Knee News
Knee pain may run in the family
By Shereen Lehman (Reuters Health) - People whose parents had a total knee replacement due to osteoarthritis are more th...

Arsenal star Mesut Ozil says knee recovery is 'on the right path'
Arsenal playmaker Mesut Ozil feels his recovery from a knee problem is now "on the right path" and cannot wait...

Warriors C Bogut out indefinitely after plasma therapy on knee
Golden State Warriors center Andrew Bogut is out indefinitely after undergoing platelet-rich plasma therapy on his ailin...

Knee to keep Warriors' Bogut out indefinitely
Golden State Wariors center Andrew Bogut is out indefinitely after undergoing therapy on his injured right knee, the tea...

Warriors' Bogut out with knee injury vs. Thunder
OAKLAND, Calif. (AP) -- Golden State Warriors center Andrew Bogut's troublesome right knee will keep him out against...

Arsenal midfielder Ozil close to making comeback from knee surgery
Arsenal midfielder Mesut Ozil hopes to return to action ahead of schedule as he continues his recovery from knee surgery...

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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
Clinical significance of T2*-weighted gradient-echo MRI to m
This study examined the feasibility of T2*-weighted imaging (T2*WI) gradient-echo MRI to reflect actual function of the graft after anatomic double-bundle ACL reconstruction. T2*WI and proton density-...

Variations in morphological characteristics of prostheses fo
The aim of this study is to compare kinematics during weight-bearing deep knee-bending motion in patients after bilateral total knee arthroplasty (TKA) of two types: 1) a conventional ScorpioFlex pros...

Increased meniscal loading after anterior cruciate ligament
Meniscal injury has been well documented as a frequent consequence of both acute and chronic ACL deficiency. The purpose of this study was to evaluate the effect of ACL deficiency on meniscal loads in...

The risk of sacrificing the PCL in cruciate retaining total
In cruciate retaining total knee arthroplasty (TKA), a partial avulsion of PCL may occur when en-bloc tibial osteotomy is performed. We evaluated the effects of a tibial cut performed with different d...

Arthroscopic mosaicplasty: Long-term outcome and joint degen
This study aims to document the long-term results in a group of patients treated with arthroscopic mosaicplasty for knee cartilage lesions, both in terms of clinical outcome and joint degeneration pro...

One-step cartilage repair in the knee: Collagen-covered micr
Different single-stage surgical approaches are currently under evaluation to repair cartilage focal lesions. To date, only little is known on even short-term clinical follow-up and almost no knowledge...

Intra-operative deviation in limb alignment occurring at imp
Long-term survival of knee replacement depends on accurate alignment. Despite improvements in cut accuracy mal-alignment of 3 or more is still seen. All methods share common implantation techniques. ...

Radiostereometric analysis of early anatomical changes follo
The objective of this study was to use radiostereometric analysis (RSA) to evaluate the anatomical changes that occur in the tibia immediately after surgical correction with medial opening wedge high ...