The human body is designed to withstand long periods of walking and running in a straight line. Therefore, by doing activities which require a lot of turning and stop-start movements like hockey, tennis, cricket and netball, it can create grinding and shearing forces within the knee. These forces through repetition or trauma can create knee pain.
Consequently, the muscles around the knee, such as the hamstrings, quadriceps and calf muscles are crucial to support and stabilize the knee during everyday activities and sports. If these muscles do not give the correct support it can result in the knee functioning in an abnormal way.
Most of these injuries such as anterior or posterior cruciate ligament tears (internal knee ligament) patellofemoral pain, iliotibial band syndrome and osteoarthritis occur from internal rotation of the knee and can be aggravated by these added movements or lack of movement.
What can The Podiatrist do for you?
In our assessments we don’t just assess the knee, we also address abnormalities in biomechanics of the lower limb, since knee injuries often occur as a result of faulty mechanics e.g. delayed resupination of the foot occurs after a prolonged time of pronation.
This causes your lower leg to internally rotate when it should be externally rotating with the upper leg. The combination of the upper leg externally rotating and the lower leg internally rotating can result in knee pain.
At The Podiatrist we address the causes of knee pain by:
- Analysing the way you run and walk and the activities that bring on your pain
- Taking a thorough history to see if the knee pain is secondary to another injury or if it is the primary injury
- Assessing your shoes
- Assess your knee joint and muscle strength
- Putting orthotics (if needed) in your shoes to alter how your foot functions in order to change the forces through your knee
- Working with physiotherapists to establish knee exercises and a strengthening programme