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Hands up who suffers with knee pain? 

We see a lot of clients with knee pain every week, lots of them are runners but it can affect all sorts of people from all backgrounds, be it sport or work-related. We tend to assume knee problems stem from incorrect footwear or overuse, however, the most common causes are muscular imbalances, poor hip stability or a weak core. 
 
We’ve put together the three most common types of knee pain to help you understand the signs because, if left unresolved, these problems will turn a 'niggly' knee into a chronic problem. We've included some tips to help relieve the problem now and prevent it (re)occurring in the future. If you aren't sure what is causing the issue, please book in with one of our therapists and we will assess it for you. 

ITBS (aka Iliotibial band syndrome) 

The most common cause of knee pain in runners is ITBS. 
 
This occurs when the long tendon of the tensor fascia latae muscle (TFL) which runs down the outside of the thigh to the knee (called the illiotibial band) rubs against the outside of the knee joint causing friction, pain and inflammation. 
 
Causes: 
 
weak hip muscles, particularly the gluteus medius can be a large factor 
over pronation or poor foot biomechanics may increase the risk of injury 
running on hills or on cambered roads regularly 
 
Symptoms include: 
 
pain on the outside of the knee which gets progressively worse as you run 
there can be pain on bending and straightening your leg 
if you bend your knee to 45 degrees or more you get pain on the outside of the knee 
 
Prevention/treatment: 
 
warm up properly before you start your runs or exercise 
check the camber of the road, try to stick on even surfaces 
rest or cross-train to take pressure away from ITB 
book a sports massage to release the quadriceps, hamstrings, TFL and ITB 
stretch regularly or use a foam roller 
strengthening exercises for your glutes 

Jumpers knee (aka patella tendinopathy) 

This is an overuse injury that shows up as pain at the bottom of your knee cap. Too much running or jumping causes inflammation or degeneration to the tissues. 
 
Patellar tendinopathy can be difficult to get over quickly so rest is extremely important as is a solid rehabilitation plan to get you back to training without risk of re-injury. 
 
Causes include: 
 
poor foot mechanics 
muscle imbalances 
incorrect training plans 
 
Symptoms include: 
 
tender feeling when pressing into the tendon below the knee cap 
knee may look slightly larger or puffier than the other knee due to the inflammation 
contracting quads can feel achy or even painful 
jumping exercises can cause pain or discomfort 
 
Prevention/treatment includes: 
 
reducing the initial pain and inflammation through rest and ice 
rehabilitation program which will include strengthening exercises 
quad stretching exercises 
sports massage to ease tension in the thighs 

Patella femoral syndrome (aka runner’s knee) 

PFS happens when the knee cap isn’t tracking correctly and rubs on the femur bone underneath. This causes irritation or damage to the cartilage, resulting in pain. 
 
Causes include: 
 
overuse 
too much too soon 
high impact through the knee 
incorrect patella tracking due to muscle imbalances 
 
Symptoms include: 
 
aching pain in the front of the knee around and under the patella 
tenderness along the inside of the kneecap 
swelling may happen after exercise. 
worsening when walking up and down hills 
becoming worse after sitting for long periods of time 
 
Prevention/treatment includes: 
 
identifying the causes 
strengthening muscles particularly Vastus Medialis (the inside quad) 
stretching the quads 
apply PRICE principles (protection, rest, ice, compression and elevation) after exercise 
rest completely from activities that make it worse until pain has gone 
a patella tracking knee brace or support may help 
taping the knee can aid recovery 
sports massage to loosen tight tissues 
 
Maintenance massages will help you stay in top shape and prevent injury. If you are worried about your knees, please contact us. Massage, taping and strengthening exercises can all help. 
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