Knee News
John Wall?s knee is swollen and could cause him to miss Sunday?s game at Toronto
John Wall blamed himself. His left knee, swollen with fluid, hindered his speed. So on Friday night, as the Washington W...

Wall blames ugly performance vs. Heat on fluid buildup in knee
Just two days removed from putting up 27 points in Miami, to go with six assists, four rebounds, and even two blocks, Wa...

Nets announce D?Angelo Russell is recovering from knee surgery
The Brooklyn Nets added some interesting young pieces this summer and were looking to build momentum. A knee surgery for...

NFL player protests inspire new country song 'Take a Knee My Ass'
A country musician named Neal McCoy released a song criticizing NFL players who took a knee during the national anthem t...

Brooklyn Nets' D'Angelo Russell has arthroscopic knee surgery
Brooklyn Nets guard D'Angelo Russell had arthroscopic surgery on his left knee Friday, the team announced. Russell has b...

D'Angelo Russell's Knee Surgery Derails Nets' Plans
The most productive season of D?Angelo Russell?s young career has been officially derailed. The Nets announced Friday th...

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
Ratio of the tibial tuberosity?trochlear groove distance to
Tibial tuberosity?trochlear groove distance(TT-TG) is a measurement to assist in the diagnosis and treatment of patellar instability, however it still has some limitations. Our study was to modify the...

Primary stability of different plate positions and the role
The purpose of this study was to compare the mechanical fixation strengths of anteromedial and medial plate positions in osteotomy, and clarify the effects of bone substitute placement into the osteot...

Preoperative corrections are required for planning of patien
Patient-specific instrumentation (PSI) is attracting attention as a mechanical method of ensuring the accuracy of osteotomy during total knee arthroplasty (TKA). Few studies have focused on preoperati...

The effect of platelet-rich fibrin on autologous osteochondr
This work aimed to evaluate the efficacy of cartilage transplantation to the medial femoral condyle±platelet-rich fibrin (PRF) augmentation in a porcine model. The hypothesis of the study was that PRF...

Patellofemoral arthritis treated with resurfacing implant: C
This study evaluated the clinical and radiographic outcomes of a series of patients treated with an anatomic inlay resurfacing implant, with a minimum two-year follow-up. ...

Influence of knee flexion angle and transverse drill angle o
The purpose of this study was to find appropriate flexion angle and transverse drill angle for optimal femoral tunnels of anteromedial (AM) bundle and posterolateral (PL) bundle in double-bundle ACL r...

Sex-specific kinetic and kinematic indicators of medial tibi
Our aims were to (1) Evaluate sex-specific contributions of peak knee flexion moment (pKFM) and peak knee adduction moment (pKAM) in medial tibiofemoral joint (TFJ) force during walking and running; (...

The accuracy of the ?projected surgical transepicondylar axi
In TKA, we have used the ?projected SEA?, which is obtained by projecting the ?true SEA? on the distal femoral cutting plane in clinical practice to determine the femoral component rotation. There are...