Knee Pain Treatment in Mississauga, Etobicoke & Oakville

Knee pain can affect people of all ages and can be very debilitating. Knee pain can start suddenly with a fall or a motor vehicle accident or it can build up over time. Knee pain can make it difficult for people to do daily things, such as walking and climbing stairs. It can also prevent people from being active and doing regular exercise, which can negatively impact their overall health.

Signs and Symptom of Knee Pain

The signs and symptoms of knee pain will depend on the specific nature of the injury. However, the most commonly reported symptoms of knee pain include:

Pain in the knee
Reduced range of motion through the knee joint
Swelling in and around the knee joint
Clicking or grinding noises in the knee with certain movements or activities
Sensations of instability or not being able to put your weight through your injured knee
Locking or an inability to move the knee joint

Areas of Injury in the Knee

Like most joints in the body, the knee joint is very complex. It is made up of three bones and supported by several types of soft tissues. There are a variety of structures that can be involved in producing knee pain.

Structure(s)	Nature of the injury
Bones – femur, tibia and patella (kneecap)	Commonly injured through trauma Examples include falls, motor vehicle accidents or direct blows to the knee
Cartilage	Can wear down with age or with excessive high impact activities Arthritis can also lead to changes in the cartilage structure and thickness
Meniscus	The medial and lateral menisci are commonly injured through a sudden twist of the knee The meniscus can also be worn down with age-related changes of the knee
Ligaments	The ligaments of the knee are injured through trauma or sudden forces that stretch the ligaments beyond their normal length Ligament commonly occurs in sports with a lot of high impact or sudden movements
Bursae	The bursae of the knee can get inflamed and become painful with frequent and sustained pressure on the knee, such as kneeling Overuse and other mechanical injuries may also result in inflammation of the different bursae around the knee
Muscles & Tendons	Muscles and tendons of the knee can get injured or produce pain with sudden traumas, repetitive use or general weakness that has accumulated over time

Common sources of Knee Pain

Knee pain can happen for several different reasons. The most common reasons for knee pain are:

Fracture

A fracture is a broken bone and can cause significant pain and disability.
The most commonly fractured bones of the knee are the tibia and the kneecap.
Simple fractures are initially treated with a period of immobilization, such as a cast.
More complex fractures will require surgery to ensure proper healing.
Physiotherapy will be required after the casting or surgery to manage pain, regain movement, strength and function.

Meniscus Injuries

Meniscus tears are usually caused by sudden traumas involving twisting of the knee.
Meniscal tears can be partial or complete and can cause instability in the knee.
In severe cases, a piece of the meniscus can break off and can get stuck in the knee joint, which can cause locking of the knee.
Severe tears may require surgery to ensure good function of the knee.

Ligament Injuries

Ligaments can be torn partially or completely depending on the extent of the trauma to the knee.
Ligament tears can produce a lot of pain, swelling and instability in the knee joint.
The most commonly injured ligaments of the knee are the ACL (Anterior Cruciate Ligament) and MCL (Medial Collateral Ligament).

Tendonitis

Patellar tendonitis, or Jumper’s Knee, is the most common form of tendonitis in the knee.
Tendonitis is an overuse injury and is caused by repetitive stress or loading of the patellar tendon, especially with frequent jumping movements.
Patellar tendonitis is commonly seen in sports such as basketball, volleyball, tennis and football.

Osteoarthritis

Osteoarthritis in the knee results in changes in the cartilage that protects the surfaces of the bones.
The cartilage becomes thinned, cracked or completely absent and can produce a lot of pain through the knee joint.
Osteoarthritis is common in people over 50 years of age and can be present in varying severities.

Patellofemoral Pain Syndrome

Patellofemoral pain syndrome (PFPS) is a term used to describe pain in and around the knee cap.
It is most common in adolescent girls who are involved in sports that require a lot of running, jumping and squatting movements.
There are several reasons for the development of this pain, including changes in the protective cartilage underneath the knee cap and muscle imbalances in the hips and knees.

Baker’s Cyst

A Baker’s cyst is another term for bursitis in the back of the knee.
Inflammation or injury can cause the bursae in the back of the knee to swell and sometimes bulge out.
A Baker’s cyst can cause a constant ache in the back of the knee and pain can worsen with bending motions of the knee.

Post-Surgical Knee

Some injuries to the knee may require surgery to regain strength and function.
The most commonly done knee surgeries are for ACL tears, meniscus tears and total knee replacements.
The surgery will correct the structural damage but afterwards there will be a period of pain, swelling, weakness and reduced function of the knee.

Physiotherapy Treatment for Knee Pain

Physiotherapy is very important for the management of the knee pain. A Registered Physiotherapist at PhysioNow will perform a thorough assessment of the knee and implement a treatment plan to address all the patient’s limitations, including their pain, swelling, strength and function.

Physiotherapy treatment for knee pain will include patient education, manual therapy for the soft tissues and joints of the knee and active exercise therapy. Electrotherapy or acupuncture may also be used to help with pain management.

Don’t let knee pain stop you from living your life! We have 4 locations across the communities of Mississauga, Etobicoke and Oakville to help you manage your pain. Contact PhysioNow to book your appointment and get started today!

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COMMON QUESTIONS ABOUT KNEE PAIN TREATMENT

What are common injuries that can cause knee pain

The most common causes of knee pain are: meniscus injuries or wear and tear from arthritis( joint pain). It is also possible that you can get pain from under the knee cap: called patellofemoral pain. This however, is less common. Lastly, it is possible to get pain below the knee in the patellar tendon. This is called jumper’s knee or infraptellar tendonitis. The good news is that all of these can be treated with Physiotherapy!

How effective are cortisone treatments for knee pain?

The short answer is: it can help to reduce knee pain. The long answer is: cortisone injections have been shown to damage the remaining cartillage and therefore in the long run, we do not recommend them unless you are already ready for a new knee. Conservative care with Physiotherapy has been shown to be as effective in treating most knee pain and has no side effects. We recommend a course of 3 months of Physiotherapy before trying a cortisone injection.

In what cases are knee procedures or surgery necessary?

Knee surgery is recommended when you have whats called a ‘bucket handle’ type of injury to your meniscus. The only way to know if this is what you have is if you have had a CTscan or MRI done. Conservative Physiotherapy is not effective in these cases. Surgery is recommended. The other time that surgery is recommended is when your knee cartillage has completely deteriorated. Unloader knee braces can help to buy you time. Ultimately, though, there is a point at which only knee replacement surgery will help to get you back to your life.

What will wearing a brace do for my knee pains?

There are a variety of knee braces available on the market. Custom Knee Braces can be helpful to unload your knee if there is a lot of arthritis in one part of your knee. These are very effective in reducing pain. Braces can also be very helpful if you have ligament injuries such as an ACL tear. The brace can support your knee while you are healing and prevent further injury. Braces can help you get back to your normal activities faster. It is very important to get properly diagnosed if you have knee pain. Not all braces are created equally. You will need the right brace for the right knee injury. Our Physiotherapists at PhysioNow can assess your knee and recommend the proper brace for your injury. We carry a variety of off the shelf knee braces and we can provide a Custom Knee Brace if it is appropriate for you.

How will physical therapy help with knee pains?

Physiotherapy can include the use of a variety of modalities that can help to reduce pain. In addition, the Physiotherapist can use hands on treatment techniques that can help to reduce your pain. Lastly, the Physiotherapist will teach you specific exercises that can help to reduce or eliminate the pain and get you back to your normal activities as quickly as possible.

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