Knee Pain: Causes, Symptoms, and Diagnosis | Chiropractic of Bellevue

Knee pain is a remarkably common condition that can affect individuals of all ages and activity levels. Whether it stems from a sudden athletic injury or the gradual progression of age-related wear and tear, understanding the underlying cause is the first step toward effective management. At Chiropractic of Bellevue, Dr. Edward Owens brings nearly 30 years of experience to help patients navigate the complexities of joint health. Serving the Bellevue, WA area, our clinic focuses on providing thorough, personalized care to alleviate discomfort and restore mobility.

Common Causes of Knee Pain

The etiology of knee pain is broad, ranging from acute trauma to systemic inflammatory conditions. Identifying the specific cause requires a detailed assessment of the joint's mechanics and the patient's history.

Acute Soft Tissue and Bone Injuries

Traumatic injuries are a leading cause of sudden knee morbidity, particularly in active populations.

• Anterior Cruciate Ligament (ACL) Injury: Often occurring during sports that involve sudden stops or changes in direction, an ACL tear is a significant injury resulting from rapid deceleration [Mayo Clinic].
• Meniscus Tears: The meniscus acts as a shock absorber between the femur and tibia. Twisting motions can cause this fibrocartilage to tear, leading to pain and instability [Cleveland Clinic].
• Knee Bursitis: This involves inflammation of the small, fluid-filled sacs (bursae) that cushion the knee joint, frequently caused by repetitive pressure or overuse [Mayo Clinic].
• Patellar Tendinitis: Known as "jumper's knee," this condition involves inflammation of the tendon connecting the kneecap to the shinbone [HSS].

Mechanical and Biomechanical Issues

Not all knee pain is the result of a direct blow. Often, the way the body moves—or fails to move—leads to dysfunction.

• Iliotibial (IT) Band Syndrome: Common among runners, this occurs when the IT band becomes tight and rubs against the outer portion of the femur [Cleveland Clinic].
• Referred Pain: Interestingly, knee pain can sometimes originate elsewhere. Pathologies in the hip or foot can alter gait mechanics, placing secondary stress on the knee joint [Mayo Clinic]. This is why Dr. Owens performs a thorough evaluation of the entire kinetic chain.
• Dislocated Kneecap: This occurs when the patella slips out of its designated groove, typically to the outside of the knee [Mayo Clinic].

Arthritic and Inflammatory Conditions

Chronic knee pain is frequently linked to various forms of arthritis:

• Osteoarthritis: The most common form of knee arthritis, this "wear and tear" condition involves the gradual breakdown of articular cartilage [Cleveland Clinic].
• Rheumatoid Arthritis: An autoimmune disorder that can target the synovial lining of the knee, leading to significant joint deformity if left unmanaged [NHS].
• Crystalline Arthropathies: Conditions like Gout and Pseudogout involve the deposition of crystals within the joint space, causing acute and severe inflammatory episodes [Mayo Clinic].

Pediatric and Rare Etiologies

In younger patients, especially those aged 9 to 14, knee pain is often related to growth. Osgood-Schlatter Disease and Sinding-Larsen-Johansson Syndrome involve inflammation at the patellar tendon attachment sites during growth spurts [Perth Children's Hospital, Orthobullets].

Rarely, knee pain may be caused by neurological issues like Saphenous Nerve Entrapment, which causes burning medial pain that is often misdiagnosed as a meniscus injury [DMPhysios]. Other rare causes include Osteochondritis Dissecans, where a fragment of bone or cartilage loses its blood supply and detaches [StatPearls].

Recognizing the Symptoms

Symptoms vary based on the underlying pathology, but general signs often include:

• Swelling, stiffness, and warmth to the touch [NHS].
• Mechanical symptoms such as popping, crunching (crepitus), or the feeling that the joint is "locking" [Mayo Clinic].
• Instability or the sensation that the knee is "giving way."
• Location-specific pain: Medial pain (inside) often indicates meniscus or MCL issues, while lateral pain (outside) is frequently linked to IT band syndrome [Stanford Medicine].

Professional Diagnosis of Knee Pain

At Chiropractic of Bellevue, Dr. Owens utilizes a tiered diagnostic approach to identify the source of discomfort.

Physical Examination

The diagnostic process begins with inspection and palpation to assess for deformity and tenderness. Specialized maneuvers, such as the McMurray test for meniscus tears and the Lachman test for ACL stability, provide valuable insight into the integrity of the joint [Stanford Medicine, AAFP].

Imaging and Advanced Testing

While Dr. Owens often provides same-day treatments, x-rays or MRIs may be recommended if the clinical presentation suggests a fracture or complex soft tissue tear [AAFP]. MRI remains the gold standard for visualizing ligaments, tendons, and cartilage. In some cases, blood tests may be necessary to screen for inflammatory markers or rheumatoid factors [Mayo Clinic].

Chiropractic Care and Management in Bellevue

Dr. Owens aims for quick pain relief while never neglecting long-term wellness. Our clinic provides several non-invasive services to manage knee pain:

• Chiropractic Adjustments: Restoring proper alignment and movement to the spine and extremities helps alleviate referred stress on the knee.
• Myofascial Release: Using techniques like VibraCussor-assisted massage and manual trigger point release, we work to relieve muscle tightness and break down scar tissue that may be contributing to knee dysfunction.
• Red Light (Laser) Therapy: This non-invasive service stimulates blood flow and cell metabolism, assisting the body in reducing inflammation and healing tissues faster.
• Kinesio Taping: Often used for more significant injuries, taping stabilizes the area and facilitates the body's natural healing power to reduce muscle spasms.

Conclusion

Knee pain does not have to be a permanent obstacle to your lifestyle. Whether your condition is caused by an acute injury or a chronic mechanical issue, early diagnosis and a tailored care plan are essential. Chiropractic of Bellevue is dedicated to helping you find lasting relief without unnecessary invasive procedures.

If you are experiencing knee discomfort, contact us to schedule an evaluation with Dr. Edward Owens. We are in-network with most major providers, including Premera, United Healthcare, Regence, and Kaiser.

Chiropractic of Bellevue
365 118th Ave SE Ste 110, Bellevue, WA 98005
Call or Text: (425) 802-5432
Email: ca4owens@gmail.com

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