Many chronic bone and joint pains that have cartilaginous roots can be treated using proper physiotherapy methods. treatment of knee pain and shoulder pain are in the list of the most common complications that make normal living conditions difficult or even impossible for anyone. It is possible to treat knee pain along with treating shoulder pain using modern and specialized physiotherapy techniques.
Knee pain can appear as a result of trauma or repeated pressure and even minor injuries that have become chronic over time. Shoulder pain can also be rooted in trauma or continuous pressure such as improper body conditions in the long term. For such pains, it is necessary to benefit from knee pain and shoulder pain treatment services. Of course, the type of treatment process and the implementation of physiotherapy methods are completely dependent on the type of injury, the amount of destruction of the cartilage or bone tissue and finally the movement disorder that has been created, which should be done with the discretion of the orthopedist and the diagnosis of the physiotherapist. You can use Mahan Physiotherapy Center to get any kind of treatment for knee pain and shoulder pain. These medical services are as follows.
Checking the type of knee pain
The first step to implement knee pain treatment services is to check the type of injury. By knowing the type of complication and its severity, the physiotherapy team can take the best treatment method. In the Mahan physiotherapy group, the type and intensity of pain will be determined with precision and professional diagnosis methods. The types of these pains are as follows:
- Acute knee pain
- Subacute knee pain
- Chronic knee pain
Acute knee pain
Severe pains in the knee area are said to occur between 1 to 7 days after the accident. In this period, you have no choice but to rest your knees. Of course, the type of rest and knee placement conditions are quite effective in improving the damaged structures. Usually, movement therapy courses begin after passing this stage of knee pain.
Subacute knee pain
Knee pain is said to occur between 2 to 6 weeks after the accident. This interval is the key stage for effective treatment of the affected parts. In this period, according to the severity of the accident and the type of injury, the knowledgeable physiotherapist uses exercise or gentle massage to improve the movement of the injured knee.
Chronic knee pain
Knee pain is said to occur between 8 and 12 weeks after the accident. These pains become chronic during this long period and do not go away. The injured person must be examined by an orthopedic doctor. On the other hand, physiotherapy methods, from how to rest the knee to performing corrective movements in chronic conditions, are completely specialized and are performed along with a detailed examination of the injured position.
Physiotherapy service steps to treat knee pain
Physiotherapy procedures for treating knee pain begin after referral from an orthopedic doctor, which is necessary to correctly diagnose the type of pain, amount and severity of knee damage. At the same time, it is necessary to predict a precise process for the management of knee pain treatment. The treatment will begin by examining the symptoms of pain and the type of movement problems caused. The physiotherapist will talk to you about the history of your problem and the aggravating and relieving factors. At this stage, it is necessary to check the patient’s medical records completely.
Knee examination services in physiotherapy
Examination based on physiotherapy criteria is one of the most important stages of knee pain treatment. Based on his examinations, the physiotherapist can implement the type of treatment method and physiotherapy techniques. These examinations in the preliminary stages of knee pain treatment are as follows:
- Touching the pain area
- Check how a person walks
- Measuring and checking the range of motion of the legs
- Leg strength measurement
- Checking the balance of the body
- Measuring and checking the type of swelling
- Performing special tests in special conditions
Touching the pain area
The physiotherapist touches the pain area and the damaged area around the knee with his hands. At this stage of the examination, any kind of abnormality, mass or protrusion will be evaluated. It is also possible to evaluate the painfulness of the affected points through touch.
Checking how to walk
The physiotherapist has enough skill to recognize the correct walking pattern. It is enough to walk a little in front of a skilled physiotherapist to check all movement abnormalities in the area of the injured knee. This stage of the examination is completely specialized and has a direct impact on the diagnosis and determination of the appropriate physiotherapy technique.
Measuring and checking the range of motion of the legs
منظور از دامنه حرکت حداکثر مقدار خم شدن و یا صاف شدن زانوها است. فیزیوتراپها با استفاده از ابزارهای خاصی میتوانند محدوده حداکثر حرکت زانو را اندازهگیری کنند. اطلاعات این مرحله از معاینه زانو در تشخیص نوع آسیب و تعیین روش درمانی امری کلیدی است.
Leg strength measurement
This stage of the examination is to check whether the muscle connections around the knee are healthy or damaged. At this stage, the physiotherapist checks whether muscle weakness or imbalance caused the knee pain, or whether part of the muscle connections in the knee area are damaged or torn.
Checking the balance of the body
Knee problems generally result from imbalances in the body. The greater the damage to the knee, the greater the severity of the disturbance of the body’s balance. Physiotherapist can assess the amount of tension and excessive pressure of the knee by checking the balance.
Measuring and checking the type of swelling
In many cases, swelling is seen after knee injury, the type and amount of which is a sign of the depth and location of the injury. By examining the type of swelling, the physiotherapist can take action on the conditions of the affected area and even methods of treating knee pain.
What are the treatment methods for knee pain?
After the examination, the treatment phase begins through physiotherapy methods. According to the results of the examination, the physiotherapist will decide on the injured position and adopt the appropriate treatment method. But in the end, the success of treating knee pain through physiotherapy methods depends on the cooperation of people. These methods include passive (inactive) and active (active) treatments. In many cases, the physiotherapist will recommend doing some sports movements with the aim of strengthening the muscles of the knee area.
Performing specific sports movements is the most important treatment technique for knee pain. But in parallel with sports movements, the physiotherapist may recommend some other treatment methods. Such as:
- Ultrasound treatment
- Electrical stimulation therapy
- Treatment with motion tape technique
- Heat or cold shock
- Massage therapy
Each of these methods will be prescribed according to the type of injured position and the depth and shape of knee pain. At the same time, it is possible to perform several parallel techniques along the recovery movements at the discretion of the physiotherapist. Note that the ultimate goal of treating knee pain is to restore normal mobility and sufficient strength of the knee. Therefore, the physiotherapist’s focus is on the implementation of movement correction and muscle strengthening methods.
Standard exercises for treating knee pain
Knee physiotherapy exercises are the best treatment method for knee pain. For this purpose, a full range of corrective movements or movements to strengthen the muscles around the knee have been provided. Performing these movements will reduce the pressure on the knee joint. Of course, it is up to the physiotherapist to choose the type of movement, the method of movement execution, the number of movement executions and the duration of its execution. Therefore, in case of chronic knee pain, never do these movements without consulting a physiotherapist. The most effective exercises to treat knee pain are as follows:
1. Bridge movement:
It is an effective movement in strengthening the muscles around the knee, which is done by lying on the back and bending both knees. It is necessary for the position of the legs to be far from the pelvis. In this situation, you should contract the hips and raise them as high as possible. This movement involves the hamstrings and hip muscles, which is effective in strengthening the muscles leading to the knee.
2. Straight leg lifting movement:
In performing this movement, the physiotherapist asks the patient to lie on his back and bend one knee and place the other leg flat on the ground. In this situation, you should tighten the knee of the straight leg and raise it to the height of the bent knee. This movement will strengthen the quadriceps muscles of the knee.
3. Step-up movement:
It is a very simple but very effective movement to strengthen muscles and finally cure knee pain. This movement is done by going up and down on a high surface like a box or stairs. To perform this movement, you must first put one foot and then the other foot on the stairs and continue in the same order while going down. The height of the stairs will be determined by the physiotherapist. At the same time, as the treatment progresses, we can increase the height of the stairs. Physiotherapists prescribe this movement to strengthen the latissimus dorsi muscle and to stabilize the patella.
4. Squat movement with ball and wall:
Another effective movement to treat knee pain is performed by placing a ball between the waist and the wall. The physiotherapist asks the patient to spread the femurs of the legs apart and then bend the hips and knees. When the thighs are almost parallel to the ground, keep your back straight and place your knees on your ankles. Then return to its original position by contracting the hips.
5. Diagonal walking movement:
This movement is not prescribed for any type of knee pain and is generally in the category of advanced corrective movements after passing the preliminary stage of knee pain treatment. In performing this movement, the physiotherapist wraps a band around the ankle. Then he asks the patient to squat. In this situation, the weight of the body will enter on the heel. Now the patient should move to the sides and focus on his hips. The best situation is to take 10 steps to the right and then 10 steps to the left in this situation.
What is the duration of knee pain treatment?
Physiotherapy for treating knee pain is a relatively long process that aims to strengthen the muscles and correct the movement of the knees. Pay attention that after his examinations, the orthopedic doctor introduces only the cases that can be corrected and treated non-surgically for physiotherapy. Therefore, when you are with the physiotherapists at the discretion of the orthopedic surgeon, be sure that you have implemented effective treatment methods. But it is necessary to cooperate with the physiotherapist and complete the treatment period. Usually, the process of physiotherapy for knee pain treatment is set for 2-3 times per week for at least 6 weeks. Of course, the duration of this process depends on the type and severity of the knee injury and how the movement disorders are caused.
Physiotherapy techniques to treat shoulder pain
Several factors are influential in causing shoulder pain. A sudden pressure, repetition of hard and damaging movements due to work conditions, aging, etc. contribute to shoulder pain. Sometimes this pain has its roots in other parts of the body, such as the neck nerve or biceps muscles, etc. Finding the cause of shoulder pain in its treatment through physiotherapy methods is very important. The most important causes for shoulder pain are as follows:
- neck arthritis
- cartilage tear
- Rotator cuff tear
- Cramp and inflammation of the neck or shoulder nerve
- Fracture or damage to the shoulder or arm bone
- in the shoulder
- Spinal cord injuries
- heart attacks
Shoulder pain examination methods in physiotherapy
Shoulder pain treatment services in physiotherapy are performed with a detailed examination and complete examination of the affected area. A physical examination of the shoulder is the first step to check for any structural problems. In this examination, the physiotherapist will check the possible roots of the pain from the spine or neck.
The second stage of the examination is performed by examining the range of motion of the patient’s shoulder. At this stage, the strength and flexibility of the shoulder will be checked by moving the arms in different ways, such as moving above the head, across the body, behind the head, or 90 and 180 degree rotations. Also, to ensure the roots of the pain, some tests such as X-ray imaging, MRI, CT scan, etc. are performed by the physiotherapist.
Physiotherapy methods to treat shoulder pain
After the examination, shoulder physiotherapy begins with the aim of strengthening the muscles around the shoulder and improving its function and mobility. Physiotherapists decide on the type of treatment by reviewing the results of the initial examinations. These methods can be a set of non-movement or movement treatments. At the same time, a set of stretching exercises and movements will be recommended by the physiotherapist to strengthen the shoulder muscles.
Physiotherapy methods are quite effective for treating shoulder pain and, if performed correctly, can even prevent surgery in cases of severe injuries. At the same time, physiotherapy treatment methods are very effective for shoulder pain in the elderly. These methods in physiotherapy services to treat shoulder pain are as follows:
- Ice and heat therapy
- Manual treatments
- Perform stretching movements
- Perform shoulder strengthening exercises
- Shoulder joint mobilization
- Ultrasound therapy
- Electrical stimulation
- Using glue or motion tape
- Correct movements
1. Ice and heat therapy
Cold or heat stimulation of the affected area is one of the effective methods of physiotherapy. Ice compresses are useful for reducing shoulder inflammation and swelling and are effective in relieving shoulder pain, especially movement pain. Heat therapy is also one of the other effective methods for pain relief and muscle relaxation in the shoulder area.
The order of using ice therapy or heat therapy techniques is done according to the diagnosis of the physiotherapist in the injured position. Usually, in the early hours of shoulder injury, heat therapy is effective up to 72 hours after the injury. Ice therapy is prescribed in the next steps.
2. Manual treatments
All massage techniques are said to improve muscle movement and relieve pain in the shoulder area. Manual treatments are quite effective for improving shoulder pain. In this method, according to the type of injury, the physiotherapist uses different massage methods in different directions to open the muscles and improve the movement function of the shoulder.
3. Stretching movements
Stretching movements are the most common and even the most effective treatment method for shoulder pain, which will be performed by a physiotherapist according to the type and severity of the injury. These stretching movements allow the shoulder muscles to improve their range of motion. Of course, the type of stretching movement, the amount of tension created will be done according to the diagnosis of the physiotherapist and according to the condition of the neck and spine.
4. Shoulder strengthening
A large part of shoulder injuries is due to weak shoulder muscles. In fact, weak muscles cannot withstand the pressure applied to the shoulder joint. In the treatment of shoulder pain through physiotherapy, serious attention will be paid to strengthening the shoulder muscles. This strengthening is done through sports exercises and is in the advanced stage of shoulder pain treatment after motion correction.
5. Joint mobilization
An effective method of physiotherapy for neck position is performed through joint mobility in the affected area. Usually, in cases where the roots of shoulder pain are from the neck vertebrae, this technique is effective. But in order to do it, a complete understanding of the anatomy of the neck and shoulder area is needed, and it should be done under the supervision of a professional and trained physiotherapist.
6. Ultrasound therapy
In this method, sound waves in the form of vibration are used to stimulate and treat the damaged area. These high-frequency sound waves are transmitted through the skin to the adjacent tissues of the shoulder area, and by creating local and deep heat, it relieves the contraction and ultimately relieves shoulder pain. Ultrasound is a modern but efficient treatment method to increase muscle elasticity and treat frozen shoulder. It is also effective in restoring the range of motion of the shoulder muscles.
7. Electrical stimulations
They use this passive method to stimulate and eliminate muscle contraction and even reduce nerve inflammation in the shoulder area.
Knee pain and shoulder pain treatment services at Mahan Physiotherapy
Physiotherapy methods for treating knee pain and shoulder pain are extensive. But every method is necessary to be performed according to the type of injury, the severity of the injury, and the severity of the pain. Usually, the process of treating knee pain begins with the implementation of passive methods to relieve pain and reduce swelling and finally the ability to perform movements. In the next stages, when the patient is freed from acute and chronic conditions of annoying pain, we can prescribe active methods and movement correction to muscle strengthening.
In the entire treatment process, the focus of the physiotherapist is to improve movement and restore the lost ability of the injured position. Therefore, it is necessary to choose the appropriate treatment steps for knee pain and shoulder pain with careful examination. You can use the specialized services of Mahan Physiotherapy Group to benefit from a variety of physiotherapy services for the treatment of knee pain and shoulder pain.