Knee Pain
Knee Pain
The knee joint is a hinge type synovial joint, which mainly allows for flexion and extension (and a small degree of medial and lateral rotation). It is formed by articulations between the patella, femur and tibia.
The knee joint consists of two articulations – tibiofemoral and patellofemoral. The joint surfaces are lined with hyaline cartilage and are enclosed within a single joint cavity.
As the patella is both formed and resides within the quadriceps femoris tendon, it provides a fulcrum to increase power of the knee extensor and serves as a stabilising structure that reduces frictional forces placed on femoral condyles.
Pain in or around the knee that may indicate a condition affecting the knee joint itself or the soft tissue around the knee. Knee pain is a common complaint that affects people of all ages.
Knee pain is a common complaint among adults and most often associated with general wear and tear from daily activities like walking, bending, standing and lifting. Athletes who run or play sports that involve jumping or quick pivoting are also more likely to experience knee pain and problems.
Causes
- Patellar subluxation
- Tibial apophysitis (Osgood-Schlatter lesion)
- Jumper's knee (patellar tendonitis)
- Referred pain: slipped capital femoral epiphysis
- Osteochondritis dissecans
- Patellofemoral pain syndrome (chondromalacia patellae)
- Medial plica syndrome
- Pes anserine bursitis
- Trauma: ligamentous sprains (anterior cruciate, medial collateral, lateral collateral)
- Meniscal tear
- Fracture
- Inflammatory arthropathy: rheumatoid arthritis, Reiter's syndrome
- Septic arthritis
- Osteoarthritis
- Crystal-induced inflammatory arthropathy: gout, pseudogout
- Popliteal cyst (Baker's cyst)
Symptoms
The location and severity of knee pain may vary, depending on the cause of the problem. Signs and symptoms that sometimes accompany knee pain include:
- Swelling and stiffness
- Redness and warmth to the touch
- Weakness or instability
- Popping or crunching noises
- Inability to fully straighten the knee
- Pain on knee usually when you bend or strainghten
- Trouble putting weight on the knee
- Problems moving your knee
- Difficulty in walking and standing
- Knee buckling
- Pain in calf muscles
Differential Diagnosis
Anterior knee pain
- Patellar subluxation or dislocation
- Tibial apophysitis (Osgood-Schlatter lesion)
- Jumper's knee (patellar tendonitis)
- Patellofemoral pain syndrome (chondromalacia patellae)
Medial knee pain
- Medial collateral ligament sprain
- Medial meniscal tear
- Pes anserine bursitis
- Medial plica syndrome
Lateral knee pain
- Lateral collateral ligament sprain
- Lateral meniscal tear
- Iliotibial band tendonitis
Posterior knee pain
- Popliteal cyst (Baker's cyst)
- Posterior cruciate ligament injury
Here at Nova Health Physiotherapy Clinic, we will evaluate the causes of your pain and dysfunction, develop an individually tailored treatment plan and provide one-on-one treatment to get you to pain free life.
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