Knee Pain and SMR Treatment Protocol
Updated: Feb 26, 2020
The knee is a hinge joint and therefore, a stable joint. The hip and ankle joints, on the other hand, are highly mobile joints. Therapists will often say that knee pain comes from decreased range of motion in the hip or ankle joint. This is often true, but it should also be noted that there are many types of knee pains and many potential mechanisms that create pain.
When a client presents with knee pain, I assess all of the muscles that cross the core (abdomen), hip, knee, and ankle for neurological dysfunction (movement compensation patterns). I further assess the ligaments and joint capsules of the pelvis, hip, knee, and ankle for proprioceptive dysfunction (incorrect data telling your brain where you are in space).
I focus on getting all the previously mentioned muscles, joint capsules, and ligaments functioning neurologically correctly (I will often describe them as software issues). When faulty movement patterns and incorrect sensory information are corrected, knee pain should resolve. Exceptions to this would be very significant joint degeneration or surgery that has created hardware issues.
Joint degeneration occurs because of poor mechanics, and poor mechanics occur because of software issues. SMR focuses on correcting these human software issues because they are almost always the root cause of pain and injury. Ideally, I repair the software issues before they cause significant joint degeneration. Even in cases of severe degeneration, we can significantly decrease or negate pain by correcting faulty movement patterns.
My father is a great example. His knees are bone on bone (no cartilage), and any bending at the knees makes him sound like an old boat moored on a rough sea. But after fixing the proprioceptive dysfunction and associated movement patterns, he has been pain-free for years.
Knee surgery does not have nearly the same success rate as hip surgery. I have treated many people who have had the misfortune of successive knee surgeries with increasing symptoms until finally, the surgeons conclude that surgery is not appropriate. Thus it is my suggestion that everyone considering surgery should first try non-invasive therapies. And as always, if surgery is suggested, ask what the success rate is, what the common side effects are, and how experienced the surgeon is with this particular surgical procedure.
Initial bookings with myself are 1.5 hours long, with follow-ups being 1 hour long. Most chronic symptoms can be resolved in 3 sessions. Bookings can be made here... book online