Understanding Chronic Knee Pain
Knee pain that persists for more than 3 months is considered chronic.
Moreover, Unlike acute injuries, chronic knee pain rarely results from a single event — it develops gradually from repeated stress, poor movement patterns, muscle imbalances, or underlying joint changes. The encouraging news is that the large majority of chronic knee pain cases respond well to physiotherapy.
Common Causes of Chronic Knee Pain
Patellofemoral Pain Syndrome (PFPS)
Pain around or behind the kneecap, aggravated by stairs, squatting, and prolonged sitting. Caused by abnormal tracking of the patella due to quad/hip imbalances or foot mechanics. Highly responsive to targeted physiotherapy.
Osteoarthritis
In addition, Gradual cartilage breakdown causing stiffness, swelling, and deep joint pain. Exercise and physiotherapy are the most effective long-term treatments — more effective than passive treatments. Surgery is rarely the first option.
Patellar Tendinopathy
Pain at the tendon below the kneecap, common in athletes who jump frequently. Caused by progressive tendon overload. Requires a specific loading programme — rest alone does not heal tendinopathy.
IT Band Syndrome
Sharp lateral knee pain in runners and cyclists. Results from repeated friction of the IT band over the lateral femoral condyle. Hip strengthening and running technique correction are key interventions.
Treatment Approach at Alter Physio
Moreover, We start with a thorough assessment to identify the exact structure causing pain and the underlying contributing factors. Treatment typically combines:
- Manual therapy to restore joint mobility and reduce pain
- Targeted strengthening of the quadriceps, glutes, and hip stabilisers
- Movement retraining to correct the patterns driving the problem
- Load management guidance to allow return to sport or activity
- Acupuncture for pain modulation where appropriate
Do Not Accept Knee Pain as “Normal”
Chronic knee pain is common, but it is not something you have to live with.
Therefore, With the right treatment approach, most patients see significant improvement within 6–12 sessions. If knee pain is stopping you from doing the activities you enjoy, book a consultation at our Amsterdam clinic today.
nWritten by Hidekazu Kuwabara, Registered Physiotherapist (BIG-registered, Amsterdam)
Hidekazu has over 10 years of clinical experience in physiotherapy and acupuncture. He specialises in musculoskeletal pain, sports injuries, and integrative East-West medicine at Alter Physio & Acupuncture, Amsterdam.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before making decisions about your health or treatment.
Written by Hidekazu Kuwabara, Registered Physiotherapist (BIG-registered, Amsterdam)
Hidekazu has over 10 years of clinical experience in physiotherapy and acupuncture. He specialises in musculoskeletal pain, sports injuries, and integrative East-West medicine at Alter Physio & Acupuncture, Amsterdam.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before making decisions about your health or treatment.
Written by Hidekazu Kuwabara, Registered Physiotherapist (BIG-registered, Amsterdam)
Hidekazu has over 10 years of clinical experience in physiotherapy and acupuncture. He specialises in musculoskeletal pain, sports injuries, and integrative East-West medicine at Alter Physio & Acupuncture, Amsterdam.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before making decisions about your health or treatment.
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Written by Hidekazu Kuwabara, Registered Physiotherapist (BIG-registered, Amsterdam)
Hidekazu has over 10 years of clinical experience in physiotherapy and acupuncture. He specialises in musculoskeletal pain, sports injuries, and integrative East-West medicine at Alter Physio & Acupuncture, Amsterdam.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before making decisions about your health or treatment.
Written by Hidekazu Kuwabara, Registered Physiotherapist (BIG-registered, Amsterdam)
Hidekazu has over 10 years of clinical experience in physiotherapy and acupuncture. He specialises in musculoskeletal pain, sports injuries, and integrative East-West medicine at Alter Physio & Acupuncture, Amsterdam.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before making decisions about your health or treatment.
