swelling in severe cases but often it is just a sore clicky sensation in the knee when running or squatting.
Causes of patellar [kneecap pain]
– poor muscle balance
– poor foot biomechanics
-poor sports techniques
Physiotherapy will involve a full biomechanical assessment of the leg. This will guide us in the best treatment approach. Orthotics may be prescribed to improve foot function and take stress off the knee cap. Stretching and strengthening exercises will be prescribed. Tape may be used to assist the muscles in keeping the knee cap in better alignment.
Ilio-Tibial band friction syndrome
This is usually a running injury in middle and long distance runners. It causes pain at the outside of the knee joint while running or after running. It is a type of tendinitis of the ilio tibial band. This band connects the hip joint to the knee joint.
Predisposing factors are poor training techniques, leg length differences, muscle imbalances and poor foot biomechanics.
Physiotherapy for ilio-tibial band problems will be initially directed at easing the pain and inflammation. Muscle and bio-mechanical imbalances will then be addressed. These must be corrected to prevent the problem recurring.
Cyclists suffering from this condition will be advised to get a professional bike fit. Incorrect saddle height can predispose cyclists to ilio-tibial band friction.
The knee joint is often affected by oesteo arthritis.[O.A.]. This is from wear and tear on the joint usually affecting older patients . The joint will be stiff and swollen. Morning stiffness is a common feature.
Physiotherapy can help ease the joint pain .Muscle stimulation, T.E.N.S. , interferential and ultrasound therapy can help. Exercises will keep the knee muscles strong and keep the joint flexible. Orthotics can help take some stress of the joint.