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  • Q&A with Australian Health Practitioners

    What is the best treatment for a knee injury?

    Hi, I recently had a fall and hurt my left knee. MRI shows I have traumatic prepatellar bursitis and the fluid is moderately large. I also have grade 4 chondromalacia. Is there anything I can do to help with these knee conditions. Also, I am allergic to anti inflammatory medications so unable to take them.
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    Michael Pasqualin

    Exercise Scientist, Physiotherapist

    I am a Director, Principal Physiotherapist and Exercise Scientist at Sports Focus Physiotherapy, completing both undergraduate and post graduate degrees at Sydney University. I have … View Profile

    Physiotherapy would be beneficial in treating your knee pain. There are taping techniques which can help assist in reducing inflammation/fluid instead of using anti-inflammatory medication as well as aiding to help the tracking of your patella and reduce symptoms experienced by the chondromalacia. Further techniques focusing on muscle balance around the knee and the patellofemoral joint will also aid in reducing symptoms.

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    Thanks

    Dr Daryl Ansell

    Chiropractor

    The advice from the Physio is great however it is also important to check the functioning of the pelvis and lumbar spine, gait and postural issues. Often we find clinically that improved spinal function will assist in recovery from these injuries when combined with the physio work on the knee.

    For further information http://www.ansellchiropractic.com.au/home

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    Adrian Quinn

    Physiotherapist

    Adrian joined the Back In Motion Health Group to start the Camberwell practice in 2007. Born and raised in the south eastern suburbs of Melbourne, … View Profile

    Hi there,

    Both Michael & Daryl are correct. For the pre patellar bursitis, ice and a compression bandage are the most effective strategies to get rid of the fluid (and ensuring you don't bump or knock it again!). The chondromalacia may not actually be causing you any pain (getting rid of the swelling from the bursa might get rid of all of your pain). However the Grade 4 chondromalacia does tell us that your patella hasn't been moving in the ideal direction for some time (probably many years) and if you do nothing about that it will more than likely cause you pain at some point in the future. Taping the patella and getting the right muscle activation around your knee as Michael suggests is worthwhile, as is ensuring the muscles around your pelvis are working effectively as pelvic instability is a major factor leading to chondromalacia. As is poor foot biomechanics just to complicate things further - it's often a challenging condition to treat! 

    For further info: http://www.backinmotion.com.au/practice/camberwell

     

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    Joel Laing

    Physiotherapist

    I am a McKenzie Method specialised physiotherapist, with a Diploma in Mechanical Diagnosis & Therapy. Using the McKenzie Method I predominantly treat low back and … View Profile

    Gradual strengthening is often succesfful in managing knee problems like this.

    Another important factor is learning how to modify provocatives postures such as prolonged standing and kneeling or sitting.

    The is an excellent book called "Treat your Own Knee" by Robin McKenize that is inexpensive and would give you a great overall understanding in looking after your knees long term. You can purchase it on Amazon or Ebay and it is easy enough to locate and well worth the read.

    I do think you need and individual assessment with a physiotherapist or other qualified health professional to look at your specific situation.

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