Knee pain can be caused by the knee joints, including patellofemoral, tibiofemoral and tibiofibular joints. Each joint pain has its characteristics. Patellofemoral joint pain is characterized by pain with ascending or descending stairs, squatting or kneeling, tibiofemoral pain is characterized by pain with prolonged standing, walking, ascending or descending stairs; meniscus tear is characterized by sharp pain, sometimes the knee locks; ACL/PCL tear is characterized by injury history, positive MRI result. All these pains are associated with tender and trigger points in structures surrounding the knee or distant.

If the knee pain is over three months, patient shouldn’t rely on the pain medicine and steroids. Opiates misuse has been US national crisis. Patient should be aware many patients were killed and are killing by opiates. Repetitive injection of steroids makes knee pain worse eventually other than better. Even non-steroid pain medicine has serious side effects, such as digestive ulcer. Chronic knee pain patients should seek natural healing treatments, such as physical therapy, acupuncture.

Many patients are scared by the X-ray, MRI results. Some patients need surgery, and others doesn’t. Although the problem is in the joint, there are local or distant tender points and trigger points are associated. Counter Stimulation Therapy, an integrative approach of physical therapy and acupuncture, will evaluated both the joint and associated tender or trigger points, and a premium plan of care is made to address all the joints and associated structure. Patient can expect fast and better recovery.

Adherent to the plan of care is essential to the best outcome.