Patellar Tracking Dysfunction
One of the most common causes of unprovoked knee pain is due to a condition known as
Patellar Tracking Dysfunction. The patella, also known as the "knee cap", is guided up
and down by your thigh muscles. If there is an imbalance between your inner and outer
thigh muscles it will cause your patella to be pulled too far to one side causing it to rub
against your femur incorrectly. This wears away the cartilage on the back of the knee cap
and leads to a painful condition known as condromalacia patella. People who suffer from
this condition usually explain that standing after being seated for a while is slow and
painful. Walking down stairs also tends to aggravate the knee. With this condition, the
question is not "do I have a thigh muscle imbalance"; it is "why do I have a thigh muscle
imbalance". The origin of this condition usually exists in a shifted pelvis causing one leg
to be longer than the other. To check if you have a misaligned pelvis, simply lie on your
back and have a friend check to see if one foot sticks out farther than the other.
In your knee you have two soft rings of cartilage that form a padded cup for your femur
to sit on. With the high intensity activities that involve knee torsion; these cups are at
risk of being torn. The treatment for a torn meniscus involves rest and physiotherapies
that promote healing. Surgery should be a last resort if all other treatment modalities fail.
The major ligaments in the knee include the Anterior Cruciate Ligament, Posterior
Cruciate Ligament, Lateral Collateral Ligament, and Medial Collateral Ligament. If you
feel that you might have torn a ligament in your knee, have a good physician examine it
to identify which ones. Treatment will vary depending on the severity of your tear.
Iliotibial Band Syndrome
Iliotibial Band Syndrome, or ITB, is a condition in which a long tendon-like band that
runs down the outside of your thigh rubs against the bones of your outer knee. The
excessive friction causes pain and tenderness. People who suffer from this condition
usually get it from performing a repetitive leg motion such as walking, running, or
cycling. With this condition, the question is not "do I have an ITB syndrome"; it is "why
do I have ITB syndrome". The origin of this condition usually exists in a shifted pelvis
causing one leg to be longer than the other leading to dysfunction knee mechanics. To
check if you have a misaligned pelvis, simply lie on your back and have a friend check to
see if one foot sticks out farther than the other.
Jumpers knee, also known as infrapatellar tendonitis, is a painful condition of the tendon
that attaches the knee cap to the shin bone. It is usually due to repetitive physical stress
that overloads the tendon, causing it to experience a mild sprain. The application of
therapy along with activity modification improves healing time significantly.
Osgood Schlatters Disease
In reality, Osgood Schlatters Disease is not a disease at all, it is a painful upper shin
condition suffered by physically active adolescent children. It is caused by excessive
muscle pulling on the growth plate of the tibia, resulting in a very tender upper shin.
The application of therapy along with activity modification improves healing time
Shin splints result form excessive strain on your shin bone (the tibia) due to repetitive
muscle pull with limited recovery time. Essentially what happens is the muscles that
attach to your tibia begin to pull the bone off of itself, leading to a very tender and painful
condition. Rest and light stretching has historically been the protocol for this slow
healing condition, however, the application of specific physiotherapies has proven to
drastically improve healing time.