We see a wide variety of injuries which affect the knee both acute or traumatic, and from overuse or repetitive stresses. With a traumatic injury such as a sprain to one of the major knee ligaments, a meniscus tear, or post-operatively from a ligament reconstruction, or other arthroscopic surgery, we will help you safely regain your range of motion and proprioception, work on gait retraining, and muscle strengthening to help prevent secondary complications from these injuries, and return you safely to activity. Common overuse injuries we see in the knee are patellar tendinitis, patellofemoral pain syndrome, osteoarthritis, and others. These injuries result from repetitive abnormal forces placed on the knee and patella which cause inflammation, and degeneration of the protective cartilage covering on the bones or micro-tears in the tendon. These abnormal forces can be caused by over-pronation of the feet during walking/running, and weakness in the stabilizing muscles of the core and pelvis. These conditions often affect manual labourers, runners, and those starting a new activity program, if workout intensity or distances are increased to quickly, changing the surface you run on, or if you are using improper or worn out footwear. With treatment, initially you need to stop or limit the aggravating activity to give the tissues time to heal. We will work to manage the inflammation to promote an optimum environment for healing through manual techniques, modalities and icing instructions. We will use manual techniques and a prescribed stretching program to decrease muscle tension, taking stress off the healing tissues. We will look at your feet, gait mechanics, and the muscle activation/strength of your stability muscles in the core, pelvis and arch, and develop an appropriate exercise program to build strength and ingrain proper movement patterns. We can fit you for custom orthotics and give you advice on proper footwear to help prevent this condition from coming back!