The knee is a vulnerable joint at times due to its’ location adjacent to the two long levers of our thigh and leg bones. The length of the levers allows the ankle and hip to exert a high amount of forces across the knee. The importance of treating these adjacent joints in patients with knee...
Patellofemoral pain syndrome (pain around the knee cap) is the most frequent cause of knee pain and the most common diagnosis seen in sports medicine and physical therapy clinics. The condition is often the result of a change in the dynamic alignment of the leg and knee joint during functional activities such as squatting, stair climbing,...
In our previous blog posts we have written on the inability of arthroscopic surgery to outperform Physical Therapy or placebo surgery for the treatment of degenerative meniscal tears. A recent review and statement paper was released in the British Journal of Sports Medicine highlighting evidence regarding the management of meniscal tears (Thorlund et al. 2018). ...
Exercise prescription including type of exercise, reps, sets, frequency, and intensity varies between each patient with knee pain. Many factors influence this prescription including knee diagnosis (arthritis vs. patellofemoral pain), patient function and symptoms, as well as, the available medical evidence supporting the use of exercise to both reduce pain and improve function. A recent...
Cutting movements utilized in soccer, football, basketball, and lacrosse are one of the most common mechanisms of non contact knee injuries. Athletes who cut with poor mechanics demonstrate larger hip and knee angles placing the ligaments of the knee, such as the ACL, at greater risk of injury. These movements at the knee are driven...
Patellar tendonitis (tendinopathy) is common among jumping athletes requiring repetitive jumping, landing, and squatting movements. This overuse injury was thought to have a inflammatory component (ex. tendonitis) but more current research supports the term tendinopathy. This term indicates a disruption in tendon fiber characteristics and alignment leading to a loss of its’ tensile strength. Resting...
Patellofemoral Pain (pain under the knee cap) is the most common source of knee pain among active individuals and athletes. Symptoms are secondary to increased joint pressure between the knee cap and thigh during walking, hiking, squatting, kneeling, cycling or running. Most commonly this diagnosis is secondary to muscle imbalances including hip and knee weakness...
We have written previously about the high rates of subsequent knee injuries after an athlete returns to sport and activity after ACL surgery. Interestingly, the most common site of injury is on the opposite knee indicating athlete’s are using a compensatory balance and coordination strategy during play. Current research is working on developing physical therapy...
Knee arthritis is a common and costly condition affecting many middle aged adults and is a leading cause of pain and disability in this patient group. Thankfully conservative Physical Therapy interventions such as manual therapy and exercise have been shown to be effective at reducing pain, disability, and even delaying or preventing the need for...
Patellofemoral Pain Syndrome (pain on the front the knee and around knee cap) is the most common source of knee pain among active individuals. Patients often complain of pain with running, stair climbing, squatting, and during prolonged sitting. The natural history of this diagnosis is not as short as once thought with 90% of patients...