Repetitive Strain Injury/Knee Pain


Hi Julie,

I have had pain just slight below and to the right kneecap in the divot that is there if you know where I mean.
Its not a pain caused by pressure, I can put as much or a little pressure on that leg as I like, it seems to be caused more by leg use.

I've had it since November 2011, I've been to the GP once and they prescribed me with an anti inflammatory called Naproxen 250mg but they didn't have any effect. Painkillers have no effect on it either. Even since I was a kid my knees have both clicked when ever I knelt down but since I have had this it doesn't happen in my right knee any longer. Sometimes after waking up or sitting at a desk for a while when I get up the whole knee feels kind of tight as if its just expanded.

I don't do a lot of exercise but I do walk around 30-40 miles a day with my work.
I have been prescribed the exact same medication for a shoulder problem I have now. I am hoping it might cure both but I doubt this will be the case.

Thanks for your time and I hope I have provided you with enough info


Hi Patrick,

There are several reasons why you may have knee pain given your level of activity.  The first is that your quadriceps are tight and are pulling up on your kneecap.  The second is more involved but is such a common cause of knee pain that it is worth exploring.

I suggest you go to and read about Muscles and Pain, including the sections titled "Muscles and Pain" and "What's Happening Exactly," and then go to to read about each muscle that rotates your pelvis and has an end-result of putting pressure on your knees.

After you have read all that information, please feel free to come back and we'll continue the discussion.  The odds are very good that you can self-treat each of the muscles and get significant relief, if not complete relief from this pain.

Wishing you well,
   Julie Donnelly

Repetitive Strain Injury

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Julie Donnelly, LMT


I can accept questions that relate to chronic or acute pain caused by muscle spasms and contractions. Repetitive Strain Injury is actually Cumulative Trauma to muscles. Releasing the spasm &/or contraction will relieve the strain that is felt at the insertion point on the bone. I am the co-developer of the unique safe-stretching program "Focused Flexibility Training," which combines easy instruction for self-treating spasms throughout your body with proven yoga stretches. I have recently authored two new books: "The 15 Minute Back Pain Solution," and "The Secret to Your Best Golf Game EVER!


Since 1989 I have been working with endurance athletes and individuals suffering from chronic pain conditions. I have authored seven self-treatment books and three self-treatment DVDs and I have developed the Julstro System for the treatment of carpal tunnel syndrome, Trigger Finger, and other Hand/Wrist pain. I am a national and international presenter at conventions, seminars, and workshops. Principle topics are "Work Shouldn't Hurt," and "The Pain Free Athlete." In 2005 and 2006 I was the massage therapist for ultracyclists competing in the Race Across America (RAAM) 3000+ mile race from San Diego, CA to Atlantic City, NJ. I've taught the Julstro techniques to physical therapists at the Cleveland Clinic, to massage therapists in areas around the USA, and I've taught Julstro self-treatment clinics to dancers at Juilliard School of Performing Arts (NYC),the sprinting team at NC State, and I am working closely with several Olympic-hopeful. We have successfully eliminated the repetitive strain injuries that could keep them out of the Olympic Games, and the best part is they know how to do the self-treatments so they can stay pain-free and flexible.

Triathlete Magazine, Endurance Magazine, multiple national and international trade journals.

Swedish Institute of Allied Health, NY, NY - Initial education in massage therapy Licensed NYS Massage Therapist since 1989. SUNY Empire State College, Saratoga Springs, NY - B.Sc. degree in Interdisciplinary Health Education I was an Associate Professor helping to develop the massage training program for SUNY Rockland Community College

Past/Present Clients
Privacy prevents me from filling in this section without prior consent from my clients. Life Experience: I have been specializing in the treatment of chronic pain and sports injuries since receiving my NY massage license in 1989. A personal bout with carpal tunnel syndrome was the catalyst to my developing a self-treatment that heals the symptoms of carpal tunnel syndrome quickly and without surgery. My work with endurance athletes was the inspiration to teach people how to self-treat so they could stop pains even during a race or heavy training day. Both of these situations ultimately became the products that are sold on my websites: and I currently treat people in my offices in Sarasota, FL, Cary, NC, or Pearl River, NY

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