How Does Knee Pain Occur?

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Well, knee pain is very, very common, especially with women. We have these curvy hips, and it puts more strain on that knee then, typically the male structures, but anybody can get knee pain, and you get knee pain, usually if it's not a direct impact like a skiing injury or a fall or a blow where you blow out your anterior cruciate ligament or a fracture, you can actually get a lot of the problems from mal-alignment.

And what that is, certain muscles are not working properly, there are certain muscles that will tend to get tight, and they create a dysfunctional knee and certain muscles they get weak and I also create this dysfunction knee, and what we want to do, is assess what is actually driving that knee pain, and there's very common factors that we find. I was said, the major muscles that affect the knee, are the gluteus medius which is very, very important for any stability in the lower extremity coming from the trunk downward is that gluteus medius because its role is very important, especially for women to keep that thigh from internally rotating which puts a lot of pressure on the inside knee, it not only puts pressure on the inside knee between the two big bones, but it also changes the alignment of how the knee cap sits in this, what they call the trochlear group of the thigh bone, so the alignment of the knee cap and the alignment between the lower leg and the upper leg.

That gluteus medius is key. The other is iliotibial band, it's that long, it's a very small muscle up at the hip that has very long tendon that tends to dominate the position of the thigh, and if that is really tight, it will actually make the gluteus medius even weaker, because it will internally rotate the thigh even more so, putting that other to disadvantage.

The other muscles that we look are, are in the foot and ankle, typically the anterior tibialis muscle which comes down in front of the chin, that's very important for stabilizing the foot once your foot hits the ground.