Knee Pain Physiotherapy at Home in Khadki, Pune

Many knees in Khadki have spent decades working hard. Serving and retired defence personnel marched, drilled and carried loads. Players at the local grounds, where hockey was played on hard ground, twisted and landed repeatedly. Others simply climbed the same staircase every day for thirty years. By the time the knee begins to hurt, it is usually the sum of many things, and treatment works well when it respects that history.

Our guide to knee pain physiotherapy explains the common causes in general. What follows is about knee care at home in Khadki.

Where the knee is tested in Khadki homes

• Entrance steps. Quarters and bungalows often have a raised verandah or a step at the gate. A single high step is harder on a stiff knee than a gentle flight.
• Older buildings with several floors. Near the bazaar, many people climb two or three floors with no lift, often carrying shopping.
• Floor sitting. Prayer, meals and family occasions often involve sitting on the floor. Getting down and up again asks a great deal of a painful knee.
• The station and its footbridge. Khadki station has a footbridge, and moving between platforms means stairs. Pain on stairs is among the commonest reasons for avoiding the train.
• Open grounds and lanes. A good walk is part of many people's day here, but uneven ground and slopes can set off pain.

The home assessment

The physiotherapist asks about the pain: where it is, when it began, whether it follows an injury, and whether there is swelling, locking or giving way. Then comes an examination: movement of the joint, strength of the thigh and hip muscles, the way you stand and the way you walk. Foot position and the back are often checked too, because they influence the knee. If you have X-ray or MRI reports from the past, bring them, though they are not required to begin.

Treatment combines gentle mobilising of a stiff joint, graded strengthening of the thigh and hip muscles, work on balance, and a plan for activity. We practise on your own steps where it is safe. For former sportspeople, the plan includes agility and control exercises in due course, with attention to the knee's response the following morning. For those with arthritis, the aim is to keep the joint moving and the muscles strong so that it is better protected. If the pain started after a recent operation, the page on post-surgery rehabilitation in Khadki explains how rehabilitation is staged.

The physiotherapist will also talk about weight, footwear and the surface you walk on. A pair of shoes with cushioning and a firm heel is more useful than expensive knee supports.

Between visits

• Walk in short, regular outings rather than one long outing. Pause on a bench or a wall if the knee complains.
• Use a cushion or a firm chair with arms instead of a low seat.
• Go up stairs with the good leg first and down with the painful one first, holding the rail.
• If the knee swells after activity, rest it raised and avoid kneeling or squatting until it settles.
• Do the strengthening exercises on the days agreed, without pushing through sharp pain.

Knee problems that need prompt medical attention

Seek a doctor quickly if the knee becomes hot, red and swollen with fever, if you cannot bear weight after a fall or twist, if the knee locks and will not straighten, if the leg looks deformed, or if the calf is swollen and painful. These can point to infection, a fracture, a torn structure or a blood clot, and exercise should wait until a doctor has examined you.

Home visits can be requested on the booking page. You can also read about home physiotherapy in Khadki, and the page on elderly physiotherapy in Khadki if balance is also a worry.