The most common musculoskeletal knee and foot pain conditions usually involve strains and sprains to the muscles, ligaments and tendons surrounding the foot and knee.

Common knee complaints include patellar tendinopathy, patellar femoral syndrome, runners knee (ITB syndrome), jumpers knee (patellar tendinopathy) and osteoarthritis. Other conditions that commonly affect the knee that are often related to trauma include meniscus injuries, liagementous injuries affecting the acl, pcl, mcll and lcl.

Common foot complaints include plantar fasciitis, Achilles tendinopathy, lateral ankle sprains and less commonly stress fractures and broken bones.

For those individuals who are experiencing knee and foot pain, seeing an osteopath at Principle Four Osteopathy in Melbourne City will ensure you get a diagnosis and an appropriate treatment and management complaint. Many individual with knee and foot pain will find pain relief within a couple of osteopathy treatment sessions.


  • Patellar tendinopathy, quadriceps tendinopathy, jumpers knee and ITB syndrome are typically related to overuse.  
  • Osteoarthritis of the knee is the most common cause of pain and disability in the knee for those individuals over 50 years age
  • Sporting related trauma to knee is often associated with ligamentous and meniscus injuries in the knee.  
  • Overuse injuries to the foot include plantar fasciitis, achilles tendinopathy and stress reactions.
  • The lateral ankle sprain is one of the most common ankle injuries in those under 40 years age.

The True Cost Of Knee, Ankle And Foot Pain

Knee, ankle and foot injuries can have a significant impact ones entire life if the pain is persistent and ones ability to walk, bend and move is functionally impacted. 

Acute traumatic injuries to the knee, ankle and foot should be reviewed immediately to rule out any fractures and ligamentous or tendon ruptures.  For the vast majority of individuals, muscular strains and tendinopathies can often last only a short time (2-6 weeks) if managed appropriately. 

Seeking out care with an appropriate health professional is important in the early phases to identify the cause of the injury and also to plan and implement an appropriate treatment and management plan. 


Common causes of pain or injury:

  • Trauma: Trauma to the knee and foot may result in broken bones, sprained or ruptured ligaments or muscle contusions.
    Overuse: Cumulative overuse injuries such as plantar fasciitis, achilles tendinopathy, patellar femoral syndrome and itb syndrome are often seen in those individuals whose sports, hobbies or work require frequent loading. 
  • Job-related risk factors: Jobs that require heavy lifting, high levels of physical activity or prolonged periods of standing 
  • Age: As we age joints wear out, we lose bone density, ligment elasticity and muscle mass.
  • Weight gain: Being inactive and overweight can increase one’s risk for developing pain
  • Injury: Accidents happen during sport, at work, motor vehicle, slips, trip and falls. If injuries are not treated they can have a long term impact.



Some people may experience traumatic injuries such as bone breaks, ligament and tendon ruptures which should be seen by the medical emergency department or general practitioner.  Less serious complaints such as muscle strains, ligament sprains and tendinopathies can also impact greatly on ones health and wellbeing as well as function and capacity.  




If you are currently managing foot or knee pain and it is not improving there might be some undiagnosed contributing factors, be sure to book in with your Melbourne city osteopath at Principle Four Osteopathy.  




The vast majority of injuries to the knee, foot and ankle will get better with time and also respond well to conservative management.  Consulting your osteopath can assist in providing pain relief, improving flexibility and mobility and also being guided on how to restore full strength, function and capacity. 




Book an osteopathy consultation with one of our industry leading osteos.


Note: Private health claiming is available onsite for all osteopathy consults. Please consult your private health fund provider to determine your osteopathy rebate for our initial and subsequent osteopathy consultations..


  • Step 1:  Booking your consult –  Once you have booked a consult with one of our osteopaths, you will be sent a confirmation email and a pre consult questionnaire.  We want to find out why you have booked to see us and what you would like to get out of your consultation
  • Step 2:  Assess, Diagnose ad provide symptom relief – Your initial osteopathic consultation will take about 60 minutes in duration and during this consultation we will listen and talk to you about your complaint and what your goals are.  We will then take you through a comprehensive assessment and then discuss with you our findings and recommended treatment and management plan.  Treatment and management may include manual therapy to provide symptom relief and then a discussion around pain management and symptoms modification strategies. If you require a referral elsewhere, we will discuss this with you and facilitate this.
  • Step 3:  Improve capacity and performance –  Once your symptoms are under control, our goal will be to assist you with building your functional capacity, ability to perform everyday activities without pain and performance.  Our osteopaths will work with you to provide you with strategies to do so.  This may include exercise and  work related assessments and training.

Can Osteopath Help With Foot, Ankle And Knee Pain

Your Principle Four Osteopath will take you through a detailed case history and thorough physical assessment and provide you with a working diagnosis of your complaint. In many circumstances the osteopath will be able to provide treatment for pain relief and provide you with a detailed management plan that incorporates exercise and activity modification to initiate the rehabilitation process.

As your symptoms settle they will prescribe a detailed strength and conditioning program to restore full function so that you can return to those things that you love doing. Occasionally your osteopath may need to refer you for imaging or to your GP or sports doctor for further investigations and treatment and options. 

Can Osteopaths Help With Overuse Knee And Foot Injuries

The osteopath will take a detailed case history and put you through a detailed physical assessment to identify the injury you have sustained.  Treatment techniques such as soft tissue massage, stretching, joint mobilisation may be employed to assist in pain reduction and improved movement.  

Typically the osteopath will assess and also review the regions above and below the problem area i.e. foot, hip and back for knee complaints.  The osteopath may also look to implement taping, shockwave therapy, dry needling and exercise prescription as part of the management plan. 

Can Osteopathy Help Acute Knee or Foot Problems

If you have suffered an acute foot or knee complaint, your osteopath will take you through a detailed case history and physical assessment.  Depending on the mechanism of injury, your level of pain and disability, they may look to refer you immediately for imaging to rule out any broken bones or ligament or meniscus damage.  This may be via the hospital, GP or sports medical doctor.  

For those individuals who have suffered an acute foot or knee injury and more serious injuries are cleared, they will look to provide you with treatment and management to assist in pain reduction and improve mobility and function.  Once the acute inflammatory process settles down over 48-96 hours they will then provide advice on how to optimise the recovery process to assist in restoring pain free full function at your foot or ankle.

Book An Osteopathy Treatment For Knee, Ankle or Foot Pain

If you are suffering from pain book a treatment with one of our osteopaths at Principle Four Osteopathy on Collins St Melbourne CBD. 



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