Knee

The knee consists of two joints: the femoro-tibial, and patello-femoral.
The primary weight bearing surfaces are between the femur (thigh bone) and the tibia (shin bone) with two menisci medial and lateral.
The patello-femoral joint is at the front of the knee and functions as an extension of the quadriceps muscle.

Injuries of the knee can arise from trauma, wear and tear, poor technique, or an imbalance of muscle pull.
  • Ligamentous injuries are often acute, related to trauma and presents with increased swelling. A fracture may need to be ruled out via X-ray if you are unable to weight bear. Depending on the severity, treatment may include taping, bracing, muscle retraining, or surgery. Most ligamentous injuries get better with physiotherapy, but for some surgery may be indicated. Often prior to any surgery, you may need to have a course of physiotherapy to maximise the outcome of the operation.
  • Patello-femoral dysfunction. These conditions are best treated conservatively with course of Physiotherapy. At Croydon Physiotherapy, an assessment will include the hip and ankle function to correctly as it may contribute to the cause of ongoing pain. If not treated correctly, there is a risk of permanent cartilage wear leading to early onset of osteoarthritis
  • Meniscal injuries are often with delayed or absence of swelling, intermittent locking, or can be recurrent. These will often respond well to arthroscopic surgery depending on the size and the direction of the tear. However, a preoperative course of physiotherapy will lead to better outcomes post surgery.
  • Knee pain can indicate a serious back problem especially if there is nerve symptoms such as pins and needle or numbness. Knee buckling and giving way can also be a sign of nerve damage and will require prompt assessment.