All about knee pain

Causes of knee pain

Knee pain is a very common consultation in our clinics, and can affect people of all ages. This joint supports much of the body’s weight and is involved in almost every day-to-day movement, which makes it particularly vulnerable.

The most common causes of knee pain include include:

Traumatic or sports injuries

  • Sprains or ligament sprains or strains (anterior cruciate ligament, collateral ligament…)
  • Meniscus tear
  • Patellar dislocations or subluxations
  • Tendinopathies (such as patellar or quadricipital tendon)
  • Iliotibial band syndrome

Degenerative problems

  • Knee arthrosis (gonarthrosis)
  • Chondromalacia patellae (wear and tear of the cartilage under the kneecap)
  • Meniscal degeneration in older people

Mechanical alterations

  • Patellar misalignment or valgus/varus of the knee
  • Muscle weakness or biomechanical imbalance
  • Poor footing or alterations in the axis of the legs

Other causes

  • Bursitis or bursa inflammation
  • Rheumatoid arthritis or other inflammatory diseases
  • Baker’s cyst (accumulation of synovial fluid in the back of the knee)
  • Infections or systemic diseases (less frequent)

 

Risk factors for knee pain

Several factors increase the likelihood of developing knee pain or aggravating an existing injury. The main risk factors risk factors are:

  • Overweight or obesitywhich increases the pressure on the joint
  • Impact sports or repetitive movements without adequate preparation
  • Lack of muscle strength or flexibility
  • Advanced agedue to natural wear and tear of the joint
  • Previous history of knee injury
  • Poor footwear or alterations of the footprint
  • Maintained postures or demanding physical work

At MIVI Salud we analyze not only the injury, but also these factors in order to prevent relapses and future injuries.

Types of knee pain

Knee osteoarthritis

When a knee is healthy, it allows the flexion of the leg, its extension and daily situations such as bending and squatting. This is possible thanks to the good function of the elements that are part of it such as the meniscus, ligaments and cartilage among others. This last one is a tissue with ideal characteristics to allow the protection function of the knee, however, unlike other types of tissues such as muscles, tendons and bones, it cannot be cured and that is why we must try to take care of it and provide the conditions for it to last for many years.

Maintaining an adequate weight, proper nutrition, performing daily activities with consistency, and maintaining an adequate physical condition will help preserve the structure of this cartilage. When the cartilage deteriorates, the bones that form part of the knee suffer impacts and wear and tear that over time generate symptoms such as pain, functional disability and diminished faculties.

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Knee pain due to tendinitis

Knee tendonitis is the degeneration of the system that allows the insertion of the muscles (the tendon) into the bones in this joint. Overuse of the muscles leads to continuous wear and tear leading to deterioration of this structure. Usually the development of these injuries is slow and can lead to partial or total tendon rupture, so it is important to act as soon as possible on the factors that lead to this deterioration.

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Meniscus pain

The menisci are pieces of cartilage that help the cushioning of loads between the bones that are part of the knee joint. In each knee we have two menisci, the medial one that is located in the internal part and the lateral one that is located in the external part of the joint. Each one is formed by three parts, which can be injured separately or as a whole. At the moment that an injury occurs it can produce a picture that produces pain, inflammation and effusion of the joint and limitation for the mobility.

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How to cure knee pain

At MIVI Salud we offer a personalized and comprehensive treatment of knee pain, with an approach that goes beyond simple relief: we look for the cause, treat the problem and prevent its recurrence.

Medical evaluation and diagnosis

  • Complete medical history and physical examination
  • Imaging tests if necessary (ultrasound, x-ray, MRI)
  • Functional assessment of the joint

Personalized treatments

Conservative treatment

  • Relative rest, control of pain and inflammation.
  • Analgesic or anti-inflammatory medication
  • Joint hygiene, postural correction and load education.

Specialized physiotherapy

  • Manual therapy and joint mobilizations
  • Guided muscle strengthening (quadriceps, hamstrings, gluteus)
  • Proprioception and motor control exercises
  • Dry needling, percutaneous electrolysis (PIE), tecartherapy and electrotherapy.
  • Biomechanical correction and footprint analysis

Interventional treatments

  • Ultrasound-guided infiltrations (anti-inflammatory, hyaluronic acid, PRP)
  • Radiofrequency of geniculate nerves in advanced osteoarthritis
  • Nerve blocks for chronic pain control
  • In cases of severe structural lesions or advanced osteoarthritis, referral for arthroscopic surgery or prosthesis is always the last option.

Recover from knee pain at MIVI Salud

At MIVI Salud we help you to recover your mobility and return to your activities without pain.. Our medical and physiotherapy team works in a coordinated way to find the cause of your problem and give you an effective solution, without the need to resort directly to surgery.

Persistent or recurring knee pain? We can help.

Book your appointment with our specialists and start your recovery today.

Here begins your life without pain

Our customers say

Response from the owner:Gracias por tu valoración Gisela! Un saludo
Ya lo conocia y ahora llendo otra vez los médicos y lo fisios de 10 atentos amables y muy 👌👍buenos en su trabajo y las chicas de rescisión estupendas lo recomiendo
Molt bon tracte i una millora important en quan a la reducció del dolor, la qual cosa és molt d'agrair. Absolutament recomanable.
Response from the owner:Moltes gràcies Montse per la teva resenya i confiança en el nostre equip médic. En MIVI Salud estem sempre per donar-te la millor atenció
El Dr Duca es un profesional de los que ya no quedan, atento, implicado y te saca una sonrisa cuando crees tu problema es el fin del mundo! Muchas gracias y seguid con el buen trabajo!
Excelente la atención, el trato, la profesionalidad, la empatía, dar las gracias al Dr. Duca y a todos por su trabajo y atención en todo momento. Si tengo que dar una valoración del 1 al 10 sin duda le pondría un 100 (cien).
Magníficos profesionales.
Response from the owner:Gracias José María por tu valoración! Encantados de poder atenderte. Un saludo
Todo maravilloso especialmente el doctor Santiago muy amable y gran profesional así como a las enfermeras,todo del 10 GRACIAS...
Response from the owner:Muchas gracias Carmen!, encantados de poder atenderte. Un saludo
Response from the owner:Muchas gracias por tu valoración Lydia! Un saludo
La clínica del dolor a cambiado mi vida 💛
Los mejores médico y el tratamiento a tus dolencias.
Response from the owner:Nos alegra mucho saber que te hemos brindado una experiencia tan positiva! En MIVI Salud nos esforzamos por ofrecer un trato cercano y profesional desde el primer momento
Quiero destacar, después de 30 cesiones realizadas, que en el salón de fisioterapia se vive un clima de buena onda y compañerismo, que solo se logra reuniendo buenas personas además de profesionales responsables.
Los que me atendieron muy bien fueron: Álvaro, Brenda, Cintia, Conchi, Marina y Virginia.
Muchas gracias por todo!!!

Jorge Barril

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