At London Knee Doctor we believe that comprehensive and thorough knee examination by an expert is key to diagnosis and a targeted treatment plan.
Having asked some detailed questions about your symptoms, we will have an idea of what the problem is: whether it is arthritis, an injury to the ligaments or cartilage or a problem with the patellofemoral mechanism.
At your appointment you will be taken through a general knee examination and, depending on these findings, and information from your symptoms, a more specific examinations will be performed.
The knee will need to be exposed from the hip to the ankle, and so clothing such as trousers, skirts and tights need to be removed. Some patients like to bring a pair of shorts with them to wear during the examination.
General knee examination
You will be observed both standing and walking for a general view of your posture and leg alignment.
Your knee will also be observed whilst you are lying down and assessed for the presence of fluid and the range of movement.
Specific Knee examination
The knee will be taken through a range of motion, comparing it to the other knee.
Any swelling (effusion) will be looked for.
The knee will be palpated to find the point of maximum tenderness.
The ligaments will be checked in sequence.
Finally the ‘meniscus provocation tests’ will be performed to see if a potential tear of the menisci are causing pain.
There may also be some other more specific tests, for example if there is instability of the kneecap (patella).
The hip and/or ankle is often examined as abnormalities here can often present as knee pain.