The frequency of knee pain is second to lower back pain, and gonathrosis, also known as knee arthritis, is the most common cause of knee pain. ...) and occupation (long standing time, carrying heavy loads...), the cause of the pain may also vary depending on physiological reasons such as muscular strength imbalance, changes in kneecap mobility, cartilage damage and excess weight. .
When we think about the weight transfer in our body, the knee joint is very important. For this reason, simple knee pain can progress quickly if not controlled. Therefore, cooperation between the orthopedist and traumatologist, physiotherapist and patient is very important in knee patients.
The person with knee pain should first be evaluated biomechanically to see if there is a problem that may cause knee pain. External factors such as (foot sole problems, hip problems, etc.) that may cause the knee to take load should be investigated and, if any, they should be reduced by evaluating the daily living activities of these patients. Another evaluation should be the muscle strength of the muscles that move the knee joint. We know that when these muscles are weak, more load is placed on our knee joint. The mobility of the kneecap should be evaluated and if it is too mobile, stabilization efforts should be carried out and if it is less mobile, relevant manual therapy techniques should be applied to increase this mobility.
After the evaluations are made, a treatment protocol should be created with manual therapy, pain methods, muscle strengthening techniques, functional exercises and suggestions to facilitate daily life activities.
Knee pain seen in athletes requires a different perspective. There are many factors here, such as the type of sports branch, the biomechanics of the sport, the athlete's previous injuries and the athlete's muscle strength. That's why intense training involving different sports-specific techniques and rehabilitation are indispensable. It requires training programs that include work-specific strength and balance timing exercises.
Here we should know that there are many causes of knee pain and each cause may have different effects, pain intensities and functional losses that may vary from person to person. That's why a multidisciplinary approach is very important in knee pain. As we said in many diseases, there is no disease in knee pain, there are patients and these patients differ from bio-psycho-social aspects. Therefore, creating a patient approach and treatment protocol with this awareness should be the gold standard in such problems.
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