CRB clinic
Knee pain
Diagnosis and treatment of knee joints
License of the Ministry of Health of Ukraine AD No. 063321 dated 06.09.12.
Symptoms we can help you with:
To eliminate knee pain, we identify and treat the underlying condition. This also helps eliminate any additional symptoms.
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Constant aching pain - Knee pain when walking
- Acute pain in the knee joint
- Stiffness when walking
- Limited mobility
- Cracking in the knees
Consultations by phone:
044 580 40 04
044 580 40 04
CRB clinic
Treatment for knee pain
We use modern treatment methods. Our procedures help relieve knee pain and restore the musculoskeletal system.
Three Causes of Knee Pain
We identify three main causes of orthopedic pain. In each case, the doctor determines the specific treatment focus.
1. Periarticular pain in the knee
It occurs due to inflammation, micro-tears in muscle fibers and ligaments around the knee joint, as well as the development of muscle spasms and painful trigger points. This often occurs due to improper loading of the joint: some muscles spasm, trying to maintain the joint in the correct position, while others are overstretched. Weak, inelastic fibers can tear, triggering a mechanism of calcification or strengthening of the fibers.
These processes cause myofascial pain and crunching (muscle and ligament pain).
Furthermore, loss of elasticity in muscles and ligaments increases the risk of injuries, strains, and tears due to careless movements or falls.
These processes cause myofascial pain and crunching (muscle and ligament pain).
Furthermore, loss of elasticity in muscles and ligaments increases the risk of injuries, strains, and tears due to careless movements or falls.
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2. Consequences of knee injuries
Any injury, whether a sprain, ligament tear, or fracture, can linger for a long time even after healing. Muscles and ligaments can retain areas of fibrosis and calcification, leading to loss of elasticity, impaired circulation, and a slowdown in metabolic processes (tissue nutrition, toxin removal). Knee pain and limited mobility after an injury indicate the need for additional rehabilitation. This is especially true because modern medicine easily handles this task. The sooner treatment is started, the less likely it is to cause irreversible damage to the joint.
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3. Pain inside the knee joint
It often occurs due to a lack of synovial fluid or its viscosity being too low. Synovial fluid acts as a lubricant and shock absorber for the joint surfaces. Its deficiency increases friction, trauma, and impact loads on the joint. All these factors not only provoke pain and crunching in the knees but also contribute to the development of gonarthrosis (arthrosis of the knee joints). Pain inside the joint can also be a consequence of inflammation.
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Knee joint diseases
Below we will look at common knee joint problems.
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The importance of the knee joint
The knee is one of the most important joints, enabling us to walk, run, and squat. A person's quality of life depends significantly on their knee health.
However, it's also important to understand that knee pain often leads to problems in the hip joint and spine. This occurs due to an unconscious shift in weight from the affected leg to the healthy one. As a result, asymmetrical muscle tone develops, leading to imbalances throughout the body (pelvic tilt, spinal curvature, shoulder misalignment, head and neck tilt, and facial asymmetry).
It's important to respond to knee pain promptly to prevent the condition from progressing and reaching an advanced stage. Read more about common knee conditions below.
However, it's also important to understand that knee pain often leads to problems in the hip joint and spine. This occurs due to an unconscious shift in weight from the affected leg to the healthy one. As a result, asymmetrical muscle tone develops, leading to imbalances throughout the body (pelvic tilt, spinal curvature, shoulder misalignment, head and neck tilt, and facial asymmetry).
It's important to respond to knee pain promptly to prevent the condition from progressing and reaching an advanced stage. Read more about common knee conditions below.
Knee arthrosis, or gonarthrosis, is a condition characterized by degeneration (wear and tear) of the cartilage and deformation of the articular surfaces, including changes in shape and position, and the appearance of bony growths. One common cause of arthrosis is improper or excessive stress on the knee joint. Increased stress can occur during sports activities such as running, jumping, and so on, especially if athletes do not wear shoes with good shock-absorbing properties.
Excessive stress can also occur due to excess weight and heavy lifting.
Incorrect stress occurs when the joint is positioned abnormally (flat feet, heel roll). In this case, the load is distributed unevenly with each step, and the cartilage tissue becomes thinner and deformed. The joint wears out prematurely and ages.
Poor nutrition and impaired cartilage metabolism can also cause osteoarthritis. Impaired blood and lymph circulation, lack of mobility, and muscle spasms—all these factors can reduce the supply of nutrients and building blocks to the joint surfaces and lead to cartilage degeneration.
Excessive stress can also occur due to excess weight and heavy lifting.
Incorrect stress occurs when the joint is positioned abnormally (flat feet, heel roll). In this case, the load is distributed unevenly with each step, and the cartilage tissue becomes thinner and deformed. The joint wears out prematurely and ages.
Poor nutrition and impaired cartilage metabolism can also cause osteoarthritis. Impaired blood and lymph circulation, lack of mobility, and muscle spasms—all these factors can reduce the supply of nutrients and building blocks to the joint surfaces and lead to cartilage degeneration.
Knee bursitis is an inflammation of the bursa, accompanied by pain and swelling in the knee area. Bursitis often occurs due to chronic joint overuse: repeated, monotonous movements or repetitive static loads (such as kneeling on a hard surface). The condition often affects runners and other athletes, as well as plumbers, parquet floor installers, clergy, and others.
With myofascial syndrome, pain originates in the muscles or ligaments. Muscle pain is associated with tightness and the development of painful trigger points in the muscles. Pain can also arise from micro-tears in muscle fibers and ligaments due to improper loading of the joint.
For example, if pain is localized below the knee, the cause is often the popliteal muscle, which is overstretched due to improper foot placement. Knee pain when walking up stairs is often associated with trigger points in the muscles around the knee joint.
Myofascial syndrome can occur either independently or in conjunction with another condition, such as osteoarthritis.
For example, if pain is localized below the knee, the cause is often the popliteal muscle, which is overstretched due to improper foot placement. Knee pain when walking up stairs is often associated with trigger points in the muscles around the knee joint.
Myofascial syndrome can occur either independently or in conjunction with another condition, such as osteoarthritis.
Tendinitis is an inflammation of the tendons of the knee joint. Tendinitis occurs as a result of overuse, such as in athletes due to frequent, repetitive movements. An example is "jumper's knee," or patellar tendinitis, which occurs in athletes.
Symptoms of tendinitis include swelling, limited mobility, and pain. Initially, the pain is felt only during activity, but can later develop into a constant ache, even at night.
Symptoms of tendinitis include swelling, limited mobility, and pain. Initially, the pain is felt only during activity, but can later develop into a constant ache, even at night.
Runner's knee is a colloquial term for one of two conditions that cause severe pain:
- Patelofemoral pain syndrome (PFPS) – pain felt around and behind the kneecap, especially when squatting or descending stairs. The pain is caused by abnormal motion of the patella, which irritates adjacent tissues, including cartilage.
- Iliotibial band syndrome (ITBS) – pain felt on the outside of the knee joint. It occurs due to excessive strain and friction of the iliotibial band against the femur. The cause of the condition is overuse, muscle imbalance, muscle weakness, poor body posture, and flat feet.
A mild knee crunch, unaccompanied by pain or limited mobility, is not dangerous in the early stages. The crunching may be caused by a disruption of the joint's nutritional supply, calcification of muscle fibers and ligaments, or muscle spasms. However, over time, these same causes can lead to the development of osteoarthritis, so delaying treatment for too long is also not recommended.
A knee crunching sound, similar to a creaking sound, or accompanied by pain or limited mobility, may indicate degeneration of the meniscus, articular surfaces, or the appearance of bone spurs. This crunching should be treated immediately, as each new movement can lead to injury to the affected joint.
A knee crunching sound, similar to a creaking sound, or accompanied by pain or limited mobility, may indicate degeneration of the meniscus, articular surfaces, or the appearance of bone spurs. This crunching should be treated immediately, as each new movement can lead to injury to the affected joint.
CRB clinic
Лечение боли и хруста в коленях
We offer patients 2 types of knee pain treatment, depending on their symptoms.
Relieving acute knee pain
This treatment option provides rapid relief from knee pain and discomfort.
We use medication to reduce inflammation (if necessary), intra-articular hyaluronic acid injections for insufficient synovial fluid or low viscosity, shock wave therapy to eliminate triggers and muscle spasms, and other physical therapy.
This treatment is prescribed:
- during exacerbations of chronic conditions;
- in the presence of acute pain that significantly impacts the patient's quality of life;
- when an adequate diagnosis cannot be made due to severe pain.
We use medication to reduce inflammation (if necessary), intra-articular hyaluronic acid injections for insufficient synovial fluid or low viscosity, shock wave therapy to eliminate triggers and muscle spasms, and other physical therapy.
This treatment is prescribed:
- during exacerbations of chronic conditions;
- in the presence of acute pain that significantly impacts the patient's quality of life;
- when an adequate diagnosis cannot be made due to severe pain.
Treatment of chronic stages
This option involves treating the underlying condition (arthrosis, bursitis, etc.), including in the chronic stage. During treatment, it is crucial to identify the cause of the disease and all contributing factors. By eliminating the cause, we halt the progression of the disease and prevent relapses, i.e., chronic progression.
Depending on the indications, treatment may include:
- physiotherapy to restore cartilage nutrition and improve intra-articular metabolism;
- addressing flat feet and incorrect foot placement to stop abnormal stress on the joint;
- muscle and ligament restoration, eliminating inflammation, micro-tears, calcifications, and trigger points to treat myofascial syndrome.
Depending on the indications, treatment may include:
- physiotherapy to restore cartilage nutrition and improve intra-articular metabolism;
- addressing flat feet and incorrect foot placement to stop abnormal stress on the joint;
- muscle and ligament restoration, eliminating inflammation, micro-tears, calcifications, and trigger points to treat myofascial syndrome.
Procedures
for knee treatment
for knee treatment
Warning! Self-medication is dangerous to your health. This information is provided to familiarize you with the treatment methods at CRB Clinic. Treatment effectiveness depends on the focus of each procedure.
- Consultation and diagnosticsUsing an examination and functional testing, the doctor evaluates the condition of the joint and determines the underlying cause. The doctor and patient discuss a treatment plan and any necessary lifestyle changes.
- Shock wave therapyHelps clear calcifications and fibrosis from muscles and ligaments, making them more elastic and restoring joint mobility. Combats muscle spasms and reduces pain. Storz Medical, Switzerland.
- MyostimulationMyostimulation mimics the natural impulses of the nervous system, causing muscle contraction and increasing blood circulation in the affected area. It is especially important for restoring tone and elasticity to small, deep muscles that are difficult to work in the gym.
- Correction of leg jointsPost-isometric relaxation is used to relieve stiffness and relax over-strained leg muscles. It helps restore full range of motion without pain.
- PharmacotherapyWe use safe anti-inflammatory medications, individually selected based on the patient's symptoms. Allergy testing is performed before the procedure.
- Hyaluronic acidIt is administered intra-articularly to compensate for the deficiency or insufficient viscosity of the synovial fluid. It provides shock absorption and prevents friction and trauma to the articular surfaces.
- KinesitherapyProperly selected exercises help balance muscle tone and engage muscles. As a result, proper body structure is gradually restored, from the feet to the neck.
- Orthopedic insolesCustom-made insoles for each foot ensure rapid correction and compensation of flat feet. The main cause of improper loading—incorrect foot alignment—is eliminated.
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Examples of treatment results at CRB Clinic
Below you can see examples of our results for various orthopedic conditions.