Knee injuries

Knee pain and knee injuries are the most common leg injuries.

However, knee problems rarely arise from the knee itself They often arise because of a lack of motion in either the hip, ankle or foot. The kneejoint, which lies between these joints, will try to compensate for this lack of motion, resulting in an overload injury of the knee.

 

Anatomy

The knee is a stable and robust joint between the thighbone (femur), your shinbone (tibia) and your kneecap (patella). Inside the knee you will find the anterior and posterior cruciate ligaments and your two menisci. These structures provide a lot of stability to your knee and protect your knee against serious injuries. The medial and lateral collateral ligaments are on either side of the knees and prevent your knees from caving in or out. 

Compared to the hip or ankle, the knee has limited movement.   The main movement in your knee is bending and extending. Your knee can also rotate internally and externally and some degree of side to side movement. The rotation is essential for proper knee movement, but is often forgotten in the treatment of knee problems.

 

Knee injuries

 

Patellofemoral pain syndrome (PFPS)

PFPS pain is located behind the kneecap and is exacerbated when pressure or force is placed on a bent knee, such as when bending, squatting, kneeling, climbing stairs and cycling fast. Even though the pain is in your knee, the underlying cause is often elsewhere. Often a lack of motion or aberrant motion in the ankle or hip is the root cause.

 

Collateral knee ligament injury

On either side of the knee you’ll find the medial and lateral collateral ligaments. These ligaments stabilize the knee in side to side movements. Injuries to the collateral ligaments often happen during a fall or when you twist your (bent) knee. This causes these ligaments to be stretched and possibly torn. With dosed movement and rest, this problem often resolves on its own. However, physiotherapy can help to speed up the recovery process If the problem persist for more than a week, please contact one of our therapists!

Runner’s knee

With a runner’s knee you have pain on the outside of your knee. Runner’s knee often occurs when you build your running or cycling up too fast with too little rest. The pain is caused by a tendon plate inflammation or irritation that runs on the side of the leg. Your iliotibial band (ITB). The ITB is a tendon plate that runs between your pelvis and your tibia. If you suffer from a runner’s knee, take a look at the muscle strength of your foot and ankle muscles. By strengthening those, you often resolve a lot of knee problems.

Patella tendon injuries

The patella tendon is subject to a lot of forces in our daily lives. Prolonged overload can cause irritation and pain. One of the underlying causes of patella tendon injuries is a dropped arch or ankle causing a torsion force on the lower leg and knee.

This causes the patella tendon to work from a non-optimal position, leaving it prone to overuse and injury. If you have patella tendon problems, often times the knee rotation and patellar movement are limited as well. Try to improve your knee rotation and your patellar motion. This solves the underlying mechanism and prevent it from coming back.

A common patella tendon injury is the Jumpers knee.

Meniscus injuries

The two menisci are cartilage rings that lie between your tibia and femur. They can slide forward or backwards with knee movement. The reason you have menisci is to create a larger contact area between the convex femur and the flat tibia bone. This creates more stability and allows for more movement to happen. 

Especially in positions or sports where a lot of rotation and twisting movements occur in the knee, the menisci can get stuck and cause you pain. A stuck meniscus can be quickly resolved with Active Release Techniqeus. In addition, we always advise to improve the rotation of your ankle, knee and hip joints. The better your knee and surrounding joints can rotate, the less chance there is of meniscus injury.

A meniscus can also tear. In some cases, surgery is the solution, but in many cases meniscus problems can be resolved well with the right combination of treatment and training.

Onze behandeling

Zoals je wellicht opgevallen is, vinden de meeste knieklachten hun oorsprong in de enkel of heup. Dus alleen het behandelen van de knie gaat jouw knieprobleem niet oplossen. Het is belangrijk om de hele beweegketen te onderzoeken om uit te vinden waar het probleem echt vandaan komt.

Wij gaan op zoek naar de onderliggende oorzaak van jouw knieklacht en lossen deze op. Daarnaast krijg je gerichte oefeningen mee die ervoor zorgen dat je knie sterker worden dan ooit tevoren.

Als je vragen hebt over jouw knieklacht, neem dan gerust even contact op met een van onze therapeuten. Vaak kunnen we je al handige tips geven die je klachten al direct verminderen.

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