Are you suffering from knee pain? Is it painful to walk, do stairs or run? Have you been injured in an accident or did you slip and fall? Ski injury, hockey, football, or soccer? Knee pain is one of the most common injuries seen in our office!
There are many structures in the knee that can cause pain.
No traumatic incident? The same structures can be injured with wear and tear over time. This wear and tear is often diagnosed as osteoarthritis. In addition, sometimes systemic conditions such as rheumatoid arthritis, gout, psoriatic conditions, or septic conditions can also cause excessive wear and tear into the knee.
Physiotherapy is usually the first step to improving your pain.
Regardless of the cause of your knee pain – from sports injuries to simple genetics – at PhysioNow we can help you get back on your feet.
After your initial Physiotherapy assessment, your Physiotherapist can tell you if you’ll need to see your doctor or get additional imaging done. Often, Physiotherapy treatment can commence before seeing your doctor.
Your Physiotherapist will start by taking a detailed history of your pain. Afterwards, we will do a physical assessment to pinpoint the main cause or causes of your pain. Lastly, the assessment will include special tests that can distinguish between different injuries.
This can be determined after a 2-3 month trial of Physiotherapy. Most orthopaedic surgeons will recommend a period of Physiotherapy first to either avoid surgery altogether, or to improve your outcomes after surgery.
A Physiotherapist will go through a history of your knee pain. They will do some Physical tests to rule out or rule in specific injuries. Some tests may will elicit some of your symptoms. Other tests will check the integrity of your knee and may not elicit any symptoms.
In addition, a gait analysis will be done. The Physiotherapist will watch how you walk to see if your walking has been affected by your injury.
All of your Physiotherapy treatment must be individualized for the best results. Your treatment will involve varying levels of hands on work, stretching, strengthening, and proprioception. The timing and progression of each treatment will depend on the level of your injury. You will have a specific treatment program designed just for you.
It’s important to see a Physiotherapist as soon as you feel pain. Sometimes delaying treatment can mean the development of compensations. As a result, you may develop injuries to your hip, back or feet.
In some cases, a knee brace may help protect the knee from further injury or to alleviate some pain during activities. This will be discussed with you after your initial assessment.
For example, a custom knee brace may be recommended if you have a meniscus injury or arthritis in one part of your knee. This can help to unload your knee and ease the pain.
In addition, a brace may also be recommended if you have injured the ligaments of your knee. As a result, this can help to stabilize you while your knee heals or for activity.
PhysioNow has skilled Physiotherapists available to assess and fit you for a custom knee brace if you need one.
No matter what the cause of your knee pain is, the Physiotherapists at PhysioNow are ready to help you get started on your recovery!
Call today to get started on your treatment! We have clinics in Mississauga and Etobicoke conveniently located. Direct billing to your insurance company is offered.
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!
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.
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.
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.
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.
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