Performance Pain & Sport Medicine offers a superior level of medical treatment for knee injuries that many patients are not aware of, such as regenerative treatments.
If you are suffering from a knee condition, come to Performance Pain & Sports Medicine for best in class treatment and care.
Often patients come from other medical practices looking for a solution. We offer fully comprehensive medical care with our advanced medical treatments from our best in class physicians.
Below are the most common conditions that we treat.
ACL Tear: Anterior Cruciate Ligament (ACL) tear, happens when an important stabilizing structure of the knee is torn.
ACL tears generally occur due to excessive strain being placed on the ACL. This typically occurs due to a sudden or a specific incident; such as twisting, hyperextension of the knee, and the forward movement of the tibia on the femur. With an ACL tear an audible snap or tearing sound may be heard. Pain after a tear is usually severe, however it may quickly subside. Other common symptoms are a feeling the knee is no longer stable, as if it can go “in and out”, along with considerable swelling within the first few hours.
Baker’s Cyst: Baker’s cyst is characterized by local swelling behind the knee and is in association with knee joint injuries.
A baker's cyst will commonly occur secondary to degenerative change in the knee such as knee osteoarthritis or a meniscal tear. It typically presents as a firm, lumpy swelling located at the back of the knee. As a baker’s cyst worsens, the back of the knee may become painful or ache and a feeling of tightness may present especially when attempting to bend or straighten the knee fully. Sometimes this tightness may extend into the calf.
Iliotibial Band Syndrome: Iliotibial band syndrome (ITB) typically causes pain at the outer (lateral) aspect of the knee where it crosses the knee joint.
ITB syndrome is a condition whereby the ITB rubs on the outer aspect of the knee, causing inflammation. ITB syndrome is due to an overuse activity such as repetitive knee bending and straightening, particularly in weight bearing. Common symptoms of ITB syndrome are pain on the outer aspect of the knee, which tends to begin as an ache and may increase to a sharper pain with activity.
Knee Arthritis (Osteoarthritis): Knee arthritis is characterized by a degenerative process often due to gradual wear and tear of the cartilage and bone surfaces of the knee joint.
Knee arthritis reduces the knee's overall ability to absorb shock, as the arthritis progresses and the cartilage wears away, the joint space can narrow and an eventual wearing down of the bone ends can occur. Knee arthritis symptoms develop gradually over time, as it progresses, there may be increased knee pain with weight bearing activities and joint stiffness. Swelling, decreased flexibility, severe joint pain, pain at night and a grinding, clicking or locking sensation during certain movements may also be experienced.
Medial & Lateral Meniscus Tear: A medial meniscus tear is a tear of cartilage tissue located at the inner aspect of the knee. A lateral meniscus tear is a tear of cartilage tissue located at the outer aspect of the knee. Both typically cause pain in the region of the tear.
Meniscal injuries often occur traumatically due to a sudden change of direction and twisting movement. Meniscal tears frequently take place when the foot is fixed on the ground and a twisting force is applied to the knee. They may also occur over time through gradual wear and tear. With meniscal injuries there is usually pain with weight bearing activity and twisting movements of the knee. Pain with climbing of the stairs, attempting to kneel or pain when squatting may also be present in a meniscal tear.
MCL & LCL Tear: A Medial Collateral Ligament (MCL) or a Lateral Collateral Ligament (LCL) injury is the tearing of the MCL or the LCL of the knee.
The MCL and LCL are very important ligaments which provide the knee with stability. The MCL and LCL prevent excessive twisting, and side to side movements of the knee. When the movement becomes excessive beyond what the ligaments can withstand, a tear of the ligament occurs. MCL and LCL tears may range from a small partial tear resulting in minimal pain, to a complete rupture of the ligament resulting in significant pain and disability. The pain associated with a torn MCL is localized to the inner aspect of the knee, where as the pain associated with a torn LCL is localized to the outer aspect of the knee.
Osgood Schlatters Disease: Osgood Schlatters disease is an injury to the growth plate at the top of the shin bone (tibia) and just below the knee cap in adolescents.
Osgood Schlatters disease is typically seen in adolescents during periods of rapid growth, it typically occurs due to increased tension that is placed on the tibia's growth plate. A swollen bony prominence may also be detected at the top of the shin bone. Osgood Schlatters disease is more commonly seen in active adolescents who participate in activities that require running or jumping. Pain is located at the front of the knee just beneath the knee cap (i.e. the tibial tuberosity). The pain of this condition may increase during activities such as squatting, going up and down stairs, running (especially uphill), jumping or hopping.
Patellofemoral Pain: Patellofemoral Pain is usually the result of inflammation or tissue damage to structures of the patellofemoral joint (the joint between the knee cap (patella) and the thigh bone (femur).
Patellofemoral pain usually occurs due to the patella being misaligned relative to the femur. This misalignment places more stress through the patellofemoral joint during activity, which may cause tissue damage and inflammation. Common Symptoms of patellofemoral pain is pain in the front of the knee and around or under the knee cap. Pain may start as an ache that increases to a sharper pain with activity.
Pre-Patellar Bursitis: Pre-patellar bursitis is characterized by tissue damage and inflammation of the small fluid filled sac located between the knee cap and the skin in the front of the knee called the pre-partellar bursa.
Pre-patellar bursitis commonly occurs due to repetitive or prolonged kneeling especially on hard surfaces. It may also occur suddenly due a direct blow to the front of the knee or due to a fall onto the knee cap. Pain and swelling will develop gradually in the front of the knee cap; the swelling of a bursa is usually obvious as it lies directly beneath the skin.
Quadriceps Tendonitis: Quadriceps tendonitis is tissue damage and inflammation that occurs at the quadriceps’ attachment to the top of the knee cap, thus causing pain in the front of the knee just above the knee cap.
Quadriceps tendonitis most commonly occurs due to repetitive or prolonged activities placing strain on the quadriceps tendon. This typically occurs due to repetitive running, jumping, hopping, squatting or kicking activities. Pain can develop gradually in the front or top of the knee cap.
