Knees frequently don’t respond to traditional knee pain treatment that just focuses on strengthening the quadriceps and stretching the hamstring muscles!
I believe that’s because the knee is essentially just a hinge joint designed to bend and straighten, but it’s trapped between two areas that twist – your hip and your foot. And if one of those areas becomes twisted and stuck, then your knee is often forced to move suboptimally. Over time, you start to put pressure through your knees in places that aren’t designed for it, and eventually you notice pain and stiffness. Equally, if you have an accident (a fall when skiing, or you get tackled when your foot is planted), the knee can often get forcibly twisted, damaging the ligaments or cartilage – the anterior cruciate ligament, or ACL, is particularly prone to tearing when you twist your knee.
Limping also causes or perpetuates knee pain – we simply aren’t designed to walk on a bent knee, and when we do, it can irritate the cartilage, especially at the back of the kneecap; and this can further complicate a knee or ankle problem!
My job is to work out whether the problem is coming from your knee joint itself, or whether it’s trying to compensate for a problem somewhere else in your body. Common issues that the knee tries to compensate for are weak feet or hips.
Each knee problem has its own specific cause, and therefore the best knee pain treatment may be completely different for different people.
When I treat you, we’ll start off by discussing when your knee hurts: is it all the time, or when you try to go downstairs, or when you get up after sitting down for a while? Does it click or get stuck? Can you walk? I then look at your posture and your movement patterns throughout your whole body, especially with regard to the activity or posture that hurts you most, in order to work out where your problem is originating from. Then we can work out the best treatment for your knee pain.
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The Prime Minister’s announcement on 1 Nov was clear that medical services should continue, and that people who need medical appointments should continue to attend them. Therefore the clinic will remain open, with everything wipe-clean and COVID-safe.
However, the current government advice is that I have to see patients online before I can see you in clinic, and that I should only see you face to face (or mask to mask!) if we both agree that the benefits of hands-on treatment outweigh the risks of coronavirus transmission. If hands-on treatment is not the most appropriate option for you, then I will continue to offer online treatment for the foreseeable future.
So please call my team on 0207 175 0150 and book your physio appointment as usual – or to read more about the COVID-safe measures we’re taking, please click the button to continue reading.