Friday, March 8, 2013

Information About Runners Knee Treatment

Runners knee
What is runners knee ?
Runners knee is a tendon disorder that occurs in the tissue that binds the long tendon tension laterally on the thigh with the large and the small leg bone (tibia and fibula). The irritation caused by excessive load, usually linked to a lot of running or similar stressful activities, making it often impossible to run without pain in the knee region.

There are also several biomechanical factors in the ankle or knee can be involved in creating this problem. In some cases it may be difficult to determine if there is wear on the iliotibial band and / or bursae (slim bag) under this creates the problem or if there is another cause of problems. If you can not prove injury to the lateral structures of the knee diagnosed as either more against patellofemoral pain is a syndrome that affects the knee. It may be one or several reasons behind the pain, but you often can not detect damage or wear to any structures in the knee by such a diagnosis.

For most people who get runners knee problems due to running so it seems that the pain is a result of both a tendon abrasion lateral tract iliotibilalis (tendon pull laterally on the thigh) where it passes the lateral epicondyle (beinknoken on the side of the knee) on the femur . In addition, you often get a bursitis (bursa inflammation) in the same area.

How is runners knee ?
We know that the runners knee generally occurs in athletes who run and jump a lot in training and competition. The disorder may be acute, but is most often a pest that sneaks. If the emergency occurs then this is probably as a result of prolonged overload, and the acute event was what was needed to trigger symptoms.

It is important not to exclude the possibility that a partially torn tendon fibers in conjunction with an acute injury may be involved in activating pain fibers so that the load becomes painful for a period thereafter. The lack of relief in this repair period, as this can result in overload of the tissue so that the damage worsens.

Obesity is also a contributing factor to the development of tendon problems in the knee. It's not only athletes who can get runners knee ailments. Also regular exercisers or people who do not exercise can develop damage in the same tissue of different reasons. Pain Image as is often pain when walking or stair when you sat down on his haunches.

A common problem is that repeated loads which occur during running damage tissues in two ways. Both the traction (pull the fiber direction and damage as a result of this) or by friction (damage by tendon fibers slide over underlying structures). The friction we talking mostly about a bursitis (bursa inflammation) .

Where does it hurt when runners knee ?
Most normally there with pain on the outside of the knee joint, often radiating onto the front of the knee. It can also be a pain to press straight into the tendon tension that sits laterally on the knee, but palpation alone is not enough to make the right diagnosis.

Most superficial pain condition of the knee is relatively easy to place, when these injuries often do not refer pain distally. Damage to deeper structures such as meniscus and articular cartilage, however, can refer pain a little more diffuse due to the organization of the nervous system locally in the knee area.

How diagnosed?
The diagnosis is made based on an assessment of the patient's symptoms. It is typical that it hurts when walking, climbing stairs, or that the pain comes from stress. Many feel that one can "run out of" pain in the beginning, but as the damage worsens as the continuous load make the pain more and more apparent. Then the result will be both pain at rest and stress, and treatment regimen will naturally take longer than if you seek help early in the process.

Supplementary examinations will include, among other diagnostic ultrasound . Here physiotherapist could look down on the scene and how the tissue looks toward the attachment point on the fibula. The ultrasound can then see whether parts of the tendon is injured and the condition of the tendon as a whole. The ultrasound will also be able to see the swelling on possibly slim bag located between the femur and tendon tension laterally on the thigh. This may be a sign of wear in the local area, confirming the extent of the damage.

How are runners knee ?
Firstly it is important to avoid the activity that caused the problem. If it is a question of running or jumping, then, in consultation with a physical therapist or trainer to adjust the load as the tendon tissue is exposed. In some cases this may mean complete relief, in other cases it may mean reduced training load or alternative training.

A common method to treat runners knee is with strength training exercises. At physiotherapist will eventually be asked to begin a strength training program. The physiotherapist will be able to guide you in this.

It may also be relevant to the type of exercise, shoes, training documentation and training doses to determine how the damage could get all develop in the first place.

In addition, often shock wave therapy to stimulate tissue repair process. shockwaves used usually in the acute phase, but the scene does not respond to rest and retraining so this may be a topical treatment to try.

There exists a substantial research documenting pressure waves ability to stimulate tissue so that it reorganizes, and further that the pain disappears and you can resume training as before. The said damages as may be necessary with a stronger stimulation, and then the physiotherapist use dry needling for initiating the immune system and regeneration of tissue lateral to the knee.

What about training?
In the acute phase of tendonitis so it is always quiet and rest applies. If you take the necessary precautions and protect injury sufficient as there is a high probability that it will be fully recovered after a few weeks without treatment either from a doctor or physiotherapist. When should neither exercise or avail knee damaged senseless at work or at leisure.

Some can be adapted to an alternative training program that does not overload the tendon tissue in the knee. This can be useful in the rehabilitation phase both to faster get well, but also to maintain your regular until the injury is healed.

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