- Review of radiological studies (x-rays, MRI, etc.)
- Diagnostic (anesthetic only)
- Joint Aspiration (draining fluid)
- Viscosupplementation (hyaluronic acid) Gel
- Regenerative Medicine
- Osteopathic Manipulative Medicine (OMM)
- Physical Therapy
- Regenerative Rehabilitation
- Home Exercise Program
- Lifestyle Modifications
- Explore the conditions that led to your symptoms.
- Understand the way your symptoms have manifested an individualized change in the quality of life (movements, activities, hobbies or tasks that have been affected).
- Use advanced technology such as ultrasound to diagnose the affected region.
- Formulate an evidence-based, customized treatment plan based on available injection therapies coupled with a discussion of risks, benefits, and prognosis for each.
- Perform precision ultrasound-guided injection.
- Provide a comprehensive rehabilitation program that may include physical therapy and/or home exercise program.
- Recommend lifestyle modifications, adjustments and long-term strategies to avoid reinjury and promote tendon health.
The knee joint is a very important joint that can often be underestimated and underappreciated until one experiences pain or instability in the knee joint. The knee joint represents the attachments of the femur (upper leg bone) with the tibia (on the inside and outside of the knee) and the patella, or kneecap (called the patellofemoral joint).
The knee joint itself relies on symmetric support from the various ligaments and fibrocartilage structures that provide stability to the knee to allow us to walk, jog, run and play high-intensity sports without buckling or falling.
- ACL (anterior cruciate ligament)
- PCL (posterior cruciate ligament)
- MCL (medial collateral ligament)
- LCL (lateral collateral ligament)
- ALL (anterolateral ligament)
- Meniscus (medial and lateral)
There are various muscles and tendons that cross the knee including the quadriceps and hamstrings which are important to provide fluid motion and absorb stress forces from being applied onto the knee joint itself. This is important since we apply about 1.5x our body weight into the knees when we stand (...and even more when we walk, jump or run).
In addition, various bursae, nerves, and blood vessels are present in the knee region. Knee pain can be a manifestation of dysfunction involving one or more of these structures.
Pain at the knee can also be misleading in that the pain source can actually be somewhere outside the region completely. Examples include a pinched nerve in the back (lumbar radiculopathy), referred from the hip or ankle or reflect a degenerated or inflamed structure (tendon, ligament or bursa), to name a few. Often, seemingly unrelated issues with body mechanics such as scoliosis, flat feet, or poor footwear can aggravate knee pain and problems.
A thorough history of symptoms is very helpful to help determine the likely diagnosis and development of an effective treatment plan for knee pain.
Common Sources of Knee Pain:
- Ganglion Cyst
- Joint Inflammation
- Joint Injuries
- Knee Injury
- Knee Pain/Problem
- Knee Sprain
- Leg Injury
- Leg Pain/Problem
- Ligament Sprain
- Meniscus Injury/Tear
- Movement Disorder
- Muscle Disorder/Myopathy
- Muscle Injury
- Muscle Pain/Problem
- Muscle Spasms
- Muscle Strain
- Muscle Tear
- Muscle Weakness/Palsy
- Nerve Pain
- Nerve Compression
- Nerve Injury
- Occupational Injury
- Patellar Tendinopathy
- Peripheral Neuropathy
- Sports Injury