Knee Pain Management for Effective Results

Knee pain is the second most common complaint after low back pain when it comes to training. Cranky knees can not only affect your clients’ training, but also their day-to-day. You have an important role to play in helping your clients get out of knee pain. Are you confident with your knee pain intervention? If you’re hesitating at all, keep reading…I will explain how invaluable your role as a trainer is in the management of knee pain.



ETIOLOGY OF KNEE PAIN
Trainees often develop knee pain as a result of repetitive loading of the patellar tendon, particularly in the form of repetitive energy storage and release. High frequency and/or volume of Olympic lifts, squats, lunges, and their variations, as well as running and jumping activities, can surpass the patellofemoral tendon’s capacity to recover.

Other factors that can contribute to anterior knee pain are:

-unaccustomed physical activity

-change in volume or frequency of training

-excessive repetition of a particular movement or skill

-other injury that may result in a change in the way the individual is moving

-insufficient recovery between sessions or specific movements that overload the tendon

If you are working with a client who has recently developed knee pain associated with increased knee flexion (or loading on a flexed knee), pain just above the patella or pain at the proximal aspect of the patella, it will be important initially to avoid pain-provoking positions. However, it is equally important to avoid excessively under-loading the tendon, as the removal of load altogether and the resultant lack of mechanical stimulus decreases the strength of the tendon and can even cause changes in tendon structure.

Using a case-by-case approach, managing the offending load on the tendon may vary from allowing a few days between high tendon loads to removing these altogether. Generally, tendon loading without energy storage and release is well-tolerated, so defaulting to these types of exercises avoids under loading tissues.

READ FULL ARTICLE HERE: https://rehab-u.com/blog/knee-pain-ma...

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