knee pain treatment in Delhi-Climbing stairs.
Knee pain climbing stairs physiotherapy treatment in delhi
The knee joint is a hinge type synovial joint, which mainly allows for flexion and extension (and a small degree of medial and lateral rotation). It is formed by articulations between the patella, femur and tibia.
The shape of the knee joint means that it is relatively weak, and so it relies on muscles and ligaments to ensure stability.
Knee pain climbing stairs physiotherapy treatment in delhi
The knee joint is a hinge type synovial joint, which mainly allows for flexion and extension (and a small degree of medial and lateral rotation). It is formed by articulations between the patella, femur and tibia.
The shape of the knee joint means that it is relatively weak, and so it relies on muscles and ligaments to ensure stability.
The knee joint consists of two articulations
Tibiofemoral – The medial and lateral condyles of the femur articulating with the tibia.
Patellofemoral – The anterior and distal part of the femur articulating with the patella.
The tibiofemoral joint is the weightbearing joint of the knee.
The patellofemoral joint allows the tendon of thequadriceps femoris (the main extensor of the knee) to be inserted directly over the knee, increasing the efficiency of the muscle. Both joint surfaces are lined with hyaline cartilage, and enclosed within a single joint cavity.
The patella is formed inside the tendon of the quadriceps femoris; its presence minimises wear and tear on the tendon.
Knee pain going down stairs usually indicates a problem with the knee cap (patella) and how it moves.
The kneecap is a small bone, shaped like an upside down triangle which sits in the patella groove at the front of the knee and glides up and down as the knee moves.
Huge forces go through it with every day activities. As a result, the back of the patella is lined with the thickest layer of cartilage in the whole body as it is designed to withstand massive compressive forces.
Knee pain going down stairs is most commonly caused by a problem with the kneecap.
Knee pain going down stairs is not surprising when you consider that the force going through the patella is 3.5x body weight when you come down the stairs (normal walking only puts a force of 0.5x body weight). That means for a person weighing 120lbs, when they come down stairs, a force of 420lbs goes through the kneecap which has a contact surface area of only 12cmsq.
Knee pain going down stairs is not surprising when you consider that the force going through the patella is 3.5x body weight when you come down the stairs (normal walking only puts a force of 0.5x body weight). That means for a person weighing 120lbs, when they come down stairs, a force of 420lbs goes through the kneecap which has a contact surface area of only 12cmsq.
Anything that interferes with how the patella moves, or that affects the cartilage lining the knee cap will magnify these huge forces and lead to knee pain going down stairs.
How Can People Prevent Knee Problems?
How Can People Prevent Knee Problems?
- Some knee problems, such as those resulting from an accident, cannot be foreseen or prevented. However, people can prevent many knee problems by following these suggestions:
- Before exercising or participating in sports, warm up by walking or riding a stationary bicycle, then do stretches. Stretching the muscles in the front of the thigh (quadriceps) and back of the thigh (hamstrings) reduces tension on the tendons and relieves pressure on the knee during activity.
- Strengthen the leg muscles by doing specific exercises (for example, by walking up stairs or hills or by riding a stationary bicycle). A supervised workout with weights is another way to strengthen the leg muscles that support the knee.
- Avoid sudden changes in the intensity of exercise. Increase the force or duration of activity gradually.
- Wear shoes that fit properly and are in good condition. This will help maintain balance and leg alignment when walking or running. Flat feet or overpronated feet (feet that roll inward) can cause knee problems. People can often reduce some of these problems by wearing special shoe inserts (orthotics).
- Maintain a healthy weight to reduce stress on the knee. Obesity increases the risk of osteoarthritis of the knee.