Are you knees "locking"? Are you having knee pain climbing stairs?

It may be your footwear...

Knee pain can affect people of all ages. The condition ranges from sports-related injuries, mechanical problems, and various types of arthritis.  A knee injury can affect any of the ligaments, tendons or fluid-filled sacs (bursae) that surround your knee joint as well as the bones, cartilage and ligaments that form the joint itself. We often see patient with chronic knee pain that leads to low back pain and vice versa. Some of the more common knee injuries include:

Torn meniscus. The meniscus is made of a tough, rubbery cartilage that absorbs shock between your upper leg and lower leg. It can be torn or cracked if you suddenly twist your knee while bearing weight on it.

Knee bursitis. Some knee injuries cause inflammation in the bursae, the small sacs of fluid that cushion the outside of your knee joint so that tendons and ligaments glide smoothly over the joint.

Patellar tendinitis. Tendinitis is irritation and inflammation of one or more tendons — the thick, fibrous cords that attach muscles to bones. Runners, skiers and cyclists are prone to develop inflammation in the patellar tendon, which connects the quadriceps muscle on the front of the thigh to the shinbone.

Chondromalacia Patella (Moving Knee Pain).

The most common knee condition seen in our office is a condition called chondromalacia patella. Patients will often come in the office and complain of knee pain while using stairs, getting out of a crouch position, or sports related jumping action such as spiking a volleyball.  

Depends on the grade (I-IV) of chondromalacia, physical therapy with specific exercises is effective in treating this condition through strengthening the muscles that support your knees, such as your quadriceps, hamstrings and especially the muscles around your lower inner thigh.

Don't miss out on enjoying life and living pain free!

Request an appointment today!

Request an Appointment

Knee pain treatment in Midtown Manhattan

Knee pain can affect walking, stairs, exercise, and daily movement. Manhattan Spine & Rehabilitation evaluates the history, the movement pattern, and the structures around the knee before discussing care. The practice offers physical and manual therapy, chiropractic care, massage therapy, acupuncture, pain management, and on-site diagnostic services at two Midtown locations.

If knee pain is persistent, follows a sports-related event, or makes stairs and normal activity difficult, an in-person examination can help clarify the next step. Book online or call Grand Central at (212) 661-8630 or Herald Square at (212) 868-0509.

Common knee problems discussed on this site

The existing knee-pain page identifies sports-related injuries, mechanical problems, and various types of arthritis. It also describes injuries involving the ligaments, tendons, fluid-filled bursae, bones, cartilage, and other structures that form or surround the knee joint. Knee symptoms can also affect the lower back and vice versa because people may change how they move to protect a painful area.

Specific examples on the current page include a torn meniscus, knee bursitis, patellar tendinitis, and chondromalacia patella. The page notes that meniscus injuries can follow a sudden twist while bearing weight, that bursae cushion the joint, and that runners, skiers, and cyclists can develop irritation around the patellar tendon. These examples are reasons to have the source evaluated rather than assuming every symptom is the same.

Symptoms and movement changes

Patients may notice pain on stairs, while getting out of a crouch, during jumping, or after a change in training. Some report locking, a feeling of weakness, tenderness, stiffness, swelling, or pain during weight-bearing. The location and timing matter. A symptom that appears during a specific movement can point the examination toward the mechanics of the knee, hip, ankle, and lower back.

Before a visit, note when the symptoms began, whether there was a twist or impact, which activities are limited, and whether footwear, stairs, running, or prolonged sitting changes the pattern. Bring prior imaging or records if available. This information supports the history but does not replace a physical examination.

How the first evaluation works

The first visit includes about 3-5 minutes of insurance paperwork, followed by a consultation, health history, and examination to determine your diagnosis and treatment plan. The clinician can assess the knee in the context of the rest of the lower body and review the activity that led to symptoms.

When clinically necessary, x-rays can be taken in the office with immediate results. Diagnostic ultrasound, NCV, and EMG studies are also available on site. Some advanced imaging studies may require referral to an imaging center. Testing is considered from the history and examination, so it is not automatically required for every patient with knee pain.

Physical and manual therapy for movement

The practice’s physical and manual therapy page describes hands-on therapy, myofascial release, stretching of restricted structures, strengthening of weak muscles, soft-tissue and joint mobilization, pain-management modalities, therapeutic exercises, postural corrections, home management, and gait training. The program is customized for the condition and the stage of care.

The knee page specifically discusses strengthening muscles that support the knee, including the quadriceps, hamstrings, and muscles around the lower inner thigh, when physical therapy is appropriate. Exercises should be selected and progressed with the clinician because the right activity depends on the evaluation, the diagnosis, and tolerance for movement.

Coordinating care when the knee is not the only concern

Knee pain can affect the way a person walks, and the existing page notes a connection with low-back pain in some patients. A care plan may therefore discuss the relationship between the knee, hip, ankle, pelvis, and spine. Gait training and postural corrections can be considered when movement habits or weakness are part of the picture.

Chiropractic care is described on the site as including consultation, physical examination, structural assessment, and treatment that may include chiropractic manipulative therapy, manual therapy, and soft-tissue techniques. Acupuncture and medical massage may also be discussed when they fit the diagnosis and treatment plan. Interventional pain management describes a conservative-first approach before escalation.

Activity, footwear, and daily decisions

The knee page asks whether footwear may contribute to pain while climbing stairs. Bring the shoes used for work, running, or training if footwear seems connected to symptoms, and describe the surface, distance, pace, and frequency of activity. The clinician can then consider those details alongside the examination instead of evaluating the knee in isolation.

During recovery, ask which activities should be modified and how to return to them. A short home-management program can provide clear do’s and don’ts for self-management. The goal is a practical plan that fits work and exercise while allowing the team to review changes in pain, strength, stability, and range of motion.

Insurance and visit planning

Coverage varies by procedure and policy. Manhattan Spine verifies expected out-of-pocket costs before your visit whenever possible. The practice lists United Healthcare, Aetna, Oxford, Cigna, Blue Cross Blue Shield, Nippon Life, GHI, Meritain Health, and Core Source among plans it works with, along with others. Confirm benefits for the specific service before treatment.

Care is available at Herald Square, 38 W 32nd St, Suite 501, New York, NY 10001, (212) 868-0509, and Grand Central, 265 Madison Ave, 2nd Floor, New York, NY 10016, (212) 661-8630. Related resources include physical and manual therapy, chiropractic care, SoftWave shockwave therapy, and the frequently asked questions page.

Book an appointment online or call the office to discuss the reason for your visit and what records to bring.

Knee pain questions

What can cause knee pain?

The page discusses sports-related injuries, mechanical problems, arthritis, torn meniscus, knee bursitis, patellar tendinitis, and chondromalacia patella.

Why can stairs or crouching hurt?

The existing knee-pain guidance describes symptoms during stairs, getting out of a crouch, and sports-related jumping. An examination is needed to determine the source.

How is knee pain evaluated?

The first visit includes insurance paperwork, a consultation, health history, and examination. When clinically necessary, x-rays, diagnostic ultrasound, NCV, and EMG studies are available on site.

Is knee pain care covered by insurance?

Coverage varies by procedure and policy. Manhattan Spine verifies expected out-of-pocket costs before a visit whenever possible.

How many visits will I need?

The number of visits varies by condition, age, healing ability, occupation, and lifestyle. Care is tailored to each patient.

Where can I get knee pain care in Midtown Manhattan?

Manhattan Spine & Rehabilitation sees patients at Herald Square, 38 W 32nd St, Suite 501, New York, NY 10001, (212) 868-0509, and Grand Central, 265 Madison Ave, 2nd Floor, New York, NY 10016, (212) 661-8630.