KNEE PAIN AND CHIROPRACTIC

Joint pains including hip and knee pain from osteoarthritis as an adjunct to core osteoarthritis treatments and exercise.

Knee pain is pain arising from the anatomical region of the knee. It may follow a traumatic onset (eg. sports injury) or be related to age-related degenerative change.

Chiropractic treatment of Knee Osteoarthritis

It is the most common form of arthritis and usually begins insidiously often with no early symptoms. Often this is a long term response to poor joint function and misalignment. There are different types of joints in the body such as cartilaginous joints and synovial joints. A normal healthy cartilagenous joints contains cartilage which acts like a cushion between the bones and facilitates one to glide over the other and absorbing stress from the movement.

In Knee Arthritis, the cartilage breaks down and wears away leaving the bones rub together causing pain, swelling, and stiffness and limiting the range of motion in affected joints.

Signs and Symptoms of Knee Osteoarthritis

  • Early on in the disease, often no pain exists
  • As the disease process affects more of the joint the patient may experience reduced / limited ranges of motion
  • Aching joint pain
  • Morning stiffness
  • Red, swollen and inflamed knee joint

Causes of Knee Osteoarthritis

  • Joint misalignment or postural imbalances
  • Trauma
  • Repetitive strain or overuse injuries
  • Abnormal gait patterns

Risk factors include:

  • Postural imbalances / dysfunctions
  • Ageing
  • Excess weight
  • Family history
  • History of Rheumatoid Arthritis or other inflammatory joint diseases ( such as gout)
  • Congenital abnormalities of Bone and or joints
  • Repetitive high impact exercises / joint use

X-ray for Knee Pain

Several conditions can affect the knee. Pain generators may include soft tissue components, meniscus, or cruciate ligaments. Depending on the extent of your presenting complaint/s and after performing numerous Orthopaedic and Neurological tests to assess the knee, if applicable, with our digital x-ray facility we will be able to assess for:

  • Meniscus involvement
  • Osteoarthritis (Degenerative Joint Disease)
  • Arthritis
  • Soft tissue calcifications
  • Congenital anomalies
  • Tumours
  • Fractures
  • Dislocations

Chiropractic Treatment of Knee Osteoarthritis

Chiropractors treat knee pain using a package of care that may include manual therapies, acupuncture, exercise prescription and onward referral when indicated.

Clinical studies indicate that chiropractic adjustments involving manipulation and joint mobilisation in combination with exercise is effective in the treatment of Knee Arthritis.

Often, our patients with knee pain will be recommended to have their gait analysed using the TOG Gait Scan to assess for any imbalances in the foot. Due to the lower limb working as a chain, patients with flat feet, pronation or supination may experience knee or even hip and low back pain due to this kinematic chain.

There is evidence to support this approach to patient care:

  • Breen A, Langworthy J, Bagust J Improved early pain management for musculoskeletal disorders. Health and Safety Executive, Report no.399, 2005
  • Department of Health (DoH) The Musculoskeletal Services Framework. Department of Health, July 2006.
  • National Health and Research Medical Council (NHMRC) Evidence-based management of acute musculoskeletal pain.
  • Australian Acute Musculoskeletal Pain Guidelines Group. University of Queensland and the Commonwealth Department of Health and Ageing, June 2003. National Health and Research Medical Council,
  • Australia.National Institute for Health and Clinical Excellence. Osteoarthritis: national clinical guideline for care and management in adults. Clinical guideline 59. February 2008
  • Pollard H, Ward G, Hoskins W, Hardy K. The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. J Can Chiroprac Assn 2008; 52: 230-242.