Our knee joint is very prone to injury as it is one of the main weight bearing joint. Knee joint is most complex joint in our body which joins the thighbone to the shin bone. The knee cap and smaller bone that runs alongside the shin bone also formed the knee structure. It consists of various tendons and ligaments that help to maintain the normal alignment of the knee joint.

During any sports or activities like running, jumping, jogging, stair climbing, sometimes when walking on uneven surface also cause knee sprain and strain.

Sprains occur due to injury to the ligaments and strains occur due to injury to the muscles or tendons.

The first step in treating knee sprain or strain is taking rest, applying ice, elevate the limb and avoid weight bearing on it.

How physiotherapy treatment helps-

If sprains and strains is severe, then healing process can be slow and restriction of movement persists. In this case physiotherapy will help to restore normal knee function very effectively.

For a proper physiotherapy management first, I evaluate the condition like pain, swelling, range of motion and determine the exact site And extent of injury.

That gives you fast recovery which may include –

• Advanced modalities to decrease pain and swelling.
• Educate person to avoid further stress on injured site.
• Restoring range of motion.
• Strengthening exercises for the injured structures.

Knee joint is the most common area of osteoarthritis. It occurs when natural cushioning between the bones that is cartilage wears away. Due to this, the bones of the joint rubbed more closely against each other without proper cushioning effect of Cartilage. This rubbing results in pain, swelling, stiffness and sometimes formation of bone spurs in knee joint. Sometimes in severe cases, joint deformity can occur (bow leg).

During running, our knee bears eight times more weight and during squatting 10 times more weight than our normal body weight. So normal wear and tear in our knee joint is much more greater than other joints in our body. On an average a normal person takes over 200,000,000 steps and walks more than one Lac miles in his or her lifetime. With this huge amount of use, we developed degenerations of bones that leads to osteoarthritis of knee joint after a certain age. So age is the most common cause of osteoarthritis of knee. Other than age, heredity, overweight, gender, repetitive stress injuries are also responsible for knee arthritis.

How physiotherapy treatment helps -

Physiotherapy is the best way to fight against Osteo arthirtis and maintain active life. For an effective management, I perform a total examination of your posture, gait pattern, knee range of motion, muscle strength and joint mobility. By doing this, I can detect arthritic condition and grade of arthritis and plan for an effective treatment schedule which will help you to be active throughout the lifetime.

Treatment procedures may include -

• Advanced modalities to reduce inflammation thus pain and swelling.
• Most advanced class 4 laser therapy to manage inflammation even better.
• McKenzie exercises to activate musculature surrounding the knee Joint and to maintain the alignment of joint.
• Strengthening exercises for knee muscles.
• Modify posture and gait pattern as both are affected by arthritis.
• Suggest suitable knee support for deformity correction and precaution.

To discover how I manage your arthritis effectively, contact me on 8585896151 or come to the clinic with or without prescription.

Meniscus tear are among the common knee injury. Those who are in body contact and high velocity sports are more prone to this type of injury. This type of injury can happen at any age.

Two bones meet to form the new joint. The upper part is femur bone and lower part is tibia. Two wedge shaped pieces of fibrocartilage act as shock absorber and give cushion effect between femur and tibia. These are called meniscus. They transmit weight from one bone to another during weight bearing activity and provide knee stability.

Acute meniscus tear often happened during sports. Also degenerative meniscus tear can happen in aged people. An awkward twist when getting up from a chair or when climbing stairs or when walking on an uneven surface may be enough to cause a tear in an ageing meniscus. After injury, the knee will gradually become more stiff and swollen over two to three days. Pain, loss of sensation around knee and decreased range of motion are common symptoms of meniscal tear.

How physical therapy treatment helps -

For severe injury, surgical intervention may be required. But with a mild to moderate injury, physiotherapy is most important for healing the injured part. As an expert first, I perform a thorough physical examination like pain scale, swelling, movement pattern, mechanism of injury and joint range of motion to determine the grade of tear and customise a proper rehabilitation plan according to that to get back your active life as soon as possible.

Rehabilitation procedures may include -

• Use of advanced Electro therapy modalities to decrease inflammation, pain and swelling.
• Exercises to improve joint range of motion.
• Exercises to improve muscle strength to make sure that meniscus receives necessary support.
• Guide the Patient about do’s and don’ts during the healing phase to avoid further injury.

For a most effective management of your condition, call me on 8585896151 or come to the clinic directly.

Knee joint ligaments are the elastic tissue bands that helps to maintain knee alignment or hold the knee in proper position. There are four main ligaments in knee joint –

• Anterior cruciate ligament that is ACL
• Posterior cruciate ligament that is PCL
• Medial collateral ligament that is MCL
• Lateral collateral ligament that is LCL

The anterior cruciate ligament that controls rotation and forward movement of tibia is one of the most common ligaments to be injured. Certain twisting motion of knee in sports like football, basketball etc.causes ACL stretched out and torn.

The posterior cruciate ligament injury usually occurs with sudden, direct impact during any accident or sports.

The collateral ligaments usually injured by a blow to the outer side of the knee such as when playing sports or during any accident. The ligaments stretched out and tears occur.

Most of the time, ACL or PCL injury does not cause any Pain. The person may get a popping sound when injury occurs, followed by the leg buckling when trying to stand on it, and swelling. Cruciate ligament injury causes the knee to pop and buckle with pain and swelling.

Often grade one and grade two tear can be rehabilitated successfully by physiotherapy treatment. But grade three tear that is complete tear need surgical intervention.

How physiotherapy treatment helps-

When a patient comes to clinic with symptoms like ligament injury, first will be diagnosed very carefully and access the stability of the knee, movement and walking pattern, range of motion. Then I perform some special tests to evaluate the different ligament stability and grade of injury to decide the best course of action to resolve the pain and instability and return you to activities as soon as possible.

The rehabilitation process may include –

• Guarding of injured knee.
• Use of advanced modalities to control pain and swelling.
• Graded strengthening exercises of the injured part to avoid further injury.

As ligament tissues receives very little blood flow, most of their nutrition comes from joint fluid, so the recovery time may vary upon age, because joint fluid becomes less as the age advances.

For an absolute management of ligament injury, call me on 8585896151 or come to the clinic with test reports.

Types of knee surgeries can be performed are –

• Total knee replacement surgery
• Ligament repair surgery
• Tendon repair surgery
• Fracture repair surgery

After surgery there could be symptoms like –

• Limited range of motion
• Pain and swelling of the surgical area
• Difficulty in movement and weight bearing on knee joint
• Lack of strength in surrounding musculature of surgical site

How physiotherapy treatment helps -

Physiotherapy is must for post surgical rehabilitation process of knee joint. Depending on the surgery types and physician protocol, I will plan for a best suitable rehabilitation procedure. The main aim is to restore pain free range of motion of knee and help to get back normal, balanced walking pattern. In case of post surgical rehabilitation, I work in conjunction with your physician’s protocol to maintain it properly.

The rehabilitation programme may include –

• Active assisted or active range of motion exercises to reduce pain and swelling as soon as possible.
• Strengthening exercises for the main muscle groups.
• Balancing exercises.
• Gait training or walking pattern modification.
• Educate the patient about home exercise programme to maintain the strength of knee joint and avoid further injury.

For an effective management and rehabilitation after surgery, contact with me on 8585896151 or come to the clinic with your prescription.

A tendon is a thick cord made-up of tiny fibres that connect muscles to bones. Tendonitis is the inflammation of a tendon. Most common type of knee tendonitis is patellar tendonitis, happens when the tendon that connects the knee cap to shin bone that is tibia gets injured. The injury is caused due to repetitive overstress or over use of the tendon. This injury is most common in athletes who frequently jump, such as when playing football, basketball, volleyball etc., that is why it is also called jumper’s knee. Tendonitis is more common in person who have tight muscle, uneven muscle strength, overweight, and using shoes without enough padding during their activities. Common symptoms of knee tendonitis are decrease knee mobility, dull pain in knee during activity, swelling and difficulty in daily activities. The pain can worsen over time and begin to make your sport or activities difficult.

How physiotherapy treatment helps -

Physiotherapy is the most important first line of treatment for tendonitis. First, your knee will be evaluated very carefully for range of motion, pain pattern, weight bearing pattern, muscle groups strength and joint mechanics to determine the source and exact cause of symptoms. Then we make a customized treatment plan to resolve your problem and help you to get back normal activities as quick as possible.

Treatment procedures may include-

• Use of advanced modalities to reduce pain, inflammation and swelling very quickly.
• Advanced class 4 laser therapy if needed.
• Range of motion exercises to restore the normal range.
• Strengthening of surrounding musculature.
• Modification of activities in daily life or sports shoes to a avoid recurrence of injuries.

To know how effectively I manage your injury please contact me on 8585896151 or come to our clinic with or without prescription with such sympoms.