Anatomy of Anterior Knee Pain

This diagram shows some of the structures described last week which can cause pain around the front of the knee.

You can narrow down where your knee pain is coming from by pressing around the knee. With quite a lot of types of anterior knee pain the pain comes exactly from the source of the problem.

If the pain emanates from the top part of the knee cap it is highly likely you have quadriceps tendinopathy, if the pain comes from the lower tip of the knee cap it is likely you have patella tendinopathy, although this needs more specialised assessment as there are several structures extremely close together that could be causing the pain. Accurate diagnosis of the structure is important because the treatment and rehabilitation is different.

If the pain is more vague you should definitely seek a specialist assessment with a physiotherapist. We can usually see you within 48 hours of you calling in, so give us a ring and let’s get your knee sorted.

01438 317037

Kerri Surman – Specialist Sports and Musculoskeletal Physiotherapist

Anterior Knee Pain

Basically, this means pain at the front of the knee! 

We see a lot of people with knee pain that seems to have come on for no reason, there was no actual injury incident, but the pain is getting worse or just won’t go away. Sometimes the pain is pinpoint specific and sometimes it is more vague. 

Anterior knee pain usually causes symptoms of pain going up and down stairs, pain when standing up after sitting for more than half an hour which eases after a few steps and difficulty kneeling on the sore knee.

The source of the pain could be the back of the kneecap itself, sometimes the cartilage on the back of the kneecap can become painful and inflamed. The pain could be coming from the patella tendon which attaches onto the bottom of the kneecap and the top of your shin bone, it could also come from various squashy tissues at the front of the knee which are there to reduce friction when the knee is moving.

Anterior knee pain can be easily helped with physiotherapy – but if it isn’t treated it tends to go on and on, not really getting better on its own. The longer it is left, the worse the pain tends to get the longer it will then take to get better once you visit a physio.

This is a pain that you shouldn’t push through and you shouldn’t ignore.

If you are suffering from any of these symptoms please get in contact with us, the sooner the better. We will absolutely be able to help.

Give our lovely reception team a call on 01438 317037 to book in.

Kerri Surman – Specialist Sports and Musculoskeletal Physiotherapist

Treatment for Low Back Pain

There are many ways to treat the causes of low back pain, the one we will focus on today is spinal manipulation. This term refers to specific positions and movements applied to the joints of the lower back to create more flexibility and freedom of movement and therefore less pain. Sometimes these manipulations result in clicking noises from the spine but not always – and not having the clicking noise doesn’t mean the treatment hasn’t worked.

Spinal manipulation has been shown to significantly reduce pain in the lower back and can reduce muscle spasm.

All of our physiotherapists are qualified in spinal manipulative techniques. If you would like treatment for low back pain or any other back pain don’t wait – call us today on 01438 317037.

Kerri Surman – Specialist Sports & Musculoskeletal Physiotherapist

Exercise for Low Back Pain

An amazing exercise for easing out muscular pain in the lower back area is the Child’s Pose Stretch. This is actually a yoga pose called Balasana and is a resting pose, meaning it is relaxed and can be held (rested in) from as little as 30 seconds up to a few minutes.

Balasana or Child’s Pose Stretch

Follow this linkfor a description of how to do this great stretch.

This shouldn’t cause your back to hurt more than it already does, if your pain increases don’t continue with the stretch and seek some further physiotherapy advice by calling us on 01438 317037.

Kerri Surman – Specialist Sports & Musculoskeletal Physiotherapist

Anatomy of Low Back Pain

Most low back pain is muscular, largely due to the muscles named Quadratus Lumborum or QL for short. The QL are 2 large muscles which attach to the top of your pelvis, 4 of your Lumbar vertebrae and your lower ribs. The QL muscles are involved in all movements of the lower back in some way although they are not really the main movement muscles, they are mostly helpers. They also help with breathing due to their attachments onto the bottom of the rib cage. 

The Quadratus Lumborum Muscle shown in red

When we sit for long periods of time the main movement muscles of the lower back become weak because we aren’t using them – this means that when they are called upon and cannot provide enough strength, the QL muscles help out more than they should do. They then get very fatigued and painful. This can also lead them to become strained or go into spasm and this is the root of a lot of low back pain.

Unfortunately, once we have had an episode of back pain it is very likely it will happen again unless we address the underlying issues causing the problems.

Our expert physiotherapists can help ease the pain of QL spasm as well as lots of other causes of back pain. We have been providing back pain treatment to the people of Stevenage for over 25 years. 

Don’t leave it and hope that it goes away, you are likely to need advice on how to reduce further episodes of back pain. 

Call us now on 01438 317037, we will be able to see you within 48 hours and usually have appointments available even sooner.

Kerri Surman – Specialist Sports & Musculoskeletal Physiotherapist

Low Back Pain

80% of the UK population will suffer from back pain at some point in their life.

According to the Health and Safety Executive’s Labour Force Study of 2016-17 38% of sick days were due to back pain, this totals 194,000 cases leading to 3.2 million sick days.

Most back pain is muscular in origin or has a large muscular component to it and will usually ease within 6-12 weeks as long as you are able to keep moving through the pain. Physiotherapy can help speed up this process considerably.

If you feel that the pain is not just muscular or you have symptoms such as pain travelling down either or both legs, or pins and needles/numbness – you definitely need to see a physiotherapist. Symptoms like these should not be left – the quicker you get treatment the faster your recovery.

Our Physiotherapists have over 50 years of combined experience and we see a lot of low back pain! We are experts in the assessment, diagnosis and treatment of low back pain, so if you are suffering don’t delay, call us today on 01438 317037 – we can see you within 48 hours (weekends not included). 

Kerri Surman – Specialist Sports and Musculoskeletal Physiotherapist

Treatment for a Stiff Neck

At the Back Pain and Sports Injury Clinic we treat all types of neck pain every single day. For this type of neck pain and stiffness one of the treatment techniques we utilise is a very effective treatment called traction. 

The traction gently opens the facet joints reducing the compression and increasing blood flow to the joint surfaces. This blood flow helps to reduce stiffness, heal the sore tissues and will therefore improve your range of movement.

We have numerous testimonials from people who have had great results being treated with neck traction.

If you are suffering with neck pain and stiffness it is important you get it checked by a healthcare professional who is fully qualified and has lots of experience assessing and treating the neck – just like our physiotherapists here at the Back Pain and Sports Injury Clinics.

Give us a call and book an appointment 01438 317037

Kerri Surman
Specialist Sports and Musculoskeletal Physiotherapist

Exercise for a stiff neck

When the facet joints become stiff and less mobile, we need to find ways of getting them moving. A very helpful stretch is the side flexion stretch.

You should tip your head away from the painful/stiff side. This has the effect of stretching the sore muscles and stiff joints. If you tip towards the sore side, you will be compressing the sore joint which has become sore due to compression!!!!

This stretch may be slightly uncomfortable but shouldn’t be painful.

If this stretch causes and long-lasting pain or causes and pain which travels down your arms you should stop it immediately and get a physiotherapy appointment.

To get more information about your neck pain and some treatment and exercises tailored just for you please call us to book in with one of our expert physiotherapists on 01438 317037

Kerri Surman
Specialist Sports and Musculoskeletal Physiotherapist

Anatomy of a Stiff Neck

The facets are joints within the spine, 2 at each level – a left and a right. The 2 surfaces of the joint glide over each other due to lubrication naturally within the joint. As we move more, the joint becomes more lubricated, this is why once we are up and moving in the morning, the stiff neck starts to feel al little better.

When the joint is stiff and sore it will naturally move less, this can lead to long-term reductions in your range of motion.

It is important to see a qualified physiotherapist if you are suffering from neck pain or stiffness. Call us on 01438 317037 to book a consultation.

Kerri Surman
Specialist Sports and Musculoskeletal Physiotherapist