Home Blog Dr. Timothy Harcourt Was Working On A Patient When They Asked How Their Knee Pain Was Related To Their Foot Problems

Dr. Timothy Harcourt Was Working On A Patient When They Asked How Their Knee Pain Was Related To Their Foot Problems

Jun 11, 2021 -- Posted by : Dr.Harcourt

Patellofemoral pain (PFP) is commonly associated with running, jumping, squatting, and walking up/down stairs. It’s thought that PFP is caused by excessive rubbing between the back of the patella and groove, or track, that it rides in. Besides overuse, additional causes for PFP pain include muscle imbalance or weakness or direct trauma. The condition is most common in adolescents and young adults, usually due to overuse and/or misalignment, the latter of which is often referred to as poor “patellofemoral tracking.” This can eventually lead to arthritis, which is more commonly seen in older adults with PF pain.

Past research has demonstrated that issues in the foot can increase the risk for musculoskeletal pain in other parts of the body, including the knees. In a 2018 study, researchers examined the effect of knee-targeted exercise vs. a combined approach that included knee- and foot-focused exercise with foot orthotics (shoe inserts to correct pronation or the rolling inwards of the ankle and foot) in patients with patellofemoral pain.

Participants were instructed to perform terminal extension quad exercises that emphasized COMPLETE extension (straightening) of the knee. This exercise can be done sitting or lying on the back with a rolled-up towel behind the knees (with or without an ankle weight) and fully flexing the quad muscles for three to five seconds and repeating the process ten to twenty times, as tolerated.

The results revealed a significantly greater improvement in the group that included foot care, supporting the conclusion that better outcomes are achieved by combining foot exercise and foot orthotics with knee exercises. The authors reported that the benefits were still present four months after the conclusion of care but not a year, suggesting the importance of continuing exercise and foot orthotic use.

Doctors of chiropractic routinely perform posture assessments when examining patients with knee pain in order to identify dysfunction in the hip or feet that may contribute to their chief complaint.

So, if you are experiencing knee pain and you type in chiropractor near me, pain management near me, and you find that Coast Chiropractic Centers with Dr. Timothy Harcourt, me, comes up.  You may wonder, what is wrong with my knee?  Pain in the knee or pain on the knee is a problem that needs attention. Kneecap pain can be particularly annoying. Do I have a muscle strain in the knee or neuropathic pain? You may be worried about a torn meniscus or a Baker’s cyst or kneecap pain.  Pain in the knee or pain on the knee is concerning for sure.  Some who may be concerned about neuropathy may be concerned if this is neuropathic pain. Many who have been diagnosed with neuropathy have been on high-dosage Gabapentin and wonder why their knee pain remains persistent. Pickleball, golf, and tennis are common sports to cause knee pain. Some try Oxycodone or Hydrocodone to no avail.  Some have tried applying Voltaren gel to the affected area with temporary relief at best. As a last resort, some type in pain management to find relief.  Hopefully, you won’t have a torn meniscus but if you do it doesn’t mean surgery is your only option. Obviously, most want to avoid a knee replacement.  Sometimes it can be a patellar tendon irritation easily resolved with conservative non-surgical treatment. Persistent or worsening pain intensity and/or frequency necessitate a visit to see a professional before it becomes a surgical case.  Call me, Dr. Tim Harcourt, at (239) 278-3344 and mention this article for an awesome discounted first visit to include history, exam, and adjustment or first Class IV high-intensity laser treatment.

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