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Knee Pain

What is Knee Pain ?

Knee pain is an incredibly common complaint, affecting people of all ages and activity levels. It can stem from various causes, including:-

  • Acute injuries: Ligament tears (ACL, MCL, LCL, PCL), meniscus tears, fractures, patellar dislocation.
  • Overuse injuries: Patellofemoral pain syndrome (runner’s knee), patellar tendinopathy (jumper’s knee), IT band syndrome.
  • Arthritis: Osteoarthritis (OA), rheumatoid arthritis (RA), gout.
  • Bursitis, tendinitis, or muscle strains.
  • Biomechanical issues: Foot problems, hip weakness, or poor alignment.
The Role of Physiotherapy in Knee Pain Management
  • Exercise Therapy
    • Strengthening: Targeting quadriceps, hamstrings, glutes, and calf muscles to improve stability and support for the knee joint. Examples include straight leg raises, wall squats, step-ups, hamstring curls, and glute bridges.
    • Mobility & Stretching: Addressing muscle tightness (e.g., hamstrings, quadriceps, calves, IT band) to improve flexibility and range of motion.
    • Balance & Proprioception: Exercises like single-leg stands, uneven surface walking, and using balance boards to improve joint awareness and stability, reducing fall risk and re-injury.
  • Manual Therapy
    • Joint Mobilization: Hands-on techniques to restore normal joint movement, reduce stiffness, and alleviate pain.
    • Soft Tissue Massage/Myofascial Release: To address muscle tension, trigger points, and fascial restrictions around the knee and surrounding areas.
  • Modalities
    • Heat/Cold Therapy: For pain and swelling management.
    • Electrotherapy (TENS, EMS, IFT): Using electrical currents to reduce pain, muscle spasms, or facilitate muscle activation.
    • Ultrasound: Therapeutic ultrasound for deep tissue heating and promotion of healing.
    • Kinesiology Taping: Applied to provide support, reduce swelling, or facilitate/inhibit muscle activity.
Advanced Physiotherapy Techniques
  • Blood Flow Restriction (BFR) Training
    • Involves applying a cuff or tourniquet to the limb to restrict venous blood flow (but not arterial) during low-load exercises. This can stimulate muscle growth and strength gains similar to high-load training, making it beneficial for individuals with pain or injuries who cannot tolerate heavy weights.
  • Dry Needling
    • Involves inserting thin needles into trigger points or tight bands within muscles to release tension, reduce pain, and improve muscle function. It’s distinct from traditional Chinese acupuncture but shares some similarities in technique.
  • Shockwave Therapy
    • Uses high-energy acoustic waves to stimulate healing in damaged tissues, particularly effective for chronic tendinopathies (like patellar tendinopathy) and some forms of osteoarthritis. It promotes neovascularization and reduces pain.
  • Laser Therapy
    • Applies specific wavelengths of light to penetrate tissues, promoting cellular repair, reducing inflammation, and alleviating pain.
  • Virtual (VR) Rehabilitation:
    • Engages patients in immersive virtual environments for exercises, balance training, and gait re-education. It can make therapy more engaging, provide real-time feedback, and allow for challenging functional tasks in a safe, controlled setting.
  • Biofeedback:
    • Uses sensors to provide real-time information about physiological processes (e.g., muscle activity, joint angles) to help patients learn to control these functions more effectively. For knee pain, it can help improve muscle activation patterns or reduce compensatory movements.
Advanced Biomechanical Analysis and Gait Retraining:

Analyze walking patterns, running mechanics, and other movements. This allows for highly specific interventions to correct underlying biomechanical faults contributing to knee pain.

  • Neuromuscular Electrical Stimulation (NMES):
    • A more targeted form of electrical stimulation that directly contracts muscles. It is often used post-surgery to prevent muscle atrophy or improve muscle activation in weakened quadriceps.
  • Hydrotherapy (Aquatic Therapy):
    • Performing exercises in water reduces the weight-bearing load on the knee joint due to buoyancy, making it ideal for patients with severe pain, arthritis, or early post-surgical recovery. The water’s resistance also helps with strengthening.

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