Stuart Mailer Physiotherapy and Sports Medicine
Email: inf[email protected]
The Knee can present with many injuries that may occur from trauma or from overuse and can be contributed from imbalances in the lower limb such as poor movement patterns, reduced muscular strength/endurance, poor stability or a lack of mobility. To be able to ascertain accurately the most suitable way forward we use conventional methods and digital technology in our assessment to determine not just your diagnosis but other contributing factors. There are many knee injuries and here are just some of the most common conditions listed below.
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Patella Femoral Joint Pain (PFJP)
PFJP is pain at and around the knee cap (patella). This can occur from many factors such as overloading ( too much too soon) or acute trauma and is one of the most common areas for knee pain. This can be due to muscle imbalances around the patella or poor biomechanics or other joint changes such as tight hip flexors or ITB. Stuart can help in identifying your imbalance, muscle weakness or other contributing factors then help assist with the appropriate intervention.
A tendon Is a of thick band of tissue that connects a muscle to the bone. The tendon takes a high amount of stress when jumping, running or loading and can be injured quickly but most commonly it is over a period of time with small micro tears causing more irritation. If irritated over a long time the tendon can develop into what is known as a tendinopathy. By assessing your biomechanics and contributing factors and level of tendon injury you will be provided with the correct rehabilitation plan.
The Meniscus are two C shaped cartilaginous structures inside the knee joint that provide shock absorption and stability. It is not uncommon to injure a meniscus and have a tear. Treatment depends on the severity of the injury and sometimes surgery is required, however, we always want to treat a meniscus conservatively to help protect the joint surfaces. Stuart is highly skilled at helping protect and support this structure through a detailed assessment and programme.
Fat pad Impingement
The infrapatella fat pad is also known as the Hoffa's pad and is a soft tissue structure that lies below the kneecap behind the patella tendon. It provides cushioning and also shock absorption. The Fat pad has many nerves and is one of the most sensitive structures at the knee. It can become inflamed from direct impact or being pinched by the patella. Treatment can consist of Muscle strengthening, Stretching, Taping methods and modalities to reduce inflammation.
ACL/PCL/MCL/LCL - ligament Injury
A ligament is a tough strip of tissue that connects one bone to another around a joint and provides stability. A ligament injury happens when the fibres that make up the ligament are stretched and are damaged. There are four main ligaments around the knee joint and these may be injured when we twist, land, fall or through an impact. Diagnosis is through examination or a MRI if required. Treatment utilises many modalities from specific strengthening, Manual therapy, electrotherapy to assist in returning you back to function or sport.
Osteoarthritis is the most common form of arthritis, affecting your joints, making them stiff and painful. Osteoarthritis is more common in people over 50, and you’re more likely to have it the older you are. Your knees are commonly affected and by maintaining strength an stability can help reduce discomfort and improve function. Treatment can consist of detailed exercise programme after assessing your knee and lower limb to optimise your well being and aid function.
I have known Stuart for 10 years from when I was at Chelsea FC. I have had multiple career-threatening injuries that he has helped me rehabilitate and recover from, and return to full fitness and playing again. I would highly recommend Stuart to anyone who is concerned about their injury or is having problems returning to normal function or fitness as he always got me back to professional football.
Mr Adam Coombes, Footballer, ex Chelsea FC, Notts County FC. July 2017