Knee pain can affect the ligaments on either side of the knee, below the patella or can present as a more generalised swelling with no distinct point of pain. Generalised pain may point to Osteoarthritis, however, can be the result of damage to structures within the joint.
The knee is a masterpiece of design, however, because of this there are a great many structures that can go wrong. Two ligaments on either side of the joint and 2 ligaments within the joint can be overstretched. The patella tendon can become inflamed and small pockets of fluid around the knee, causing what was known in the old days as “housemaid’s knee”. 2 discs of cartilage within the joint, called menisci, can tear or fray and Osteoarthritis causes pain and swelling in the joint.
When treating the knee, the patients gait is analysed to see how their weight is distributed. The arch of the foot, hip, low back function and muscles of the leg are assessed, as all these areas have a vital role to play in how the knee functions. Once the cause is diagnosed, treatment aims to reduce pain and swelling, increase mobility as well as addressing any gait changes and influencing factors.