Knee Pain-Causes and Chiropractic Treatments
Knee pain is a common musculoskeletal condition and it is a leading cause of disability in people aged over 50 years. Knee Pain can occur due to different conditions. Approximately 1 out of 4 people in the UK population have Knee Pain in this age group.
The most common causes of knee pain are aging, injury or repetitive stress on the knee. Athletes who run or play sports that involves running, jumping and lifting are more likely to experience knee pain.
Causes of Knee Pain
1. Knee pain after an injury
Pain after overusing, overstretching or twisting can be due to muscle strain or sprain. Pain between your kneecap and shin after running or walking can be due to Tendinitis. You May feel pain after standing or walking and can feel a popping sound from your joint, It can be due to a torn ligament or osteoarthritis. Swollen knee cap and pain in young adults can be due to Osgood’s Shatters disease. Change in position of your kneecap can be caused by Patella dislocation
2. Knee Pain without an injury
Pain, stiffness, Swelling and popping sounds are the clinical symptoms of Osteo-arthritis. Bursitis can cause Knee pain. You may feel redness, Swelling, pain and difficulty in bending. Gout is a condition in which your Knee become Swollen, hot and red and sudden episode of sharp pain.
Knee osteoarthritis (OA), is usually the result of wear and tear and progressive loss of articular cartilage. It’s commonest among the elderly. Osteoarthritis is usually a progressive disease that will eventually cause disability. The intensity of the clinical symptoms may vary for every individual.
Common clinical symptoms include knee pain that’s gradual in onset and worse with activity, knee stiffness and swelling, pain after prolonged sitting or resting, and pain that worsens over time. Treatment for knee osteoarthritis begins with conservative methods and progresses to surgery options when conservative treatment fails. While medications can help slow the progression of RA and other inflammatory conditions, no proven disease-modifying agents for the treatment of knee osteoarthritis currently exist.
Treatments / Management
Treatment for knee osteoarthritis is often weakened into non-surgical and surgical management. Initial treatment begins with non-surgical modalities and moves to surgery once the non-surgical methods are not any longer effective. A good range of non-surgical modalities is out there for the treatment of knee osteoarthritis. These interventions don’t alter the underlying disease process, but they’ll substantially diminish pain and disability.
Non-Surgical Treatment Options
- Patient education
- Activity modification
- Chiropractic Treatment
- Weight loss
- Knee bracing
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- COX-2 inhibitors
- Corticosteroid injections
The first-line treatment for all patients with symptomatic knee osteoarthritis includes patient education, Chiropractic and physiotherapy. A mixture of supervised exercises and a home exercise program are shown to possess the simplest results. These benefits are lost after 6 months if the exercises are stopped. The American Academy of Orthopaedic Surgeons (AAOS) recommends this treatment.
Weight loss is effective at altogether stages of knee osteoarthritis. It’s indicated in patients with symptomatic arthritis with a body mass index greater than 25. The simplest recommendation to realize weight loss is diet control and low-impact aerobics. There’s moderate evidence for weight loss supported the AAOS guidelines.
Knee bracing in osteoarthritis includes unloader-type braces that shift the load far away from the involved knee compartment. This might be useful within the setting where either the lateral or medial compartment of the knee is involved, like during a Valgus or Varus deformity.
Common Exercises for Knee Pain
1. Leg stretch
Sit on the floor, with your legs stretched out straight in front of you. Slowly bend one knee up towards your chest, sliding your foot along the floor, until you feel a gentle stretch. Hold for five seconds. Straighten your leg as far as you can and hold in this position for five seconds. Repeat 10 times with each leg. If you can’t get down onto the floor, sit on a sofa and use a board or tea tray as a surface to slide your foot along.
2. Quads exercise with roll
Sit on the floor, sofa or bed, with your legs stretched straight out in front of you. Put a rolled-up towel under one knee. Push down on the towel as if straightening your knee. Pull your toes and foot towards you, so that you feel your calf muscles stretch, and so that your heel lifts off the floor. Hold for 5 seconds, then relax for 5 seconds. Do this 10 times, then repeat the exercise with the other leg.
3. Straight-leg raise
Sit with good posture in a chair. Straighten one of your legs, until you feel a stretch in the back of the leg. Hold for a slow count to 10 and then slowly lower your leg. Repeat 10 times with each leg. If you find this easy, straighten and raise one leg, before holding for a count of 10. Try to get into the habit of doing this exercise every time you sit down.
4. Leg cross
Sit on the edge of a table, seat or bed and cross your ankles. Push your front leg backwards and back leg forwards against each other, until your thigh muscles become tense. Hold this for as long as you can, then relax. Rest for one minute and then repeat another two times. Switch legs and repeat.
Sit on a chair. Without using your hands for support, stand up and then sit back down. Make sure each movement is slow and controlled. Repeat as many times as you like. Rest for one minute, then repeat another couple of times. If the chair is too low, start by putting a cushion on the seat and remove when you don’t need it anymore.
6. Step ups
Step onto the bottom step of stairs with your right foot. Bring up your left foot, then step down with your right foot, followed by your left foot. Hold on to the bannister if you need to. Repeat with each leg until you can’t do any more. Rest for one minute, then repeat this another couple of times. As you improve, use a higher step.
7. Knee squats
Hold onto a chair or work surface for support. Squat down until your kneecap is directly over your big toe. Hold for a count of 5, then return to your normal standing position. Repeat as many times as you like, rest for one minute, then repeat another couple of times. As you improve, try to squat a little further, but don’t bend your knees beyond a right angle.
How to reduce your risk of Arthritis
Some causes of arthritis are beyond your control, like growing older, being female or having a case history of arthritis. But you’ll take steps to scale back your risk of arthritis or delay its onset.
Here’s the way to keep your joints healthy as you age:
1. Stay at a healthy weight
Extra pounds put pressure on weight-bearing joints like hips and knees. Each pound you gain adds nearly four pounds of stress on your knees and puts six-fold the pressure on your hips.
2. Control your blood glucose
High blood glucose can stiffen the tissue that supports your joints and make them more sensitive to worry.
Just half-hour of exercise five times every week helps joints stay limber and strengthens the muscles that support your knees and hips. Specialize in low-impact exercises like walking, cycling, or swimming.
Gentle stretching can improve your range of motion and keep your joints flexible. Attempt to add simple stretches into a day.
5. Avoid injury
An injured joint is more likely to develop Arthritis than one that was never injured. Wear protective gear when playing sports and always lift together with your knees and hips, not your back.
6. Quit smoking
Smoking puts stress on tissues that protect your joints and may cause arthritis pain. Find out how Blue Cross can assist you to quit.
7. Eat fish twice every week
Fish high in Omega-3s, like salmon, trout, and mackerel. Omega-3s have many health benefits and should reduce inflammation.
8. Get routine preventive care
Your doctor could also be ready to suggest lifestyle changes that will help reduce your risk or slow the progress of arthritis.
Consulting with Finchley Back Care
At Finchley back care our chiropractors work with the patients by addressing your complaint and diagnosing the cause of your problem and designing the best care plan that helps you to return to your normal routine.