Chiropractors/Long term knee pain

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Expert: - 5/8/2008


Question
For the past 4-6 months my right knee has been hurting. The pain is coming from a little above the kneecap, right on the top of my knee. It is a constant, dull pain. Standing or walking for extended periods will easily agitate my knee and the pain will increase.

I've seen my chiropractor for this, and he concluded it was caused by a weak arch in my right foot in conjunction with my then weightlifting hobby. I purchased the recommended foot inserts and was on my way.

The foot inserts do help the pain, however, I do not wear shoes all the time, nor am I constantly standing. The pain is still there when I am not using the inserts, and it feels the same as before, that is, that I do not feel like my knee is actually improving. I have resorted to trying to "stretch it out" through controlled stretching exercises, and now I notice my entire right leg is less limber than my left, and my right buttocks feels tense and tight after very light stretching.

So now I am lost. What is causing my knee pain, and what can I do to make it better? Has my knee now caused problems with my hip? Please help!

Many thanks,
J

Answer
"....little above the kneecap, right on the top of my knee...."  

Hello, sorry to hear you are not improving.

The orthotics sound like a good start.  Besides that treatment, what others are being utilized?  Adjustment of the spine, hip, knee, ankle, foot could all be indicated depending upon physical findings. Modalities like ultrasound, infrasound, electrical muscle stimulation could be helpful.  Ice after activity could be helpful.

I am thinking of a suprapatellar bursitis or perhaps a patellar tendonitis.  The knee pain location that you describe would most likely be one of these.  A sport injury chiropractor would be helpful. The American Chiropractic Board of Sport Physicians member list could direct you to a local Doctor of Chiropractic with additional sport credentials (ACBSP.COM).  

Thank you, Good Luck, and

I wish you Good Health, Naturally!

Victor Dolan, DC, DACBSP

http://www.DocDolan.net
http://www.GoodHealthNaturally.info

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Dr. Victor Dolan, DC, DACBSP

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Staten Island Chiropractor Dr. Victor Dolan | 718-981-9755 | www.drvictordolan.net | www.statenislandchiropractor.com | Nutrition, Sciatica, Headache, Neck Pain, Back Pain, Herniated Disc, Workers Compensation, Auto Accident Claims, Vertebral Subluxation Complex, Muscle Spasm

Experience

Palmer College Graduate 1983; Thirty years in practice in my hometown of Staten Island, New York. Expert in Neuro-musculo-skeletal complaints. Utilizing techniques such as Chiropractic via Palmer Package, Diversified, Thompson, SOT, Activator, Manipulation Under Anesthesia and Nutritional Guidance. I am also a Certified Nutritionist.

Organizations
Pi Kappa Chi Alumni Association President; PKX Alumni Brother of the Year; Knights of Columbus Masons; Ancient Order of Hibernians

Publications
American Public Health Association (2003) - Oral Presentation

Education/Credentials
Bachelor of Science (cum laude) Wagner College 1979; Doctorate of Chiropractic (cum laude) Palmer Chiropractic 1983; Licensed Doctor of Chiropractic, New Jersey (38MC00634000) & New York (X3567); Diplomat, National Board of Chiropractic Examiners; Certified Chiropractic Sports Physician - A.C.A./New York Chiropractic College (1986); Diplomat, American Chiropractic Board of Sport Physicians (1996); Diplomat, American Academy of Pain Management (1998); Certified Personal Fitness Trainer; Certified Emergency Medical Technician - New York State and National Registry; Certified Manipulation Under Anesthesia (1998); Certified Clinical Nutritionist - International & American Assoc. of Clinical Nutrition (1999)

Awards and Honors
Prevention Magazine – Award for Chiropractic Excellence 1998; Chief of Chiropractic - Doctors Hospital - New York 1997; SICTV NOVA (Notable, Outstanding Video Achievement Award) - Award for Most Popular Series (1996/1997/1998); Volunteer Heart Resuscition Unit - Commendation for Meritorious Service (1994); SICTV NOVA (Notable, Outstanding Video Achievement Award) - Best Health Series (1994); Staten Island Richmond Lions - Melvin Jones Fellowship Award (1993); Pi Kappa Chi - Alumni Fraternity Brother of the Year (1987/1988); American Public Health Association (2003); American Chiropractic Board of Sport Physicians Symposium Presentation - Adolescent Athletic Injury (2004)

Past/Present Clients
Doctors Hospital of Staten Island - Chief of Chiropractic (1997-2001); Curtis High School Football (1988 to present)- New York City PSAL Football CHAMPION (2007)

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