Knee Pain

Knee pain is a common complaint characterised by discomfort, aching, or sensitivity in or around the knee joint. 

It can result from injuries, osteoarthritis, inflammation, or underlying medical conditions, and may range in intensity from mild to severe. 

Knee injuries that can cause knee pain, encompass a wide range of issues that can afflict the various components of the knee, including the bones, cartilage, ligaments, tendons, and muscles. We have expanded on a few but this is by no means an exhaustive list of potential causes of knee pain. 

Acute Injuries

  1. ACL Tear: A tear in the anterior cruciate ligament often caused by sudden twisting or impact.
  2. Meniscus Tear: Damage to the meniscus, the cartilage that cushions the knee joint.
  3. Fractures: Broken bones around the knee due to trauma.
  4. Dislocation: The knee joint, or knee cap joint moves out of position, often as a result of trauma.
  5. Tendon Rupture: Sudden rupture of tendons around the knee joint, often requiring surgical repair.

Overuse Injuries

  1. Tendinitis: Inflammation or irritation of a tendon.
  2. Runner’s Knee (Patellofemoral Pain Syndrome): Pain around the front of the knee, common in athletes.
  3. Iliotibial Band Syndrome: Pain on the outside of the knee due to friction between the iliotibial band and the knee.

Degenerative Conditions

  1. Osteoarthritis: The cartilage in the knee joint wears down over time.
  2. Rheumatoid Arthritis: An autoimmune disease that can affect the knee joints.
  3. Gout: A form of arthritis caused by the accumulation of uric acid crystals in the joint.

Inflammatory Conditions

  1. Bursitis: Inflammation of the bursa, a fluid-filled sac that reduces friction in the knee joint.
  2. Synovitis: Inflammation of the synovial membrane, which lines the knee joint.

Mechanical Problems

  1. Loose Body: A piece of bone or cartilage that floats in the joint space and can interfere with joint movement.
  2. Knee Locking: The knee gets stuck in a position and cannot bend or straighten.
  3. Patellar Subluxation: Partial dislocation of the kneecap.

Other Conditions

  1. Patella joint problems: This can be related to cartilage or stability problems amongst other causes
  2. Osgood-Schlatter Disease: A condition commonly seen in adolescents, causing pain and swelling below the knee.
  3. Infections: Septic arthritis, cellulitis, and other infections can cause knee pain.

Knee pain can manifest in various ways depending on the underlying condition, injury, or disease. Below are some common symptoms that may accompany knee pain:

General Symptoms

  • Sharp, Dull, or Burning Pain: The nature of the pain can vary from sharp or stabbing to dull and achy, or even produce a burning sensation.
  • Swelling: Fluid accumulation or inflammation can lead to a swollen knee.
  • Stiffness: Reduced range of motion or difficulty in moving the knee joint.
  • Redness and Warmth: Indicative of inflammation or infection.
  • Crepitus: A cracking or grinding noise when the knee is bent or moved.

Movement-Related Symptoms

  • Instability: A feeling that the knee may give out or is unable to support your weight.
  • Limited Mobility: Difficulty in fully extending or bending the knee.
  • Locking: The knee gets stuck in a position and cannot be easily moved.
  • Popping or Clicking Sounds: Audible noises when moving the knee.

Knee pain can arise from a variety of causes:

  1. Acute Injuries: Such as ACL tears or fractures.
  2. Overuse: From repetitive movements, leading to conditions like tendinopathy 
  3. Degenerative Conditions: Including osteoarthritis and rheumatoid arthritis.
  4. Inflammatory Issues: Such as bursitis and synovitis.
  5. Mechanical Problems: Including loose body or knee locking.
  6. Other Factors: Like infections, obesity, or poor footwear.

The best treatment for knee pain depends on the underlying cause and should be determined by a healthcare professional, such as a physiotherapist. Common treatments often involve a combination of relative rest, pain relievers, physiotherapy, and in more severe cases, surgery. 

For knee pain, you may consult various healthcare professionals depending on the severity and nature of your symptoms:

  1. Physiotherapist: For an assessment, guided exercises to improve joint function and relieve pain.
  2. Orthopaedic Surgeon: Specialises in bone and joint issues and can diagnose and offer treatments ranging from medication to surgery.
  3. Rheumatologist: If the knee pain is suspected to be due to autoimmune or inflammatory conditions like rheumatoid arthritis.
  4. GP: For initial diagnosis and treatment recommendations. They may refer you to a specialist if needed.
  5. Sports Medicine Specialist: If your knee pain is related to athletic activities.
  6. Podiatrist: If the knee pain is suspected to be related to foot or gait issues.

Exercise can be beneficial for knee pain, but the type and extent depend on the underlying cause of the pain. Targeted exercises can strengthen the muscles around the knee, improve flexibility, and reduce symptoms of conditions like arthritis. A physiotherapist is able to design a suitable exercise program for your recovery. 

Surgery for knee pain is generally considered a last resort after other treatment options have been exhausted or if the condition is severe. Conditions that may require surgery include significant ligament tears, advanced osteoarthritis, and some fractures. However, many cases of knee pain respond well to non-surgical treatments like medication, physiotherapy, and lifestyle changes. 

Chews Health top tip for knee pain

The top tip for knee injuries is to seek professional medical evaluation and follow a tailored treatment plan, which may include rest, physiotherapy,, or surgery, to ensure proper healing and minimise the risk of long-term damage.

Our Specialists

Melanie Clarke
Melanie Clarke
We’ll be forever grateful to Chews, the guys are the absolute BEST IN CLASS when it comes to a fully tailored recovery plan. Our son is a young elite competitive acrobatic gymnast who sadly had a high impact fall at gymnastics dislocating and fracturing his elbow and needed surgery, for a gymnast that trains many hours over 4 days week it was devastating blow, especially with GB competitions coming up. Once out of cast (wk 4 post opp) we started 2 x weekly physio sessions with Richard Saxton (who specialises in child’s physio), he was thorough, diligent and his amazing assessments fully supported the coaches at our sons gym to help build a safe recovery plan. The sessions with Richard and Sanford were fun, engaging and they took great care to help improve full mobility and strength. At week 7 post op our son was doing skills we thought would have taken 4mths to achieve, by week 10 he was back to full impact training, even our hospital follow up with the senior elbow consultant was blown away by the physio support we’d had and the rapid recovery. If it wasn’t for Chews we 100% would not be back training this quickly and not have had the reassurances it was safe to do so…..we’ve definitely found a physio for life. Thank you from the bottom of our hearts Team Chews. From Mel & JJ x x
Ruth Shearn
Ruth Shearn
Have waited a few months post-treatment to write a review - just to be certain! Quite simply, I can't recommend these guys highly enough. I went to them with two badly damaged knees (miniscus tears). Having had three arthroscopes over the years, I was completely resigned to needing surgical intervention again. The Chews team had different ideas. After showing me the latest research findings, they assured me my knees could be rehabilitated without a scalpel. I had just a handful of sessions with them and am delighted to report that, six months on, my knees are great! I'm running 5k twice a week (don't laugh, I loathe running and am no spring chicken) without any pain and have taken up tennis. Everyone at Chews is passionate about their subject, knowledgeable, reassuring and friendly. I wouldn't go anywhere else.
Dave Stuart
Dave Stuart
I have had a chronic back condition to varying degrees for many years which more recently has forced me to have weeks off work at a time. I was recommended Chews Health by a colleague having tried other physios in the past. However, I always felt that something was missing from the plan. My back muscles would on occasion go into spasm, or my disk to impinge on my nerve, affecting my mobility and effectively setting me back to square one. I came to Chews health a bit wary and was considering surgery due to how much my back was affecting my quality of life and mental health. It has not been a straight forward recovery, but i have made significant progress through having a thorough history taken, my ongoing concerns listened to, and being provided with a clear explanation of not only the exercise plan but additionally explaining why my body was responding in varying ways. This has educated about my condition and provided me with the tools to self manage my condition more effectively should it deteriorate again.. It has not been plain sailing, but I have absolute faith in Jack and his team.
I had to attend Chews Health for help with pain in my elbow and they have been a fantastic help. I am now back to 100%.
The S
The S
I can thoroughly recommend Chews Health physio. Sessions from diagnosis to rehabilitation are stimulating as well as therapeutic. Jack’s holistic, insightful approach goes beyond fixing the initial problem - he builds the confidence and self-knowledge to help maintain fitness and avoid strains and niggling injuries in the future. His message that the body needs exposure to regular challenges has inspired my journey towards optimum health.
Sam Butler
Sam Butler
Excellent physiotherapy. After ACL and meniscus surgery I contacted Chews Health to find out about how they could help me feel more confident about returning to more intense sport after my injury. I felt listened to and we worked on a series of different of exercises that tested my knee. Very helpful and I now feel much more confident in my abilities.
feralie Bennett
feralie Bennett
I saw Richard Saxton for a chronic pain in my achillies. 2 visits, with massage and exercises: clear concise instruction, both written and verbal to do at home were realistic & adapted for my ability - I now no longer require pain relief & can walk the dogs pain free & even manage a few hills. A follow up call to review my progress was also appreciated. The clinic was clean & well equipped. Would highly recommend.
Philip Conroy
Philip Conroy
When I had severe back pain I was seen within 24 hours. The problem was resolved after 3 weeks of physiotherapy and exercises. I subsequently took up the annual gym membership package which includes regular reviews by the Physiotherapists. I feel this has benefitted me greatly as I had no previous experience of gyms and ensured I was using the equipment in the correct manner. At all times the staff have been very friendly and professional.
Maureen Morris
Maureen Morris
Helped me tremendously. Lovely people - everyone very very supportive.
Cecilia Wright
Cecilia Wright
I had been suffering from plantar fasciitis for some months and went Chews Health in the summer for shockwave treatment, after my podiatrist said she had heard good reports about it. Until then I had been resting, exercising it, icing it, using insoles etc., none of which had made much difference. I booked six treatments at the start (recommended) and by the time of the last treatment It was hardly noticeable, so much better! I’ve had two further treatments over the last month, just to be on the safe side, and I’m doing some exercises now to build up the strength in my calf and foot. Chews Health comes with heartfelt recommendations from me, they are friendly, very knowledgeable and best of all - they have fixed my sore foot!