There are several conditions around the knee and shin which are related to lower limb biomechanics:
Anterior Knee pain
- Overpronation/flat feet causes the arch to drop and the knee to rotate inwards. This puts abnormal forces through the patella (kneecap) and causes irritation and inflammation at the surface. As a result of long term pain, the quadriceps muscles may waste, producing further irritation and altered biomechanics.
Iliotibial band syndrome
- Pain on the outside of the knee, caused by abnormal friction and rubbing of the iliotibial band over the outside of the knee joint.
- Pain normal starts gradually and worsens with activity
Shin pain (commonly referred to as ‘shin splints’)
- Pain at the front and/or inside section of the shin bone (tibia)
- Anterior shin pain is often experienced by new runners or walkers, pain occurs in the muscles at the front of the shin during exercise
- Posterior shin pain is a more chronic condition occurring along the inside edge of the shin bone. It generally occurs due to overuse through impact sports.
How can it be treated?
All of the above conditions are related to poor foot biomechanics. Orthotics will assist in restoring normal foot mechanics and offloading stress from the affected structures.
You may also benefit from soft tissue massage, taping, rest from aggravating activities and a strengthening programme for the quadriceps. Look out for my top 2 quadriceps strengthening exercises next week…