If I Have A Knee Pain, Should I Get It Manipulated?
If I have a knee pain, should I get it manipulated?– Alex, Singapore
Whether a knee pain should be manipulated is dependent on the cause of pain. However, as a rule of thumb, most manipulative physiotherapists will not manipulate the knee.
Anatomy Of The Knee
The knee is a joint where its integrity is generally held by the strength of its ligaments, joint capsule and muscles. This is due to the shape of the bones which make up the joint. The knee joint is two rounded condyles of the femur sitting on the flat plateau of the tibia (known as knee joint) with a ‘floating’ bone, known as the patella over the femur (known as Patellar-Femoral joint). The knee joint is similar to like putting 2 oranges on a flat plate, make it fairly unstable. Thus, the stability of the knee comes from the two menisci. They act to deepen the depth of the tibial plateau (to prevent sideway movements of the femur), the ligaments and joint capsule (to prevent excessive movements) and the muscles (to control the joint movement). There is a good animation of the knee and the ligament below.
Causes Of Knee Pain
Due to the make-up of the knee, most causes of knee pain would be due to either strain of the ligaments, capsule or muscles, or degeneration of the patellar. Manipulation is generally used for a ‘locked’ joint and not for strains. Hence, it is not warranted. In most knee pain, mobilization is sufficient to decrease the pain together with strengthening and flexibility exercises.
However, in meniscus tears, where movement is blocked or limited and mobilization doesn’t work, a distraction manipulation might be done but with sever caution. Manipulation can also be used in a degenerated knee but would need to be done by an orthopaedic surgeon.
Video: Anatomy Of The Knee
Experiencing knee pain? Click here to find out more about physiotherapy for knee pain relief and how Core Concepts can help
Related Articles That You May Find Interesting
Popular Articles That You May Find Interesting
- Snapping Ankle - Physiotherapy
- Labour Epidural Cause Chronic Backache?
- The Best Exercises for Trochanteric Bursitis
- Posterior Pelvic Pain (Sacroiliac Joint Pain) in Pregnant Women
- How do I know if I have scoliosis?
- Diastasis Recti Abdominis - Conditions
- Cobb Angle and Scoliosis
- Maybe it isn't Plantar Fasciitis but Heel Fat Pad Syndrome
- What to do when your back hurts so much that you can't get out of bed?
- Multifidus - Smallest Yet Most Powerful Muscle
- Nerve Stretches
- Shoulder Pain - Frequently Asked Questions
- 'Clunking' Shoulders - Part I
- Waking up with neck pain? Find the right pillow.
- Not All Pain In the Back Is Back Pain - It Could Be Rib Pain
- MCL strain not getting better? Because it is Pes Ancerinus Tendinitis.
- Slipped Disc in Singapore - What to Do and Avoid
- Better to break a bone than to tear a ligament or tendon
- Knee Joint & Ankle Pain - Specialist Treatment in Singapore
- Acromion Clavicle Joint - Another source of shoulder pain
- Sway Back No More
- Knock Knees - Can I reverse it? (Part 1)
- Sway back posture: A leading poor posture type causing back pain
- Posterior Capsule stretches