Pain Back Knee Tedinitis Sioux City
Pain In The Back Of The Knee
Knee pain frequently occurs in the back of the knee. Most of us are so focused on the patella tendon, patella, ligaments, chondromalacia patella, IT band, and meniscus of the knee that we forget there are muscles and tendons across the back of the knee.
There are several major muscles that cross the back of the knee, including the hamstrings (semitendinosus, semimembranosus, and biceps femoris). In addition, we have the gastroc muscles that run from the lower leg across the back of the knee to attach to the lower femur. The popliteus muscle travels across the back of the knee and helps to twist or unlock the knee. We have a small passageway for arteries, nerves, and veins. In addition, we have several small bursae in this region.
Some people complain about pain in the back of their knee resulting from a bad step or hyperextension. They feel sharp and immediate knee pain. The intensity of the stiffness or dull pain increases over several days. They may or may not notice the swelling. The area becomes very tender within a few days and may produce a noticeable limp.
Other people describe a stiffness and tightness in the back of their knee. They might notice difficulty bending, squatting, or going up the steps. Over time, the stiffness progress into a dull pain with occasional sharp stabs. Feeling behind their knee, the patient often notices a big swelling pocket. This area has been swelling over time, and he or she hasn’t noticed.
In some cases, the injury has created inflammation that has slowed the drainage of lymph from the lower leg. This pocket disrupts normal fluid flow. I like to describe this as a beaver dam, which creates a pond behind the blockage point.
Both acute and chronic injuries to the back of the knee can be treated with therapy. Goals of treatment are to decrease the pain and inflammation of injured tissue. Stretching and strengthening will be incorporated in order to increase flexibility and strength in the knee. Many people respond to massage therapy, ART, manual therapy, or the Graston Technique. The goals of this treatment are to move the fluid and break up the fascial restrictions (beaver dam) in the knee.
Many people with slow-developing knee pain have muscle imbalances between their quadriceps, hamstrings, and calf muscles. They may have slowly been increasing their activity over time. Eventually, the increased strain on the leg has produced an injury to the muscles, tendons, or bursae in the back of the knee. In this case, treatment will focus on re-establishing proper flexibility, strength, and endurance of all the muscles in the lower leg.
Most people respond very well to treatment, and their knee pain will disappear within a few weeks.