Knee

Treatment for Knee Pain
in Kansas City

Knee injuries are common in athletes and often result in significant time lost as the athlete recovers. They come in a variety of types and severity and affect people of all ages and activity levels. Many result in knee arthritis over time and eventually may require knee replacement, which is the most common type of total joint replacement performed.

Ligaments & Meniscus

The Meniscus (plural “menisci”) is a rubbery cartilage disc that provides cushion, support and stability to the knee. Ligaments are structures that hold the four bones of the knee together (patella, femur, tibia, and fibula) and allow it to function properly. Common injuries include meniscus tears (e.g. bucket handle tears), ligament sprains, knee dislocations, and complete tears of the ACL, PCL, LCL, PLC, MCL, and MPFL.

NonSURGICAL TREATMENTS

  • Rest
  • Ice
  • Crutches
  • Elevation
  • Immobilization
  • Bracing
  • Physical Therapy

Surgical Treatments

  • Meniscus Debridement
  • Meniscus Repair
  • Meniscus Transplantation
  • Ligament Repair
  • Ligament Reconstruction
  • Anterior Cruciate Ligament (ACL) Repair/Reconstruction
  • Posterior Cruciate Ligament (PCL) Repair/Reconstruction
  • Lateral Collateral Ligament (LCL) Repair/Reconstruction
  • Medial Collateral Ligament (MCL) Repair/Reconstruction
  • Posterolateral Corner (PLC) Repair/Reconstruction
  • Medial Patellofemoral Ligament (MPFL) Repair/Reconstruction/Plication
  • Tibial Tubercle Osteotomy
  • High Tibial Osteotomy

Tendons

The patellar tendon and quadriceps tendon connect the quadriceps muscles to the patella (knee cap) and tibia so that the knee can be straightened and allow us to walk. These tendons can suffer partial tears (e.g. tendinopathy) or complete traumatic rupture.

Nonsurgical Treatments

  • Rest
  • Ice
  • Compression
  • Elevation
  • Immobilization
  • Platelet Rich Plasma (PRP) Injections

Surgical Treatments

  • Patellar Tendon Repair
  • Patellar Tendon Reconstruction
  • Quadriceps Tendon Repair
  • Quadriceps Tendon Reconstruction
  • Hamstring Avulsion Repair (most commonly affects the hip)

Cartilage

The articular cartilage is a specialized structure found in all joints that allows the bones to glide smoothly on one another and move without pain. Unfortunately, cartilage is frequently injured and has a poor ability to heal itself. Osteochondritis dissecans (aka OCD) is a specific type of cartilage injury to children and adolescents.

Nonsurgical Treatments

  • Rest
  • Immobilization
  • Platelet Rich Plasma (PRP) Injections
  • Physical Therapy

Surgical Treatments

  • Arthroscopic (Minimally Invasive) Surgery
  • Autologous Chondrocyte Implantation (ACI)
  • Chondroplasty
  • Distal Femur Osteotomy
  • High Tibial Osteotomy
  • Juvenile Cartilage Transplantation (DeNovo)
  • Microfracture
  • OCD Repair
  • Osteochondral Autograft or Allograft Transfer (OATS)
  • Tibial Tubercle Osteotomy

Degenerative

Multiple causes of degenerative joint disease (traditionally “wear and tear” of the knee) exist including chronic cartilage and meniscus injuries, untreated or severe OCD lesions, gout, pseudogout, trauma, infections and arthritis.

Nonsurgical Treatments

  • Oral Anti-Inflammatory Medicines
  • Cortisone Injections
  • Hyaluronic Acid Injections/Visco-Supplementation
  • Platelet Riche Plasma (PRP) Injections
  • Physical Therapy
  • Low Impact Exercise
  • Weight Loss

Surgical Treatments

  • Chondroplasty
  • Microfracture
  • Osteochondral Transplantation (OATS)
  • Autologous Chondrocyte Implantation (ACI)
  • Osteotomy (High Tibial or Tibial Tubercle)
  • Partial Knee Replacement (Arthroplasty)
  • Unicompartmental Knee Arthroplasty
  • Patellofemoral Arthroplasty
  • Total Knee Replacement