Knee and Shin Pain in Happy Valley

  • Patellofemoral Syndrome – describes a wide range of knee pain that involves the knee cap and the thigh bone. This group of injuries typically presents with pain on the front of the knee and into the bottom of the thigh bone. It is usually increased with resisted movements like getting in or out of a chair and going up or down stairs.Assessing the underlying cause of pain and the mechanical influences that can be changed to return to activities without pain. It is important to improve the root cause before minor irritation turns into more advanced problems like arthritis.
  • Patellar Tendonitis – the most common sports injury among nearly all sports. This is inflammation of the tendon that connects your knee cap to the top of your shin. It is commonly injured due to the high forces put through it by the quadriceps muscle. Reducing the load put on the tendon is largely about getting the glutes and hamstrings to help share the load. Treating tension in the quadriceps muscle and reducing the inflammation in the tendon can be achieved by a plan developed by your physical therapist.
  • Arthritis and Degenerative Joint Disease – Arthritis is not an uncommon finding in later life, however, prolonged loads to, trauma to, or improper loading of the cartilage of the knee (or any joint) can lead to degeneration of the gliding surfaces of the joint. The knee carries our body weight and tends to be a a common site of arthritis. The pain associated with arthritis has been shown to be reduced with carefully designed exercise programs, regular motion, and mobilization of the knee. If pain creates a level of discomfort that is limiting your ability to participate in important aspects of your life; a consultation with your physical therapist is typically the first measure of conservative care.In more advanced cases of arthritis, consultation with an orthopedic surgeon may be warranted for further options.
  • ACL Replacement – replacement surgery of the Anterior Cruciate Ligament (ACL) is a common intervention after a tear of this ligament and subsequent increased instability and pain of the knee. While not every person who tears their ACL will need replacement, it is not uncommon. One of the most important considerations after ACL reconstruction is to assess if the injury happened due to a repeated fault in motion, structure, a specific weakness of the leg that made injury more likely, or if it was caused by an event outside of the control of the patient. Individuals who have an ACL reconstruction are at a statistically higher risk of re-injury (even to the opposite knee).Accurately assessing the mechanism of injury and interpreting why the injury happened can help prevent repeat injury.
  • Shin Splints – This is when repeated stress of the muscles that control the motion of the foot cause the connection between the muscle and the bone to become inflamed or slightly pull away and hurt; causing feelings of stiffness along the shin. Correcting mechanical issues at the ankle and foot along with allowing the traumatized tissues in the lower leg to heal is the key to rehabilitation of this type of injury.

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