Perhaps one of my favourite areas to treat is the knee. Whether osteo-arthritic, a runner’s knee or pre/post-operative injuries, I find treatment is generally successful. And, in truth, a lot of it you can do yourself – to the point that you might obviate the need to see someone for minor knee conditions and to ease pain even in major ones.

You see, unlike the hip or shoulder, the knee is not the most complicated joint in the body. By the same token, however, it is rather fragile and quickly reacts to any injury. Quadriceps atrophy sets in quickly and it can then seem difficult to rehabilitate. Any knee injury results in quadriceps wasting and this results in patella-femoral pain syndrome (PFPS). All cases of PFPS result in atrophy of the quadriceps too. It therefore stands to reason that addressing the balance of the quadiriceps musculature can relieve pain and in PFPS resolve the issue.

Essentially, the process of knee imbalance is that the Vastus Medialus (inner quads) weaken and the Vastus Lateralus (outer quads) tighten. When this happens, the normally centralised knee cap sits uncomfortably. This results in clicking (which is normally painless but uncomfortable), instability and discomfort when running long periods or sitting for long periods with the knees bent.

A rolling pin taken to the outer quads and good squatting to strengthen the inner quads can quickly resolve the issue.

Other than that, an osteopathic session of balancing the quadriceps (and some needling) can resolve it quicker and experience shows a couple of sessions should solve the problem!