Knee Strains and Sprains

Acute ligament and muscle injuries to the knee. Precision care that manages the acute phase and builds a complete return to full activity.

Understanding Knee Strains and Sprains

The terms strain and sprain are often used interchangeably, but they refer to different things. A strain is an injury to a muscle or tendon. A sprain is an injury to a ligament. Both are common in the knee, and both respond well to appropriate care when it is structured and progressive.

At Function Performance Sport Chiropractic in Oregon City, we treat the full spectrum of acute knee injuries, from mild strains that resolve in days to significant sprains that require multi-week progressive rehab. The approach is systematic because shortcuts lead to recurring problems.

Real Recovery, Not Just Time Off

Acute knee injuries need more than rest. Without progressive rehab, you return to activity with deficits that set up the next problem.

Complete Recovery: Our Approach to Knee Strains & Sprains

At Function Performance Sport Chiropractic, we skip the "rest and wait" approach. Our integrated model pairs precise initial diagnosis with progressive loading to restore ligament stability and get you back to full activity.
  • Common Injuries We Treat

    MCL (medial collateral ligament) sprains. Injuries to the ligament on the inside of the knee, typically from a lateral force or valgus (inward) stress. Most grade 1 and 2 MCL sprains heal well with conservative care.

    LCL (lateral collateral ligament) sprains. Injuries to the ligament on the outside of the knee, less common than MCL injuries but important to manage correctly when they occur.

    Posterior cruciate ligament (PCL) injuries. Typically from a direct blow to the front of the knee or a hyperextension event. Conservative management is often appropriate, depending on severity.

    Quadriceps and hamstring strains. Acute muscle strains at the knee or thigh, common in sprinting, cutting, and jumping sports.

    Combined injury presentations. Many knee injuries involve more than one structure. Our examination identifies everything contributing to your symptoms.

     

    Our Treatment Approach

    Accurate initial assessment. Orthopedic testing of all relevant structures. Neurological and vascular screening. Identification of injuries that need imaging or specialist referral.

    Acute-phase management. Class 4 laser therapy to reduce inflammation. Appropriate taping or bracing to protect healing tissue. Compression and elevation guidance. Early, safe mobility work.

    Manual therapy. Joint mobilization to prevent capsular restrictions from developing. Soft tissue work on protective spasm in surrounding muscles. Mobilization of related joints (hip, ankle) that affect knee loading.

    Progressive loading. Early phase isometric and isotonic work that protects healing tissue while maintaining muscle function. Mid-phase strength work for quads, hamstrings, and hip stabilizers. Late phase power, plyometric, and sport-specific loading.

    Return-to-activity criteria. Objective testing of strength, balance, and sport-specific performance before full return. Gradual return to demanding activity supervised by your provider.

    When Imaging Matters

    Most knee strains and sprains can be assessed and treated based on clinical examination. However, some presentations warrant imaging:

      • Significant immediate swelling after injury

      • Inability to bear weight on the leg

      • Obvious instability or a sensation that something shifted

      • Joint locking or significant mechanical symptoms

      • Failure to progress with appropriate care

    When imaging is indicated, we coordinate it promptly and integrate findings into your plan.

    When Surgery Is the Right Path

    Some knee injuries require surgical consideration, particularly high-grade ACL tears, certain meniscal injuries, and combined ligament injuries. When surgery is the right path, we coordinate with orthopedic specialists efficiently and support your pre- and post-operative rehabilitation.

    What Recovery Looks Like

    Mild knee strains often resolve in one to three weeks with appropriate care. Moderate to severe injuries may take four to twelve weeks or longer. Throughout, we track specific markers (strength, range of motion, pain-free function, sport-specific performance) so progress is measurable and return-to-activity decisions are grounded in objective data.

    Book your performance evaluation today to start with a thorough knee assessment and a real recovery plan.

  • Schedule An Appointment

    How we Treat Knee strains and sprains

    Explore a full range of evidence-informed therapies designed to
    reduce pain, restore movement, and support long-term recovery.

    Manual therapy

    Active release technique (ART)

    ART targets adhesions and tension in muscles, tendons, ligaments, and nerves through specific movement-based release.

    Great for:

    • Neck pain
    • Low back pain
    • Shoulder injuries
    • Hip/IT band tightness
    • Overuse injuries
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    Corrective exercises and stretches

    Strength, Mobility Corrective exercises and stretches

    Targeted exercise and stretching built around your assessment findings, progressively loaded until you are back to your activities pain-free.

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    Diversified Chiropractic Technique (DCT)

    Chiropractic adjustments and mobilizations

    We use both gentle mobilizations and precise chiropractic adjustments to restore joint mechanics and improve range of motion.

    No “assembly-line adjusting” here — each adjustment is purposeful and integrated with soft tissue and rehab for better, longer-lasting results.

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    Class 4 Laser Therapy

    Class 4 laser delivers therapeutic light deep into injured tissue to reduce inflammation, relieve pain, and accelerate healing without drugs or downtime.

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    Manual Therapy

    Hands-on treatment applied directly to the muscles, joints, nerves, and fascia causing your problem. Precise, targeted, and driven by clinical diagnosis.

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    Massage Therapy

    Targeted, sport-focused massage that complements your chiropractic care, supports recovery, and keeps your tissue healthy for training and life.

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    Focused Shockwave Therapy

    High-energy acoustic pulses that stimulate healing, break down scar tissue, and resolve stubborn tendon pain that has not responded to other care.

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    Common Symptoms You May Be Feeling

    Knee strains and sprains produce distinct patterns. If these match your experience, precise care is the right next step.

    Swelling After Injury

    Swelling that appears in the hours to day after an injury typically indicates ligament or meniscus involvement and needs proper assessment to guide care.

    Pain With Specific Movements

    Sharp pain with specific activities, twisting, side-to-side motion, deep squatting, or descending stairs, often pinpoints the affected structure.

    Feeling of Instability

    A sense that the knee is loose, wobbly, or might give way, particularly with cutting or direction changes, indicates ligament involvement needing attention.

    Book Your Performance Evaluation Today

    Dealing with a fresh knee injury or one that has not fully resolved? Start with a thorough assessment and a structured recovery plan.

    Schedule An Appointment

    Common Questions

    Indications for imaging include significant swelling immediately after injury, inability to bear weight, obvious instability, a sense that something shifted or popped, or symptoms not responding to appropriate care. Our examination guides this decision.

    Mild strains often allow return in one to three weeks. More significant injuries can take four to twelve weeks or longer. Our return-to-sport criteria are based on objective testing, not just calendar time, so return is based on actual readiness.

    Sometimes yes, particularly during the acute phase or for specific ligament injuries. Long-term bracing is usually not ideal because it can reduce proprioceptive development. We will recommend if, when, and what type of brace fits your specific injury.

    Not with proper rehabilitation. Complete, progressive rehab restores full strength and function in the vast majority of strains and sprains. Without proper rehab, persistent weakness and injury recurrence are common, which is why structured care matters.

    Meet the Team

    Our Chiropractic Sports Physicians combine advanced soft tissue training with progressive rehab so you move better, perform better, and live better.

    • Ben Hokenson DC, DACBSP

      Chiropractor

      Dr. Ben is a 2008 graduate of University of Western states earning his doctorate of chiropractic degree with many years of clinical practice and continual training.

      Meet Ben →
    • Kyle Bangs DC, MS, CCSP, CSCS

      Chiropractor

      Dr. Kyle Bangs is a native to the Pacific Northwest — growing up hiking, fishing and staying active with various sports and recreation in SW Washington.

      Meet Kyle →
      Kyle Bangs Chiropractor

    Certifications and Therapy

    Our team has several certifications including:
  • ART
    Active Release Technique (ART)
  • Certified Strength and Conditioning Specialist (CSCS)
  • ACBSP
    Diplomate of the American Chiropractic Board of Sports Physicians (DACBSP)
  • Doctor of Chiropractic (DC)
  • FMS certified
    Functional Movement Screen Certified
  • Graston certification
  • lightforce
    Lightforce Therapy
  • Masters of Science in Sports Medicine
  • NormaTec
    Normatec
  • McKenzie
    Physical Rehabilitation
  • Why Choose Function Performance?

    At Function Performance, Knee strains and sprains is part of an integrated treatment model designed to get results. When you choose us, you get:
    • Accurate Initial Assessment

      Our thorough examination identifies the specific structures involved and distinguishes mild strains from injuries that need imaging or specialist referral.

    • Integrated Acute-Phase Care

      We combine manual therapy, laser, and protective taping to manage acute symptoms and create optimal conditions for tissue healing from day one.

    • Full Return-to-Sport Plans

      Our return-to-activity progressions address strength, control, power, and sport-specific demands so you return with real confidence, not just reduced pain.

    We don’t do cookie-cutter massage. We tailor everything to you.

    Schedule An Appointment
    Get the perfomance results you are looking for today.