25% of the younger population suffer with a condition called “anterior knee pain”- pain under or around the knee cap (patella). This presents as pain and clicking aggravated by kneeling, squatting, prolonged sitting and stairs.
By the age of 60, 80% people have signs of wear and tear (osteo-arthritis) affecting the knee. There may be swelling, grating noises, restriction of movement and pain on walking. However this is a normal part of ageing (like grey hair and wrinkles) and it does not need to be painful.
Both types of problems can be helped by a Chartered Physiotherapist. A detailed assessment will be performed to determine the pattern and history of symptoms. The joints, ligaments, cartilages (menisci) and muscles will all be examined to determine the cause of the problem and devise the most appropriate course of treatment. This may consist of electrotherapy such as ultrasound, acupuncture for pain relief (or laser if you don’t like needles), special mobilisation techniques (gentle movements to improve the circulation and restore mobility), taping to off-load the painful structures and most importantly, some simple stretches and exercises. Medical research shows that exercises that strengthen the thigh muscles in a balanced way are the most effective way to manage knee problems for long term benefit and prevent them recurring in the future. You will also be taught how to walk correctly and be given all relevant advice on appropriate footwear and training for your chosen sport or hobby.
Sports injuries eg cartilage injuries, ligament strains, bursitis, tendinitis (now called tendinopathy) can all be treated effectively by physiotherapy. To see a Chartered Physiotherapist privately you do not need to be referred by your Doctor.
Jo Tait