Knee Pain and Chiropractic Treatment: Knee Arthritis

If you have knee pain from osteoarthritis (wear and tear arthritis), Chiropractic can provide relief! This post is about Knee Pain and Chiropractic Treatment: Knee Arthritis

You may have stiffness and knee pain. Your knee pain may be worse with prolonged sitting and walking.  Moreover, you may have a history of trauma or surgery to your knee.  Additionally, you may have recurrent bouts of swelling and “bowlegged” appearance to the knee.

The Femur (thigh bone), Tibia (shin bone), Fibula (thin, outer long bone of the leg), and the Patella (kneecap)

There are three “articulations” (joint or juncture between bones or cartilages) at the knee: the tibiofemoral, patellofemoral, and tibiofibular articulations. However, only the tibiofemoral and patellofemoral articulations participate in knee joint activity. The tibiofibular articulation/joint does not actually contribute to the actions of the knee. Instead, it is part of the ankle joint complex moving the ankle in all the various ranges of motion. However, dysfunctional processes in the proximal tibiofibular articulation/joint can affect other knee functions and can be a source of knee pain.

So the tibiofemoral and tibiofibular are synovial articulations.  These are freely movable joints. And the bony surfaces are coated with hyaline cartilage.  It is unified by a fibrous articular capsule. However, the third articulation, patellofemoral, is a functional joint (non-synovial joint).  Nevertheless, many of the same problems such as arthritis arise here.

More Anatomy of the Knee

First, the knee is supported by the joint capsule, its cartilage “thickenings”, and the collateral-ligamentous system.  And the collateral ligaments (band of tissue that connects a bone to another bone) are located on either side of your knee outside your knee joint.

Second, internally the knee is stabilized and the control of rotation is provided by the meniscocruciate system. There are two C-shaped cartilage like structures, each one called a meniscus. The menisci aid in shock absorption and help govern rotational movement at the knee.

Third, the cruciates, capsule, and collateral ligaments connect the femur to the tibia. The cruciates are a pair of ligaments that cross each other in the knee, connecting the tibia and the femur. The Anterior Cruciate Ligament (ACL) is smaller (size of the little finger) than the Posterior Cruciate Ligament.  It’s usually more readily injured than the Posterior Cruciate Ligament (PCL) (size of the thumb). The cruciates allow tension to develop through most ranges of motion.

Causes of Knee Pain from Osteoarthritis

Degeneration of articular (joint) cartilage is often secondary to meniscal tearing or degeneration. Unfortunately, this occurs with age. Additionally, single trauma events or a past knee surgery (including ACL or meniscal surgeries) predispose you to early degeneration.

What is Osteoarthritis (Degenerative Joint Disease)?

Degenerative arthritis or degenerative joint disease is also referred to as osteoarthritis.  It is a “wear and tear” arthritis. This serious, painful condition can affect any joint of the body (e.g. hands, knees, hips, shoulders, back and neck). It is by far the most common form of arthritis, affecting more than 32.5 million adults in the United States, according to the Centers for Disease Control and Prevention.

Firstly, osteoarthritis is a disease of the entire joint, including bone, cartilage, ligaments, menisci (e.g. knee meniscus) and the tissues lining the joint (the synovium). There can also be changes in periarticular (around the joint) muscles, nerves, bursa, and local fat pads that may contribute to the symptoms of osteoarthritis.

Secondly, it degrades cartilage, changes bone shape and this causes inflammation. 

Thirdly, the result is pain, stiffness and loss of mobility.

Lastly, pain and other symptoms of osteoarthritis may lead you to feel tired, have problems sleeping, and possibly feeling depressed.

Options for managing Osteoarthritis along with chiropractic care:

-Exercise is an effective management approach to OA of the knee with significant reductions in pain and improvements in function. 

– Taping and bracing may also be effective management approaches. A recent blinded, randomized controlled trial was conducted to evaluate the effectiveness of knee tape. Those who were given therapeutic taping had significant improvement in pain.These effects were maintained after three weeks. Another study designed to evaluate the effectiveness of an elastic knee brace produced results that indicate small, short-term beneficial effects with acute exacerbations.

-Use of glucosamine and chondroitin supplementation appears to have both an effect on symptoms and structural changes in the knee. The results from a recent meta-analysis indicate that both glucosamine and chondroitin demonstrated improvements in joint space narrowing.