Today, let’s focus on myofascial treatment of knee pain, specifically in the front, upper area of the knee. The knee seems like a small area but when it gives us trouble it literally dogs our every step. This is the most common area that might be painful for you. Pain on the outside of the knee is often related to IT Band issues. See our article on New Trends in IT Band Pain Relief for more information on this. Pain below or behind the knee may involve other muscles. Pain on the inside or deep within the knee may also suggest degeneration within the joint. However, we should still investigate myofascial factors since trigger points and taut bands can both cause this pain and/or significantly accelerate arthritic processes.

Primary Causes of Anterior Knee Pain

moyfascial treatment of knee painThis pain is most often caused by trigger points in the one of the quads – rectus femoris. This is a long muscle, running the entire length of the thigh. It is also the only one of the four quads to cross the hip; the other three attach to the femur and stop within the thigh.

Note that the trigger point for this muscle is very high up in the thigh, just below the crease of the hip. This muscle has the strongest and most direct connection to the knee cap of the quads. So, resting tension causes pain at the end point of the chain – the knee.

These issues tend to persist because the muscle does not ordinarily go through full stretch in the course of daily activities. This requires  simultaneous complete flexion of the knee AND extension at the hip. It is not a common movement.

What Makes Knee Pain Worse?