Knee Pain Treatment and Rehabilitation

Knee pain is a commonly occurring condition in both athletes and non-athletes. Knee pain may result from a number of different conditions, including knee strains, knee sprains, and osteoarthritis. Though many of these can be treated with conventional treatments, others may need special care and rehabilitation. New York Dynamic Rehabilitation clinic (NYDNRehab) offers specialized knee treatment with technologies such as extracorporeal shockwave therapy (ESWT).

Basic Knee Anatomy

The knee is a synovial hinge joint connecting the bones of the femur (thigh bone) and the tibia (shin bone). It is composed of two other joints: the tibiofemoral joint, which joins the tibia and femur, and the patellafemoral joint, which joins the femur to the patella (knee cap). Together these two joints form a modified hinge joint, unique among the joints of the body.

Larger and more complicated than any other joint, the knee enables bending and rotation of the lower leg and foot and bears the weight of much of the rest of the body. It is assisted in this endeavor by bones, cartilage, ligaments, and tendons, any of which can suffer from knee injury. Within the knees, cartilage works to bones. Separating the bones are pads of connective tissue known as menisci (singular: meniscus), two crescent-shaped discs located between the femur and tibia. The two menisci help stabilize the body and cushion the lower leg from the pressures exerted when standing and moving.

There are four ligaments connecting the femur and tibia. The medial collateral ligament (MCL) stabilizes the inner part of the knee. The lateral collateral ligament (LCL) stabilizes the outer part of the knee. The anterior cruciate ligament (ACL) limits rotation and forward movement of the tibia. The posterior cruciate ligament limits backwards movement of the tibia. Tearing of a ligament is a serious injury that may require inside knee pain treatment, in the case of the MCL, or outside knee pain treatment, when the ACL is ruptured.

Knee Conditions

There’s a subtle but significant difference between knee strains and knee sprains. A knee sprain is a stretching or tearing of a ligament in the knee. The severity of a knee sprain depends on whether the injury is whole or partial the number of ligaments involved. A knee strain is an injury total rupture.

Knee sprain may result from a fall or a blow to use it. They may feel loss of sensation in the injured area and see red streaks radiating out from it. In the most serious cases of knee sprain, the ligament is completely ruptured and chronic knee pain treatment becomes essential.

Knee strain, on the other hand, is typically caused by a twisting or pulling on the muscle or tendon. Acute knee strains are caused by sudden traumas, such as a blow to the body, or by over-exertion of the muscles in activities like lifting. Chronic knee strains, on the other hand, are more often the result of prolonged, repetitive stress on the muscles and tendons.

Strains often occur along the back of the thigh near the hamstring muscles. They’re especially common in contact sports such as soccer, football, and wrestling. People suffering from knee strains may experience muscle spasms, weakness, and pain. Often they will feel pain in the injured area and weakness in the associated muscles when attempting torn, they may experience crippling pain.

Degenerative joint disease, or osteoarthritis, is a condition of degeneration of the bone’s cartilage. It’s the most common type of arthritis, affecting over 20 million people in the United States alone. Knee osteoarthritis occurs when cartilage weakens, frays, and in some extreme cases disappears entirely. Bony spurs known as osteophytes may form at the edges of joints, and patients may suffer from joint pain, loss of function, and reduced range of motion. Disability can sometimes occur as a result of osteoarthritis in the weight-bearing joints, of which the knee is one.

Treatment for Knee Pain

Knee pain home treatment is similar for both knee strains and knee sprains. There are roughly two stages. The first stage largely centers is toms. Those with moderate or severe knee sprains may wear a cast.

The second stage of home treatment for knee pain focuses on rehabilitation to sports and other activities.

Like anterior knee pain treatment, osteoarthritis knee pain treatment includes rest, exercise, and proper medication. In certain cases braces or splints may be worn as assistive devices to improve fitness and control or reduce weight, which relieves the pressures on the joints that can aggravate arthritis. Additionally, aerobic exercises can sometimes lessen the pain of joint inflammation.

Treatment for Knee Pain at the New York DNR

When knee pain treatment at home is not sufficient, help is available at the New York DNR. We provide comprehensive treatment for a variety of knee conditions, including meniscal tears, anterior knee pain, patellar tendinitis, pre-patellar bursitis, tears of the ACL and PCL, and strains / sprains of the MCL and LCL.

We employ technological gait analysis to walk, gait analysis is one of the best treatments for knee pain.

The key to receive treatment and rehabilitation for knee pain.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

Buy now 3D Gait
Payment Success
Request Telehealth Request Telehealth Request in office visit Book now