Knee Pain

While knee pain is usually thought of as an orthopedic disease, there are a number of conditions before or after knee surgery that can be treated more conservatively with medication, exercises or injections.

There are many causes of knee pain, but for the most part they can be divided into 2 groups, those conditions that are intrinsic to the knee and neuropathic conditions where the pain is referred to the knee. While many of the intrinsic problems may benefit from surgery, not all do and not all patients are good surgical candidates.

Common conditions intrinsic to the knee include derangements of the ligaments and menisci of the knee, which if severe can be treated with arthroscopic surgery. Arthritis of the knee, when severe is a leading indication for joint replacement, whereas in milder cases it may respond to anti-inflammatory agents, physical therapy and knee joint injections.

Neuropathic conditions involving the knee can be caused by conditions arising in the lumbar spine such as herniated discs or locally as in the case of post-operative damage to the popliteal, fibular or saphenous nerves. These conditions will often benefit from injection therapy, TENS therapy or neuromodulation.

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