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Knee Pain

In the sporting community, an athlete's worst fear is sustaining a knee injury, as it frequently results in significant time on the sideline. Game Time Physiotherapy has experience with acute knee injuries and provides the latest and greatest treatment modalities for post operative knee rehabilitation and return to play. 

Common knee pathologies that are treated

successfully through physiotherapy include;

  • Osteoarthritis.

  • Patellar tendinopathy.

  • Patellofemoral pain.

  • Iliotibial band friction syndrome.

  • Meniscal tears (conservative management or post operative)

  • Ligament sprains.

  • Post operative knee rehabilitation.

  • Fat pad impingement.

Suboptimal lower limb mechanics can lead to overuse injuries of the knee, and are common in runners and sports involving plyometric movements such as athletics, volleyball, basketball and netball. The patellar tendon connects the tibia to the bottom of the knee cap. When the quadriceps contract, they pull the knee cap upwards, transmitting forces into the patellar tendon, extending the knee. With excessive jumping or sprinting, an overload of this tendon can occur, leading to pain on palpation over the tendon, and a reduction in jumping or sprinting power due to pain

inhibition. Patients can initially“ work through” the pain as the tendon performs better once warm,

only to become painful post exercise. 

​The patellofemoral joint is made up of the under surface of the patellar and the femur. Unaccustomed loads, as well as suboptimal lower limb mechanics, can cause pain at this joint which is not alleviated by exercise. Increased internal rotation of the femur, increased medial knee movement during stance, excessive rolling in of the foot, tight lateral thigh structures and or weak/poor activation of the vastus medialis oblique (VMO) or inside quad, can overload this joint and is commonly seen in distance runners.

Acute knee injuries are very common in sports that involve twisting and change of direction movements such as netball, basketball, football and alpine skiing. The anterior cruciate ligament (ACL) stops the anterior translation of the tibia on the femur and is the primary restraint for rotation at the knee.The common 

mechanism of injury for ACL tears is the internal rotation of the femur with the foot fixed, with an audible popping and immediate swelling. The ACL is a very important ligament for knee stability and is almost always reconstructed in the athletic population using the patellar tendon or hamstring tendon, followed by 6-9 months physiotherapy. 

The lateral and medial collateral ligaments (LCL/MCL) stop hyperextension of the knee as well as movement in the frontal plane. The MCL is a thin, fan shaped ligament, as apposed to the thick, cord-like LCL, and is therefore weaker and more commonly injured. 

 

The posterior cruciate ligament (PCL) is often injured by landing directly on the tibia or in car accidents where the knee hits the dashboard. This ligament stops backwards movement of the tibia on the femur, with full thickness tears often managed conservatively by physiotherapy and graduated exercise programs. 

 

There are two mushroom-shaped pieces of cartilage in the knee called meniscii which act as shock absorbers as well as providing an improved fit & stability in the knee joint. Due to its' poor blood supply, the meniscii have a poor potential to heal by themselves and if there is a significant tear in the cartilage, surgery is the gold standard management. Patients with meniscal tears report episodic swelling, painful clicking/catching or locking. The meniscii are often damaged during ACL tears.

Game Time Physiotherapy has experience in the post surgical management of knee injuries through years of sports coverage, especially in rugby union and league. We use the latest muscle stimulation technology to accelerate muscle gains post op, restoring muscle size and correct muscle firing patterns quicker, leading to a quicker return to play.

 

These conditions are just a few we see and treat successfully everyday here at Game Time Physiotherapy.

Have a question about your knee pain?

If any of these presentations are similar to your pain, book an appointment online now or ask a question in the box below, so as a team, we can rid you of your knee pain to allow you to take control of your health and perform at your best.

Contact Information:

Game Time Physiotherapy

1/449Lytton Road, Morningside QLD 4170

info@gametimephysio.com.au