Tag Archive for: knee pain physical therapist

Holding Knee with Arthritis

Four Overlooked Reasons Your Knee Pain Won’t Go Away

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If you’re one of the many people out there suffering from chronic knee pain – and wondering why it won’t just go away – you’re not alone.

Most of the folks I speak with in this situation have been told it’s simply due to arthritis, old age, or general wear and tear – and there isn’t much that can be done about it. First of all, that’s not true. But second – one of the biggest reasons people are led to believe that there’s nothing that can be done about their chronic knee pain is because they’ve tried just about every treatment out there – and nothing has worked.

What’s the biggest culprit for that? Almost always – it’s misdiagnosis.  Meaning, something crucial was overlooked when it comes to the underlying reason for your knee pain (and structures in and around your knee joint get blamed instead).

Here are 5 of the most common overlooked reasons that can lead to misdiagnosis of your knee pain – causing it to linger and not go away:

1. You’re Focusing On Knee Strength Over Mobility

Focusing on knee strength and overlooking mobility is something I see far too often – and it’s a big reason knee pain lingers longer than it should.  Mobility refers to the joint’s ability to move through its full range of motion, which is crucial for proper alignment and injury prevention. Without sufficient mobility, strength exercises can place undue stress on the knee, leading to compensations and pain.

When it comes to mobility, it’s important to compare right and left knees, as well as look at “hypermobility” – because it all matters. You want to make sure you’re optimizing mobility according to the person, and not a “textbook” definition. By improving and optimizing mobility in your knee first, you ensure that your knee can move freely and efficiently, reducing the risk of strains or overuse injuries when you begin to load the joint with strength training.

2. The Real Culprit Could Be Your Back

Did you know that 25% of the time – pain in your knee can come from a source in your lower back – even when you don’t have any back pain? Pain that moves around your knee, is challenging to pinpoint, or aches into your thigh or lower leg are all signs that your knee pain could actually be a back problem. Specialized movement screening of your lower back should be required for anyone suffering from any kind of knee pain – but it’s not.

Precautionary low back screening by a mechanical pain expert is rarely done – and it’s one of the biggest reasons I see for knee pain misdiagnosis. When knee pain is coming from your back – and you miss it – people not only suffer from knee pain longer than they should – but they risk being prescribed unnecessary cortisone shots, procedures, and surgeries in knees that never even had a problem to begin with.

If your knee pain isn’t going away and especially if the pain moves around – consider your lower back.

3. Your Knees Are Compensating For Weak Core Muscles

Your core – made up of four major muscle groups (your abdominals, lower back muscles, glutes, and hip muscles) plays a critical role in stabilizing your body, supporting proper posture, and distributing weight evenly during movement. When any part of your core is weak or not functioning optimally, your body will compensate by placing excess strain on other areas, such as your knees. Workload that is normally better handled and supported by say – your hips and glutes – will be taken over by your knees.

The result is increased stress in your knee joints and surrounding structures – which can lead to pain, inflammation, and even injury over time. Additionally, when you lack adequate core strength, your body lacks the stability needed to control movements efficiently, which can be another factor in forcing your knees to work harder than they should. If you’ve got lingering knee problems and never looked at strengthening your core properly – get started now. This could be one of the overlooked factors leading to a misdiagnosis of your knee problem and subsequent chronic knee pain.

4. Stiff Ankles Are Putting Stress on Your Knees

We already talked about how important it is to focus on knee mobility. But it’s equally important to focus on the mobility of joints above and below your knees, namely, your ankles. Ankle stiffness can be due to a number of factors – such as footwear, poorly rehabilitated injuries (like chronic ankle sprains), and repetitive/overuse activities that involve heavy use of your feet, ankles, and calves.

When your ankles are stiff, especially during activities like running, squatting, or even walking – your knees will compensate.

The result may not be noticeable right away – but over time – this extra compensation can result in unwanted knee pain. And if you never identify that the cause might be stiff, overused ankles – then you’ll continue to blame the irritated structures of your knee joint instead. If your ankles always feel tight, or your lower legs get fatigued frequently during repetitive movements, this could be a sign that your lingering knee pain is the result of compensation for stiff ankles. Improving ankle mobility might be the missing solution to freeing up your knees.

Chronic knee pain does not have to be something you accept – and it certainly doesn’t require a cortisone shot, procedure, or surgery to fix it. Most knee pain (at least 80%) can be resolved naturally. But it starts with the correct diagnosis. If you’ve been suffering from knee pain for a long time and feel like you’ve already tried everything – consider one of these four overlooked reasons. And to be sure – visit a mechanical knee pain specialist who can check all of these things out and give you an accurate diagnosis of your lingering knee pain.

Are you a local to Portsmouth, NH?

If so, CLICK HERE to speak to one of my specialists. They can help you discover effective strategies to finally relieve your knee pain and get back to doing what you love!

Dr. Carrie Jose, Physical Therapy Specialist and Mechanical Knee Pain Expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch – or request a seat in her upcoming Masterclass to end Knee Pain naturally – without pills, procedures, or surgery – CLICK HERE.

tendinitis and tendinosis

Six Tips for Managing Knee Pain without Medication

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When you’re suffering from lingering knee pain that just won’t go away, it can deeply affect your day-to-day life.

And when this happens – it’s easy to become desperate and resort to daily medication – or “quick fix” procedures or surgery. But there’s good news – there are plenty of natural, non-medicated ways to manage knee pain successfully and improve how you feel – even if you’ve been dealing with knee pain for years. You don’t always need medication or invasive treatments to find relief – despite what the medical community tells you.

Here are six effective tips to help you manage knee pain naturally:

1. Strengthen Your Hips and Core

Your hips and core play a crucial role in providing stability and support for your knees, as these muscles work together to ensure proper alignment of your entire lower body. When these muscle groups are weak or unbalanced, your knees bear the brunt of poor mechanics during movements like walking, running, and squatting. This leads to unnecessary strain, which can worsen knee pain over time. By strengthening your hips and core, you can improve your overall body mechanics, reduce stress on your knees, and promote long-term joint health. Over time, not only will this help alleviate current knee pain, but it will also significantly reduce the risk of recurrence. Incorporating exercises such as glute bridges, side leg lifts, and planks into your routine can make a noticeable difference in your strength and stability.

2. Improve your Flexibility

Mobility comes before stability when it comes to joint health. Stiff joints force surrounding muscles to overcompensate, which can lead to even more discomfort and inefficiency in movement. Improving your flexibility – particularly in the hips, hamstrings, and quadriceps – helps distribute forces evenly through your body and reduce strain on your knees. Regular stretching, yoga, and specific mobility exercises are great ways to maintain flexibility and keep your knee joints moving freely. A regular mobility practice is essential for reducing chronic knee pain and discomfort, preventing injuries, and enhancing overall athletic performance, balance, and coordination in your daily activities and exercise routines.

3. Don’t Sit too Long

Sitting for extended periods can cause stiffness in your knees and reduce circulation, which can lead to more pain. Additionally, knee pain might stem from your back or hips, even if you don’t feel pain there, and sitting for too long accentuates problems in these areas as well. By standing up and moving regularly throughout the day, you can prevent the muscles around your knees from tightening up and maintain better alignment. Simple actions like standing every 30 minutes, doing some light stretches, or walking around your space can make a big difference. Even if you don’t have knee pain right now – this is a good practice to get into – because it will go a long way in preventing it.

4. Stay Active

Regular, low-impact exercise is one of the best ways to manage knee pain naturally. Activities like swimming, cycling, and walking increase blood flow, which helps reduce inflammation and promotes joint lubrication. Movement also releases endorphins – your body’s natural pain relievers. If arthritis is a concern, consider activities that build strength without overloading the knee, like Pilates or resistance band exercises. Movement is key, but be sure to avoid high-impact exercises that could exacerbate your pain. Focus on activities that maintain flexibility, balance, and muscle endurance for overall joint support in your knee..

5. Wear Supportive Footwear

Footwear is often overlooked when it comes to knee pain, but wearing shoes that provide adequate support and cushioning can make a huge difference. Shoes that don’t support your feet properly can cause poor alignment, which translates to extra stress on your knees. Opt for shoes that prioritize comfort, good arch support, and alignment to help reduce the impact on your knees. If necessary, consider custom orthotics to improve foot and knee mechanics, as well as periodically replacing worn-out shoes to maintain optimal support and prevent further strain.

6. Optimize Your Balance

Good balance is about more than just preventing falls – it helps your knees by reducing strain during movement. When your body is well-balanced, the load is distributed evenly across your muscles and joints. Poor balance, on the other hand, can cause your knees to overcompensate, leading to pain and increased wear and tear. Simple exercises like standing on one leg, using a balance board, or practicing yoga can improve your balance and take the pressure off your knees. Incorporating these exercises into your routine can also enhance coordination, prevent injuries, and promote overall stability for the rest of your body as well.

If you’ve been dealing with knee pain for a while and haven’t incorporated any of these tips yet, now is a great time to start. Try these first before resorting to something invasive – or accepting a life on daily pain medication. Additionally, it’s a good idea to consult with a physical therapy specialist who is an expert in natural treatments for knee pain.

Are you a local to Portsmouth, NH?

If so, CLICK HERE to speak to one of my specialists. They can help you figure out which strategies will successfully get you back to all the activities you love – while avoiding medications and procedures.

Dr. Carrie Jose, Physical Therapy Specialist and Mechanical Pain Expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch – or to request a free copy of her guide: 7 Easy Ways to Get Rid of Knee Pain – CLICK HERE.