Inside Knee Pain
Pain on the inside of the knee which develops gradually over time is known as chronic knee pain. It usually results from overuse, leading to wear and tear in the joint. Alternatively sudden onset knee injuries are caused by twisting the knee, or direct trauma. These are known as acute knee injuries.
The most common causes include:
Osteoarthritis– A major cause or medial knee pain, particularly in older athletes, is Osteoarthritis. This is degeneration or wear and tear within the joint.
Synovial plica irritation – inflammation resulting from a fold in the synovial membrane in the knee joint, often misdiagnosed as Patellofemoral pain.
Pes anserine bursitis – inflammation of a small sac of fluid called a bursa on the inside of the knee joint.
MCL sprain – injury to the medial collateral ligament on the inside of the knee. Usually an acute knee injury, but can also occur over time from overuse resulting in wear and tear.
Medial meniscus tear– degeneration of the medial cartilage meniscus on the inside of the knee.
Lateral Knee Pain
- Lateral knee pain refers to pain on the outside of the knee. It usually, but not always, develops gradually through overuse. The most common causes are:
LCL sprain – injury to the lateral collateral ligament on the outside of the knee. Usually an acute knee sprain but may occur through gradually over time from overuse.
Lateral cartilage meniscus tear – wear and tear or degeneration of the cartilage meniscus on the outside of the knee joint.
Iliotibial band friction syndrome – sometimes known as runner’s knee, is an overuse injury caused by repetitive friction of the tendon over the knee.
Osteoarthritis– degeneration, wear and tear of the articular cartilage and often the actual bones themselves.
Posterior Knee Pain
Some of the most common causes of gradual onset chronic pain at the back of the knee include:
Biceps femoris tendinopathy – inflammation, or more likely degeneration of the Biceps femoris tendon at the back of the knee.
Baker’s cyst – a local swelling which protrudes from the back of the knee.
Popliteus injury – is a strain of the small Popliteus muscle located at the back of the knee joint.
Hamstring tendon strain – This is a tear of one of the hamstring tendons which insert at the back of the knee (usually the Biceps femoris).
Biceps femoris avulsion – this occurs when the tendon tears pulling a small piece of bone with it.
Anterior Knee Pain
- This refers to the front of the knee. Injuries often involving the patella (kneecap) or the patellar tendon which connects the patella to the tibia (shin bone). The most common causes include:
Patellofemoral pain – occurs when the patella (kneecap) repeatedly rubs on the femur bone underneath.
Osgood Schlatter disease – causes pain at the front of the knee in children between the ages of 10 and 15 years old. Specifically over the bone protrusion at the top of the tibia bone.
Fat pad impingement – occurs when the infrapatellar fat pad, also sometimes known as Hoffa’s pad becomes pinched or impinged.
Patella tendonitis (Jumpers knee) – is an overuse injury causing inflammation or degeneration of the patella tendon which links the kneecap to the tibia bone.
Quadriceps tendinopathy – inflammation or degeneration of the quadriceps muscle tendon where it attaches along the top of the patella.
Knee bursitis (Housemaid’s knee) – inflammation of a small sac of fluid, called a bursa, resulting in a local swelling over the front of the patella.
Our Treatment Approach
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Our starMethod stops knee pain because it corrects the reason for the knee pain, plain and simple. starMethod targets the damaged soft tissue structures that are causing the underlying knee instability which, in turn, causes destructive joint motions that erode the cartilage. By stabilizing knee joint motion, our starMethod can stop the accelerated degenerative cascade, and even allow the regeneration of cartilage as can be seen on x-ray.
The treatment induces a localized, temporary inflammatory response, stimulating your body’s natural healing cascade. Remember, no tissue in the body repairs without the use of inflammation—it is how all of our tissues repair! The local inflammation induced by our starMethod is far different than chronic, systemic inflammatory conditions. The use of our starMethod is also the complete opposite of pain “management” treatments like cortisone injections and NSAIDs. Corticosteroids and NSAIDs (such as ibuprofen) are used to turn off the pain signal, but also turn off the body’s healing (inflammatory) cascade, a crippling long-term side effect that does not allow for normal knee repair and sets a patient up for eventual knee replacement surgery. As opposed to knee surgery, a major advantage of a starMethod treatment course is that patients remain active while the tissue repairs.Our Treatment Approach ->
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