Knee News
Falcons' Kaleb McGary: Carted off with knee injury
McGary was carted off during Sunday's matchup with the Eagles due to a knee injury, Kelsey Conway of the Falcons' offici...

Kaleb McGary questionable with knee injury
The Falcons invested a pair of first-round picks on offensive linemen. At the moment, neither of them are on the field. ...

Falcons rookie 1st-rounder McGary injures knee
ATLANTA -- Atlanta Falcons rookie right tackle Kaleb McGary, the second of the team's two first-round draft picks, left ...

Rams? Cooper Kupp shows Saints he caught up in return from knee injury
If there was any doubt, Rams receiver Cooper Kupp showed Sunday there are no lingering effects from the knee injury that...

Cowboys Rumors: Michael Gallup to Undergo MRI on Knee Injury
Dallas Cowboys receiver Michael Gallup will need an MRI on his knee, The Athletic's Calvin Watkins reported Sunday night...

Chargers WR Mike Williams ends knee injury concerns after 47-yard grab
DETROIT ? Chargers wide receiver Mike Williams had most of the attention throughout the week, mainly from his fantasy fo...

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
Response to Editor ?Continuous adductor canal blockade facil
We thank you for your interest in our work. The reader raises three questions regarding our recent article [1] and we appreciate the opportunity to respond. The first question was asking if all patien...

The effect of a longitudinal tear of the medial meniscus on
The purpose of this study was to investigate the effect of a longitudinal tear of the medial meniscus (MM) and its meniscal repair on MM extrusion in anterior cruciate ligament (ACL)-injured patients....

A novel patient-specific instrument design can deliver robot
A previous randomised controlled trial (RCT) by our group found that robotic assisted unicompartmental knee arthroplasty (UKA) surgery was significantly more accurate than conventional instrumentation...

Dual-pivot bearings improve ambulation and promote increased
Modern understanding of native knee kinematics reveals more complex pattern of lateral-pivot in early flexion activities, and medial-pivot in deeper flexion (i.e. dual-pivot). The purpose of this stud...

Different targets of mechanical alignment do not improve kne
Accurate alignment is a basic principle of TKA surgery, but achieving alignment within this target may not translate into superior outcomes after surgery. ...

Fulfilment of preoperative expectations and postoperative pa
In total knee arthroplasty (TKA), the association between preoperative patient expectations, their postoperative fulfilment, and satisfaction is not well understood. The aim of this study was to quant...

Factors affecting stability after medial opening wedge high
To investigate the effect of screw length, lateral hinge fracture, and gap filling on stability after medial opening wedge high tibial osteotomy (MOW HTO) using a locking plate. ...

Return to sport following isolated opening wedge high tibial
The purposes of the study are as follows: (1) examine the timeline of return to sport (RTS) following isolated high tibial osteotomy (HTO), (2) evaluate the degree of participation and function upon R...