Knee pain
We are committed to helping you understand what is causing your discomfort or pain
Knee pain can manifest as sharp, dull, or aching discomfort and may be accompanied by swelling, stiffness, or limited movement. It can result from injury, overuse, or conditions like arthritis, tendinitis, or ligament tears. A clear assessment helps us agree the right plan with you, or refer you on if needed. For knee pain from osteoarthritis, acupuncture may be offered as a temporary addition to exercise and hands-on treatment.
Below is general information about some common problems in this area. It isn’t a full list. If you’re not sure whether we can help, get in touch and we’ll talk it through.
You don’t need a referral to see an osteopath. You can book an assessment with us directly. At your first visit we’ll examine you, explain what we find and talk through your options. If osteopathy isn’t the right fit for you, we’ll tell you and suggest who can help.
Some problems do need your GP, for example if you need blood tests, scans or medication, or if your symptoms suggest an inflammatory condition such as rheumatoid arthritis. If we find this, we’ll refer you to your GP or another healthcare professional.
Runner's Knee
The iliotibial band (ITB) is a long, fibrous tendon that runs from the top of your pelvis down the outside of your thigh to the outside of your knee, acting as a stabiliser for both the knee and hip.
Runner’s knee, or iliotibial band syndrome, is a repetitive strain injury that occurs when the ITB rubs repeatedly against the end of the femur, causing friction and inflammation. This leads to pain on the outer knee that may also spread up into the thigh. Although it’s most common in long-distance runners, it can also affect people who participate in activities like cycling, tennis, or football.
At our clinic, our osteopaths can help treat runner’s knee by addressing any underlying imbalances or dysfunctions contributing to the condition. Whether you have a race or event coming up, or are looking for long-term relief, our team is experienced in helping runners return to their sport safely. We’ll also provide advice on exercises and strategies to reduce the likelihood of re-injury.
Patellofemoral Pain Syndrome
Patellofemoral pain syndrome refers to pain at the front of the knee, around the kneecap. It’s often caused by activities that put a lot of stress on the knee, like running, jumping, or climbing. It can also result from misalignment of the kneecap. When the muscles in the leg become tight and shortened, they can pull the kneecap upwards and to the side, which creates pressure on the cartilage at the back of the kneecap.
You might experience pain in the front of the knee during activity or after sitting with your knees bent for a long period. You may also notice your knees clicking or crackling when walking or climbing stairs.
Osteopathy can help by restoring length to the affected muscles, reducing inflammation, and improving both the range of movement in the knee joint and the strength of the surrounding muscles.
Meniscus Tear
The menisci are two C-shaped pieces of cartilage inside the knee joint that help absorb shock and provide stability. They can tear due to twisting movements or age-related wear and tear. A torn meniscus typically causes pain, stiffness, and swelling in the knee. You may also feel or hear a popping sensation at the time of injury, and it may be difficult to fully bend or straighten your knee, which can make it feel unstable when walking.
Any plan we agree will be tailored to you and may include advice and exercises you can do at home.
Ligament Sprains
Knee ligaments, including the collateral and cruciate ligaments, play a vital role in stabilising and controlling knee movement. The Anterior Cruciate Ligament (ACL) is often injured during sudden twisting motions, like in skiing or football, while the Posterior Cruciate Ligament (PCL) is typically injured by direct trauma, such as in a car accident. The Collateral Ligaments are commonly hurt by blows to the side of the leg, such as during a football tackle.
Symptoms of a ligament sprain can vary depending on which ligament is affected, but generally, you'll experience difficulty bearing weight on the knee, swelling, and bruising. You may also feel or hear a popping sensation at the time of the injury.
Osteopathy can help reduce pain and inflammation and promote tissue repair. Your osteopath will also guide you through specific exercises to strengthen the muscles around the knee, which are crucial for restoring stability and improving function in the joint.
Bursitis
A bursa is a small, fluid-filled sac that helps reduce friction between tendons and bones, and we have bursas around nearly every joint in the body, including the knee. Due to the knee’s complex anatomy, with numerous tendons and ligaments supporting its structure, there are several bursas around the knee that can become inflamed.
Bursitis in the knee is often caused by sustained pressure, such as kneeling for extended periods, direct trauma, or repetitive activities like running. Symptoms of knee bursitis typically include pain and swelling in the area of the affected bursa.
Osgood Schlatter Disease
Osgood Schlatter Disease is a common cause of knee pain in active adolescents, particularly during growth spurts. As the long bone in the thigh (femur) grows, the muscles must stretch to keep up with the rapid increase in length. This causes the tendons to pull on the bone’s growth plate where the muscles attach, leading to pain and inflammation.
The condition causes pain just below the knee, at the front of the shin bone (tibia). You may also feel tightness or stiffness in the muscles, and there may be a visible bump on the shin that is tender to the touch.
Arthritis
Osteoarthritis is a common condition that causes pain and inflammation in the joints. Often referred to as "wear and tear," it can occur at any age, typically as a result of an injury, but it is most common in people over 45. Over time, the cartilage in the joint becomes thinner, leading to increased friction and discomfort.
Osteoarthritis is a normal part of the ageing process, and many people with it will not experience symptoms. However, for those who do, symptoms include stiffness, reduced range of movement, and pain during activity. A grinding or clunking sensation may also occur, particularly in weight-bearing joints like the knee.
While there is no cure for osteoarthritis, osteopathy alongside exercise may help ease joint pain and stiffness.
In some cases, rheumatoid arthritis may be diagnosed, which can affect multiple joints simultaneously. If suspected, osteopaths will refer you to your GP for a blood test. Rheumatoid arthritis requires a more complex treatment plan that often involves working with your GP alongside osteopathic care.
Although osteoarthritis cannot be cured, osteopathic treatment alongside exercise may help ease pain and stiffness and support long-term self-management. Exercise and movement recommendations will also help maintain function and prolong the benefits of osteopathic treatment.
Osteopathy for knee pain in Runcorn, Frodsham & Widnes
We understand how much pain or discomfort can disrupt your daily life, and we’re here to help you move forward. By listening to your concerns and tailoring a treatment plan to your needs, our team is dedicated to improving your comfort, mobility, and overall quality of life. At A1 Bodyworks Clinic, your wellbeing is always our priority.



