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From an actual thank you card: 

“Thank you so, so, so much for getting rid of all of my knee pain. I can leap up and down the stairs like I'm a teenager again. ”

-  Jackie


Knee pain, while often assumed to be the result of arthritis, is often simply due to injury or irritation to the soft tissue surrounding the knee. When not arthritic in nature, knee pain is commonly diagnosed as ‘chondromalacia patella syndrome’, ‘patello-femoral arthralgia’, ‘jumper’s knee’, ‘IT band syndrome’ or ‘patellar tendonitis’. These types of knee pain can be the result of either trauma (like sprains or muscle strains) or chronic, repetitive strain (like running, kneeling or climbing hills or stairs). 

(While significant muscle or cartilage tears, bone fractures or arthritis can cause knee pain, it is far more common to be the result of tendonitis and/or bursitis.) There are several different factors that can contribute to the problem. Inflammation, muscle spasm, soft tissue adhesion and fibrosis, mechanical joint irritation, poor posture, altered foot bio-mechanics, nerve irritation and muscle weakness are some of the more crucial factors involved with knee pain. Often when prior treatment has proven unsuccessful, it may be due to not having one or more of these factors properly addressed. 

Chronic knee pain is often the end result of a vicious circle that starts with irritated or injured tissue. This leads to inflammation and muscle spasm, which in turn causes not only nerve irritation and pain but more importantly results in the formation of soft tissue adhesions. These adhesions scar-up the tissue and lead to dysfunctional soft tissues, which are more easily irritated or injured… and the whole cycle continues indefinitely.

In the case of knee bursitis or tendonitis, the muscle / tendon / bursa surrounding the knee cap and knee joint may be affected by inflammation, spasm or scarring (adhesions). This inflammation and soft tissue adhesions may prevent the smooth movement of the ilio-tibial band (IT band) tendon or knee cap (patella) causing friction and further irritation, inflammation and pain in the tissues. 

Often with knee pain, the root cause may lie in altered or poor foot mechanics – the result of pronation or ‘flat feet’. These changes at the foot and ankle lead to functional changes up at the level of the knee, causing more strain on the soft tissues surrounding the knee.

At Maloney Elkassem Wellness Center, we offer a wide variety of treatment options tailored to treat your specific problems, by tackling the knee pain at its root cause(s). In fact, our well-rounded approach allows us to successfully treat many cases of knee pain where other treatments have failed. 

Active Release Techniques (ART) soft tissue therapy, joint manipulation, custom fit foot orthotics, Trigger Point therapy and other soft tissue therapies, lower extremity strengthening exercises and stretches, Shockwave Therapy and Laser Therapy are some of the most common approaches that we use in alleviating knee pain, though if it’s ever apparent that you need treatment beyond what we can provide, we can refer you to one of the many other health professionals that we trust.

We provide relief for many types of knee pain. If you suffer from knee pain, you owe it to yourself to call us…

Medical Disclaimer: All information on this site is of a general nature and is furnished for your knowledge and understanding only. This information is not to be taken as medical or other health advice pertaining to your specific health and medical condition.

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