Knee Pain Coventry 

Knees can be the most problematic joint especially when it comes to sport. Knee pain is a very common problem for a lot of people from athletes to tradespeople and office based jobs. Whether its pain when getting up out of a chair, to pain with walking. There are quite a few different structures in the knee that can fail producing any amount of pain. Most common injuries and conditions that can effect knee pain are;

  • Arthritis
  • Ligament damage
  • Cartilage damage
  • Muscular tears
  • Knee cap misalignment
  • Inflammation

Knee pain in Coventry is generally caused by two aspects, not moving and loading the knee enough; and putting too much load through the knee. Either of these two issues will result in one or more of the injuries/conditions above. It sounds like you need a delicate balance but it really isn’t. In modern society we have a lot of people who live predominantly sedentary lifestyles, working 8 hours a day and then watching T.V at home. Then others like tradespeople who have active jobs do a lot of bending and lifting heavy equipment, and then go home and are surprisingly active whether it’s working on their own home or helping friends with their expertise.

A lot of pain can be avoided by finding a balance between the two. However this is best done before pain manifests itself so that you can avoid it all together. When knee pain does manifest itself there are many treatments to eliminate it. These treatment can include;

  • Joint mobilisation
  • Acupuncture
  • Ultrasound
  • Rehab exercises
  • Deep tissue massage of surrounding muscles (depending on cause of pain)

Identifying the source of the pain is crucial for the knee in order to treat it correctly. This can be typified by arthritis, a problem that responds really well to joint mobilisation. As this treatment improves the range of movement it can be really good for reducing pain. But deep tissue massage on surrounding muscles or ultrasound however can do very little or even nothing to help arthritis pain in the knee.

 

Structures of the Knee?

The knee is one of the most complex joint in the body. It handles massive amounts of forces in multiple directions meaning it has to be a very stable joint leading to a lot of different structures designed to ease and support the functions of the knee. When these structures fail it can result anywhere from small to huge amount of knee pain depending on the severity of the injury and what structure is injured. First let’s start with the bones.

 

Bones

The bones that meet at the knee are the femur (bone between your hip and knee), tibia (commonly referred to as shin bone) and fibula (the second smaller bone in the shin). These bones form the supporting framework of the knee allowing other tissues to attach onto and allow movement as well as protection. Fractures are the most common problem for the bones that causes knee pain. The other one is arthritis in older age as the bone get worn away and pitted from this condition resulting in knee replacement surgery.

 

Ligaments and muscles

Ligaments and muscles are two different but similar structures that can affect the knee. They are soft tissues unlike bones which are hard. The muscles are responsible for pulling on the bones and creating movement in the knee. The ligaments are responsible for holding the bones of the knee together and restricting excessive movement within the knee. When these structures become damaged it can result in a lot of knee pain and even surgery to correct the issue, especially for ligaments.

 

Meniscus

Cartilage in any joint acts as a shock absorber and helps make movement smooth. In the knee it is called the meniscus. The meniscus has a domed shape and sit underneath the big condyles of the femur, meaning there are two meniscus’s in each knee.  When the meniscus is damaged it can range from very painful to no pain at all and pain is not an indicator of severity of damage. For instance very minor damage that can occur is bruising of the meniscus. The structure of the meniscus has not been damaged in this case just compressed too much resulting in pain. This injury can be very painful and make the knee buckle in pain. However a tear to the meniscus doesn’t always have to hurt at all. There have been many incidents where people have reported no pain with a torn meniscus but this injury does usually come with a partially or fully restricted movement of the knee, this requires a surgical intervention to fix.

 

Synovial fluid

Synovial fluid is the fluid in every joint that aids movement by lubricating the joint and allows the transfer of substances across joints. In the knee the meniscus has a very poor blood supply so it relies on the synovial fluid to bring much needed material to help it repair and look after itself. The synovial fluid is also very important in the healing process for everything in the knee. It aids and encourages the movement of inflammation in the joint when an injury has occurred. This is vital as inflammation is how the body starts the healing process and by aiding this function it can speed up recovery.