Uncommon
Solutions for
Common Problems
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♦ 7 ♦
KNEE PAIN
Knee pain is very common, often misdiagnosed, and improperly treated. In this chapter, I will discuss the two most common causes of knee pain - knee sprain/strain and osteoarthritis. Other causes and conditions not covered include: chondromalacia patella, Osgood-Schlatter, Baker’s cyst, fracture, and other medical (i.e. non-musculoskeletal) conditions. Some of these conditions are serious. As with any condition, you should have a doctor exam you.
KNEE SPRAIN/STRAIN
There are two levels of knee injury. The deeper, or more serious level, of knee injury is when you “blow your knee out.” This is what happens when you buckle your knee in a serious accident such as skiing in which your body goes one way, and your lower leg goes the other. Or it could be a football injury in which a player lands on your knee and your knee gives way or buckles. When this happens, you cannot put weight on your knee because your knee will be sloppy and give way. This full-blown level of knee injury includes torn ligaments, tendons, meniscus, and cartilage and needs treatment from an orthopedic surgeon and may possibly require surgery.
However, most people who come to my office with knee pain do not have this deeper level of knee injury or, if their knee pain started this way, the injury was months ago and they already had surgery. These people do not have torn ligaments, tendons, meniscus, and cartilage, but they have a lessor level, or a sprain/strain complex of their knee. So what is a sprain/strain of the knee and what do you do about it?
In the knee chapter I discuss the knee sprain / strain (the cause of most people’s knee pain), how to treat it, and what to do if it doesn’t respond to therapy. I also discuss Osteo-arthritis (OA) (wear and tear) of the knee. OA of the knee is a condition that is very common. Many of my patients are quite surprised to find there is a treatment for their knee pain. They also are quite pleased when their pain is gone.
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