Knee pain is one of the most prevalent and serious issues that we face on a daily basis, making it difficult to go about our everyday lives. Fractures, soft tissue injuries, and osteoarthritis are all common causes of knee discomfort. Physical examination, patient history, patient age, and location of pain are all crucial factors in diagnosing pain. The pain's onset, location, duration, and intensity are all assessed. Radiography should also be performed. Determining the source of the pain is critical in terms of the patient's right diagnosis, treatment, and rehabilitation.
When we look at the anatomy of the knee joint, 3 main bones (femur - thigh, tibia - tibia, patella - kneecap) 4 important ligaments (MCL - inner side, LCL - outer side, PCL - back cross, ACL - front cross) many muscle groups, tendons and menisci that ask the knee joint.
When it comes to the function of the four major ligaments, it prevents overloading of specific parts of the joint, which restricts excessive motion. The menisci's job is to preserve the joint between the thigh and shin bones, which are not anatomically overlapping. And the meniscus, located between the two structures, provides the harmony between them. In these structures, it restricts the rotational movement, including forward rotation, while on the other hand, it partially absorbs the load falling on it and transmits it to the other side. In other words, it is two movements as absorption and restriction of movement. There are two menisci, internal and external. The inner part in the middle is low, while the outer part in the joint is high. These structures restrict the outward movement of the joints. While the blood supply of the meniscus occurs in the outer part, the inner part is nourished by the joint fluid. For this reason, tears in the inner part of the meniscus do not heal and require surgical intervention.
When we look at the function of the muscle groups, it is supported from the front by the Quadriceps and from the back by the Hamstring muscles. When the Hamstring and Quadriceps muscles contract, they move tendons and bones by pulling them towards them. The Quadriceps brings the knee joint into a bent position. For comfortable and smooth movements, these muscles should be adequate and both muscle groups should have balanced forces.
In our clinic, the causes of knee pain are mostly soft tissue inflammation and arthritis. Overuse injuries include patellar and quadriceps tendonitis, knee bursitis, ligament and meniscus problems, and tibial plateau fractures. Factors that increase or decrease the pain, the character of the pain are important for the solution of the problem. It is a treatment method suitable for the direct cause. Treatments include physical therapy, neural therapy, prolotherapy, kinesiobants, ozone therapy, weight loss, exercise.
As soon as the disorder of these joint and muscle balances is detected, the earlier the intervention with physiotherapy, the better the treatment result can be obtained. In patients with chronic pain who have not planned the right exercise program for a long time, the progression to surgery may be faster. Weight control, muscle training and joint protection programs can significantly change the course of the painful process.
In our clinic, an effective physical therapy program is applied with physical therapy devices, rehabilitation, manual therapy techniques and exercise programs suitable for the patient to increase the effectiveness of treatment in knee pain.