2010 Trim Rd Unit 9,
Orléans, ON K4A 0G4

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Knee Pain

Understanding Knee Pain & Physiotherapy

Knee pain is a common problem that affects Orleans people of all ages, may be caused by an injury to your ligament, your muscles, your joint or your cartilage either a sport injury, work injury. Also it may be secondary to some medical conditions including arthritis, bursitis, tendonitis, pseudogout and infections.

Many types of minor knee pain respond well to self-care such as using heat or cold, rest or avoiding the re movement which causes your pain but you do not need to live like that. Physical therapy including modalities, rehabilitation exercises, taping, dry needles, manual therapy, knee braces and etc also can help relieve pain. In some cases, however, your knee may require surgical repair.

Patellofemoral pain syndrome is a general term that refers to pain arising between the kneecap and the underlying thighbone. It’s common in athletes; in young adults, especially those whose kneecap doesn’t track properly in its groove; and in older adults, who usually develop the condition as a result of arthritis of the kneecap.

If you require a physiotherapy treatment make a booking to see us.

Signs & Symptoms

Signs and symptoms that sometimes accompany knee pain include and needs medical attention or saying a doctor or a physiotherapist:

• Swelling and stiffness, you can not have a range of motion or movement without pain even with no weight bearing.

• Redness and warmth to the touch in severe cases you can not touch because your skin is very tender to touch.

• Weakness or instability (giving away or bucking).

• Popping or crunching noises with every possible movement and direction.

• Inability to fully straighten the knee or bend the knee.

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Common Conditions

• ACL, MCL, PCL, and /or LCL injury. four ligaments that connect your shinbone to your thighbone. they are particularly common in people who play basketball, soccer, hockey, volleyball, skating or other sports that require sudden changes in direction and has some impact force.

• Fractures. The bones of the knee (Femur, Tibia), including the kneecap (patella), can be broken during falls or car accidents. Also, people whose bones have been weakened by osteoporosis, or osteopenia can sometimes sustain a knee fracture simply by stepping wrong.

• Torn meniscus. The meniscus is the cartilage that acts as a shock absorber between your shinbone (Tibia) and thighbone (Femur). It can be torn if you suddenly twist your knee while bearing weight on it, so it might happen by itself or with another ligament during sport or even stepping off a curb the wrong way.

• Knee bursitis. Some knee injuries cause inflammation in the bursae, the small sacs of fluid that cushion the outside of your knee joint so that tendons and ligaments glide smoothly over the joint. There are five primary bursae in the knee joint. These include the prepatellar bursa, infrapatellar bursae, suprapatellar bursa, pes anserine bursa, and semimembranosus bursa, but also we have some small one so in total there are 12 bursae.

• Patellar tendinitis. Tendinitis causes irritation and inflammation of one or more tendons — the thick, fibrous tissues that attach muscles to bones. This inflammation can happen when there’s an injury to the patellar tendon, which aallows you to kick, run and jump. Runners, skiers, cyclists, basketball players, and those involved in jumping sports and activities may develop patellar tendinitis, which is similar to Osgood-Schlatter diseases:

• Loose body. Sometimes injury or degeneration of bone or cartilage can cause a piece of bone or cartilage to break off and float in the joint space.

• Iliotibial band syndrome. This occurs when the tough band of tissue that extends from the outside of your hip to the outside of your knee (iliotibial band) becomes so tight that it rubs against the outer portion of your thighbone.

• Dislocated kneecap occurs when patella slips out of place, usually to the outside of your knee.

• Hip or foot pain. If you have hip or foot pain, you may change the way you walk to spare your painful joint. But this altered gait can place more stress on your knee joint and cause knee pain.

• Osteoarthritis. Sometimes called degenerative arthritis, osteoarthritis is the most common type of arthritis. It’s a wear-and-tear condition that occurs when the cartilage in your knee deteriorates with use and age.

• Rheumatoid arthritis. The most debilitating form of arthritis, rheumatoid arthritis is an autoimmune condition that can affect almost any joint in your body, including your knees. Although rheumatoid arthritis is a chronic disease, it tends to vary in severity and may even come and go.

• Pseudogout. Often mistaken for gout, pseudogout is caused by calcium-containing crystals that develop in the joint fluid. Knees are the most common joint affected by pseudogout.

• Septic arthritis. Sometimes your knee joint can become infected, leading to swelling, pain and redness. Septic arthritis often occurs with a fever, and there’s usually no trauma before the onset of pain. Septic arthritis can quickly cause extensive damage to the knee cartilage. If you have knee pain with any of the symptoms of septic arthritis, see your doctor right away.

Aggravating Factors

• Lack of muscle flexibility or strength. A lack of strength and flexibility can increase the risk of knee injuries. Strong muscles help stabilize and protect your joints, and muscle flexibility can help you achieve full range of motion.

• Certain sports or occupations. Some sports put greater stress on your knees than do others. Alpine skiing with its rigid ski boots and potential for falls, basketball’s jumps and pivots, and the repeated pounding your knees take when you run or jog all increase your risk of knee injury. Jobs that require repetitive stress on the knees such as construction or farming also can increase your risk.

• Previous injury. Having a previous knee injury makes it more likely that you’ll injure your knee again.


Although it’s not always possible to prevent knee pain through the following
• Get strong, stay flexible. Weak muscles are a leading cause of knee injuries. You’ll benefit from building up your quadriceps and hamstrings, the muscles on the front and back of your thighs that help support your knees. Balance and stability training helps the muscles around your knees work together more effectively.

And because tight muscles also can contribute to injury, stretching is important. Try to include flexibility exercises in your workouts.

• Be smart about exercise. If you have osteoarthritis, chronic knee pain or recurring injuries, you may need to change the way you exercise. Consider switching to swimming, water aerobics, biking or other low-impact activities — at least for a few days a week. Sometimes simply limiting high-impact activities will provide relief.

Also Physiotherapy can help to guide you through the process and show you how you can conquer your knee pain and be back on your feet to do what you love.

When you are first injured, the RICE protocol can help speed your recovery:
• Rest. Avoid walking or standing on the painful knee.
• Ice. use cold packs for 15-20 minutes at a time. Do not apply ice directly on the skin.
• Compression. Lightly wrap the injured area in a soft bandage.
• Elevation. To reduce swelling, elevate your knee higher than your heart while resting.
Call us or contact us right away we take walk in and home visits even on weekends.

knee pain diagram
Excellent physiotherapists. The owner is always friendly and polite. He answered all of my very numerous questions with explanations in simple language we, neophytes, can understand. He pinpointed what was wrong with my neck and developed a plan that worked very well for me. Already feeling a lot better after only 3 weeks. I would definitely recommend them!
Lucie Mann


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St. Mary Physiotherapy Orleans
Email: info@stmaryphysio.com
Phone: (613) 590-7453


2010 Trim Rd unit 9
Orléans, ON K4A 0G4

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Registered Physical Therapist
Adel Abd El Malek – PT BScPT
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