Knee Pain

Knee pain can occur in both children and adults.

Knee Pain in Children

In children it can be caused by a variety of conditions. They include:

 

Osgood-Schlatter's Disease
 

  • Injury to the growth plate in front of the knee which can be caused by poor foot function – Prescription Orthoses can be prescribed to improve this
     
  • Usually accompanied by swelling in the area
     
  • Occurs most commonly in children between the ages of 10 -14
     
  • Often associated with playing sports or bicycle riding

Knee Pain in Adults

Conditions include Anterior Knee Pain and Chondromalacia Patella.

If the pain is located in the front of the knee is it usually referred to as Anterior Knee Pain (AKP).

Anterior Knee Pain is the most common symptom with which runners and other sports people present.
The symptoms include:

  • Pain felt over the front of the knee during and after running and walking
     
  • Pain often felt when going up or down stairs
     
  • ‘Creaking’ under the Patella may be noticeable
     
  • Stiffness and swelling may occur around the Patella
 X ray image of a knee

Following a full Biomechanical Assessment and Gait Analysis to confirm the diagnosis, the treatment management for anterior knee pain may include:

1. Avoiding activities that aggravate the condition, such as kneeling
2. Icing the area
3. Anti-inflammatory medications to provide temporary relief
4. Prescription orthoses to correct the faulty foot function

Download further details of Anterior Knee Pain (PDF)

Knee Pain – Chondromalacia Patella

This is a painful condition on the back of the Patella (Kneecap) where the cartilage is irritated and painful because it rubs against the medial femoral condyle.

Pain often occurs when going up and down stairs and hills. It can also cause stiffness after prolonged sitting.

Caused by over pronation (excessive in rolling) of the feet:

Tibia (lower leg bone) continues to rotate internally whilst the femur (thigh bone) rotates externally → pain occurs as the Patella rubs against the Medial Femoral Condyle (see illustration) rather than moving smoothly up and down its normal track.

Treatment, following a Biomechanical Assessment and Gait Analysis, will include prescription of orthoses which will bring pain relief within a few weeks with complete recovery occurring normally within a few months.

 Detailed image of a knee bones