Patellofemoral pain
Pain around or behind the kneecap, often worse on stairs, squatting, or after prolonged sitting. Typically load and hip control related, and responds well to progressive rehabilitation.
Knee pain, Twickenham
Knee pain treatment in Twickenham
Knee pain is usually a load problem, a joint problem, or a tendon problem, and the hip and foot often set it up. The first hour separates them, because the plan differs for each.
- GOsC Registered Osteopath, No. 21866
- Experienced MSK clinician
- BSc (Hons) Osteopathy, BCOM London
- Appointments usually available same week
- Twickenham, TW2 5UL
About knee pain
Common causes of knee pain
Most knee pain in active and working adults has a mechanical cause that responds well to a structured rehabilitation approach once properly assessed.
Patellar and quadriceps tendinopathy
Pain at the front of the knee with loading activities such as running or jumping. Progressive tendon loading is the most effective approach and is incorporated into the programme from the first session.
ITB syndrome and runner's knee
Lateral knee pain that builds during running. Load management, hip strengthening, and hands-on treatment are the standard evidence-based approach; I'll set the running-adjustment plan at the first session.
Treatment approach
What treatment for knee pain involves
Assessment includes movement screening, orthopaedic tests, and a review of training load or daily activity. Treatment combines hands-on work where appropriate with a progressive exercise programme targeting the specific structures involved. Load management advice is provided from the first session.
- Orthopaedic assessment to identify the pain source
- Progressive loading programme matched to your condition
- Training load and activity modification advice
- Hip and lower limb control work where relevant
Self-Help
Between sessions
See the exercise library for knee starting points including quad sets, sit-to-stand, and straight-leg raises. These are general suggestions; your specific programme will be agreed at assessment.
Manage load, not rest
In most knee conditions, reducing aggravating load is more useful than stopping all activity. Walking and low-load movement are usually well tolerated.
Ice and compression
For an acutely irritated knee, short periods of ice wrapped in a cloth and gentle compression can reduce swelling and discomfort while awaiting assessment.
Some symptoms need emergency care, not an appointment
Go to A&E the same day if you have:
- Significant swelling that came on within an hour of an injury
- Inability to put weight through the leg
- A knee that locks, or gives way completely
- Obvious deformity, or a hot, red, very painful knee alongside a fever
Do not wait for an appointment with me, and do not wait to see whether it settles overnight.
Go to A&E if you can get there. Call NHS 111 if you are unsure how urgent something is.
Book a knee pain assessment in Twickenham
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