HILLS PODIATRY CENTRE


KNEE PAIN

 

There are commonly two types of injuries which can cause knee pain- Acute injuries (such as ligament and/or meniscus tears) and Chronic (overuse) injuries. As podiatrists, we usually deal with chronic injuries.

What causes knee pain?

Chronic injuries to the knee can be a result of poor footwear, inappropriate training surfaces (eg: bitumen, soft sand, cambered surface, etc) or abnormal alignment of the foot and the leg.

Flat Feet

With flat or excessively pronated feet, the lower leg is internally rotated at the same time the upper leg is trying to externally rotate, due to forces produced during walking. The knee has to absorb these “twisting” forces resulting in repetitive injury and eventually pain and possible cartilage loss.

Pronated (flat) feet can result also in a valgus (knocked kneed) position, which causes various associated muscles to exert their pull in an incorrect direction.  

High Arched Feet

Known as Pes Cavus or supinated feet, these type of feet do not allow the normal shock absorption needed during walking. The knee therefore takes too much force leading to overuse injuries. 

For more information about this condition or for an appointment please give us a call at Hills Podiatry Centre on 9057 5657


PATELLOFEMORAL PAIN SYNDROME

 

What is Patellofemoral Pain Syndrome?

Patellofemoral Pain Syndrome (PFPS) is pain that arises from under and around the knee cap. It is exacerbated with running, walking up or down stairs, and sitting with knees bent for an extended period of time. There may be clicking or a sensation of weakness upon bending or straightening the knee. 

With pronated feet the knees rotate inward causing the Patellar Tendon (which connects the muscles of the thigh to the lower leg via the knee cap/patella) to pull in the wrong direction causing the patella to become misaligned with the trochlear groove of the knee resulting in injury, pain, and possible cartilage loss. 

For more information about this condition or for an appointment please give us a call at Hills Podiatry Centre on 9057 5657

 

ILIOTIBIAL BAND (ITB) SYNDROME

The Iliotibial band (ITB) runs down the outside of the thigh and crosses the knee. With prolonged excessive pronation, the band shortens (becomes tight) resulting in pain and decreased range of motion. Often the patient complains of pain on the outside of the knee in a specific spot that can hurt during activity or after. It commonly occurs in runners and symptoms can range from pain just under the knee or all the way down the outside of the leg.

For more information about this condition or for an appointment please give us a call at Hills Podiatry Centre on 9057 5657


OSGOOD SCHLATTER DISEASE (OSD)

 

What is Osgood Schlatter Disease?

Osgood Schlatter Disease (OSD) is a tractional apophysitis where pain and inflammation of the growth plate of the tibial tuberosity (the bump on your shinbone found just below the knee cap where the patellar tendon attaches) occurs due to increased force from the tendon on the bone. The good news is OSD is self-limiting - meaning it will resolve itself within a few years once growth stops and the growth plate ossifies (turns to bone). In the meantime there are a variety of treatment options for the condition. Once diagnosing your condition and ruling out other possible causes for your knee pain the podiatrist will discuss treatment options including:

·       R.I.C.E (Rest, Ice, Compression, Elevation)

·       Orthotic therapy to control excessive pronation thereby limiting the rotational forces on the leg and knee.

·       Exercises- strengthening and stretching of the muscles around the knee.

·       Medication such as anti-inflammatories

·       Taping of the knee

For more information about this condition or for an appointment please give us a call at Hills Podiatry Centre on 9057 5657

 

Kellyville Podiatrist