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Knee Pain Management



As a chiropractor in Charlotte, N.C. I see many ailments that deal with issues outside of the spine. Extremity injuries are seen on a daily basis anywhere from ankle to shoulder injuries and everything in between. These injuries come about due to inactivity, overuse, and accidents. One of the lower extremity joints that are commonly treated is the knee joint. The knee is a complex joint that allows for flexion, extension, slight medial/lateral rotation, and is subject to great forces, which makes the joint subject to many injuries. There are different types of knee pain management and care that can greatly assist with proper recovery.

One of the pathologies that are seen in athletes who participate in mixed martial arts is myositis ossificans traumatica. It is a pathology that can be seen after repeated trauma to the muscle belly of the thigh area, such as a hard kick or punch. The severe contusion or ruptures of the collagenous supportive tissue from the trauma forms non-neoplastic bone formation. The patient who experiences myositis ossificans may feel local pain, focal tenderness, swelling, warmth, and limited knee extension range of motion.  A common knee pain management strategy is cold application early on after an injury. Light passive motion of the knee joint. After the tenderness and hematoma have resolved, a strengthening regiment will be performed to rehab the injured muscle.

Another syndrome that is treated is called iliotibial band syndrome. The patient usually complains of lateral knee pain that slowly increases over a few week’s time. The pain is usually felt with running, especially when running downhill. Some of the patients may hear a creaking sound as the knee is flexed and extended. The pain itself occurs due to the iliotibial band rubbing on the lateral part of the femur when the knee is in flexion.

Also, repetitive activity during knee flexion at 30-40 degrees and hyperpronation can lead to this syndrome development. One of the simplest ways to evaluate for this syndrome along with the proper patient history is to palpate right above the knee joint line. Tenderness will often be elicited with this simple test bringing about the correct diagnosis. Treatment of this syndrome consists of stretching of the tensor fascia latae, along with its band. Correcting hyperpronation of the feet, a chiropractic adjustment to the pelvic area, and rehabilitation of gluteus medius.

To have proper treatment, you need a proper diagnosis. Many times the knee pain can originate from other sources. Referred pain from the low back, pelvis, facet joints, sacroiliac, and hip joints can often trigger the pain. Compression of the nerve root can cause radiating pain that can be felt in the knee area. As a Charlotte chiropractor with extensive training in orthopedics, patient history and evaluation are the most important part of clinical judgment.