The knee joint consists of the tibia at the bottom and the femur at the top, with a triangular-shaped kneecap on top, which we call the patella. This joint allows us to move comfortably in daily life. It also provides us with ease of movement to ensure various adaptations. There are ligament and muscle structures around the joint so that this joint can move easily. Ligament and muscle structures provide stabilization of the knee joint, especially the knee cap. In other words, there are some muscle groups that pass around the patella and have a great impact on our walking and movement. The most important of these is a large muscle group called quadriceps, also known as the upper leg muscle. This muscle continues over the kneecap and attaches to the tibia, which is the bone underneath. This prevents the kneecap from rubbing against the bone and dislocating it during movement, and preventing unwanted movements from occurring. Especially in people who are very immobile and in people who sit at a desk for a long time, this muscle group begins to weaken as a result of weakening. These groups become unable to control the proper movement of the kneecap, that is, the patella, and as a result, when the person folds his knee or opens it back without folding, the kneecap does not move where it should be and as required, or it shows a displacement outside the limits within which it can move during movement. This is an uncontrolled and irregular displacement. In the future, it causes the kneecap to slide to a much outer place than it should be, and this shows us a disease known as patellar dislocation in medical terms, especially when walking. They say that the kneecap moves too much when folding their knees, climbing stairs or standing up from a sitting position. Similarly, if they climb too many stairs or walk too far, they say that their knee becomes very painful, even swollen, and even increases in temperature. This affects people's quality of life and causes serious knee pain. . If precautions are not taken, it will strain the ligaments around the knee cap and cause ligament injuries in the future.
Another question that comes to mind is why this knee cap tends to protrude. The reason for this is: The muscles in the outer group of our legs are stronger than the muscles in the inner group, and in case of weakening, the muscles in the outer group of the leg pull the kneecap further out, causing it to come out further from where it should be. This is an indicator of knee slippage, that is, patellar dislocation. This disorder can affect people of all ages. It can be seen in people from all walks of life. It is not necessarily in a certain age group and a certain gender. This slippage in the kneecaps of people who have weakened muscle strength and remain inactive at the desk for a long time is inevitable. This shift results in serious knee pain in the future.
So, what should we do in the treatment of this disorder? As we said at the beginning, the biggest cause of this disease is the decrease in muscle strength, so the most important thing I will do is to increase the muscle strength in these patients. When we increase the muscle strength around the knee, the muscle strength surrounding the kneecap is sufficient. The cover will be where it should be during the movements, there will be no deviation or dislocation, and the problem will be resolved.
During the treatment, there will be pain while strengthening the muscles. A correct exercise program must be determined in this process. Additionally, ice application and anti-inflammatory drug applications will also help us. As the muscle strength increases day by day, the position of the kneecap will become stable. Of course, as the stabilization increases, any There will be no slippage or dislocation.
In addition, physical therapy can be used in the treatment of discomfort. Some electrical strengthening currents applied in physical therapy, taping techniques, ice applications are methods that can be useful for us in the treatment. In addition, the patient must do exercises in his daily life and maintain muscle strength. We must say that it is necessary because muscles that are not used are doomed to weaken. Muscles that do not move for a long time and do not work for a long time are doomed to weaken or even shorten. That is why muscle strength must be strong. In addition, by stretching our muscles regularly, we prevent muscle shortening, that is, shortening, which we call contracture. Because these shortenings cause injuries as they affect the traction pain during walking and movements.
Of course, these treatments may not always respond, in advanced cases, when the amount of knee slip increases too much, exercises and strengthening alone may not be sufficient. In these cases, help from surgery can be obtained. It is fixed in place and it is necessary to strengthen the muscle again after the surgery. Because the strengthened muscle does not provide stabilization, the same problems may occur again.
As a result, by creating a regular exercise program and doing stretching and strengthening exercises for 20-30 minutes daily, this problem can occur. We will prevent such problems. Let's not forget that what we give to our body is what we get in return. The treatment of physical diseases is also with physical exercises. The more actively and correctly we move, the more we will reduce the risk of discomfort, injury or any problem
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