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Femur lies on the top of tibia forming a main compartment of knee joint, and patella lies in front of the knee joint. Two cartilaginous menisci are shaped like "C" lies on inner and outer side of upper flat surface of tibia. The cartilaginous menisci are fastened to superior or upper surface of tibia and lies between tibia and femur.
Bones- Fracture of tibia, femur, patella or fibula and Dislocation of knee joint and patella. Bursa is a sac of natural lubricant fluid enclosed in a cyst that lies between bone and tendon or bone and muscles. Tendon of the quadriceps muscles spreads over patella and attaches to anterior surface of patella and tibial bone below patella. The posterior cruciate ligament (PCL) is one of the four major ligaments that lies within the knee joint.
Meniscus is a "C" shaped cartilage that adheres to tibia and participates in knee joint activities all the time. Osteoarthritis- Osteoarthritis is most common type of degenerative arthritis of knee joint.
Rheumatoid Arthritis- Rheumatoid arthritis is second most common arthritis of knee joint caused by autoimmune disease.
Psoriatic Arthritis- Psoriatic arthritis is observed in 30% of patients suffering with psoriasis. Spasm of muscles around knee can cause severe pain and is often misdiagnosed as knee joint pain. Joint effusion (swelling by excessive fluid) causes joint deformity and may result in joint subluxation.
Knee joint swelling is caused by inflammation of synovial membrane, capsule, ligaments and tendon. Uric acid deposits in knee joint causes inflammation and edema of articular cartilage and menisci. Calcium deposits in knee joint causes inflammation and edema of articular cartilage and menisci. Osgood-Schlatter tendonitis is caused by overuse, irritation or injury of the knee cap and patellar tendon. Pre-patellar bursa is known as ''Housemaid's knee'' is also known as ''Preacher's Knee" and is caused by kneeling on knee often for prolonged time. A ''Baker's cyst'' is inflammation of popliteal bursa and causes swelling of sac at the back of the knee. Blood borne bacterial infection transmitted from distant source of infection or abscess by blood.
Tear may be associated with cartilage fragments in the joint resulting in severe pain with joint movements.
Fragments can be a result of severe osteoarthritis, rheumatoid arthritis, and fracture of knee joint. The condition is caused by irritation or inflammation of articulation surface of patella and femur. Irritation is caused by abnormal or shearing forces generated by tendon and muscles attached to patella. The inflammation or wear and tear of the articulating cartilage between femur and patella causes severe pain known as Patello-Femoral Syndrome. Osteoporosis is a metabolic disorder that results in demineralization of bone because of loss of calcium.
While proper evaluation is essential for diagnosis of pain behind the knee; appropriate timely treatment can provide relief and limit further damage. Knee joint is very complex and the long bones of thigh and legs allow the hinge like movement of the knee joint.
Just as there are many causes of pain in the front of the knee or around the knee, there are various causes of pain in the back of the knee.
Injuries to the soft tissues surrounding the knee, particularly in the posterior compartment are common.
Bone injuries like fractures or in certain cases, injury to the nerve passing through the back of knee, during certain movements or sports can cause posterior pain. Conditions like arthritis caused by degeneration or other causes can lead to changes in the bone structure. Some other conditions that can cause back of the knee pain or posterior knee pain may include disturbances with blood circulation in the leg like deep vein thrombosis (DVT), claudication or cramping pain in legs due to inadequate blood supply. Treatment for pain in the back of the knee or posterior knee pain is based on the cause and varies with the underlying condition. Physiotherapy and specific exercises monitored by physical therapist need to be initiated in order to regain free movements of the knee and prevent further damage. Standing Knee Bend Exercise For Pain In Back Of Knee Or Posterior Knee Pain: Stand and lift your leg from behind to bend the knees, hold the ankles and touch heels to the buttocks. This muscle weakness affects both knees, but it most commonly shows up as symptoms in one knee… Usually the dominant one or the guy who gets used the most. All in all, knee pain represents one of those things that hit a variety of people each day. Yes, hypothyroidism can be associated with pain…not necessarily directly, but indirectly. This entry was posted in Tips and tagged joint back pain causes knee pain on February 11, 2014 by Josh Summers. A lot of people who suffer with knee joint pain are not aware that there are actually many causes of knee joint pain – not all of which are bony in origin. In summer, our clinics in Wimbledon, Hinchley Wood and Woking, tend to treat people who are trying to get into the sunshine to keep fit- usually opting for a jog around the block or heading towards Richmond Park or the Surrey Hills for a bike ride. Remember to warm up and down before and after your exercise to minimize the risk of injury. In the winter, at the start of the rugby and football season, pitches are still hard and many players will experience knee joint pain. We stand with our body weight creating friction with the ground and the studs increasing this traction by creating a mini foundation, this results in us being more stable.
The usual signs of this type of damage are immediate swelling and pain, and a feeling of instability when walking or putting weight through the affected limb.
It’s important to take proper care as painful knee joints can cause long term discomfort and ruin a season.
Another common cause of knee joint pain is actually pain which originates elsewhere – commonly from the hip.
Whether your knee joint pain is coming from bone, muscle, ligament or cartilage, it is important that the treatment you receive results is a swift resolution to your pain.
At Chhabra Osteopathy we aim to establish the cause of your knee pain by listening to a case history. The aim of treatment should be to see people as soon as possible to relieve their knee joint pain.
Based on your mechanism of injury, your therapist or our team of osteopaths at Chhabra Osteopathy, will consider your knee pain symptoms and offer an accurate clinical diagnosis and formulate a treatment plan to help alleviate your knee pain fast. For partial tears to ligaments and cartilage (called menisci), a good osteopath or manual therapist will be able to undertake your rehabilitation, but if the tear is a complete rupture of these tissues, you may require surgery to mend the problem.
It is important to most people to find a local osteopath who has experience in the treatment of knee joint pain, who offers caring, affordable treatment and can get you back to full fitness as soon as possible. You should make sure which ever therapist you choose is registered with their relevant governing body and carries full insurance.
Kieran began training as an osteopath over 20 years ago and qualified through the world famous British School of Osteopathy in London where he is now also a senior lecturer. Hip joint septic arthritis causing hip pain is a purulent joint disorder known as suppurative arthritis of the hip joint.
Escherichia Coli- Seen in elderly debilitating patients, IV drug users and seriously ill patients.
Pseudomonas Aeruginosa- Observed in children following penetrating wound close to knee joint. Bacteremia- Bacterial or viral infection of soft tissue and organs like lungs, kidney and intestine spreads into blood. Abscess of distant organ- Abscess often infiltrate into blood stream from rupture capillary wall and spreads as tiny drops (emboli) to distant organs and joints.
Adjacent Wound Infection- Trauma or fall causes skin laceration, muscle tears or fracture of the extremity bones. Adjacent Soft Tissue Infection- Soft tissue infection around hip joint like dermatitis, carbuncle, tendinitis and subcutaneous abscess may spread into hip joint resulting in moderate to severe hip pain in addition to soft tissue pain.
Hip Pain and Infection Following Hip Joint Prosthetic Surgery-Total or partial hip joint replacement involves metal prosthesis. Inflammatory Joint Disease- Inflammatory joint diseases like osteoarthritis, gout, rheumatoid arthritis and lupus may promote infection in immune suppressed patients. Anti-inflammatory Medications such as NSAIDs and corticosteroid causes decreased soft tissue immunity surrounding the joint. Immunosuppressant- Immunosuppressant medications are often prescribed to treat rheumatoid arthritis and psoriatic arthritis. Septic purulent hip arthritis is a Medical Emergency and patient should be treated with appropriate antibiotics as soon as possible. Monoarthritis- Joint infection is often unilateral, bilateral septic arthritis is very rare. Hip Joint Swelling- Fluctuating swelling is observed over the hip joint secondary to pus and synovial fluid in the joint causing separation of head of the femur from sockets.



Warmth- Skin is warm to touch, redness and warm joint indicates signs of inflammation and purulent secretion in the joint. Joint Damage- Septic hip joint arthritis often damages cartilage, tendon, joint ligament and surface of the bone underneath cartilage. ESR- Erythrocyte sedimentation rate (ESR) is increased during active inflammation as well as infection is presented as septic hip joint disease. Serum Cytokines- Cytokines and related protein factors are elevated in early stages of rheumatoid disease. Aspiration Test- Joint fluid is aspirated under aseptic condition and tested for infections. Antibiotic Sensitivity Test- Bacterial cultures are treated with several antibiotics to evaluate which antibiotic is most effective to treat infection. Bone marrow abnormalities may be observed if osteomyelitis is the caused of hip joint infection. Antiepileptic Analgesics- Is alternative to antidepressant analgesics and is indicated if NSAIDS and Opioids are not effective to treat neuropathic pain caused by hip joint septic arthritis. Oral Antibiotics- Oral route is selected if infection is mild and duration of symptoms is short since the beginning of initial symptoms of pain. Intravenous Antibiotics- Septic hip joint arthritis is often medical emergency and intravenous antibiotic is the route of antibiotic treatment. Anti-Inflammatory Medications- Hip Joint Septic Arthritis Inflammation is treated with NSAIDs like Motrin and Celebrex.
Muscle Spasm Secondary to Hip Joint Septic Arthritis - Muscle spasm is treated with muscle relaxants. Joint Aspiration and Injection of Antibiotics- Aseptic aspiration of the joint is performed under aseptic condition to remove pus and also inject antibiotics directly into the joint.
Joint Debridement-Severe hip joint damage and destruction is treated with surgical debridement and aspiration of pus. Hip Joint Replacement-Head of the femur, neck of the femur and acetabulum is replaced with artificial metal prosthesis. Hip Resurfacing- The surface of the head of the femur and acetabulum is replaced and covered with cobalt metal cap.
Back (posterior) surface of patella articulate with femur and forms an anterior compartment of the knee joint. The surface of the cartilaginous menisci is smooth and allows effortless movements of knee joint between tibia and femur. Bursa prevents injuries of the tendon or muscles resulting from persistent friction of tendon or muscles over hard surface of bone. Sports injury of runners and contact sports participants often causes soft trauma of the Iliotibial tendon.
Most common arthritis causing knee joint pain is rheumatoid arthritis, osteoarthritis, psoriatic arthritis, gout and pseudogout. All or any one of the three nerves can be pinched along its course to knee from spinal cord. However, you may sometimes experience pain in and around the knees due to many common reasons.
It is also worth knowing about the rehabilitation and therapeutic exercises to reduce discomfort and protect from pain in back of knee or posterior knee pain. There are muscles, ligaments and tendons around the knee that support the knee joint from all sides, stabilize the joint and facilitate knee movements. It occurs due to the inflammation of popliteal bursa, located at the pit in the back of the knee. In the back of the knee, there is posterior cruciate ligament (PCL), which is responsible for keeping the leg bone from moving far back.
Injury to these muscles can occur during knee bending or movements with sudden increase or decrease in speed causing pain in the back of knee or posterior knee pain. This can cause pain in and around the knee joint including the posterior side along with swelling and stiffness of knee.
The tendons associated with the posterior thigh and calf muscles are present at the back of the knee joint. Certain injuries that cause posterior knee pain make take few weeks to heal, while those undergoing surgery may take a longer time for complete recovery from pain in the back of the knee. Basic stretching and strengthening exercises for the hamstring and calf muscles can help to keep the knee joint strong and prevent injuries. Then slide the heels to raise the knees till they bend and touch the heels close to the body. Just as a bit of opening information: the knee is a joint where the thigh bone and shin bone meet together. Many of them can include sports injuries, dislocated knee cap, gout, arthritis, and baker’s cyst. The biggest warning sign is when you’re stuck with a fever that lasts a long time due to the knee pain.
Whether it is mild or severe, knee pain not only affects the knee, but the entire body in one shot.
Shortly after that i was diagnosed with GHD and during growth hormone treatment i experienced knee pain and hip pain. For example, pain at the back of the knee may be related to a swelling known as a Baker’s Cyst.
Wearing studded boots for field sports like rugby and football is another cause of some knee problems, especially affecting the cartilage and ligament tissues. Whilst usually a useful mechanism, on occasions, especially if you twist through your knee to change direction, the studs can get locked in the ground and the torsional force will travel through the knee joint which can result in trauma. In these circumstances, use an ice pack on your knee to minimize the swelling (known as an effusion). If this is the case, it is important that your therapist performs a thorough examination, and does not just consider the local region where you feel your knee pain- they may miss something important is they don’t take a broad and holistic approach.
Our osteopaths undertake a high level of training to understand the complexities of knee joint anatomy and are fully insured and registered with the General Osteopathic Council.
If you are local to us, we have three clinics around Surrey and South West London so can offer convenient locations for the treatment of knee pain and can usually find you an appointment within 24 hours. Due to its position, the knee joint is under an incredible amount of stress daily, whether we are walking, jogging, playing sports etc. Bacteria are carried by blood to distant organ and infiltrate into tissue from capillary circulation. Infection of skin laceration over hip joint may cause abscess within subcutaneous tissue and muscles. Infection caused by Osteomyelitis of adjacent femur or pelvis may spread to hip joint causing hip pain.
Deep penetrating wound over hip joint if not treated appropriately results in abscess formation. Septic arthritis associated with inflammatory hip joint disease results in intense hip pain which is often difficult to treat.
Patient is often treated with anti inflammatory or immunosuppressant medication resulting in reduced immunity against infection. ESR is specific test used to observe the prognosis of the disease during active treatment with antibiotics. Test is positive in inflammatory joint diseases like Psoriatic hip joint disease, Ankylosing Spondylitis and Reiter's syndrome. The tendon of the quadriceps femoris  muscle adheres and covers anterior surface of the patella. The outer thick portion of the menisci are well vascularized and heal completely following tear.
There are several bursas around knee joint protecting several tendons from friction injuries. Tendons and ligaments are occasionally damaged following sports injury, accidental injury, fall or surgical trauma.
Continuous vigorous use of irritated tendon and quadriceps muscles causes pain over the tibial attachment and eventually results in inflammation of tendon. Anterior Cruciate Ligament (ACL) injury is often seen in athletes involved in contact sports. Tear is common among younger patient involved in vigorous training for jogging, cycling, skiing and contact sports. Osteoarthritis may be precondition for dislocation, meniscus tear and ligamental tear in older population. Diseases such as fibromyalgia, myofascial disease and muscle tear affecting muscles close to knee can imitate pain similar to knee joint pain. Nerves may be pinched secondary to disk herniation, bulge disk, spinal stenosis or foraminal stenosis within spinal canal.
Similarly, there are various situations in which you may experience pain in the back of the knee. The cartilage between the joint acts as a cushion and prevents friction, shock or any damage to the knee joint. The posterior cruciate ligament (PCL) can get injured during sports activities, accidents or blows, especially, when the knee is hit in a bent position. I have been able to devise a listing of the ways in which I instruct my patients to treat their knee pain symptoms.
However, one of the more classic signs is knee pain that is worse walking downstairs than upstairs (or worse downhill than uphill). Please remember to speak with your own doctor to see what works best for you and your particular situation.


Alternatively there may be muscular spasm causing this pain, coming from perhaps a hamstring muscle. Wrap the ice pack in a thin damp cloth to avoid a cold burn and apply for no more than 10 minutes, but it is a good idea to repeat this hourly if possible, before you seek medical attention. They have a wide experience base in treating all types of knee injury and use a variety of techniques to achieve the best results. We also offer appointments outside of regular working hours, with early and late slots offered, as well as running a Saturday clinic, so can cater for most busy peoples’ timetables. Joint infection causes tissue destruction resulting in pus or purulent secretions within the joint consist of dead cells, tissue debris and synovial fluid mixed with bacteria and blood cells. Abscess may spread into hip joint resulting in septic arthritis of hip joint causing severe intractable hip pain. Hip Pain and Infection associated with prosthetic hip joint is extremely difficult to treat with antibiotics.
Deep tissue abscess close to joint may spread within the joint causing septic arthritis and severe hip pain. Inner portion of the menisci are poorly vascularized and do not heal well, may at time ends in necrosis.
Tendinitis is very painful condition, mostly observed during joint movement, muscle contraction or direct pressure on tendon. Runners, skiers, cyclists and participants of contact sports often suffer with inflammation of the patellar tendon.
Symptoms are more common in young patients and examination indicates lump below knee joint.
Ligaments may be partially or completely torn following overstretched knee joint in hyperextension. Professional sports and vigorous training results in rapid wear and tear of knee joint structures and cartilages of meniscus. Malignant cancer of bone (Osteosarcoma), cartilage (Chondrosarcoma) or tendon (Fibrosarcoma) may occur within knee joint even though it is very rare. Nerve could be pinched outside spinal canal along its course to knee joint by hematoma, abscess or tumor. It is also known as posterior knee pain and there are many causes that can lead to this condition. Inflammation due to injury or arthritis causes excess fluid to spread around the area and cause swelling of the bursa and back of the knee pain. Overstretching of knee ligaments, commonly called knee sprain or complete ligament rupture can cause pain in the back of the knee or posterior knee pain along with other symptoms. Meniscus injuries occur with sudden twisting, forceful knee movements or overstraining a previously injured cartilage. The common conditions include biceps femoris tendonitis, popliteus tendonitis and gastrocnemius tendonitis. Other bone and joint conditions, tendon and soft tissue damage causing posterior knee pain are treated with conservative or surgical management, as appropriate.
From what I have been seeing, being overweight has placed many people on higher risk charts for knee pain.
Most of them keep the information bottled up inside for fear of ridicule and egotistical concerns. The therapist put me through a round of treatment that is similar to acupuncture, but with bigger needles. The pain is most commonly felt under the patella, even when the muscle responsible is in the rear of the knee. After I talked to one of my fellow members, I purchased a couple of soft walking shoes and it did wonders for me. This will finally cause a localized inflammation in the weak areas which then increases the blood supply and circulation of nutrients.
Similarly pain at the front of the knee may be coming from the main knee joint (tibio-femoral joint), from the knee-cap (patella-femoral joint) or from cartilage (meniscus), which acts as a shock absorber.
Whatever the cause, our insurance company registered team will be able to offer help and advice- often encouraging patients to adopt a self-help regimen of home exercises to speed up recovery.
Combining massage techniques, joint manipulation, electrotherapy and a rehabilitation exercise regime, our osteopaths take a look at you from a holistic perspective to ensure the best possible care is given. If you think you could benefit from being checked over, please feel free to contact us for more information or to make an appointment. In order to treat pain properly, we need to know its location, symptoms and intensity, among other things.
Lack of blood vessels within and around the prosthesis results in low white blood cells count and also prevents antibiotics coming in contact with bacteria. Inflammation is caused by continuous contraction and friction between patella bone and patellar tendon. PCL injury is observed in younger patients during contact sports resulting in partial or complete tear of ligaments. Forceful knee joint activities creates rapid changes in shearing forces within knee joint, which may result in meniscus tear. Very rarely a loose body could be a foreign body such as fragments of bullets or metal accidentally introduced into knee joint.
Benign tumor like lipoma is common mostly localized over posterior compartment of knee joint.
Pain may be wide spread along the course of the nerve or localized depending on where the nerve is pinched.
When the posterior part of either side gets injured or damaged, it can cause pain in the back of the knee with swelling and inability to bend the knee.
Vascular or nerve involvement, tumors, causing pain in the back of the knee requires proper diagnosis and management by concerned specialties. Here is a small list that I set up that goes over different warning signs that there’s something wrong with your knees. Another sign of this issue is that often the muscle will be extremely tender if your press in behind the middle of the knee. I personally find that juicing is the most effective way to combine a large amount of fruits and vegetables together without needing to eat them separately. Every individual is treated differently and we personalize our treatment plan so that is tailored to your lifestyle. Pain is on the outside of knee joint unlike patellar tendinitis and Osgood Schlatter disease. Patellar tendinitis and Osgood Schlatter disease may be misdiagnosed as Patella-Femoral Pain Syndrome. Meniscus tear is also common among elderly population secondary to degeneration of the cartilage. Pain caused by spread of malignant cancer is extremely severe than benign cancer like lipoma. I urge you to speak to your personal physician because each person’s body will heal over a different period of time.
Meniscus is actually cartilage found between the bones in the joint and it serves as a shock absorber for the knee. Degenerative diseases cause degeneration of meniscus, ligaments and bones resulting in laxity of knee joint space. But it’s supposed to stimulate your muscles in a way that will end the long-term pain.
When my patients took my advice and got soft walking shoes, they noticed a drastic difference and even had less dramatic lower back pain. I still dont like taking pain meds, but i have given in a few nights just so i could find a comfortable position to sleep. It can be torn by sudden, violent twists in the knee joint (usually when playing sport).Another common injury is ACL injury. Revision of total hip joint replacement is considered once all the studies including study of joint fluid indicates the joint is germ-free and disinfected. Slack knee joint of older patients occasionally hyper-extends while walking on rough uneven surface, and results in tear of PCL.
Symptoms of Patellar Dislocation are often same as symptoms of Anterior Cruciate Ligament (ACL) or Posterior cruciate Ligament (PCL) injury. Top athletes often tear this ligament when they change direction suddenly.Knee joint can also be inflamed and cause localized swelling and pain.
Since this joint is built up of many tendons, it is not uncommon that any one of them gets irritated and cause inflammation.
It usually does go away on its own but sometimes the knee can swell up so much that it affects the mobility of the joint itself. As you can see, these are all serious conditions, so you should consult your doctor.          Front Knee PainThis is the most common type of pain people complain about. It usually happens when you change direction rapidly and shift weight, like when playing soccer, football, basketball etc…Wearing Proper ShoesIf you are experiencing pain in the knee joint, there is a good chance it can be linked to the shoes you wear.
Your safest bet would be to seek medical help and get to the root of your problem.Relief And Treatment For The Pain In The KneeWhen confronted with this pain, you should go with the RICE method, it will relieve pain, reduce swelling and improve the mobility.
RICE method stands for rest, ice, compression and elevation.Note that you should not rest for long period of time since it can interfere with your rehabilitation process and make it longer than usual. The first one was medicine and my desire to help people and when i combined it with my passion for blogging HelpYourBack.org was born!



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