Knee Pain Treatment

Knee pain is one of the most common physical injuries and has many possible causes. For this reason it’s difficult but all the more crucial to get an accurate diagnosis for treatment for knee pain. Patients may develop knee pain as a result of arthritis, ligament injuries, cartilage injuries, dislocated kneecap, bursitis, or patellar tendinitis. Luckily there is a variety of knee pain treatment options.

Anatomy of the Knee

The knee is a complex joint made up of three different compartments, each with its own unique functions and structures.

The inner (medial) compartment and the outer (lateral) compartments of the knee are formed by the joining of the lowest part of the femur and the highest part of the shinbone. Where the kneecap (patella) and the front part of the femur meet, a third compartment is created known as the patellafemoral joint. The first two compartments are crucial in allowing the patient to walk on flat terrain, while the third compartment assists in activities like walking on uneven ground, going up and down stairs, kneeling, and standing up.

Below the kneecap dwells a large tendon, the patellar tendon, which attaches to the front of the tibia. Behind the knee in the area known as the popliteal space pass large blood vessels. The knee is surrounded on the front side by the quadriceps muscles and on the back side by the hamstrings, which work together to flex and extend the knee joints.

Also surrounding the knee joint is a joint capsule, the inside and outside of which are held together by ligaments—medial (MCL) and lateral collateral ligaments (LCL) which provide the knee with strength and stability. The MCL attaches the medial side of the femur to the medial side of the tibia, while the LCL attaches the lateral side of the femur to the lateral side of the fibula. Together MCL and LCL prevent the femur from sliding around, while the anterior cruciate ligament (ACL) prevents it from sliding backward on the tibia and the posterior cruciate ligament prevents it from sliding forward on the tibia. Located deep inside the knee, the ACL limits rotation and forward motion of the tibia. The PCL, the strongest knee ligament, attaches the tibia and femur and limits backwards motion. Meanwhile, the patellar ligament attaches the kneecap to the tibia.

The meniscus is a thickened pad of cartilage between two joints, which creates a smooth surface for motion and absorbs pressure in the knee when the body is upright. The medial and lateral menisci, two C-shaped pieces of cartilage, lie between the femur and tibia and act as shock absorbers for the rest of the lower body.

Around the knee joint lie bursae, small, cushiony sacs filled with fluid that rest between bones and surrounding tissue. When the patient is moving, bursae lubricate soft tissue and offer a gliding surface reducing the friction of the tendons. Notably, the prepatellar bursa rests atop the kneecap, while the anserine bursa lurks within the knee, beneath the knee joint.

Causes and Symptoms

Knee arthritis is a condition typically affecting two or more compartments in the knee, though in rare cases it may be confined to the patellaformal compartment. Symptoms of knee arthritis may include pain in the front part of the knee behind the patella that is only exacerbated by walking on inclined terrain, going up and down stairs, and standing up. However, the condition may pass unnoticed when the patient is walking on level ground.

Women are more likely to experience knee arthritis than men, and to require treatment for knee pain. Patients are more susceptible to this condition if they have excessive hip anteversion, a condition in which the neck of the femur rotates too far in the hip socket and pulls sideways on the patella. It’s also more common in patients suffering from patellofemoral dysplasia, in which one of the trochlea grooves is so misshapen that it no longer matches the patella surface, causing the cartilage to deteriorate. In certain cases requiring chronic knee pain treatment, patients with these conditions can suffer episodes of total patella dislocation. Also known as patellar instability, this condition causes repeated episodes of damage to the cartilage coating on the patella and predisposes patients to early patellafemoral arthritis. Moreover, because patellafemoral arthritis usually affects both legs, patients undergoing knee joint pain treatment may need to be examined in both, even if they’re only experiencing symptoms in one knee.

Because the medial patellafemoral ligament aids the knee in providing sideways movement and balance, medial tellaemoral ligament injury is a serious condition requiring medial knee pain treatment. The injury may take the form of a slight strain, a slight tear, or a total rupture necessitating surgery. A physician may also need to treat the surrounding area, because injury to the medial ligament typically spreads to the rest of the knee and may damage the medial meniscus, the cartilage, and quadriceps.

The onset of medial ligament injury is normally accompanied by a sudden, jerky movement, like a twisting landing, in which the knee collapses in on itself. Examples of this include falling from a great height and landing on a straight leg. At times the injured party will feel a palpable tear in the knee or hear an audible popping sound in the area of damage. Pain will be accompanied by swelling, followed by constant throbbing, soreness, and limping.

When it comes to the meniscus, tears are usually the result of traumatic injury (commonly reported by athletes) and degeneration (the most common cause of meniscus tear in the elderly). The meniscus may be torn when the knee joint is bent and the knee becomes twisted. Medial knee pain treatment then becomes necessary, especially if the injury is accompanied by years of the overload to the medial knee joint. These three problems together are known as the “unhappy triad,” such as happens to sports players when struck on the inside of the knee. Symptoms of meniscus tear may include pain, swelling, and joint locking, or the inability to straighten the joint, which occurs when a piece of the torn meniscus physically impinges inside the knee joint surfaces.

Knee Swelling and Pain Treatment

Because in its early stages patellofemoral arthritis is relatively benign, patients may walk on level ground for miles without experiencing pain or disability. Consequently the condition may be far advanced before the patient seeks inner knee pain treatment.

Depending on the degree of cartilage damage, treatment for knee pain may include measures such as wearing a brace. A physician may also recommend physical therapy as a form of inner knee pain treatment that strengthens and stretches the quadriceps muscles while improving patella tracking.

Victims of knee arthritis or related knee-pain injuries may experience relief by taking Tylenol or other non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen. However, these should be taken only sparingly and with the approval and supervision of a physician. Knee pain treatment injections such as intra-articular steroid injections, or cortisone shots, are an alternative form of knee joint pain treatment and may be used during acute phase to reduce pain and intra-articular inflammation. Knee pain treatment injections is another form of treatment necessary for arthritic knee.This type of injection lubricates the joint and allows rehabilitation to be successful .

Conventional methods of knee swelling and pain treatment are generally helpful in struggling patients, especially those who need to climb stairs. However, as the knee continues to degenerate, increasing bone loss may result in chronic knee pain. Treatment in this case should be targeting unloading of the knee ,as in biomechanical form of inner pain knee pain treatment.

In the case of a torn meniscus, effective inside knee pain treatments initially may include cryotherapy and immobilization to lessen swelling and pain in the joint. A physician may recommend an MRI evaluation to reveal abnormalities in the meniscus and to determine whether or not surgery is necessary.

How Do We Treat Knee Pain At NYDNR

What is the best treatment for knee pain? At New York DNR we specialize in various types of knee pain treatment, including chronic knee pain treatment, inner knee pain treatment, and anterior knee pain treatment. Our biofeedback motor control training uses real-time force plate analysis to treat injuries and conditions of the lower extremities. This training has been successfully used for treatment and post-surgical rehabilitation, and has proven extremely effective in treating injuries procured in prolonged, high-exertion physical activities like figure skating, tennis, running, and ballet.

We employ the most advanced and comprehensive treatment of meniscus tears, ACL/PCL tears, patellofemoral syndrome, and various forms of bursitis, providing diagnosis and physical therapy for anterior knee pain treatment and chronic knee pain treatment. For those suffering from degeneration in the tendons of their knees or who have encountered tension between the hamstrings and quadriceps, extra-corporeal shockwave therapy (ESWT) is an inside knee pain treatment designed to relieve pressure and get blood circulating to the injured areas. Computer Assisted Rehabilitative Environment is a fully immersive environment that works using principals of virtual reality and feedback training to restore walking and weight bearing .

What is the best treatment for knee pain? You’ll find it at the New York DNR.



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

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