Knee pain originates from knee-cap, MCL , ACL and torn meniscus, baker's cyst and crepitus always also present.
Knee Region Basic Anatomy
Knee joint can be divided into two parts, the tibio-femoral joint and patello-femoral joint. The Anterior and Posterior Cruciate Ligaments, Medial and Lateral Collateral Ligaments help to stabilise the knee joint to prevent excessive gilding over of femur on tibia.
Patellofemoral joint is a modified plane joint. The patella gilds on femur when bending or straightening knee, following the pathway formed by contour of distal femur and muscle tension by medial and lateral thigh muscle groups. The Screw home mechanism is easily impaired with muscle imbalance, and it will further cause the tearing of patellar cartilage.
Common Knee Pain Reasons
- Anterior Cruciate Ligament Sprain / Strain
- Medial Collateral Ligament Sprain / Strain
- Chondromalacia Patella
- Baker's Cyst
How Traditional Chinese Medicine and Physiotherapy help?
Correct pelvic and lower leg posture, relieve knee stress.
Acupuncture and Dry Needling1
Relieve pain, and study suggests might help for cartilage regeneration.
Release muscle tightness, and improve circulation to the affected area.
Massage and Manual therapy
Release muscle tightness, correct alignment and improve joint range of motion.
Traditional Chinese Medicine
Improve body energy level, and promote balance of health.
Promote injuried tissue healing, improve function of affected area.
1) Study suggest acupuncture and physiotherapy are both effective for osteoarthritic knee rehabilitation, in terms of signs and symptoms, and function. However, results also suggest acupuncture might also help for cartilage regeneration. In the study, 50 of the subjects aged from 30 to 80, was randomly allocated to acupuncture group or physiotherapy group. Acupuncture were given on alternate day for four weeks, while physiotherapy were given 5 times a week for four weeks. After treatment intervention, both group subject gained significant improvement in osteoarthritis symptoms score, but acupuncture group gained further improvement in MRI T2 result than physiotherapy group. Result suggests acupuncture improve knee pain symptoms and also benefit cartilage regeneration.
Yan Zhang, Fei Bao, Yan Wang, et la.(2016). Influence of acupuncture in the treatment of knee osteoarthritis and cartilage repairing. American Journal of Transitional Research, 8(9), 3995-4002. (Read)
Generally, treatment is based on the stage of patient's condition. For example, aims of treatment in acute stage include pain and inflammation control. While conditions progress into subacute and chronic stage, target would change to swelling subside, recovery of function, and back to premorbid stages.