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Physiotherapist examining knee
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Sports Injury knee
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Knee Physiotherapy

Start your road to recovery today

Common Conditions

Knee pain is very common and affects approximately 25% of adults and is also common in active children. We can suffer from knee pain during activities such as walking, running, going up and down the stairs or when bending or straightening the knee. Generally, most knee pain can resolve with the appropriate Physiotherapy treatment and rehabilitation and does not require any further intervention.  However, in some cases, further treatment such as injection therapy or surgery is required. 

 

The Knee can present with many injuries that may occur from a trauma such as a ligament sprain, muscle tear, meniscus injury, bony injury or others. Overuse injuries may be attributed to imbalances in the lower limb such as poor movement patterns, reduced muscular strength/endurance, poor stability or a lack of mobility.  Overuse injuries generally come on over time and may impact different structures such as the patella tendon, PFJ and bursa. To be able to ascertain accurately your injury and the most suitable way forward, we use conventional methods and digital technology in our assessment to determine not just your diagnosis but other contributing factors. There are many knee injuries we see in Edinburgh Physiotherapy and here are just some of the most common conditions listed below. 

For information on Children's knee pain click here

Click on the links below to get more detailed knee injury information

Kneeling to Tie Shoe

The Knee

The knee joint is the largest and one of the most complex joints in the human body and is classified as a hinge joint. The knee is composed of the femur, tibia, fibula and patella. The meeting of the Femur and Tibia make up the knee joint known as the tibiofemoral joint, while the fibula on the outside is present but it doesn't directly impact the movement, however, many structures attach to the fibula contributing to this. The Patella is the small bone at the front (knee cap) and is known as the patella-femoral joint. 

 

As the knee is a hinge joint, it can flex, extend but it can also rotate slightly. There are various muscles that control and allow these movements which are attached to tendons that then attach to a bone. The ligaments such as the ACL, PCL, MCL and LCL provide stability, while special cartilage (meniscus)  works to absorb pressure and provide some stability as well. There are various other structures that aid in allowing smooth, pain-free movement, such as articular cartilage, fat pad, bursa and others. When we move, bend, run or twist, the knee is under high levels of stress and we need all of the structures to work well together to provide movement that seems effortless. If we have an injury this can disrupt the knees homeostasis which can then cause reduced movement or pain.

Knee Assessment

During a visit to the Clinic in Edinburgh  for Knee Specialist Physio, your knee assessment will incur a highly-skilled examination and then treatment by using the most current evidence to date. Your specific injury will dictate what your knee assessment will be as no two knees and injuries are the same. We not only assess your joint and muscles but may also assess your Lower Limb Stability, Muscle endurance and Peak force/Strength, Proprioception, Gait, Jump and Landing biomechanics. By using motion video analysis, Muscle dynamometers and other equipment we can gather the required amount of data to then give you the correct treatment, rehabilitation, and guidelines. The knee assessment will take between 30 mins to 60 mins. Once completed you and your Knee Specialist Physio will discuss the most suitable intervention and way forward.

Knee Massage Therapy
Compex Muscle stimulation products

Compex Rental 

The compex is a piece of equipment advised by many of the world's leading surgeons post-operative.  I have used this piece of equipment working at Chelsea FC, LTA and in all areas of professional sport.  It is the gold standard in knee rehabilitation and recovery. 

 

The Compex can aid by reducing muscle spasms, increasing blood flow,  reduce muscle atrophy and active the slow-twitch fibres improving endurance, and then gradually recruit the fast-twitch muscle fibres as you progress. One of the benefits of the compex in is we can improve the contraction ability, strengthen and increase a muscles size without having to load or move the injured tissue. These benefits can help you progress faster through your rehabilitation plan and recovery post operative.

 If you care to rent or discuss please contact us.

Cryo-Cuff IC
Ice Machine Rental 

The Cryo-Cuff Ice machine is a piece of equipment advised by many surgeons and sports physicians for injury and post-operative care. Cryo Cuff has the goal of significantly improving the entire cooling or “icing” process of your post-surgical recovery.

The Cryo-Cuff IC can aid by reducing swelling, pain and help improve your recovery aiding your progression. One of the difficulties post-operative is swelling and muscle inhibition. Swelling increases pain and reduces movement and the ability for muscles to contract thus reducing your recovery. By using the Cry-Cuff IC, it will reduce the amount of times you have to get up for ice packs but the IC (Intermittent Compression) also helps in providing gentle compression while Icing and cooling the area which some studies show is beneficial. These benefits can help you progress faster through your rehabilitation plan and recovery.

 If you care to rent or discuss please contact us.

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Empower
Growth

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Active Force Dynamometer
Muscle force testing

ActivForce’s is a Handheld Dynamometer that provides real-time strength and range of motion measurement.  ActivForce

integrated digital system measures, tracks, and visualizes key strength metrics and force data, giving immediate insights into individual patient’s capabilities. Through this we can track daily metrics and historical data to allow close monitoring of individual markers, potential injury risks

We can assess your Peak force, Average force and any discrepancies with this to help not only monitor your progress but find your areas of weakness to help tailor your rehabilitation plan,

Top 5 knee injury prevention tips 

  1. Keep your quadriceps (thigh) muscles strong. These are the guys that help reduce forces going into the knee joint and the patella when going downstairs, walking, and bending down.

  2.  Keep the joint mobile- Biking is fantastic for maintaining and improving joint mobility. This bathes the joint surfaces and cartilage with micronutrients improving your knee joint health and of course your overall health and wellbeing.

  3. Keep the hip muscles strong. Evidence shows that weak hip /buttock muscles can contribute to knee pain. So keep working on the gluteals. 

  4. Keep flexible, especially in your quadriceps and your calf muscles. Tightness here can negatively impact forces on the patella during sitting and also walking. Simple daily stretches can positively impact this.

  5. If you are in Pain seek out your Physiotherapist. Don't let pain carry on as it may only require a simple set of exercises to help you. If you need other interventions we can also guide you and help you start your road to recovery. 

I have known Stuart for 10 years from when I was at Chelsea FC. I have had multiple career-threatening injuries that he has helped me rehabilitate and recover from, and return to full fitness and playing again. I would highly recommend Stuart to anyone who is concerned about their injury or is having problems returning to normal function or fitness as he always got me back to professional football.


Mr Adam Coombes, Footballer, ex Chelsea FC, Notts County FC.  July 2019

Orthopaedic Consultants

For further investigations and interventions, I would highly recommend

Mr Mark Gaston a leading knee Orthopaedic consultant  

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