In all the ages, knee has been the commonest part to be injured or affected due to other medical conditions. The knee joint’s main function is to bend, straighten and bear weight of the body along with hips and ankles in standing, walking, squatting, stepping up and down and sitting in various positions. Thus, any mild to severe disability issues occurring in the knee will have its effect on all these movement patterns in some or the other way.
The knee is made up of bony structures, ligaments in the front, back and both the sides of the joints, cartilages, knee cap(patella), meniscus(a structure within the joint), bursa (fluid filled sacs under the muscle) and muscle tendons. Injuries or medical deteriorations in these structures will cause pain and other symptoms in the knee. Pain can be localized to a specific area or be more diffuse throughout the knee.
Acute injuries- It is the result of accidents such as twist, fall, excessive force or direct blow from a solid object in which inflammation has occurred immediately. In many sport activities, such acute injuries are very common. These can be fractures, ligament injuries such as strains, sprains or tear (for eg. ACL, PCL tear), meniscus tear (partial or complete) or dislocation of knee cap. This causes pain and swelling due to inflammation which is localized to a particular site in the knee according to the underlying structures involved. Along with pain and swelling there is decreased or no range of motion, difficulty in weight bearing and inability in doing any other activities which involves knee motions.
Medical conditions- Infections and conditions such as rheumatoid arthritis, gout, bursitis, septic arthritis have chronic effects on the knee giving pain, stiffness, muscular defects and difficulty in activities of daily living. Degenerative condition of osteoarthritis is the most commonly occurring issue giving impairments related to the knee joint which can cause mild to severe pain which is of chronic type aggravating in walking, climbing stairs, squatting, crossed leg sitting, it may also lead to abnormal postural changes, structural deformities and muscular imbalance.
Overuse injuries- Usage of knee joint and surrounding structures in an abnormal manner for a longer period of time can cause injuries such as Patellar tendinitis, patellar pain syndrome, iliotibial band syndrome, osteoarthritis, bursitis etc. These gives inflammatory changes, tightness in the musculature, stiffness in the joints, range restriction, knee buckling (locking of the knee) and discomfort with activities.
Treatment of knee pain is varied according to the condition that is causing it.
Heat therapy (short wave diathermy, hot packs, contrast bath), cryotherapy (cold packs, icing), electrical stimulation( TENS, IFT), Ultrasound therapy are used in relieving pain, inflammation, muscle spasms thus improving functioning in the knee joint and surrounding structures.
Exercises are important to bring back strength in the joint and the musculature for proper weight bearing and carrying out activities of daily living with ease.
Post-surgical exercise program is needed to achieve normal range of the motion in the joint, gaining muscle strength and reeducation of the joint function.
Quadriceps and hamstrings are the major muscles to be recruited in the cases of knee along with pelvic, core and calf muscles to recover overall normality in the individuals’ lifestyle.
Gait (walking) and balance training is also a progression to improve knee function.
Dr. Vigil V. Kavanal, is one of the best Physiotherapist in Mumbai. He uses advanced physiotherapy treatment to relieve from pain. With his treatment many patients got relief from pain such as Joint Pain, Knee Pain, Back Pain, Post Operation Treatment.
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4.7 out of 5 stars
5 out of 5 starsposted 1 year ago
Best physiotheraphy and best people...i truely recommend !!!
1 out of 5 starsposted 1 month ago
Had a very bad experience. I called before going at the clinic and asked them if I could come now. She said that I could and didn't inform me about the timings. Apparently I was only called for consultation and had to come back for session in the evening. What a waste of time and money. I was charged 300rs for consultation where as I didn't need one. I just had a slight neck sprain. Only needed few exercises to release the pain. Very bad management and coordination. Never going back.
Great they have the audacity to speak to their patients this way. Clearly it shows how they are. I left my feedback because you guys have bad management. You can keep defending it by calling me names. But a bad review will stay a bad review. I will make sure to spread the word.
PS WHILE LEAVING I DID MENTION I AM NEVER COMING BACK TO THIS CLINIC AGAIN. FORGET ABOUT EVENING.
You guys need to learn how to speak to the people.
You guys are hilarious. Don't try and threaten me with a legal action. I rest my case with the explanation I have given above. I am not going to repeat it again and again that I didn't know about your closing time as it was not informed to me. Try and learn how to take a constructive criticism instead of arguing constantly.
I never took any appointment for today evening so stop lying. I told the doctor then and there that I am never coming again. And stop talking like you are doing some social services. I very well paid you for the 10 minutes I spoke to your doctor.
I had a bad experience and my family, relatives and friends will never revisit this clinic. Period.
End of the story.
5 out of 5 starsposted 1 month ago
Dr Vigil's clinic is the best physiotherapy clinic I have visited so far for my mom's knee pain treatment. I could see positive results within 15 days. Our heartfelt gratitude and appreciation to Dr. Jasmine for her efforts and hard work. Highly recommended. Great gesture and hospitality.
A big thankyou to Dr Vigil clinic team! Keep rocking!😁👍