FAQ Category: Knee

I live in a rural area and am planning to have my knee replaced soon. There is not a good option for in home physical therapy, but my doctor has recommended a clinic that will set up tele rehabilitation sessions. Is this as good as having a therapist come to my home, or should I try to get into town to see one?

This is a problem for many people in all areas of medicine and with improvements in internet access telemedicine is increasing. There haven’t been too many studies on comparing the quality of these services as far as physical therapy is concerned. However there has been on recent study by Moffat […]

I tore my meniscus and ACL, should I try to have the meniscus repaired?

Borchers et all studied meniscus and cartilage injuries in primary ACL and revision surgeries through the Multicenter Orthopaedic Outcomes Network and the Multicenter ACL Revision Study. This research found that meniscus injuries are the most common additional injury found in both primary procedures and revision. Having history of meniscectomy is […]

Why do my knee caps hurt when I run, squat or descend stairs?

The causes for pain behind the knee cap can be coming from any number of problems or multiple issues combined. Getting your legs assessed by a trained movement assessment specialist for possible faulty alignment issues in the leg joints,insufficient muscle strength, sport training errors, and overly tight muscles is a […]

I recently tore my ACL and have been attending physical therapy for strengthening for the past month with good results.  My therapist brought it to my attention that I might not need an ACL reconstruction.  I thought if you tore it you needed to fix it.  Is this true?

Just because you tear your ACL does not mean you need surgery.  There is a percentage of the population that are able to “cope” and use their muscles to stabilize their knee during activities.  The decision to have surgery or not have surgery is ultimately yours to make, but you […]

What can I take away from this article?

You need to look closely at the different options available in your area. You may need to meet with different physicians to find the right option for you.

How do you measure anterior laxity of the knee?

A machine called a KT2000 arthrometer is used. The machine can be set to output a certain amount of force (in this study 134 Newtons, which is about 30 lbs. of force). It slides the tibia (lower leg bone) forward in the knee joint and measures the amount of movement.

If I think my knees hyperextend will I have an ACL tear?

Just because you have hyperextension in your knees does not mean that you will tear your ACL. THe research shows that you are at a higher risk for sustaining an ACL tear than a person who does not have knee hyperextension. If you are concerned about your knee hyperextension, speak […]

I am 50 years old and generally active however have been limited lately by my knee pain.  My doctor says I have osteoarthritis.  What are some things that I can do to keep my pain to a minimum and keep moving as long as I can?

The current treatment guideline for OA, based on a recent literature review by the American Academy of Orthopedic Surgeons, strongly suggest that you keep up with a good gym program to stay strong, keep unnecessary weight off, maintain heart health with a low-impact aerobic activity (like biking), and correct any […]

What is the difference between an autologous chondrocyte implantation and an osteochondral allograft transplantation? I have a large cartilage tear that goes clear down to my bone and my surgeon is suggesting I have an osteochondral allograft transplantation.

An autologous chondrocyte implantation is a two-step procedure. The first portion involves harvesting cells from cartilage in your body and then growing them in a lab until there is enough for the repair site. The second step involves the actual placement of that tissue. An osteochondral allograft transplantation (OCA) is […]

I am a 25-year-old competitive kick boxer. Six months ago I tore my medial meniscus and some of the cartilage under it. I have been strengthening and getting ready for surgery but am trying to figure out what surgery will be best for me. I want to be able to get back to my previous level without having to worry about having arthritic knees when I’m 40.

It sounds as though you have a deep cartilage tear along with your medial meniscus tear. Based on a recent review of surgical options for someone like you (a high end athlete, young, and a big chondral tear), you might look into getting an osteochondral allograft transplantation (OCA). This involves […]