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Clarksville, TN

Knee Pain - A More Natural Option

A second opinion on your knee starts with what's causing the pain, what your choices are, and the everyday movement you want back.

CERVICALLUMBARSACRUM
The spinal column, neck to pelvis, with no one region singled out

A person holding their lower leg while seated

Knee pain has more than one possible cause, so we look for yours before we talk about treatment. If you'd like to avoid surgery, the options worth your time fit that cause, and a plan that isn't helping should change. A treatment isn't automatically safer or more effective because it isn't surgery, which is why we start with the cause.

What's causing your knee pain?

Pain after a twist, a swollen knee and stiffness that builds slowly can each come from something different, such as a ligament or meniscus injury, a tendon problem, or osteoarthritis. The NHS knee pain guide sorts out the common patterns and when to get care, but pain alone can't tell you which one you have.

At your first visit to our Clarksville office we start with your story: when it started, any injury, swelling, locking or giving way, and what's gotten hard, like stairs, walking, getting up from a chair or sleep. It helps to bring the names of treatments you've tried and any reports. We don't assume your knee needs to be pushed back into position, and an adjustment isn't automatic at a first visit.

When knee pain needs urgent care

Get urgent medical assessment for a knee that's very painful, can't bear weight or can't move, is badly swollen, has changed shape, or locks, gives way or clicks painfully (clicking without pain is normal). Redness or heat around the knee, with a high temperature or feeling hot, cold or shivery, needs urgent assessment too, because infection is a possibility. These are warning signs the NHS lists, and with any of them, please don't wait for a routine chiropractic visit.

What are the nonsurgical options for knee pain?

For diagnosed knee osteoarthritis, NICE recommends exercise tailored to you, information and support (sections 1.2 and 1.3), with help on weight management where that applies. NICE notes that exercise can improve pain and function, though discomfort can go up at first. That advice is about osteoarthritis, not every knee injury.

The same guideline says manual therapy should only be considered alongside exercise for hip or knee osteoarthritis (recommendations 1.3.6 and 1.3.7), and that the evidence doesn't support using it alone. Nothing in it shows an adjustment realigns the knee, restores worn cartilage or prevents a knee replacement, and we don't claim it does. Hands-on care for a knee has its own risks, so it earns a place only when it adds something exercise alone doesn't.

Medicines can have a role alongside exercise and other care (section 1.4); your doctor or pharmacist can explain which suit you and their risks. NICE also says referral for joint replacement (section 1.6) can be the right step when osteoarthritis substantially affects quality of life and nonsurgical care isn't working or isn't suitable. Choosing that assessment isn't a failure.

Getting a second opinion on your knee pain

A second opinion should leave you with a working diagnosis and the reasons behind it. We'll go over what we found before we recommend anything, and if it points to a problem outside chiropractic care, we'll tell you and refer you for the right medical evaluation. Otherwise the plan is built around your goals, like the stairs at home or a walk you've stopped taking. We won't promise you a knee that never hurts.

Our joint pain guide and arm and leg pain guide go deeper.

If we are not able to help you with your problem or are unable to reduce your pain levels, we will make sure to give you a recommendation to another experienced provider. Unless it's one of the urgent signs above, a first visit is where we start looking for why your knee hurts.

Follow the evidence

Research, with context.

Selected published sources behind what we've written, each with what it found and what it can't tell us. We give you both halves because no paper can diagnose you or predict how your own care will go.

  1. Randomized controlled trial 2020

    Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee

    156 patients with knee osteoarthritis in the US military health system.

    What it foundPatients assigned physical therapy had less pain and disability at one year than those assigned glucocorticoid injection.

    What it can't tell usIt was a physical therapy trial in one particular setting. It doesn't show cartilage regeneration, and it doesn't vouch for every treatment offered for knee pain.

    Publication details & citation

    Deyle et al. Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee. New England Journal of Medicine. 2020. DOI: 10.1056/NEJMoa1905877.

    Read the publication record

Our editorial policy explains how to read these sources and what our clinical-review labels mean.