Knee pain


Introduction to Knee Pain

Definition and Prevalence

Knee pain is a common problem affecting a wide range of individuals, from athletes to the elderly. This pain can vary in intensity, from mild discomfort to severe and incapacitating pain. Statistically, a significant proportion of the population suffer from knee pain at some point in their lives, highlighting the importance of understanding and effectively treating this condition.


Knee Anatomy

The knee is one of the most complex and stressed joints in the human body. It is made up of three main bones: the femur, tibia and patella, held together by ligaments and tendons. Cartilage and menisci play a crucial role in cushioning shock and facilitating movement. This complex structure makes the knee particularly vulnerable to injuries and degenerative pathologies.


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Common Symptoms

Knee pain symptoms can vary widely, including acute pain, often due to injury or trauma, and chronic pain, usually associated with conditions degenerative diseases such as osteoarthritis. Patients may also experience swelling, stiffness, redness, and decreased mobility. These symptoms can significantly impact quality of life, limiting daily activities and sports.


Psychological and Social Impact

In addition to physical discomfort, knee pain can have a notable psychological and social impact. Limitations in daily activities and hobbies can lead to frustration and depression. Additionally, chronic pain can affect social and professional relationships, highlighting the importance of a holistic approach in treatment knee pain.


Causes of Knee Pain

General Causes of Knee Pain

Knee pain can be attributed to a variety of causes, ranging from acute injuries to degenerative diseases. THE sports injuries, such as sprains and ligament tears, are common causes among athletes. For the general population, factors such as aging, being overweight and daily wear and tear can lead to conditions like knee osteoarthritis. It is also important to note that certain occupations requiring repetitive movements or strenuous physical exertion may increase the risk of knee pain.


Specific Pathologies Affecting the Knee

Several specific pathologies can cause knee pain. Osteoarthritis, one of the most common causes, results from the breakdown of articular cartilage. Meniscal injuries, common among athletes, occur when the cartilage pads between the femur and tibia are damaged. Tendonitis, inflammation of the tendons, is another common condition, often caused by overuse or repeated stress on the knee.


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Aggravating Factors

Certain factors can make existing knee pain worse. Being overweight puts additional pressure on the knee joints, potentially accelerating the breakdown of cartilage. Poor posture or incorrect body alignment can also increase strain on the knee. Additionally, lack of adequate muscle strengthening or insufficient flexibility can contribute to knee instability, exacerbating pain.


Importance of Prevention

Prevention plays a role key in managing knee pain. This includes maintaining a healthy weight, doing regular exercises to strengthen the muscles around the knee, and using proper technique during physical activities. Raising awareness of the specific risks associated with certain professions or sporting activities is also crucial to preventing knee injuries and pain.


Treatment of Knee Pain with Laser Therapy

Principles of Laser Therapy

The laser therapy, a non-invasive treatment method, uses specific wavelengths of light to stimulate healing and reduce pain and inflammation. This advanced technology promotes cell regeneration and improves blood circulation in affected tissues. The lasers used can vary in intensity, allowing customization of treatment depending on the severity and type of knee pain.


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Efficiency and Applications

Of the clinical studies demonstrated the effectiveness of laser therapy in the treatment of knee pain, particularly for conditions such as osteoarthritis, tendinitis and ligament injuries. This method is appreciated for its ability to reduce pain without the side effects associated with certain medications. Laser therapy is often used as an adjunct to other treatments, like osteopathy, to optimize results.


Conduct of a Laser Therapy Session

A typical laser therapy session for knee pain lasts about 30 minutes. The patient generally feels a feeling of heat pleasant in the treated area, without pain. There is no recovery time required, allowing patients to return to their daily activities immediately after the session. The number of sessions required varies depending on the individual and the severity of the condition.


Safety Considerations and Contraindications

Although laser therapy is widely considered safe, it is crucial to consult a professional qualified for appropriate evaluation before starting treatment. Certain conditions, such as cancer or pregnancy, may be contraindications. The safety and effectiveness of the treatment depends greatly on the expertise of the practitioner and the correct use of the equipment.


Treatment of Knee Pain with Osteopathy

Fundamentals of Osteopathy in the Treatment of the Knee

Osteopathy is an approach holistic therapy that focuses on the diagnosis, treatment and prevention of musculoskeletal disorders. In the context of knee pain, osteopathy aims to improve function and reduce pain by restoring balance and harmony in the body. Osteopaths use a variety of manual techniques, including joint manipulation, soft tissue massage and stretching, to treat muscle and joint imbalances that may contribute to knee pain.


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Osteopathic Techniques for Knee Pain

Specific osteopathic techniques for treating knee pain include joint mobilization, which aims to restore mobility and reduce stiffness, and myofascial release techniques, which target soft tissues to relieve tension and pain. Osteopathy also takes into account contributing factors, such as postural imbalances or mechanical problems elsewhere in the body, which could influence knee health. Each treatment is personalized according to the specific needs of the patient.


Benefits and Osteopathic Follow-up

Patients who receive osteopathic treatment for knee pain may benefit from reduced pain, improved mobility, and increased joint function. In addition to immediate benefits, osteopathy aims to provide long-term solutions, by educating patients on healthy lifestyle practices and exercises that can prevent the recurrence of pain. An osteopathic aftercare plan may include regular sessions, advice on physical activity and dietary recommendations.


Importance of the Personalized Approach

Osteopathy recognizes that each patient is unique, and therefore, treatments are highly personalized. An experienced osteopath will assess not only the painful knee but also other areas of the body that may be contributing to the pain. This comprehensive approach ensures that all potential factors are considered, providing a comprehensive and effective solution for knee pain.


Treatment of Knee Pain with Shock Wave Therapy (Shockwave)

Introduction to Shock Wave Therapy

The shockwave therapy is a non-invasive treatment method used to treat various musculoskeletal conditions, including knee pain. This technology uses high-energy acoustic waves to promote tissue regeneration and repair processes. It is particularly effective for chronic conditions that have not responded to conventional treatments.


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Functioning principles

Shock waves are generated by a device and transmitted through the skin to the affected area. These waves cause a biological reaction in the tissues, stimulating blood circulation and cellular metabolism, which promotes natural tissue healing. Shockwave therapy is known for its effectiveness in reducing pain and improving function.


Indications and Efficacy

Shockwave therapy is indicated for various knee conditions, such as tendinitis, bursitis, ligament injuries, and some forms of osteoarthritis. It is particularly effective in treating chronic pain and conditions that involve connective tissues such as tendons and ligaments. Many studies have shown significant improvement in pain and mobility in patients treated with shock waves.


Progress of a Shock Wave Therapy Session

A typical shockwave therapy session lasts approximately 15 to 20 minutes. The treatment is usually felt as a series of pulsations or beats over the affected area. Although some patients may experience mild discomfort during treatment, it is generally well tolerated. The number of sessions needed varies depending on the condition being treated and the patient's individual response.


Safety Considerations and Contraindications

Shockwave therapy is considered safe, with relatively few side effects. However, it is not recommended for certain populations, including pregnant women, people with bleeding disorders or those who have metal implants in the area to be treated. As with any medical treatment, a consultation with a qualified healthcare professional is essential to determine if shock wave therapy is appropriate for your condition.


Knee Pain Associated with Pelvic Misalignment and Back Problems

Introduction to Referred Knee Pain

Knee pain is not always directly related to a problem with the knee itself. In some cases, they can be the result of misalignment of the pelvis or problems in the lumbar vertebrae, particularly L4-L5. These referred pains are often unrecognized and may require a different diagnostic and therapeutic approach.


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Pelvic Misalignment and Knee Pain

Misalignment of the pelvis, including displacement of the sacroiliac joint, can cause uneven weight distribution across the legs, leading to overload and pain in the knee area. This imbalance can alter the biomechanics of walking and posture, increasing stress on the knees. Symptoms may include one-sided knee pain, a feeling of imbalance, and pain in the pelvis or lower back.


Back Problems and Knee Pain Radiation

Problems in the lumbar vertebrae, particularly around L4-L5, can cause pain radiating toward the knee. This irradiation is often due to compression or irritation of the nerve roots in the lumbar region, which can be caused by herniated discs, spinal osteoarthritis, or other back pathologies. Symptoms may include radiating pain along the path of the nerve, numbness, tingling, or weakness in the leg.


Diagnosis and Therapeutic Approach

Diagnosis of knee pain of pelvic or lumbar origin requires a comprehensive evaluation, including a physical examination, mobility tests and, if necessary, imaging studies. Treatment may involve osteopathic techniques to realign the pelvis and improve function lumbar support, strengthening and stabilization exercises, as well as postural advice. In some cases, collaboration with other healthcare professionals, such as physiotherapists or chiropractors, may be beneficial.


Importance of the Holistic Approach

A holistic approach is essential to effectively treat knee pain of pelvic or lumbar origin. This involves not only treating pain and inflammation in the knee, but also addressing the underlying causes of pelvic misalignment or back problems. Such an approach ensures a better understanding of pain mechanisms and promotes more complete and lasting healing.


Complete Picture of Knee Conditions, Their Treatments and Effectiveness

Knee Condition/Associated Problem Description Osteopathic Treatment Laser Therapy Treatment Shock Wave Therapy (Shockwave) Spinal decompression therapy Effectiveness of Treatments
Osteoarthritis of the Knee Progressive wear of articular cartilage. Gentle mobilization techniques, work on muscular and postural balance. Reduction of inflammation and pain, improvement of mobility. Stimulation of tissue regeneration, reduction of pain and inflammation. Not specifically indicated for knee osteoarthritis. High for the first three treatments.
Meniscal lesions Tears in the menisci, often due to twisting movements. Myofascial release techniques, improvement of joint mobility. Acceleration of healing, reduction of inflammation and pain. Acceleration of healing, improvement of mobility, reduction of pain. Not specifically indicated for meniscal lesions. Medium to high, depends on the severity of the lesion.
Knee tendonitis Inflammation of the tendons around the knee, often due to overuse. Soft tissue release techniques, advice on physical activity and posture. Reduction of inflammation and pain, improvement of blood circulation. Reduction of inflammation, stimulation of tissue healing. Not specifically indicated for knee tendonitis. High for the first three treatments.
Ligament Sprains Stretched or torn knee ligaments. Joint mobilization, strengthening of stabilizing muscles. Reduction of inflammation, acceleration of tissue healing. Reduced pain, improved ligament healing. Not specifically indicated for ligament sprains. High, especially in the acute phase.
Gonarthrosis (Knee Arthritis) Inflammation and degradation of the knee, often linked to arthritis. Mobilization techniques, advice on activity and weight management. Reduction of pain and inflammation, improvement of joint function. Reduced inflammation, improved mobility and joint function. Not specifically indicated for knee osteoarthritis. Medium to high, effective for symptom management.
Iliotibial Band Syndrome Pain due to friction of the bandage on the outside of the knee. Myofascial release, muscle rebalancing, advice on running techniques. Reduction of inflammation, improvement of soft tissue flexibility. Reduction of tension and pain, improvement of flexibility. Not specifically indicated for iliotibial band syndrome. High, especially with a combined approach.
Knee Bursitis Inflammation of the bursae of the knee. Soft tissue release techniques, reduction of pressure on bursae. Reduction of inflammation and pain, improvement of mobility. Reduced inflammation, improved mobility and function. Not specifically indicated for knee bursitis. High for the first three treatments.
Patellar Chondromalacia Softening and breakdown of the cartilage under the kneecap. Muscle rebalancing, improvement of patellar alignment. Stimulation of cartilage regeneration, reduction of pain. Improved cartilage regeneration, reduction of pain and inflammation. Not specifically indicated for chondromalacia patella. Average, depends on the progression of the condition.
Basin Misalignment Pelvic imbalance that can cause overload on the knees. Realignment of the pelvis, mobilization techniques, muscle strengthening. Can be used to relieve secondary knee pain. Not specifically indicated for pelvic misalignment. Not specifically indicated for pelvic misalignment. High for osteopathy.
Back Problems (L4-L5) Lower back problems causing radiating pain to the knee. Lumbar mobilization techniques, strengthening and stabilization of the back. Can be used to relieve radiating pain. May help relieve pain and improve function in cases of chronic pain. Targeted treatment for lower back problems, relieves pressure on the discs. High for osteopathy, shock wave therapy and Spinal decompression therapy.

This comprehensive table provides an overview of different knee conditions, including issues associated with pelvic misalignment and lower back disorders, as well as available treatment options, including Spinal decompression therapy. It offers an assessment of the effectiveness of each treatment, providing a comprehensive understanding of therapeutic approaches for knee pain and associated conditions.


Conclusion – Summary and Perspectives on the Treatment of Knee Pain

Summary of Therapeutic Approaches

This series of pages has explored in depth the various causes and treatments of knee pain. We looked at conditions ranging from knee osteoarthritis and meniscal injuries to referred pain due to pelvic misalignments or lower back issues. Treatments covered include osteopathy, laser therapy, shock wave therapy, and Spinal decompression therapy, each with unique benefits depending on the patient's specific condition.


Importance of a Personalized Approach

One of the most crucial aspects in treating knee pain is the need for a personalized approach. Each patient presents with a unique combination of symptoms, medical history and living conditions, requiring a tailored assessment and treatment plan. The interaction between different medical and therapeutic disciplines can often provide the best results.


Role of Prevention and Education

Prevention plays a vital role in managing knee pain. Educating patients on good postural practices, appropriate physical exercise and weight management can help prevent the onset or worsening symptoms. Additionally, a thorough understanding of the mechanisms of their conditions allows patients to actively participate in their healing process.


Future Outlook

Advances in the fields of medicine and physical therapy continue to expand the treatment options available for knee pain. Ongoing research into new technologies, such as regenerative therapies and personalized genetics-based treatments, promises to bring significant improvements in the care of patients with knee pain.



Knee pain, although a common health problem, requires specialized attention and expertise for a effective treatment. By combining a thorough understanding of different conditions, a personalized treatment approach and continued attention to prevention, it is possible to effectively manage knee pain and significantly improve patients' quality of life.


  1. Osteoarthritis of the Knee : Discover our innovative approaches for the treatment ofosteoarthritis of the knee, a common condition causing joint pain and stiffness.
  2. Laser Therapy : Explore how laser therapy can effectively reduce inflammation and pain related to knee disorders.
  3. Osteopathy : Learn more aboutosteopathy and its key role in the treatment of knee pain and realignment of the pelvis.
  4. Shock Wave Therapy : Find out about the shockwave therapy, a non-invasive method to treat knee tendinitis.
  5. Spinal decompression therapy : Discover the Spinal decompression therapy to relieve knee pain caused by lower back problems.
  6. Meniscal lesions : Consult our page on processing meniscal lesions, a common cause of knee pain.
  7. Iliotibial Band Syndrome : Find information about the treatment of iliotibial band syndrome, a common condition among runners.
  8. Knee Bursitis : Visit our section dedicated to knee bursitis to understand this inflammation and its treatment options.
  9. Patellar Chondromalacia : Deepen your knowledge of patellar chondromalacia and available treatment techniques.
  10. Knee Pain Prevention : Browse our advice on knee pain prevention, essential for maintaining good joint health.


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Preparations for treating knee pain

  • Book your appointment online or contact our staff at the TAGMED clinic to book your appointment by phone.
  • Before going to the TAGMED clinic in Montreal or Terrebonne for your first treatment, there are some things you should absolutely do. First, make sure you have your medical imaging reports (X-ray, MRI, or ultrasound) available.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Finally, if you were unable to complete our form, as mentioned above, arrive 15 minutes before your appointment time to ensure you have enough time to discuss your condition, make the assessment and your treatment.

To be completed before your consultation at TAGMED clinic

Download, print and complete this questionnaire (your health history), before consulting us, in order to save time. (Click on the tablet!)

Clinical TAGMED Montréal Terrebonne


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