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Knee conditions

Knee pain

Anatomically the knee joint is considered a vulnerable joint. It is situated at the end of two very long bones so the forces upon it are great. Poorly aligned feet (i.e. flat feet) can place extra strain on the knee joint and surrounding soft tissues, leading to knee pain when playing sport.

Excess foot pronation (when the foot flattens too much during walking) will cause excessive internal rotation at the knee. This in turn can lead to poor tracking of the knee cap subsequently producing pain. This is often known as patellofemoral pain. Over time this poor alignment can lead to degeneration or arthritis within the knee joint itself causing chronic pain.

Custom made orthotics can be of great help in managing knee pain. By re-aligning the feet and lower limbs the knee adopts a more functional posture encouraging normal muscle function and better knee cap tracking.

Runner knee

Patellofemoral Syndrome (PFS) Patellofemoral Syndrome is a common overuse injury amongst runners. More commonly known as runners knee or chondromalacia patella. Caused by various factors including overpronation, vastus medialis oblique muscle weakness, poor training techniques and improper or worn footwear. Symptoms include pain in and around the front of the knee, painful cracking and the knee giving way. Pain increases when going uphill. Diagnosis is normally from clinical examination or biomechanical assessment and discuss the best course of action to relieve the symptoms. Treatment aims to reduce the inflammation and identify issues that may be contributing to the problem.

Illio Tibial Band syndrome (ITB)

Ilio Tibial Band Syndrome is a painful knee injury that is located on the outer part of the knee joint radiating up the thigh or down the outer side of the shin. Caused with over pronation some runners rotate and flex their knees more than normal. More common in runners or cyclists it is normally intensified by activities and eases with rest. Diagnosis is normally from clinical examination or biomechanical assessment. Treatment aims to reduce the inflammation and identify any underlying alignment issues that may be contributing to the problem often with the use of orthotics and stretches.

Osgood schlatter syndrome

Osgood-Schlatter disease can cause a painful lump below the kneecap in children and adolescents experiencing growth spurts during puberty.

Osgood-Schlatter disease occurs most often in children who participate in sports that involve running, jumping and swift changes of direction — such as soccer, basketball, figure skating and ballet.

While Osgood-Schlatter disease is more common in boys, the gender gap is narrowing as more girls become involved with sports.

Age ranges differ by sex because girls experience puberty earlier than do boys. Osgood-Schlatter disease typically occurs in boys ages 13 to 14 and girls ages 11 to 12. The condition usually resolves on its own, once the child’s bones stop growing.

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