Knee Treatment 101

If you have ever had any sort of knee injury you are probably familiar with the standard knee pain protocol of RICE therapy.

This of course is:
Rest – Make sure you get plenty of rest so your body has a chance to heal the damage to your knee.
Ice – Ice down the area of the injury using ice, cold packs, or sometimes even frozen vegetables.
Compression – Wrap the area with an ACE bandage or tight fitting knee brace to keep the swelling down.
Elevation – Raise the knee above the level of the heart to reduce swelling and inflammation.

Of course this goes without saying that you went to your doctor’s to make sure there was nothing broken or torn.

What happens though if after a couple of weeks or a month that you have followed this knee treatment to the letter and you still have issues like pain, swelling, and inflammation?
What do you do if your doctor is saying “nothing is wrong” yet you still can’t run, bike or do the things you loved to do before your injury?

If you can answer “yes” to the previous two questions then you fall into a category thousands upon thousands of people find themselves in every year. It is sort of a knee treatment “limbo” where the questions about how to resolve the pain never ends and the answers are for all intents and purposes are non-existent.

What kind of knee treatment do you pursue at this point when the conventional knee treatment is not working?

It is time to start thinking outside “the box” about your knee treatment strategy. Let me first introduce you to a part of your anatomy that isn’t talked about much in regards to knee pain. It is called your fascia. Fascia or connective tissue in essence is a layer of fibrous tissue that permeates the body surrounding your muscles, bones, tendons, and ligaments. In some places of the body fascia is almost liquid like mercury and in other places can be as strong as a steel cable (think of the knots you get between your shoulder blades). A good example of fascia is the silvery coating over the top of chicken breast.

Now this next part I am going to tell you is really important in understanding your predicament with knee pain and why your knee treatment is not changing what is going in your knees. Especially, if you have scar tissue that has built up because of your knee injury. Scar tissue is nothing more than connective tissue (fascia) that collects at the site of the injury to protect your knee from getting injured further. This is cool for the injury, not cool if you want the injury to heal and for it to never come back again.

In essence the connective tissue has re-molded itself to your “new body” to compensate for your injury. This has a big effect on your lymphatic system (think of your lymphatic system as the trash collectors in your body). Now when your body begins to form scar tissue to protect the knee injury and you can think of the scar tissue like the police are now shutting down the roads so the trash collectors can’t pick up the garbage. The police are going to stay there until they get orders from the city commissioner to do differently because that is their job.

So now the trash keeps piling up and the trash collectors can’t get to the garbage to haul the trash away and the police won’t let the trash collectors in until they are told to go home. This is the perfect conditions for the garbage to start stinking and the flies and rats to move in.

Back to your knees. Scar tissue is building up, the lymphatic system can’t move the old dead cells out of your knee, and as a result you have swelling, inflammation and pain because now the pressure is being put on the nerves in the knee from the patterning in the scar tissue and excess fluid buildup.

So what is the answer? Just think of your brain as the city commissioner and all you need to do is tell the police to go home so the trash collectors can do their job!

You can also think of “un-kinking the garden hose” all we need to do is create the space in the joint so your body begins to relax and unwind itself through comfortable body positioning. When you get the knee comfortable, the pressure is taken off of the nerves in your knee sending a signal to your brain (city commissioner) that it is OK to send the police home.

I know this is somewhat of a complicated description for knee treatment. It is actually quite a simple process that happens quite quickly once the mind can get around the concept of comfort. You can think of it like following directions to a new friend’s house for the first time. By the fourth or fifth time you can almost get to their house blindfolded!

This is the very same with proper knee treatment and recovering from your knee injury.

30 comments on “Knee Treatment 101

  1. Hello again. I had “arthoscopic” knee surgery to “repair” a torn meniscus on October 22, 2010. That was over 8 months ago…shouldn’t I be better by now? As it goes, I am sorry that I had it done because the discomfort I had before wasn’t so bad..now, even though I have a good day here and there, the pain is worse when it occurs. Yikes..what should I do? I will probably go back to the doctor..but, I have been putting it off because I don’t want more surgery. Any suggestions? May I speak with you or someone? I don’t have Skype..I do have Vonage. Thank you for your help..Rose Clark

    • Hi Rose…I have heard your story quite often…If we were working together you would be better by now…Let’s setup a time for a “Knee Freedom” strategy session and figure out a game plan for you…Click on the following link to do so…http://www.on2url.com/app/adtrack.asp?MerchantID=143560&AdID=553280 – Skype is a free download, just go to Skype.com and I’m sure you can figure it out as hundred of my other clients have…Talk soon…Bill

  2. I had arthroplasty surgery to my knee 6 weeks ago and I am very dispondent with the progress to date. I have done excersises that were given to me in hospital and continue to do so. I can bend my knee to about 80 deg. Yesterday I went to a physio and she bent my knee, I was lying on my stomach, right up to my shoulder almost. I screamed in agony and she just continued. Today I can hardly move my knee and it has become inflammed again and is hot to the touch. What am I doing wrong or am I just being impatient. Please help me

  3. I am doing this on behalf of a friend. She had pain and fluid in her knee and
    went to a rheumatologist, who drained the fluid. After the treatment, the
    knee was MUCH WORSE; even more painful and stiff than before the
    treatment. Why? Please reply ASAP.

    • Daniel,

      First, how long after the treatment was the knee more painful and stiff? This can make a big difference…

      The pain and stiffness is a result of the her body’s nervous system tensing up to protect itself from getting injured further. This is the body’s natural reaction to pain…

      If she is interested in getting a better understanding of her situation and a strategy to make sure she’s going in the right direction to make sure she doesn’t have to think about her knee again. Then I believe it would be best to setup a FREE Knee Freedom Strategy Session…Just click on the following link and fill in the appropriate information… http://www.on2url.com/app/adtrack.asp?MerchantID=143560&AdID=553280

      Thanks
      Bill

  4. I had minor knee surgery and I am now virtually a cripple. It is stiff and painful and I can hardly stand and I am in week 15. I am trying to build up quad wastage with an aim of revisiting with a new OS. Mri shows only a bakers cyst and It is believed I have scar tissue. I am desperate and can hardly leave the bed. It has destroyed my family’s happiness and my sanity as well as my knee. Please help me with any advice.

  5. Dear Bill,
    First of all, thank you very much for creating such a website and I am impressed by you approach to “the problem”.
    I first found out (accidentally) your “The Simplest Knee Therapy In The World” video, and maybe the first time in 15 years of injury that I have, I felt full of hope. making the “alphabetical” exercises really helped me, and very quickly…
    But…I would like to ask you how to start my definate healing process..I had a skiing accident 15 years ago, and my right knee’s frontal cross ligaments teared off some part of the tibia bone (the ligaments were fine), and also my inner meniscus was teared off . The doctor had to “open” the knee during the surgery, and fixed the bone pito its placeeces, and he didn’t touch the meniscus, saying that during the time I would be resting, the meniscus would recover itself..My problem is that I’m a flamenco dancer, and when I do the strong footwork, especially when doing it on hard floor, I get terrible pain afterwards, and I even cannot walk, cannot bend my knee. My knee gets “blocked” and swallens..The doctor who saw my MR (2 years ago) said I had meniscus degeneration and arthrosis as well, and that I had com the knee of an old person (eventhough I’m 39)..I would highly appreciate if you can help me in starting a program so that I can recover and never get that problem again…I don’t want to quit flamenco dancing, as all the other doctors suggested to me.
    Yesterday I had “asked” the universe to bring me an opportunity to solve my knee problem completely, and I believe that’s why I’ve found your web page. Thank you very much!
    Respectfully,
    Asime

  6. Hello, My knee was aching for two months then this past Saturday, I took my dog (medium size) for a walk. After a walking only 2 blocks my right knee did a “pop” sound and I felt hot liquid through my knee. I had to call my husband to come and get me and I hopped home.

    I went to see a top Orthopedic at the HSS Hospital which is suppose to be the top hospital in the country and am waiting to have an MRI. On my visit, the doctor did not see anything unsual in the X-ray. (haven’t had the MRI yet).

    I dont want to find out I need surgery and am concern. I am walking with a cane now because I still have swelling and pain. I take the city train and need the cane so when I go up and down the stairs at the train station. That is the hardest part of my walking so that I can get to work.

    I want to do the Knee treatment you have on your website and see if this will improve my situation. It’s been almost a week since this happened. I will keep you posted.

    Also, how long should I wait before using the eliptical. I wanted to restart my exercise regiment.

    Thank you for your help.

    Janet

  7. I am 25 years old when I was 17 and 18 junior and senior I tore my ACL first one knee then the other. I had surgery to repair the ACL’s in 2003 & 2004. They used the patella to repair the ACL. I have had paid under my knee caps ever since. I can’t kneel on my knees if I work standing all day my knees are swollen and I have to tape ice bags to them to finish working. I have two little children 3 & 6. I have gone back to the original surgeon every year at least twice a year since 2004 only to have him tell me there is nothing he can do. I went for a second and third opinion which the second opinion said I’m sorry it sucks to be 25 and have your knees. The third opinion said who refered you to me looked at the MRI said my rt knee was bone on bone and my left knee had tons of broken cartilege under the knee cap. Told me to do gel injections which I haven’t tried yet. All of them have told me to strengthen my muscles around the knee but I can hardly stand to exercise to move the knees so how do I strengthen the muscles if it hurts to move them that much. I haven’t gone through your whole site yet which I was doing just before I contacted the post. I will also go through it after I submit this. I am hoping you have some suggestions for me. Yours Sincerely,
    Brittany Babst

    • Hi Brittany…We had very similar situations regarding surgery…The key is to begin to make your knees comfortable by getting the pressure off of the nerves in your knees…I would definitely get into the Virtual Knee Clinic and spend some time working with the Passive Stretching section of the Stretching Lounge…That’s going to give you some really high leverage in showing you how to make your knees more comfortable…Keep me posted as to how it turns out…Bill

  8. I have had a “scope” six weeks ago, for torn miniscus. Unfortunately have Bakers Cyst at back of the knee and that gives me lots of discomfort in moving the joint at times. Does one have to have the cyst surgically removed?

    • Clare – That is a discussion for you and your doctor to decide…However, I’ve had clients who have worked with some Chinese herb patches that has gotten those cysts to disappear…Something that you may want to check into…Bill

  9. Hello sir,
    my name is shravan and i hv pain in right knee bcz f this get troble to move my leg and strain in muscles.

  10. HI,
    Im 22 years old and have played sports most of my life, but last year i done my ACL I tore my right ACL and got surgery in september 2011, the surgery went perfectly, surgen used a graph from my patella. I have done my rehabilition and my physio said its went fine and to go back and play football (gaa) now, been trainen hard this 6 weeks, and after every training the day after training the front of my knee gets all stiff nd feels weak when i bend on it. im wondering is this ok? or normal even? i ice it after every training… im hoping you can help me out on this one please.

    thanks..

  11. I injured my knee 7 wks ago. Dr. said tissue tags had developed on the bone from knee being immobilized for so long, If after aggressive PT for 4 wks I still don’t have good ROM, he would have to break or cut them with scope surgery.
    Can’t find any info about that. He was like it was no big deal.

    • Hi Laura,

      Thank you for reaching out to us. I can understand how frustrated you may when you cant find answers. To better assist you, I have contacted you directly via email to obtain more information.

      Kind regards,

      Mimi|Customer Support

  12. I injured my knee about 2 months ago I went to the hospital and they drained fluid out of my knee and then gave me anti biotics n said it wasn’t suppose to swell back up again and it did and hurt a lot. So I went back and they put me on a brace and crushes for one week, then gave me a visit for a knee specialist they told me that it can be scar tissue in my knee. Is this a bad thing does scar tissue need any type of surgical removal?

    • Hi Jaime!

      Thank you for reaching out to us. To better assist you with what your experiencing, I have contacted you via email. I have a great program for you!

      Kind regards,

      Mimi |Customer Support

  13. Hello,
    I would like to ask if anybody has experienced the same thing I have going on. I have a tight pain on the backside of my left leg behind my knee. When I lift my left leg up it hurts. If I have to walk fast or run it hurts pretty bad. But if I apply pressure to my leg and lift it up it doesn’t hurt. Any suggestions would be appreciated.

  14. I am like many of the people commenting. I had some of the meniscus removed from my knee, initially it was better. Now it feels like grinding, catching. I am not sure if it is built up scar tissue? I had my other knee scoped 16 years ago and I don’t have any of those issues. I need some pointers, it’s limiting my physical activities. Thanks

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