Another possibility that is quite common cause of knee pain is "shin splints" or a strain of the Tibialis Anterior muscle. This condition is also exacerbated by walking long distances, running, walking up and down the stairs.
So the treatment would absolutely be dependent on the definitive diagnosis. If the diagnosis is indeed Osgood Schlatter's disease, then the recommended treatment multi-dimensional (supportive, RICE-Rest Ice Compression & Elevation, NSAIDs and a Podiatric referral is absolutely warranted).
If however, the diagnosis is Shin Splints, then the treatment would be:
1) Education to avoid all aggravating factors to allow the injury to heal in the shortest amount of time possible.
2) Hydration to allow the muscle cells to function at its optimal capacity.
3) Rest as only time will allow this muscle to regenerate.
If the condition is due to a strain of the Anterior Cruciate ligament or the Medial Collateral ligament (the most common cause of organic knee pain), then an MRI is warranted to determine the extent of damage, thus allowing the practitioner to make the clinical decision accordingly.
**NOTE: In many of my previous cases of non-organic/pathologic causes of knee pain that is misdiagnosed as a ligament strain issue when in reality, it is almost always due to the compensatory muscular hypertonicity of the Vastus Medialis muscle insertion. This can often lead to generalized knee pain in a young healthy adult.
-If this happens to be the case, I would locate and carefully palpate the insertion and the belly of the muscle to check for it's resting tension.
-If it happens to be increased, then a technique termed, "Active Release Technique" when done properly would always resolve the patient's knee pain instantly. This technique has also been proved to be very effective in tendonitis cases as well.
Dr. Cedrick Noel, BSN, DC, FABCDD, DACNB
Almost all problems should be treated conservatively (no cortisone or surgery) first for a few weeks even if problems do show up on MRI as the body can heal itself and you can perform at 100% even with no ligaments (believe it or not) if your muscles are in top form! The techniques you will want your chiropractor to be versed in are Applied Kinesiology, TBM, Quantum Neurology and NET. On your own, make sure you are drinking a quart of water for every 50 lbs you weigh and add a cup for every caffeinated or alcoholic beverage you consume. If you work out a lot, you may need even more than that. Also, knee problems often correlate with gallbladder stress and adrenal stress so if this persists, consider having those issues checked. Good luck!
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