The ACL is a ligament that connects the thigh bone to the shinbone, at the knee. Injuries to the ACL are common in athletes especially those who play sports involving pivoting e.g netball, soccer and skiing. They can range in severity from small tears to complete ruptures.
People with ACL injuries often describe:
If you think you have torn your ACL we recommend you see a Physio or doctor so they can perform an assessment and decide whether a MRI is needed to determine the extent of the injury. In the case of a complete rupture, your physio and specialist will discuss with you whether surgery may be needed.
Iliotibial Band Syndrome (ITBS) is thought to be the most common cause of lateral knee pain. Usually ITBS presents with pain and or tenderness on palpation of the lateral aspect of the knee just above the lateral femoral epicondyle. It is considered a non-traumatic overuse injury most often seen in runners and is often associated with underlying weakness of the hip abductor (Glutes) muscles.
ITBS was often considered to be a friction syndrome but recent research now suggests that the condition is likely to be caused by compression of the innovated local adipose (fatty) tissue under the iliotibial band. The ITB is a strong complex structure which has multiple attachments along the upper leg and around the outside of the knee. Its role is to provide stability for both the hip and knee joints and is often thought to store and release energy a little bit like a spring.
The main symptom with ITBS is sharp pain on the outer aspect of the knee. This can be particularly worse when the heel strikes the ground or during running or when walking downstairs. You may or may not also have an audible clicking when flexing and extending the knee. Occasionally swelling can be observed.
Patellofemoral Pain Syndrome (PFPS) is a broad diagnosis that refers to pain at the front of the knee and/or patella (knee cap). PFPS is also commonly referred to as Patella Mal-tracking Syndrome or “Runners/jumpers knee”.
The stiffness and pain from PFPS can make it difficult to do every day activities such as: stairs, running, walking, kneeling, jumping lunges, and driving/prolonged sitting.
These movements/positions are often seen to be painful as they place extra stress through the joint between the femur and kneecap.
It’s important to note that pain doesn’t always take place at the front of the knee. Pain can also present itself in surrounding tissue around the kneecap itself. Other symptoms may include, but are not limited to:
A physio that will spend the time to get to know you and find out about your current concerns and relevant past injuries
You will receive a thorough assessment, an accurate diagnosis and a clear plan moving forward
Evidence-based, up-to-date treatment modalities to help you navigate your injury effectively.
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P (07) 3186 2893
F (07) 3319 6523
E [email protected]
A YMCA Jamboree Heights
Allied Health Office 3,
76 Andaman Street
Jamboree Heights, QLD, 4074
Treatment for ITBS at Physio23 will follow our 3RM journey after a thorough examination and assessment of the condition.
Initially we will work to rest and release the appropriate structures and consequently restore function to your knee and your hip. As loss of strength and control around your hip is a common cause of ITBS our focus in the rehabilitation will be targeting this. Once your initial symptoms have calmed down we can look at addressing any obvious abnormal biomechanics around your hip knee and foot and progress your exercises accordingly.
Then we aim to work on Rebuilding your whole kinetic chain. This is where we put it all together helping improve your lower limb and core muscles to achieve full resolution of Achilles tendinopathy.
Finally, it’s time to Move. Get back to what you enjoy doing!
Our awesome physiotherapists here at Physio23 will begin your initial consultation with a thorough knee assessment that allows us to rule out other potential diagnoses such as Chondromalacia Patellae or Patella Tendinopathy. We can then determine the exact cause of any symptoms and rule out other structural dysfunction (i.e ligament, cartilage). Its common for your physio to include an analysis of your lower limb biomechanics which may or may not be contributing to your symptoms.
Like any Physio23 initial consultation you will receive an easy to follow/understand recommended management plan (RMP). It is within this plan that you will find a summation of our assessment findings alongside what we recommend to ensure the full resolution of your PFPS.
PFPS is an incredibly common condition although research has shown that it is very well managed by physiotherapy with patients expected to return back to normal activities of their daily living through successful implementation of the right management plan.
Are you experiencing knee pain or symptoms similar to PFPS? Book a consultation with a physiotherapist here at Physio23 and we will happily discuss a suitable management plan for you and your lifestyle.
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