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Roaring Fork Valley | Glenwood Springs | Chiropractor

Knee Pain


​​​​Common Causes Of Knee Pain

Runners Knee:
Pain under and around the kneecap, caused by a problem with the way the kneecap moves resulting in friction on the back of the knee.  Commonly caused by weakness or excessively tight muscles that cross the knee joint, pulling the kneecap away from its normal position. 

Meniscus Tear:
The meniscus is cartilage pads that act as shock absorbers of the knee joint, aiding in proper force distribution.  Tears in the meniscus can cause knee pain, swelling, instability, and locking.  In younger patients, it’s commonly caused by trauma and in older patients, from progressive degeneration of the cartilage.

Bursae are fluid-filled sacs that function as a gliding surface to reduce friction between moving tissues of the body.  They become inflamed from pressure (kneeling), trauma, overuse, or arthritis.  Symptoms can include swelling, tenderness, stiffness, and pain with movement or touch.

Jumpers Knee:
Commonly thought of as inflammation of the tendon below the kneecap (patellar tendonitis).  It’s a degenerative condition of the tendon from repetitive microtrauma (jumping).  Symptoms are gradually increasing pain below the kneecap with reduced activity and rest. 

IT Band Syndrome:
The iliotibial band is a thick band of fibrous tissue on the outside of the upper leg.  With overuse this tissue becomes irritated and inflamed, causing pain on the outside of the knee.  Most commonly thought to be caused by tight or weak muscles, or other structural imbalances. 

Osteoarthritis, a degenerative form of inflammation in the knee from “wear and tear.”  Cartilage wears down, decreasing space between the knee.  Friction between the bones causes more bone to grow.  Typical symptoms are painful motion, stiffness, weakness, and instability. 

Adhesion, Mobility, & Knee Pain 

The knee is a hinge joint making flexion the most functional range of motion.  A small degree of extension is ordinary with numerous ligaments checking end motions.  Therefore flexion mobility is the most crucial factor in knee mechanics. A healthy knee can flex fully, pain-free, with ease.   Limited flexion alters mechanics of the knee increasing risk of pain, joint damage, and degeneration.  The knee is also vulnerable to excessive stress due to dysfunctional hip and ankle mechanics.  Adhesion commonly develops in the knee capsule and quadriceps from overuse such as running, squatting, and skiing. 

Adhesion is connective tissue that acts like glue in the body limiting flexibility and strength.  Adhesion commonly causes limited knee flexion.  Fixing adhesion in the knee restores flexion and healthy mechanics, reducing injury risk.  If you experience knee pain, your first step should be testing knee flexion.

Below are two videos demonstrating how to test yourself for limited knee mobility.  
If these tests are limited, difficult, or painful we can help.  

Is limited mobility causing your knee pain?
Test Yourself

Knee Flexion

Quadriceps Mobility

  • On your back; knee straight up
  • Pull one leg towards your butt
  • Full mobility: heel touching butt
  • Repeat on other leg

  • Upright Torso
  • Bring heel to butt - maintain contact
  • Knee pointing straight down
  • Full mobility: heel touching butt, knee down

These are only general tests of knee mobility.  They do not establish a diagnosis.  

Patient Testimonial

Dr. Holen provides a level of service that is second to none. I have been treated by countless chiropractors and physical therapists in the past, but none come close to the excellence that he provides. Do your body a favor and get the care you deserve. Go to Avail Soft Tissue and Spine.

Andrew W.

Knee Pain Relief