Chiropractors/Clicking knee


Mark wrote at 2013-11-14 15:22:10
Hi Rob,

This is an ongoing problem I have experienced for two years now. I share the exact same symptoms as you - a bruised tender swelling under my knee cap after I go surfing or skating, or if I sit down and bend and extend my knee a couple of times eventually it will make a loud cracking sound when I extend it. This injury was brought on by excessive swimming, predominantly breaststroke.

I have sought out years of advice from oesteopaths, physiotherapists and a sport physician, all of which have given me conflicting advice and therapy options.

Originally, the physio gave me an improper diagnosis, telling me I had tight muscles around the knee and simply rolling on a pilates foam roller would reduce the stress the tight muscles were causing and I would fully recover within weeks.

After 6 months the injury had become worse. I then went to an oesteopath who said it was a bone misalignment, my tibia and fibula had shifted (supinated) under my femur during swimming. He then performed a simple but very forceful manipulation. Within two days the swelling had disappeared almost completely and my knee made a magical recovery, though it only ever healed to around 70-80% in strength. I returned to skating and surfing immediately.

Now a year and a half on I have gone through a series of episodic pains which have slowly but surely come back to haunt me. I have tried a good year of pilates as well as a series of other strengthening exercises but nothing is really getting rid of the problem. My knee is now in a critical state it is causing me distress at work and I can no longer surf!

Just yesterday I sought out the advice from an incredibly prominent sport physician. An MRI was conducted of which turned out to show absolutely no abnormal signs. My oesteo said this would be the case also. As a result the physician said it could be three things:

1. A peripheral meniscal tear

2. Plica syndrome

3. Patella Tracking

He suggested knee arthroscopy to determine and treat the nature of the injury. I am meeting with a knee surgeon next Tuesday. When I informed my mum, who has worked in the medical community for 8 years, she told me to stay away from surgery at all costs and a bunch of horror stories of people writing back to the physicians saying the surgery had in fact exacerbated the problem. I am incredibly confused and frustrated. Any advice would be enormously appreciated!



All Answers

Answers by Expert:

Ask Experts


Dr. J. Shawn Leatherman


I can answer questions on general chiropractic care, sports injury, whiplash and auto crash, mild traumatic brain injury, structural and functional rehabilitation of the spine, nutrition for inflammation and repair, fitness training, nutrition for sports performance and other general health and nutrition related inquiries. I currently lecture on automobile trauma, occupant kinematics, and forensic risk analysis to local EMS, Fire and Police, as well as nutrition and sports injury to community groups. Rest assured all answers are generated from my clinical experience, and scientific research.


I have accumulated over 1100 hours of post-doctoral training to include; Certifications in Spinal Trauma and Mild Traumatic Brain Injury from the Spine Research Institute of San Diego, Certification in Chiropractic Spinal Trauma from the International Chiropractic Association, Certification in Low Speed Auto Crash Reconstruction and Certification in Forensic Risk Analysis from The Center for Research Into Automotive Safety and Health, Certified Proficiency in spinal and extremity diagnostic procedures from The Motion Palpation Institute, Certified in Sports Injury and Rehabilitation from the National University of Health Sciences and The American Chiropractic Board of Sports Physicians, Nationally Certified Fellow of Structural Rehabilitation from The Chiropractic Biophysics Organization, and I have advanced training in manipulation under anesthesia and nutrition. Feel free to check out my website for course listings:

International Chiropractic Association, Florida Chiropractic Association, American Chiropractic Board of Sports Physicians, American Academy of Pain Management, Chiropractic Biophysics, Spine Research Institute of San Diego, Center for Research Into Automotive Safety and Health, Motion Palpation Organization, American Academy of Manual and Physical Medicine, Fort Walton Beach Chamber of Commerce

B.A. (Psychology)The University of Cincinnati B.S. (Human Biology)Cleveland Chiropractic College D.C. (Doctor of Chiropractic) Cleveland Chiropractic College C.C.S.T. (Certification in Chiropractic Spinal Trauma)The International Chiropractic Association C.C.S.P. (Certified Chiropractic Sports Physician)The American Chiropractic Board of Sports Physicians. *CCST and CCSP 120 hour certification courses are not recognized by the Florida Chiropractic Board due to the fact that they are not 300 hour diplomate level courses*

©2016 All rights reserved.