Knee pain is a common and unwelcome symptom. It can present either through a direct injury, such as twisting of the joint while playing sport, or more gradually over time due to poor movement patterns, repeated loading, or congenital conditions.

Our approach to treating knee pain is equally as broad. At Pure Physio, we tailor your individual treatment plan to suit your lifestyle and objectives. Not everyone wants to run a marathon — but if that’s your goal, we will help you get there!

Our approach to knee pain treatment

Knee pain or dysfunction frequently causes a negative impact on our normal daily function, both in work and social pursuits.  After all, the knee joint is a crucial component of the lower limb as it forms the connection of the hip and thigh to the shin and ankle. It therefore play a vital role in our ability to both weight bear and generate normal movement through the lower limb.

That’s why our approach to assessment, treatment and rehabilitation is so thorough: to identify the exact underlying causes of your knee presentation, address them in relation to your goals and needs, thus getting you back on your feet, faster.

Our team of experts has a fantastic track record of resolving some of the more difficult and longstanding knee conditions. In addition to advanced analysis techniques, we believe in the importance of hands-on treatment. After gaining the full picture of your injury, we use techniques including soft tissue therapy, mobilisation, dry needling, and stretching, to assist in recovery. These practices play a key role in alleviating your pain now and preventing knee pain in the future.

We commonly treat:

Post-surgical rehabilitation for ACL, patello-femoral syndrome, ITB syndrome, tendinopathies, acute ligament sprains and muscle strains, and meniscus injuries, and post fracture rehabilitation.  We are also highly skilled at treating conditions that present with symptoms in the knee, but are related to the biomechanics of the foot and ankle, or hip, pelvis and trunk.

When should I see a physiotherapist?

If you’ve experienced any of the following general signs or symptoms, we recommend you get in touch with the team as soon as possible:

  • Pain of any nature (dull, sharp, shooting) in or around the knee.
  • Resting pain.
  • Pain when completing basic physical tasks.
  • Any kind of audible ‘pop’ or ‘crack’ in the knee joint, or sensation of instability or giving way.
  • Significant pain or swelling after an identifiable incident.
  • An overwhelming sensation of stiffness or tightness in or around the knee joint.
  • Any kind of altered sensation in the joint, including clicking and dislocating, where the knee feels like it is ‘separating’ from the knee joint.
  • Sensations of burning, numbness, tingling.
  • Inability to complete your normal physical activities.


Noting which symptoms apply to your injury helps toward your diagnosis, which is made at the initial appointment after a full assessment.

Pain can vary from being:

  • Aching, dull, diffuse.
  • Sharp, shooting or specific.


Onset may be:

  • A sudden injury.
  • Gradual, with no specific or identifiable injury or incident.


  • Normal everyday activities, including walking or weight bearing.
  • Specific sports activities, including jumping, landing, twisting or rapidly changing direction.


  • Stiffness and/or swelling.
  • Weakness.
  • Numbness.
  • Burning
  • Tingling

Common conditions

Pain and inflammation caused by friction of the iliotibial band of the tendon against the outer aspect of the knee joint. This issue is often related to repetitive linear activity and overuse of the muscles of the outer aspect of the hip joint. Video analysis, rehabilitation physiotherapy and manual therapy are very effective in treating the symptoms and cause of ITB Friction syndrome.

The ACL is one of two ‘crucial’ ligaments in the knee. Most ACL injuries occur when the athlete is landing from a jump, pivoting or changing directions suddenly. A complete rupture is often painful and significant swelling occurs within a few hours of the injury. Other symptoms include restricted range of motion and the knee giving way. Post-operative rehabilitation on a traditional ACL rupture can take up to 12 months.

Defined as pain in or around the patella (kneecap). It is commonly made worse by squatting, kneeling, walking down stairs or running. Recent theories suggest factors such as overuse/overload and poor biomechanics of the whole lower limb create an inflammatory response that results in pain around the joint. Full assessment will examine all of the possible contributing factors to determine the underlying cause of your knee pain.