Knee News
Watching My Surgeon Cut Into My Knee
What if the surgeon started slicing into my knee before it was completely numb? That was my biggest fear, while weighing...

Sixers? Joel Embiid officially has knee surgery, expected to be back on court in
?The? follow-up MRI of Joel Embiid?s left knee appears to reveal? the previously identified meniscus tear appears more p...

Sixers' Joel Embiid has left knee surgery to remove 'small portion' of meniscus
As expected, Philadelphia 76ers center Joel Embiid had ?minor? arthroscopic surgery on his injured left knee on Friday, ...

LeBron James took a flying knee to his junk and went down writhing in pain
Ouch. Boxing great Floyd Mayweather is known most for his dominance inside the ring, but also for coining the phrase ?pr...

Riewoldt's knee injury not as serious as first feared
March 25, 2017 3:45pm EDT March 25, 2017 3:45pm EDT Nick Riewoldt ?heard a big pop? but the St Kilda veteran looks to ha...

91 Days of Stamkos: Day 83, Stamkos sounds off about his knee
On Thursday, Steven Stamkos expounded upon his current injury situation. Unfortunately for Lightning fans, what the capt...

Knee Pain

Knee pain is a huge complaint among runners, athletes, and just generally active people. The knee joint does a lot of work and can take a huge beating during an active adult's life. One of the biggest issues that cause knee pain has to do with the knee cap. This joint pain usually occurs where the knee cap and thighbone meet. There are many treatments for knee cap pain that do not involve surgery available, including strapping or taping, exercise, orthotic shoe inserts, injections, acupuncture, medications, heat/cold compression, laser, and an assortment of braces.

The are many kinds of exercises that can be used. Stretching, strengthening, closed kinetic chain (foot on ground), open kinetic chain (foot not on the ground), and isometric strengthening, There are also exercises that involve the hip and pelvis, that focus on the muscles of the quadriceps, vastus medilais oblique muscles, straight leg raises, and short arc knee extension exercises. Research has been done showing promising evidence that correcting a runners form can help pain in the knee cap. Most of the current therapies that do not involve surgery have not been well proven in research studies. These studies simply do not have the evidence and positive clinical effects. Experts had published reviews that criticize the current research that is available and have come to the conclusion that no one treatment has been proven to be more helpful than any other in helping the pain caused by the knee cap.

If you are feeling knee pain that is around the kneecap, and you are not having luck with any of the treatments, it may mean that either the treatments you have tried are faulty, that your diagnosis could be wrong, or both. It is not very precise to put all the problems you may have with your kneecap into one simple diagnoses or category. There could be sub-groups of other issues with the patella femoral joint. If you are able to obtain a more specific diagnosis, that has more criteria, a better focused and specific treatment can be found. The more detailed the diagnosis and treatment, the more effective pain relief you will find.

Diagnosing knee cap pain classifications is something that many researchers are just starting to explore. It has been suggested that there are eight major sub-groups of problems relating to the knee cap. There are problems with compression, instability, direct trauma, bio-mechanical dysfunction, injuries from overuse, soft tissue lesions, neurological issues, and bone disease. There have also been different treatments identified for each sub-group. Of course, more research is needed to add validity to the groupings.

While the researchers continue to work on the sub-groups and their possible treatments, there are still many individuals that are in need of pain relief from kneecap problems. Generally the current guidelines call for a treatment to be chosen that is based on careful observation in a clinic setting to identify the specific problem. If your doctor gives you a specific treatment to help with the pain from your knee cap, you may want to inquire how they decided on that treatment. They should be able to explain to you what specific signs they observed leading them to choose your treatment.

If you are only experiencing knee pain on one side you are going to be able to easily tell the difference between the injured knee and regular knee. On the injured side you will be able to feel and/or see a muscle that is softer and/or smaller if strengthening exercises is the treatment being used. On the injured knee you are going to be able to feel and/or see the muscle is shorter if the treatment chosen is stretching exercises. When the orthotic shoe insert treatment is chosen you are going to be able to see evidence of prolonged or excessive pronation happening around the foot. When the shoe inserts are used, you are going to notice that when the excessive pronation around the foot is alleviated, the knee movement becomes better.

Strapping or taping treatments are used when you can see or feel that the kneecap is not in alignment. You will easily be able to tell that kneecap is not stable when this treatment is used. When ice is used in treatment it is because there have been changes in skin temperature or color and swelling observed. Until there is more definitive results given from research regarding treatments that do not involve surgery, for knee pain that involves the knee cap, the treatment that is chosen needs to be based on experienced, professional observation in a clinical setting.

Knee Articles
Does standing limb alignment after total knee arthroplasty p
A principle of TKA is to achieve a neutral standing coronal alignment of the limb (HKA angle) to reduce risks of implant loosening, reduce polyethylene wear, and optimize patellar tracking. Several lo...

Patellar tendon reconstruction using an extended gastrocnemi
Cryogenic thermal necrosis after knee surgery is rare. We describe a patient who presented with an anterior knee soft tissue defect in conjunction with an extensor mechanism deficiency secondary to a ...

Effects of eccentric overload training on patellar tendon an
The analysis of structural changes in patellar tendon and muscle of healthy subjects in response to mechanical loads provides useful insight into the mechanism underlying overuse injuries. ...

The effects of graft size and insertion site location during
Intercondylar notch impingement is detrimental to the anterior cruciate ligament (ACL). Notchplasty is a preventative remodeling procedure performed on the intercondylar notch during ACL reconstructio...

Preoperative body mass index and physical function are assoc
Hospital length of stay (LOS) and facility discharge are primary drivers of the cost of total knee arthroplasty (TKA). We sought to identify modifiable patient factors that were associated with increa...

Effects of foot rotation positions on knee valgus during sin
Non-contact anterior cruciate ligament (ACL) injuries commonly occur when athletes land in high risk positions such as knee valgus. The position of the foot at landing may influence the transmission o...

The ACL injury response: A collagen-based analysis
Anterior cruciate ligament (ACL) injuries do not effectively heal. Tendon graft tissue after reconstruction shows rapid tissue turnover and ?ligamentization.? It is unknown whether native torn ACL tis...

Patient-related risk factors for infection following knee ar
To determine patient-related risk factors for infection following knee arthroscopy using two large databases. ...