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Tag: knee pain

Knee Mobilisation Techniques

Knee Mobilisation Techniques

In previous blogs we discussed about various causes of anterior and posterior knee pain,for more reference link is given below respectively

Causes of Anterior Knee Pain

Causes of Posterior Knee Pain

In this blog we will discuss about various knee mobilisation techniques which are used for complete knee rehabilitation. These techniques not only relieves pain but also helps in regaining good range of motion.
A systematic review has shown that early mobilization after a knee arthroplasty can reduce the length of hospital stay to about 1.8 days without any increase in adverse results. Joint mobilization, as a clinical commonly used intervention, can alleviate the chronic pain of knee OA patients by reducing the excitability of reflection.

Techniques include

TIBIOFEMORAL DISTRACTION

Video link is given below

ANTERIOR GLIDE

Video link is given below

POSTERIOR GLIDE

Video link is given below

ROTATION GLIDE

Video link is given below

PATELLOFEMORAL MOBILISATION

Video link is given below

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Causes of Anterior Knee Pain

Causes of Anterior Knee Pain

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Anterior Knee Kain is a very common issue among all age groups and its prevalence increases with age.

Athletes like Runners, Football players etc are likely to suffer from Anterior Knee Pain.

Degenerative changes in knee joint and nearby structures also leads to Anterior Knee Pain in middle and older age group patients.

Following are the causes of Anterior Knee Pain listed below :-

Oscgood-Schallter Disease

Patellofemoral Pain / Syndrome

Jumper’s Knee

Synovial Plica

Knee Bursitis or Hoffa’s Disease

Chondromalaciae Patallae

Quadriceps Tendinitis

Patellofemoral Osteoarthritis

Excessive Lateral Pressure Syndrome

Prepatellar Bursitis or Housemaid’s Knee

Patellar Stress Fracture

Osteochondritis Dissecans

Bone Tumours

Sinding Larsen Johansson Syndrome

Iliotibial Band Syndrome

Patellofemoral Instability

Bipartite Patella

Patellar Malalignment

Patellar Subluxation and Dislocation

Pes Ansernius Bursitis

Synovial Chondromatosis

Osteochondral Injury

Loose bodies in joint

Knee Osteoarthritis

Knee Osteoarthritis

It is Chronic progressive, degenerative, painful disease of knee joint present with chronic pain, loss of joint ROM, bony crepitus, joint deformities in later stage like “genu valgum”.

EPIDEMIOLOGY AND CAUSES

Most common form of joint arthritis.

15% population is affected.

Strongly age related OA knee occurs with 70% population in age group 60 and above.

Leading cause of long term movement disability

11.6 millions cases expected to be in US till 2020.

CAUSES

Age
Overuse injury
Repetitive Stress Fracture
Obesity
Joint Imbalance or mal-alignment
Genetics like FRZB, LRP5 gene etc

CLINICAL FEATURES AND PATHOPHYSIOLOGY

knee pain

swelling in the joint area

pain worsen up in the morning

pain increases after activity

buckling of the knee

inability to straighten up your knee

grinding or snapping noises when perform movements ( bony crepitus )

weakness in the knee joint

PATHOPHYSIOLOGY

Damage at more weight bearing joint like knee joint

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PHYSICAL EXAMINATION AND DIAGNOSIS

Physical examination includes

Check joint alignment

Access quadriceps strength

Evaluation of tenderness point and pain

Access Joint ROM

Palpation for bony swelling

Access Bony Crepitus

Gait Evaluation

Radiographically we find

X-rays show up cartilage loss is revealed by a narrowing of the joint space. An X-ray may also show bone spurs around a joint. Presence of subchondral cyst, bony erosion, inflammed synovium.

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PHYSIOTHERAPY MANAGEMENT

A study found that a combination of manual physical therapy and supervised exercise has functional benefits for patients with knee osteoarthritis.

Physical therapy can help to reduce the pain, swelling, and stiffness of knee osteoarthritis, and it can help improve knee joint motion. It can also make it easier for you to walk, bend, kneel, squat, and sit. The two main types of physical therapy — passive and active treatments. It can help make your knee OA more manageable.

Common Passive Treatments for Knee Osteoarthritis

Cold therapy: It reduces circulation and can help decrease swelling.

Heat therapy: Heat therapy increases blood flow to decrease stiffness in the knee joints and muscles surrounding the knee.

Hydrotherapy: This treatment uses water to decrease your symptoms. There are several advantages of hydrotherapy, you can do gentle exercises in the water and warm water help facilitate motion as well as help you provide pain relief.

Common Active Treatments for Knee Osteoarthritis

Strengthening exercises: Your physical therapist will show you certain exercises that you can do at home to strengthen your muscles. Working out muscles in the leg can help make your knee joints stronger. Strengthening these muscles alone can help decrease the pain of knee OA.

Flexibility exercises: Flexibility exercises are very important. Regular sessions can help increase range of motion, make your knees more flexible, and restore normal knee joint function.

Both strengthening and flexibility exercises are important because they assist in taking strain off the knee.

Rehabilitation Exercise includes

Knee flexion

Hamstring Stretch

Leg Flexion

Hip Extension

Squats

Stair up and down

Heel slide knee extension

Side lying leg lifts

Knee Examination

Knee Examination

Knee joint is Complex joint Structure involving many ligaments, tendon, fat pad and other soft tissue structures along with patella bone in the front Injury at any level can lead to pain, disability and restricted range of motion.

To diagnose the exact cause

Following are the physical examination applied to confirm diagnosis of knee injuries.

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Cape Town, South Africa
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