Knee News
Steelers' Artie Burns: Leaves with knee injury
Burns exited Thursday's game against the Browns with a knee injury. Burns appeared to suffer the injury while covering a...

USC notebook: LB Jordan Iosefa out for season with knee injury
LOS ANGELES ? USC linebacker Jordan Iosefa will miss the remainder of the season after undergoing a second surgery on hi...

Pelicans' Brandon Ingram Out with Knee Injury vs. Clippers in Paul George Debut
The New Orleans Pelicans announced forward Brandon Ingram will not play Thursday's game against the Los Angeles Clippers...

UCF QB McKenzie Milton has big impact as mentor to Knights while recovering from
McKenzie Milton will mark an anniversary next week he probably wishes he could forget. The UCF quarterback nearly lost h...

Colts' Malik Hooker: Tending to knee issue
Hooker did not participate in Thursday's practice due to a knee injury. Hooker underwent surgery to trim his meniscus Se...

Colts quarterback Jacoby Brissett (knee) will start Sunday barring a setback
Colts quarterback Jacoby Brissett (knee) will start Sunday barring a setback Brissett sprained his MCL against the Pitts...

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
Management of the first-time lateral patellar dislocation
Little guidance exists on the management of the first-time patellar dislocation. The aim of this article was to review current guidance for management of this condition. ...

Association of chemokine expression in anterior cruciate lig
Stromal cell-derived factor-1a (SDF-1?) and high mobility group box chromosomal protein 1 (HMGB1) are chemokines that can drive post-traumatic osteoarthritis (PTOA) induced by anterior cruciate ligame...

The effect of surgery on patellar tendinopathy: Novel use of
patellar tendinopathy is an overuse condition most commonly affecting jumping athletes. Surgery is reserved for refractory cases; however, it lacks high level clinical evidence and basic science to su...

Replacement for patellofemoral arthritis
Patellofemoral osteoarthritis (PFOA) is relatively common, affecting 24% females and 11% males over the age of 55?years. Most patients can be treated conservatively. Arthroplasty remains the ultimate ...

Traumatic injury of the knee extensor mechanism in skeletall
The literature is limited on the etiology and outcome of acute traumatic knee extensor mechanism injuries in skeletally immature patients with lack of a reliable classification system. ...

Mid inter-epicondyle trochlea intersection (MIELTI): Proposa
Tibial tuberosity trochlear groove distance (TT-TG) is an important radiological measurement in patellofemoral instability (PFI). Where instability is recurrent, a value ?20?mm is considered an indica...

A mathematical modelling study investigating the influence o
Patellofemoral pain (PFP) is the most common orthopaedic condition among runners. Individuals with PFP exhibit greater patellofemoral joint (PFJ) reaction force and stress when compared with pain-free...

Risk factors for residual anterolateral rotational instabili
Exact knowledge of risk factors for residual anterolateral rotatinoal instability (ALRI) after anterior cruciate ligament (ACL) reconstruction is limited. The purpose of this study was to analyse poss...