Knee therapy or treatment requires specialized skills and technology. Knee pain, knee arthritis, and degenerative changes, as well as knee injuries, are treatable without surgery or injections. The success rate of the knee therapy you get depends largely on the skills, knowledge, experience, and technologies that your therapy or treatment center uses. This article will provide in-depth information about the knee joint as well as knee issues causing aches, stiffness, and pain. Moreover, this article provides an in-depth look at knee therapy without surgery or injections.
What Are The Different Types Of Knee Therapies & Treatments
The type of knee therapy or knee treatment you get depends on the severity of the condition and your diagnosis. In general, there are several types of knee treatment. We have categorized knee therapy into two headings:
- Invasive treatment: Knee injections and knee surgery
- Non-invasive treament: Physiotherapy, chirorpactic, exercise, medication, bed rest, braces, and home-care
Knee Treatment Through Injections & Injections Given As In Combination With Knee Therapy
Knee injections given as a stand-alone treatment or combined with knee therapy will worsen your knee! Knee injections are invasive procedures meant to reduce swelling and pain. Typically, they are provided for osteoarthritic knee. There are several types of knee injections:
- PRP injections (platelet-rich plasma injections)
- Steroid injections (Corticosteroid injections)
- Stem cell injections
- Hyaluronic acid injections
Hyaluronic acid injections, stem cell injections, and PRP injections or platelet-rich plasma injections are common components of knee therapy given by surgeons and in hospitals. It is the latest of new and faddish injections benefiting pharmaceutical companies and doctors more than it does for the knee patients. Published studies in reputable journals question their effectiveness! Each of these procedures comes with some risks and side effects. However, the risks and side effects of stem cell injections, PRP injections, or hyaluronic acid injections as not nearly as severe as steroid knee injections.
Cortisol is the main ingredient in corticosteroid injections (steroid Injections). Steroid injections (corticosteroids) help decrease the inflammatory processes resulting from arthritis or injuries. However, a recently published report in the Journal of Radiology Research states that corticosteroid (steroid injections) rapidly worsens the very condition it is meant to treat! The lead researcher, Dr. Ali Guermazi, M.D., Ph.D. (professor at the world renounced Boston University School of Medicine), found progressive and rapid degenerative changes in joints and soft-tissues requiring intensive surgical intervention. As such, steriod injections of knee should stop all together and must not be part of any knee therapy program.
Dr. Ali and his collogues relates six common side-effects with corticosteroid knee injections as stand alone or in combination with knee therapy:
- Rapidly progressive arthritic changes in the knee (osteoarthritis)
- Rapid loos of knee joint space due to rapid and severe degeneration of the meniscus
- Severe and rapid loos of cartilage
- Death of bone tissue (osteonecrosis)
- Rapid onset bone loose at site of injections (osteoporosis)
- Stress fractures
Knee therapy or treatment given or added through steroid injections are now proven more harmful than beneficial. According to Dr. Ali, the rapid and progressive degenerative and arthritic changes due to steroids may get so severe that patients will have to undergo knee replacment surgery!
Knee Treatment Through Surgery
According to Arthritis Foundation knee surgery is an option when effective conservative knee therapy fails!. Generally, there are three types of surgical treatment for the knee:
- Arthroscopic knee surgery
- TKR (Total Knee Replacement)
A report from a reputable group of Ph.D. orthopedic surgeons published in the New England Journal Of Medicine blasts knee treatment by the arthroscopic surgery as no better than a fake or sham surgical procedure. The report is based on double-blind trials of 146 patients. It is the first randomized, multicenter, sham-controlled studies to compare the effectiveness of knee surgery, 12-months post the arthroscopic procedure. As such, they encourage a focused and targeted system of knee therapy that fix and repairs the knee without surgery. These doctors were shocked to find that there was no difference between the fake surgery and the arthroscopic knee surgery! You can read this report here.
Osteotomy and TKR or total knee replacement is a common surgical proccdure when doctors don’t want the patient to have knee therapy or when conservative care fails. Both are knee treatment procedure for the severely degenerated, painful, and arthritic knee patients. As we mentioned earlier, TKR and osteotomy are also common in patients who have had steroid injections. Moreover, we suspect that the arthroscopic procedure is another leading factor to TKR or osteotomy knee surgeries. Therefore, if you or someone you know suffers from knee pain, tell them about our non-invasive knee therapy program. Our knee treatment will produce better results without injections or surgery. Best of all, they get better, without the risks of any side effects!
Focussed Non-Surgical Knee Therapy Program In Malaysia
Effective knee therapy occurs when your doctor or therapist targets the actual cause of your pain. The knee joint is a complex entity comprised of multiple soft tissues (ligaments, tendons, and muscles), cartilaginous structures (the articular cartilage and the menisci) as well as the 14 bursae. Degenerative changes (wear and tear), injury, or underlying health conditions are known factors implicated in knee pain.
Knee pain is a common condition in kids, young adults, and the elderly. However, effective knee therapy and treatment that repairs the cause isn’t that common. Unfortunately, most doctors and therapists provide palliative care. Palliative care can be of help. To recover fully, you will need targeted treatment. In other words, knee therapy and knee treatment needs to be comprehensive, so it targets, fix, and repairs the damaged tissues or structures without injections or surgery.
Medication, braces, exercise, rest, injections, or surgery or braces have failed most as they lack specificity. Chiropractic Specialty Center® provides the most effective knee pain treatment because we assess and target the actual damage. This article gives you an overview of the function and structures of the various knee joints and soft-tissues. We will cover the knee therapy again, after we have our discussion about the knee joint, its function, and its structures.
What Is The Function Of The Knee Joint?
The primary function of the knee joint is to bear the body’s weight and to provide mobility. The bending, extending, and straightening of the knee joint is accomplished through a serious of interconnecting soft tissues. Mules, ligaments, tendons, cartilage, and meniscus, along with the four primary bones of the knee, achieve movements that occur at the knee joint. The pain will result when one or more of these bones are not properly aligned. Let’s look at the knee joint (bones), ligaments, tendons, cartilage, and menisci. A closer look will help you understand the importance of effective knee pain treatment.
Primary Structures Of The Knee Joint
The primary structures in your knee joint include weight-bearing bones, non-weight-bearing bones, ligaments, tendons, cartilage, menisci, and bursae.
The Two Weight-Bearing Bones Of The Knee
Your knee joint has two weight-bearing bones, the femur or thighbone, and the tibia or the shinbone. The femur or the thighbone forms the upper portion of the knee joint. The femur also forms the hip joint. Patients that suffer from knee pain should also have their hip joint assessed. Yes, hip problems can also cause knee pain. The tibia or the shinbone connects to the femur. It is the lower weight-bearing bone of the knee. Effective knee pain treatment of the weight-bearing joint is critical to recovery. Your knee therapy must focus on stabilizing the weight baring bones and joints of the knees.
The Two Non-Weight-Bearing Bones Of The Knee
The non-weight-bearing knee joints are just as important if effective knee pain treatment. Patella and the fibula are the non-weight-bearing bones of the knee joint. Their primary function is for muscle attachment that enabling movements at the knee joint or the ankle joint. The patella is the largest sesamoid bone in the body. We have provided a brief description of a sesamoid bone under tendons. Although, these two bones are non-weight bearing, they provide essential functions.
Knee therapy programs that fail to address the patella and fibula are doomed to fail. The fail, because two of the strongest muscles in your body have attachment to the patella and fibula. The hamstrings and quadriceps are two of the largest and strongest muscles. Tensions, spasms, and injuries impact these muscles as well as the patella and fibula. As such, our expert non-surgical clinical teams pay extra attention to the patella and fibula during your knee therapy sessions.
Ligaments Of The Knee Joint
Before we get started on knee ligaments, we like to point out that our knee therapy program can effectively fix and repair ligament damage to any joint, including the knee. By definition, ligaments are the tightly bound fibrous bands of tissue that connect bones, forming joints. The four ligaments of the knee that create the knee joint are:
- Medical collateral ligament (MCL)
- Lateral collateral ligament (LCL)
- Anterior Cruciate ligament (ACL)
- Posterior cruciate ligament (PCL)
The medial and lateral collateral ligaments (MCL and LCL) connect to the inner and outer parts of the knee, respectively. Collectively, they provide the knee with side-to-side stability. The ACL and PCL are ligaments situated inside your knee joint. The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) provides your knees with front-to-back stability as well as stability during rotational movements. Stability assessments of these four ligaments are essential parts of an effective knee pain treatment program. Keep in mind that ligamentous damage is repairable without surgery. Our knee therapy program can help you recover from damaged and injured ligaments.
What Are The Primary Tendons Of The knee?
The general rule for tendons is that they connect muscles to bones. And yes, tendons can be fixed with targeted non-surgical knee therapy. To recover from tendon tears, you need specialized methods and therapy devices. We is the leading non-surgical knee therapy center in Malaysia. Now, lets get back to tendons of the knee joint.
Tendons are essential components of an effective knee pain treatment program. Your knee joint has two primary tendons:
- Quadriceps tendon
- Patellar tendon
The quadriceps tendon attaches the quadriceps muscles (rectus femoris) to the kneecap (patella), enabling knee extension. The patellar tendon is exceptional as it connects the patella to the tibia. Realistically speaking, a ligament classification is less confusing. However, it is classified as a tendon because the bony attachment is to a sesamoid bone (patella or kneecap). Sesamoid bones are small bones found in hand, feet, or knee. They develop within tendons that traverse (pass over) angular structures. As mentioned, the patellar is the largest of sesamoid bones. Therefore, the tissue connecting the patella to the leg bone is a tendon.
Joint Cartilage Within Your Knee
The joint cartilage or the articular cartilage is the source of pain in the knee. Knee joint cartilage is a firm but somewhat rubbery tissue that covers the ends of knee bones as well as the bottom surface of the kneecap (patella). Together with the menisci, they provide shock absorbance. Effective knee therapy must consider the cartilaginous health of the knee joint. Abnormal weight-bearing and injuries lead to degenerative changes in the cartilage and eventual pain. Accurate diagnosis and targeted treatments of the knee cartilage are essential parts of effective knee pain treatment.
The Menisci Of The Knee
The knee joint has two crescent-shaped fibro-cartilaginous structures known as menisci (plural for meniscus), the medial and lateral meniscus. The bottom of the menisci (medial and lateral meniscus) attach to the tibia or leg bone. The upper portions of the menisci are curved inwards (concave). The concave surface of the menisci forms the articular surface or point for the femoral condyle or the knee end of the thighbone. Meniscal injury is a common source of knee pain. Even the slightest damage to the menisci requires treatment. Differing to what most may tell you, a meniscal injury can heal with effective knee pain treatment programs that address the tears holistically.
The Bursae Of The Knee Joint
A bursa is a fluid-filled sac. Their primary function is cushioning of soft tissues near the skin or bony surfaces such as joints. In total, there are there 14 bursae (plural for bursa) around the knee. Knee therapy is incomplete without a thorough assessment of all the bursae in proximity of the knee joint. Below is the list of bursae around the knee. We have divided them into categories for simplicity:
A bursa is a fluid-filled sac. Their primary function is cushioning of soft tissues near the skin or bony surfaces such as joints. In total, there are there 14 bursae (plural for bursa) around the knee. Below is the list of bursae around the knee. We have divided them into categories for simplicity:
Knee bursae in the anterior compartment:
- Subcutaneous bursa
- Suprapatellar bursa
- Prepatellar bursa
- The deep infrapatellar bursa
- Pretibial bursa
Knee bursae along the outer or lateral compartment of the knee joint:
- Fibulopopliteal bursa
- Lateral gastrocnemius bursa
- Fibulopopliteal bursa
- Subpopliteal bursa or recess
Bursae along the inner part or medial compartment of the knee joint:
- Subtendionous or the medial gastrocnemius bursa
- Anserine bursa
- Semimembranosus bursa
- Bursa between the semimembranosus and semitendinosus tendons (a rarely found bursa in most) Semimembranosa bursa
Knee bursitis is relatively common in an injured knee. Bursitis can be self-limiting if the injury is minimal. However, if your pain persists for more than one week, you need our non-surgical holistic expert teams of chiropractors and physiotherapists. Bursitis of the knee is treatable without injections. Contact us today for focused knee therapy that gives you lasting relief.
Opt For Holistic Knee Treatment That Repairs The Actual Damage
Chiropractic Specialty Center® provides comprehensive knee pain treatments that are highly effective. Our successes are the result of our in-depth understanding of the knee joint and issues that cause pain. If you suffer from knee pain or had an injury, call or visit us. Talk to us about non-invasive options before opting for surgery or injections.
We will evaluate the muscles, ligaments, meniscus, and joints of the knee to identify weakness and malfunction. Our treatments start when we have identified the cause of pain. With accurate diagnosis, our clinical physiotherapists and chiropractors will work on you collaboratively. In addition to the manual procedures, they will use some sophisticated therapy devices. Their goal is to get you healthy as soon as possible. Best of all, our knee therapy will get you better without surgery or injections.
Effective Knee Therapy At Chiropractic Specialty Center®
Our clinical team’s goal is to provide you with effective knee pain treatment that repairs the damage. The first step is a critical step in which we assess and diagnose your knee pain or injury. The diagnosis part is the hardest if it goes well, so do the therapy. For an accurate diagnosis, we may need an x-ray or even MRI. Regardless of the severity of your condition, we will have a non-surgical option available for you.
When our team starts their treatment, you can rest assured that they will deliver the promised results. We have over a 95% success rate when it comes to knee therapy and treatments. Our achieved successes are the reason why knee sufferers seek our advice. So, if you have an injured knee or a painful knee joint, we can help.
Knee Surgery V.S. Our Effective Knee Therapy. Which Is Better & Why?
Remember, many still have pain after surgery. The majority of patients we have treated were those that have had surgery or those that were strongly encouraged to have surgery. In both these cases, improvements achieved were non-surgical.
Chiropractic Specialty Centers® have teams of physiotherapists, and chiropractor to treat even the most painful knee condition. We have helped many that Knee surgery made worse. Far too many are pushed into getting the useless arthroscopic surgery or talked into getting the TKR (Total Knee Replacement Surgery) way too early. If your surgeon is recommending surgery or steroid injections, visit us first. Knee surgery or steroid injections can have some limited improvement, but most will still suffer in pain.
Get your pain healed without cutting or taking harmful substances. Visit one of our centers today to start your recovery. Don’t let knee pain bog you down. Our effective knee therapy for knee pain can help you live a healthy, active life again.