16th Feb

2016

Causes of most common knee pain

CAUSES OF KNEE PAIN
There are many causes of knee pain and the correct diagnosis will determine the appropriate treatment.
Squatting often causes knee pain as it is a high load position that is normally tolerated until something is painful.

Causes of pain when squatting in the absence of an injury includes the following:
MOST LIKELY
Knee cap maltracking, quadriceps tendinopathy, patella tendinopathy and quadriceps muscle strain
POSSIBLY
Arthritis, meniscal injury, stress reaction in patella, femur or tibia, ITB friction/compression syndrome, weakness at hip, poor biomechanics from back to foot or foot to back
LESS LIKELY
Loose body, synovial plicae
UNLIKELY
Referred from hip, referred from back
HIGHLY UNLIKELY
Benign tumour (osteoid osteoma), Rheumatic condition like rheumatoid arthritis, Gout (unless there is past history), malignancy, Synovitis, CRPS.

There are other possible diagnoses and each possibility often has a pattern of pain. Many physical tests can assist in the diagnosis of the knee pain though not all physical tests are reliable with some far better than others. Wrong diagnosis = wrong treatment.
If pain does not show any improvement within 3-4 visits then a scan may be required to assist with diagnosis. These 3-4 Physiotherapy visits may occur over a short period (2-3 weeks) or over 6-8+ weeks if there is a rehabilitation programme that is required to be followed (e.g. tendinopathy rehabilitation).

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