Prevention Tips For Knee Injuries
- Warm up joints and muscles by gently going through the motions of your sport or activity and stretching muscles.
- Wear appropriate footwear.
- Avoid sudden jarring motions.
- Try to turn on the balls of your feet when youre changing direction, rather than twisting through your knees.
- Cool down after exercise by performing light, easy and sustained stretches
- Build up an exercise program slowly over time.
Common Injuries That Physical Therapists Treat:
Recovering from almost any knee injury
Most knee injuries will improve faster with a PT. A physio can help you recover from a meniscus tear, a ligament tear, a sprain, tendinitis You name it!
The recovery process focuses on reducing pain and strengthening your muscles. This is how PTs make sure you get back on track as soon and as safely as possible.
Recovering from knee surgery
Physical therapy is key before and after knee surgery.
First, a therapist will prepare your lower leg for the surgery. The goal is to have as much strength as you can before going into the OR. This will help you recover faster.
Afterward, the physio will treat your painful knee and help you regain your range of motion.
Chronic knee pain
Chronic pain in the knee can be a consequence of osteoarthritis. Repetitive knee injuries, like bursitis or sprains, can also cause this.
And, according to studies, physical therapy is the most effective treatment for chronic knee pain.
For Ligament Cartilage And Joint Tears
Ligament, cartilage and joint tears in your knee will need to be addressed by your doctor.
After imaging diagnostics and a clinical assessment, your doctor will let you know if your treatment will include physical therapy and anti-inflammatory medication, or if youll need to undergo surgery to repair the injury.
Recovery from knee surgery can take some time. It may take anywhere from 6 months to a year to resume your normal activities.
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Will Surgery Treat And Cure Knee Pain
Surgery
Knee operations range from arthroscopic knee surgery to total knee replacement. Arthroscopic knee surgery is a very common surgical procedure that allows the physician look inside your knee through a few small holes and a fiberoptic camera. The surgeon can repair many of the injuries and remove small pieces of loose bones or cartilage. This is a common outpatient procedure.
Partial knee replacement: The surgeon replaces the damaged portions of the knee with plastic and metal parts. Because only part of the knee joint is replaced, this procedure has a shorter recovery then a total knee replacement.
Total knee replacement: In this procedure, the knee is replaced with an artificial joint.
Other therapies
Acupuncture has shown some relieve of knee pain, especially in patients with osteoarthritis. Glucosamine and chondroitin supplements have shown mixed results in research studies.
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What Can You Do For The Pain
The things you can do for your knee pain will depend on your knee pain and injury.
Sharp pain and dull pain will need different treatment plans, and traumatic injuries will need different treatments than slow, gradual knee pain.
Here are a few things you can do to accelerate the healing process:
- Rest your knee and take a few days off from intense activity.
- Ice it to curb pain and swelling.
- Compress your knee with an elastic bandage, straps, or sleeves to wrap the joint.
- Elevate your knee with a pillow under your heel when youre sitting or lying down
- Take anti-inflammatory medications. These drugs can have side effects, so dont use them long-term
- Practice stretching and strengthening exercises recommended by your doctor.
- Start physical therapy
Contact your doctor if you have tried home treatments for two weeks but still havent found relief.
If you get a fever along with your painful knee, go to the doctor right away.
Depending on the cause of your knee pain, you may need extra help from a doctor.
If you have bursitis, your doctor may need to draw out extra fluid from the bursa in your knee.
Or, if you have arthritis, you may need a corticosteroid shot to reduce inflammation.
What Causes Arthritis Of The Knee
Experts have identified some genes that might cause arthritis, including arthritis of the knee. They predict that there are more genes not yet discovered. You could have a gene linked to arthritis without knowing it and a virus or injury could trigger arthritis of the knee.
Though the cause is unknown, some risk factors increase the possibility of arthritis of the knee. Risk factors of osteoarthritis, specifically, include:
- Age. Osteoarthritis happens to older adults more often than younger adults and children.
- Bone anomalies. Youre at a higher risk for osteoarthritis if your bones or joints are naturally crooked.
- Gout. Gout, also a type of inflammatory arthritis, might lead to osteoarthritis.
- Injuries. Knee injuries can cause arthritis of the knee.
- Stress. A lot of stress on your knees from jogging, playing sports or working an active job can lead to osteoarthritis of the knee.
- Weight. Extra weight puts more pressure on your knees.
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Why Does My Knee Hurt When I Straighten It
Your knee is made up of bones, cartilage, muscles and tendons. When you extend your knee, your quadriceps muscles tighten, and your hamstrings relax. Pain on knee straightening is usually indicative of damage or overuse of the quadriceps muscles, leading to tiny tears in its tendon. Pain may also occur due to any damage to the joint itself. You may get pain specifically in the back of the knee due to cyst formation following injury of the joint.
Causes Of Knee Stiffness
Most people experience knee stiffness after sitting for a long period of time. It’s usually the result of inflammation and fluid build-up in the knee joint, which causes swelling and decreases the ability to freely move the joint. A number of conditions can lead to inflammation, and subsequently, knee stiffness.
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What Other Symptoms Will Show With Knee Pain When Sitting
This pain usually comes on gradually although trauma can cause sudden pain. The main symptom is pain in the area of the patella and behind the patella. However, the pain is diffuse and difficult to localize. Pain is usually worse when going up stairs, going down stairs, bicycling, squatting, running, and kneeling or when you sit for a long period of time. The pain usually aches but can be sharp at times. Other symptoms include crepitus about the knee and a sensation of the knee “giving way”. When it comes on gradually, you may not feel it when sitting right away but, over time, the knee pain will occur all of the time.
What Can I Do About Knee Arthritis
Aside from a traumatic injury to the knee, you may be suffering from a chronic condition like osteoarthritis. This inflammation occurs due to loss of cartilage in your knee joint due to wear and tear of the cartilage, so the bones in the joint are rubbing against each other and causing pain. If the knee pain persists, your condition needs to be evaluated by an orthopedic doctor as soon as possible.
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Simple Home Exercises And Stretches Can Help Ease Some Common Types Of Knee Pain
If youve got sore knees, exercise might seem like the hardest thing you can do but its also one of the best.
“Exercise is one of the most important things you can do for knee pain,” says Dr. Lauren Elson, an instructor in physical medicine and rehabilitation at Harvard Medical School.
The right combination of strengthening and stretching exercises can relieve pain by helping to improve the way the joint moves and functions.
“The knee is often an innocent bystander between the hip and the foot. Knee pain is often caused by problems occurring above or below,” says Dr. Elson.
For example, weak hip muscles may cause more strain on the knee, intensifying your pain. Strengthening the muscles around the hip joint can help relieve it, says Dr. Elson.
In addition, knee pain is sometimes caused or aggravated by tight muscles around the knee, a problem that is often successfully addressed by stretching. If the muscles arent flexible, the knee joint sometimes wont move properly, says Dr. Elson.
Sprains Strains And Injuries
Sprains and strains happen when tissues in the knee become stretched by unusual or increased activity, or an awkward twist or trip.
PRICE, described above, should lead to a reduction in pain and improved movement within days, and a gradual improvement over the weeks to follow.
A sprain often resolves itself, but some problems can require more treatment. For example, an injury to the pad of tissue in the knee joint known as the meniscus may require surgery.
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How Are Knee Problems Diagnosed
In addition to a complete medical history and physical exam, other tests for knee problems may include:
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X-ray. This test uses invisible electromagnetic energy beams to make images of internal tissues, bones, and organs onto film.
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Magnetic resonance imaging . This test uses large magnets, radiofrequencies, and a computer to make detailed images of organs and structures within the body can often determine damage or disease in a surrounding ligament or muscle.
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Computed tomography scan . This test uses X-rays and computer technology to make horizontal, or axial, images of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general X-rays.
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Arthroscopy. A minimally-invasive diagnostic and treatment procedure used for conditions of a joint. This procedure uses a small, lighted, optic tube , which is inserted into the joint through a small incision in the joint. Images of the inside of the joint are projected onto a screen used to evaluate any degenerative or arthritic changes in the joint to detect bone diseases and tumors to determine the cause of bone pain and inflammation.
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Radionuclide bone scan. A nuclear imaging technique that uses a very small amount of radioactive material, which is injected into the patient’s bloodstream to be detected by a scanner. This test shows blood flow to the bone and cell activity within the bone.
Chronic Degenerative Meniscal Tear
If you’ve experienced swelling, joint pain, and a sensation that your knee is sticking or locking, the problem could be a chronic degenerative meniscal tear.
A meniscus is a rubbery cartilage cushion in your knee that helps to pad the joint. Each of your knees has two of them. “Sometimes these structures are torn during an injury, but in degenerative cases, the cartilage just becomes frayed and worn over time, resulting in a breakdown or tearing of the tissue,” says Dr. Breslow. When a meniscus is frayed, ragged edges or loose pieces may get stuck in the joint when it’s moving, causing a sensation that your knee is locking up. If this is happening, be sure to see your doctor.
How to treat it: Surgery is no longer the first-line treatment for this condition, says Dr. Breslow. “It used to be that most people got referred for an arthroscopic procedure to remove the torn meniscus or repair it,” she says. “But now research is showing that, in many cases, the condition can be treated non-operatively just as effectively.”
Clinicians are now more likely to recommend treating the condition with physical therapy. As is the case with patellofemoral pain syndrome, building up the muscles around the joint and in other parts of the body can ease pain, without the risk of complications. However, you may need surgery if a piece of the meniscus is interfering with the motion of the joint.
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Other Injuries And Conditions
Because the knee is the largest joint in your body, it is prone to injury and strain. If you fall or bump your knee, you may experience pain from bruising. If youve fractured any of the three bones in your knee, you may experience weakness, sharp pain, or deep throbbing sensations.
Rheumatoid arthritis can present similar symptoms to osteoarthritis, but this autoimmune condition may require different treatments than joint damage caused by the wear-and-tear typical of aging.
If you are experiencing knee pain that interrupts your daily life and persists after several days of rest, consider consulting with a healthcare provider.
Urgent Advice: Get Advice From 111 Now If:
- your knee is very painful
- you cannot move your knee or put any weight on it
- your knee is badly swollen or has changed shape
- you have a very high temperature, feel hot and shivery, and have redness or heat around your knee this can be a sign of infection
111 will tell you what to do. They can tell you the right place to get help if you need to see someone.
Go to 111.nhs.uk or .
You can also go to an urgent treatment centre if you need to see someone now.
They’re also called walk-in centres or minor injuries units.
You may be seen quicker than you would at A& E.
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Can You Prevent Knee Problems
Not all knee problems are avoidable, but you can lessen your chance of problems by participating in regular strength training. To protect your knees, it’s important to have a very strong core and strong legs, says Dr. Rebecca Breslow, an instructor in orthopedic surgery at Harvard Medical School. Make an effort to perform strength training at least twice a week. In addition, work on increasing joint flexibility, which can also help you head off an injury.
How Did You Hurt Your Knee
Traumatic injuriesare noticeable right away and worsen dramatically the next day as pain and inflammation set in. traumatic injuries typically occur playing sports, during slips, falls, and other work-related accidents. The trauma is caused by the injury exceeding the tolerance of knee structures leading to breaks, ruptures or tears.
Knee ligaments, bones, and menisci are the most commonly damaged structures in the knee joint. Injuries to bone and connective tissue result in long term pain and will impede normal knee function for some time after the initial injury. Less serious traumatic injuries may result in only painful, superficial contusions which heal relatively quickly. If you believe you have incurred serious knee trauma you should visit a doctor as soon as possible. If bone or connective tissue within your joint is damaged a surgical assessment could be required.
Overuse injuriestypically cause knee pain that comes and goes and varies in intensity. Sometimes our favorite activities subject our knees to stressful movement patterns repetitively. Think jumping, squatting, kneeling, running, lunging type movements. Moving in this way over and over again can irritate knee structures such as bursae, tendons, and articular cartilage.
Degenerative Joint Disease is the number one cause of long term disability relating to knee pain. Pain often comes on slowly and over time those affected by arthritis will experience constant pain while performing weight-bearing activities.
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Why You Need To Stretch Your Quads Hamstrings And Hips To Relieve Knee Pain
To treat knee pain, you need to address the root cause of that pain.
Here’s how it works: Every muscle, joint, and bone in your body works together. If one piece of the human body puzzle becomes damaged or compromised, it forces the other surrounding pieces to pick up the slack. When a piece is forced to double-up on its workload, it often becomes injured.
Still with me? Great now let’s refer back to your knee joint.
Knee pain is often caused by tight quads particularly pain near the sides and front of the knee. Your lower body muscles are all intertwined. For example, your quadricep is made up of four muscles that connect near your knee and are responsible for stabilizing your patella . When your quad muscles get too tight, or you perform certain exercises without proper form , it can throw off the alignment of your patella. This problem is exacerbated by exercise. When you run, jump, or otherwise pound on your misaligned and, therefore, unstable kneecap, you push against a weakened foundation, causing injury.
That is what causes knee pain. And therefore, to treat knee pain, you need to shift your focus away from your knee and onto the root problem: The tight, seemingly unrelated muscle groups that started this entire domino effect.
How Is Arthritis Of The Knee Treated
Healthcare providers can’t cure knee arthritis. But they have some tips that might reduce the severity of your symptoms and possibly stop the arthritis from getting worse, including:
- Maintain a healthy weight.
- Exercise using low-impact activities instead of high-impact activities . Aim for about 150 minutes of exercise per week.
- Wear shock-absorbing inserts in your shoes.
- Apply heat or ice to the area.
- Wear a knee sleeve or brace.
- Physical therapy exercises that help with flexibility, strength and motion.
- Use a cane.
Most people have stage 4 arthritis when they get surgery.
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Professional Help For Knee Injuries
- Aspiration if the knee joint is grossly swollen, the doctor may release the pressure by drawing off some of the fluid with a fine needle.
- Physiotherapy including techniques to reduce pain, kneecap taping, exercises for increased mobility and strength, and associated rehabilitation techniques.
- Arthroscopic surgery or keyhole surgery, where the knee operation is performed by inserting slender instruments through small incisions . Cartilage tears are often treated with arthroscopic surgery.
- Open surgery required when the injuries are more severe and the entire joint needs to be laid open for repair.