{"id":7444,"date":"2026-07-15T14:13:07","date_gmt":"2026-07-15T14:13:07","guid":{"rendered":"https:\/\/integrativa.pt\/?p=7444"},"modified":"2026-07-15T14:50:05","modified_gmt":"2026-07-15T14:50:05","slug":"sports-injuries-to-the-knee-symptoms-causes-assessment-and-return-to-sport","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/lesoes-desportivas-no-joelho-sintomas-causas-avaliacao-e-regresso-ao-desporto\/","title":{"rendered":"Sports injuries to the knee: symptoms, causes, assessment and return to sport"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p>The knee is one of the joints most heavily stressed during sport. Running, jumping, braking, changing direction or pivoting on a planted foot exposes the knee's various structures to considerable forces.<\/p>\n<p>When the load applied exceeds the capacity of the muscles, tendons, ligaments, menisci, or other tissues, an injury can occur. In other cases, symptoms develop gradually, due to an excessive increase in training load, insufficient recovery, or continued repetition of the same movements.<\/p>\n<p>Knee sports injuries can affect professional athletes, amateur practitioners, and people who have recently started exercising. Recognising the symptoms and seeking an adequate assessment allows for the identification of the factors involved, the definition of an individualised clinical strategy, and the reduction of the risk of persistence or recurrence of the problem.<\/p>\n<h4>Why is the knee vulnerable during sport?<\/h4>\n<p>The knee connects the femur, tibia, and patella. Its stability relies on the coordinated action of various structures:<\/p>\n<ul>\n<li>Ligaments, which limit excessive movements and contribute to joint stability<\/li>\n<li>Menisci, which distribute load, absorb some of the impact and participate in knee stability<\/li>\n<li>Articular cartilage, which facilitates movement between bone surfaces<\/li>\n<li>Tendons, which transmit the force produced by muscles<\/li>\n<li>Quadriceps, calf, hip, and trunk muscles, which dynamically control movement<\/li>\n<\/ul>\n<p>This joint primarily allows for flexion and extension movements, but also has a rotational component. Activities involving running, jumping, physical contact, decelerations, or rapid changes in direction increase the mechanical demands on these structures.<\/p>\n<p>A lesion can occur during a single traumatic movement or develop progressively when repeated exposure to load exceeds the tissues' capacity for adaptation.<\/p>\n<h4>Most frequent sports injuries of the knee<\/h4>\n<h5>Anterior cruciate ligament injury<\/h5>\n<p>The anterior cruciate ligament, usually abbreviated as ACL, plays a significant role in controlling knee stability, particularly during rotational movements, deceleration, and changes of direction.<\/p>\n<p>The injury often occurs during a rapid change of direction, deceleration, or landing, frequently without direct contact with another player. The person may feel or hear a pop, followed by pain, rapid swelling of the knee, and a feeling of instability or giving way.<\/p>\n<p>Not all ACL injuries necessarily indicate surgery. The decision depends on factors such as:<\/p>\n<p>\u2022 Degree of instability<\/p>\n<p>\u2022 Presence of associated lesions<\/p>\n<p>\u2022 Demands of the sport<\/p>\n<p>\u2022 Functional objectives and needs of the person<\/p>\n<p>\u2022 Response to rehabilitation process<\/p>\n<p>In cases where surgery is performed, the return to activities involving changes of direction should be progressive and supported by functional criteria. The time elapsed since the procedure is relevant, but should not be the sole decision-making criterion.<\/p>\n<h5>Meniscal injuries<\/h5>\n<p>The menisci are two fibrocartilaginous structures located between the femur and the tibia. They contribute to load distribution, shock absorption, and knee stabilisation.<\/p>\n<p>A traumatic meniscal tear can occur when the knee twists while the foot remains planted on the ground. In older people, meniscal changes can develop gradually and be associated with degenerative processes.<\/p>\n<p>Symptoms may include:<\/p>\n<ul>\n<li>Pain in the inner or outer part of the knee<\/li>\n<li>Swelling<\/li>\n<li>Pain when squatting or performing rotational movements<\/li>\n<li>Joint popping or clicking sensation<\/li>\n<li>Difficulty fully extending the knee<\/li>\n<li>Joint lock<\/li>\n<\/ul>\n<p>The approach can be conservative or surgical. The decision depends on the type and location of the lesion, the presence of joint blockage, the intensity and duration of symptoms, and the person's functional needs.<\/p>\n<p>Following meniscus surgery, the return to sport must simultaneously consider the time required for biological healing and the recovery of mobility, strength, motor control, and load tolerance.<\/p>\n<h5>Patellar tendinopathy<\/h5>\n<p>Patellar tendinopathy, also known as jumper's knee, is a condition associated with overuse of the tendon that connects the kneecap to the shinbone.<\/p>\n<p>It is more frequent in disciplines with repeated jumps, running, accelerations and decelerations, such as basketball, volleyball and certain athletics disciplines.<\/p>\n<p>The pain is usually located below the kneecap and can increase during activities such as:<\/p>\n<ul>\n<li>Jump<\/li>\n<li>Running<\/li>\n<li>Climb or descend stairs<\/li>\n<li>Squat<\/li>\n<li>Sitting for prolonged periods<\/li>\n<\/ul>\n<p>The approach is mostly conservative and based on load management and a progressive exercise programme.<\/p>\n<p>Currently, the intervention is not limited to eccentric exercise. Load intensity, movement speed, type of muscle contraction and exercise frequency should be adjusted to the phase of the condition, tendon capacity and individual response.<\/p>\n<h5>Patellofemoral pain syndrome<\/h5>\n<p>Patellofemoral pain syndrome is characterised by pain in the anterior region of the knee or around the kneecap. It is common in runners, cyclists and people who perform repetitive activities with a flexed knee.<\/p>\n<p>Pain may arise or worsen when:<\/p>\n<ul>\n<li>Running<\/li>\n<li>Climb or descend stairs<\/li>\n<li>Squat<\/li>\n<li>Jump<\/li>\n<li>To remain seated with knees bent<\/li>\n<li>Suddenly increase the volume or intensity of training<\/li>\n<\/ul>\n<p>The approach should consider training load, knee and hip strength, mobility, movement control, and the individual characteristics of the person.<\/p>\n<p>Therapeutic exercise, education, and appropriate load management are central components of clinical intervention.<\/p>\n<h5>Sprains and collateral ligament injuries<\/h5>\n<p>Sprains result from the stretching or partial or complete tearing of a ligament.<\/p>\n<p>The medial collateral ligament, located on the inner side of the knee, is often affected by impacts that push the knee inwards. Depending on the intensity of the mechanism of injury, localised pain, swelling, difficulty bearing weight on the limb, and a feeling of instability can occur.<\/p>\n<p>Mild and moderate sprains are often managed without the need for surgery. More extensive injuries, or those associated with damage to other structures, require medical assessment and a specific rehabilitation plan.<\/p>\n<h4>Main causes and factors associated with knee injuries<\/h4>\n<p>Knee sports injuries do not have a single cause. They usually result from the interaction between the demands of the activity, the person's physical capacity, load exposure, and the context in which the movement occurs.<\/p>\n<h5>Rapid changes in direction<\/h5>\n<p>Rotational movements, braking, and changes of direction can expose ligaments and menisci to high forces, particularly when the foot remains fixed to the ground.<\/p>\n<p>The risk also depends on the speed of movement, the position of the trunk and lower limb, the level of fatigue, and the ability to produce and absorb force.<\/p>\n<h5>Excessive increase in training load<\/h5>\n<p>A rapid increase in distance, intensity, frequency, duration of sessions, or number of competitions may not allow tissues to adapt adequately.<\/p>\n<p>This pattern may contribute to the development of conditions associated with overload, such as patellar tendinopathy and patellofemoral pain.<\/p>\n<p>The load must be analysed individually, considering training history, current physical capacity, sleep, recovery and other activities performed throughout the week.<\/p>\n<h5>Deficits in strength and motor control<\/h5>\n<p>The strength of the quadriceps, hamstrings, calves, and hip muscles contributes to knee control during running, jumping, landing, and changing direction.<\/p>\n<p>Deficits in these areas do not necessarily mean an injury will occur. However, they can be relevant when associated with other factors such as fatigue, sudden increases in load, changes in mobility, or frequent exposure to demanding movements.<\/p>\n<h5>Fatigue and insufficient recovery<\/h5>\n<p>With increasing fatigue, the quality and precision of movement can decrease. The person may lose the ability to control the landing, deceleration, or alignment of the lower limb.<\/p>\n<p>Sleep, recovery periods and the distribution of load throughout the week are important components of physical preparation and reducing the risk of injury.<\/p>\n<h5>Sports technique<\/h5>\n<p>The manner in which a person runs, lands, brakes, or changes direction must be analysed within the context of the sport, the speed of the movement, and their individual characteristics.<\/p>\n<p>There is no single, universally ideal movement pattern. However, certain strategies can increase the load on specific structures and justify technical adaptations or targeted preparation programmes.<\/p>\n<h4>Symptoms of a sports knee injury<\/h4>\n<p>The symptoms depend on the affected structure, the mechanism of injury, and its severity. The most frequent include:<\/p>\n<ul>\n<li>Localized or diffuse pain<\/li>\n<li>Swelling<\/li>\n<li>Stiffness<\/li>\n<li>Loss of mobility<\/li>\n<li>Difficulty supporting body weight<\/li>\n<li>Feeling of instability or giving way<\/li>\n<li>Clicking accompanied by pain<\/li>\n<li>Knee lock<\/li>\n<li>Loss of strength<\/li>\n<li>Difficulty running, jumping, stopping or changing direction<\/li>\n<\/ul>\n<p>An isolated click, without pain, swelling or loss of function, does not always indicate the presence of an injury. Conversely, a click associated with severe pain, rapid swelling or instability should be clinically assessed.<\/p>\n<h4>When to seek urgent medical assessment?<\/h4>\n<p>You should seek urgent medical assessment when there is:<\/p>\n<ul>\n<li>Visible deformity after a fall or impact<\/li>\n<li>Inability to bear weight on the foot<\/li>\n<li>Rapid and significant swelling<\/li>\n<li>Blockage preventing knee extension<\/li>\n<li>Severe pain after trauma<\/li>\n<li>Loss of sensation in the lower limb<\/li>\n<li>Changes in temperature, colour or circulation of the foot<\/li>\n<li>Very hot, red knee accompanied by a fever<\/li>\n<\/ul>\n<p>Even without signs of urgency, it is advisable to seek a healthcare professional when symptoms persist, worsen, or prevent normal participation in training, competition, or daily activities.<\/p>\n<h4>Como \u00e9 realizada a avalia\u00e7\u00e3o cl\u00ednica?<\/h4>\n<p>The assessment begins with the collection of the medical history and the analysis of the injury mechanism. It is important to understand:<\/p>\n<ul>\n<li>How did the episode occur<\/li>\n<li>If there was contact, rotation, fall or impact<\/li>\n<li>When did the swelling appear<\/li>\n<li>Where is the pain located<\/li>\n<li>Which movements worsen the symptoms<\/li>\n<li>If there is instability or blockage<\/li>\n<li>What is the sport played<\/li>\n<li>What is the usual training load<\/li>\n<li>If there are previous injuries to the knee or lower limb<\/li>\n<\/ul>\n<p>The assessment of mobility, strength, stability, motor control, functional capacity, and load tolerance follows.<\/p>\n<p>Specific clinical tests can be performed for ligaments, menisci, tendons and other structures. These tests help to guide the diagnosis, but must be interpreted in conjunction with the clinical history and other collected data.<\/p>\n<p>When necessary, further tests may be requested:<\/p>\n<ul>\n<li>X-ray, especially when a fracture or bone abnormality is suspected<\/li>\n<li>MRI scan, to assess menisci, ligaments, cartilage, and other internal structures<\/li>\n<li>Ultrasound, particularly useful in the assessment of tendons and superficial structures<\/li>\n<\/ul>\n<p>Not all knee pain requires imaging. In many situations, a clinical assessment allows for a safe and appropriate approach to be initiated.<\/p>\n<p>The changes identified in the tests should be related to the person's symptoms and function, as some structural changes may be present without causing pain or limitation.<\/p>\n<h4>Clinical approach to sports injuries of the knee<\/h4>\n<p>The clinical strategy depends on the affected structure, the severity of the injury, age, personal goals, and the demands of the sporting modality.<\/p>\n<h5>Conservative approach<\/h5>\n<p>Many injuries can be managed conservatively, including:<\/p>\n<ul>\n<li>Some ligament sprains<\/li>\n<li>Tendinopathies<\/li>\n<li>Patellofemoral pain<\/li>\n<li>Certain meniscal lesions<\/li>\n<li>Some cases of ACL injury<\/li>\n<\/ul>\n<p>A conservative approach does not just involve rest. It typically includes education, load management, mobility recovery, therapeutic exercise, progressive strengthening, and a gradual reintroduction of activities.<\/p>\n<p>Prolonged, complete rest is rarely necessary and can contribute to loss of strength, physical capacity, and confidence in movement.<\/p>\n<h5>Surgical approach<\/h5>\n<p>Surgery may be considered when there is disabling functional instability, persistent joint locking, certain structural tears, or a lack of satisfactory clinical progress with an adequately managed conservative approach.<\/p>\n<p>The decision must be individualised, weighing up potential benefits, limitations, risks, the person's objectives and sporting demands.<\/p>\n<p>Even when surgery is indicated, physiotherapy can play an important role before and after the procedure.<\/p>\n<h4>The role of physiotherapy in recovery<\/h4>\n<p>Physiotherapy intervention should be adapted to the injury, the stage of recovery, the physical capacity of the person and the demands of the sport practised.<\/p>\n<h5>Initial symptom control<\/h5>\n<p>In the early days, goals may include protecting the injured structure, managing oedema, preserving possible movement and reducing activities that significantly aggravate symptoms.<\/p>\n<p>The PEACE &amp; LOVE model proposes an approach that combines protection and education in the early stages with progressive loading, exercise, cardiovascular conditioning, and restoration of movement confidence throughout rehabilitation.<\/p>\n<p>The application of this model should be adjusted to the type of lesion and the individual clinical response.<\/p>\n<h5>Mobility recovery<\/h5>\n<p>Stiffness and swelling can limit knee flexion or extension. Progressive range of motion recovery is relevant for walking, climbing stairs, squatting, and returning to running.<\/p>\n<p>Full knee extension deserves particular attention in several injuries, as its limitation can alter gait and hinder adequate quadriceps activation.<\/p>\n<h5>Progressive strengthening<\/h5>\n<p>The exercise programme may involve:<\/p>\n<ul>\n<li>Quadriceps<\/li>\n<li>Hamstrings<\/li>\n<li>Gemini<\/li>\n<li>Hip muscles<\/li>\n<li>Trunk musculature<\/li>\n<li>Global lower limb exercises<\/li>\n<\/ul>\n<p>The load should evolve according to the individual's capacity, symptoms, and response in the hours and days following exercise.<\/p>\n<p>Strengthening can involve different types of muscle contraction, ranges of motion, speeds, and resistance levels.<\/p>\n<h5>Neuromuscular balance and control<\/h5>\n<p>Balance, proprioception, landing, deceleration, and change of direction training can contribute to regaining knee control in specific sports situations.<\/p>\n<p>These exercises should progress from predictable, controlled tasks to situations that are faster, more complex, and closer to the actual demands of the sport.<\/p>\n<h5>Sport-specific training<\/h5>\n<p>In the final phase of rehabilitation, movements progressively closer to the demands of training and competition are introduced, such as:<\/p>\n<ul>\n<li>Race<\/li>\n<li>Acceleration<\/li>\n<li>Deceleration<\/li>\n<li>Jumps<\/li>\n<li>Landings<\/li>\n<li>Changes of direction<\/li>\n<li>Physical contact, when applicable<\/li>\n<li>Tasks performed while fatigued<\/li>\n<\/ul>\n<p>Progression should consider not only the isolated execution of movements but also the ability to repeat them with quality and adequate tolerance.<\/p>\n<h4>When is it safe to return to sport?<\/h4>\n<p>The absence of pain does not necessarily mean recovery is complete.<\/p>\n<p>The return to sport should consider different criteria:<\/p>\n<ul>\n<li>Absence or adequate control of oedema<\/li>\n<li>Full or sufficient mobility for the modality<\/li>\n<li>Strength compatible with sporting demands<\/li>\n<li>Ability to run, jump, stop, and change direction<\/li>\n<li>Quality and movement control<\/li>\n<li>Tolerance to training volume and intensity<\/li>\n<li>Confidence in the knee<\/li>\n<li>No significant fear of movement<\/li>\n<li>Capacity to perform specific tasks for the modality<\/li>\n<\/ul>\n<p>The comparison between the two limbs can be useful, but should not be used in isolation. Seemingly adequate symmetry may hide loss of capacity in both limbs or differences in the way force is produced and absorbed.<\/p>\n<p>The return should be progressive. Typically, the person starts with individual and controlled activities, progresses to conditioning training, then participates in full training, and only then returns to competition.<\/p>\n<p>The return to participation, the return to sport, and the return to performance correspond to distinct phases. Presence in training or competition does not necessarily mean that the athlete has recovered their pre-injury performance level.<\/p>\n<h4>How to reduce the risk of knee injuries?<\/h4>\n<p>Not all injuries can be avoided. However, some strategies can help reduce the risk and improve preparation for the demands of sport:<\/p>\n<ul>\n<li>Increase the training load progressively<\/li>\n<li>Maintain a regular strength program<\/li>\n<li>Training jumps, landings, braking, and changes of direction<\/li>\n<li>Carry out a structured warm-up<\/li>\n<li>Respecting adequate periods of rest and recovery<\/li>\n<li>Monitor pain, fatigue and performance changes<\/li>\n<li>Assess relevant limitations in strength, mobility, or motor control<\/li>\n<li>Adapt training to the sport, age and experience level<\/li>\n<li>Maintain preventive work after returning to sport<\/li>\n<\/ul>\n<p>Prevention should be specific to the person, the sport practised, and their clinical and sporting history.<\/p>\n<p>Structured programmes that integrate strength, balance, neuromuscular control, running, jumping, and changes of direction can help reduce the incidence of some injuries, particularly when carried out regularly and with appropriate progression.<\/p>\n<h4>Understanding knee recovery from an integrative perspective<\/h4>\n<p>A sports injury should not be addressed solely with the aim of reducing pain. It is necessary to understand the mechanism of the injury, identify the factors that may have contributed to the problem, restore physical capacity, and prepare the body again for the real demands of training and competition.<\/p>\n<p>An integrated perspective may consider:<\/p>\n<ul>\n<li>Damaged structure and its biological process<\/li>\n<li>Mobility, strength and the ability to produce and absorb load<\/li>\n<li>Motor control and technical requirements of the sport<\/li>\n<li>Volume, intensity and distribution of training<\/li>\n<li>Sleep and recovery<\/li>\n<li>Injury history<\/li>\n<li>Trust and perception of safety during movement<\/li>\n<li>Personal and sporting goals<\/li>\n<\/ul>\n<p>Individualised assessment allows these factors to be framed and a progression compatible with the clinical condition and the person's requirements to be defined.<\/p>\n<p>Sports physiotherapy can integrate therapeutic exercise, manual therapy, functional training, education, and prevention strategies. The selection of these interventions should be based on clinical assessment, functional progression, and individual response.<\/p>\n<p>The presence of persistent knee pain, swelling, instability, locking, or limitation warrants assessment by a qualified healthcare professional.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1780484272656\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: right;\"><a title=\"Osteopath - Physiotherapist David Brand\u00e3o\" href=\"https:\/\/integrativa.pt\/en\/osteopata-fisioterapeuta-david-brandao\/\"><strong>David Brand\u00e3o<\/strong> <\/a>| Osteopath and Physiotherapist<\/p>\n<h6 style=\"text-align: right;\">Physiotherapist Card: 3652 | Order of Physiotherapists \/\/ Osteopath Card: C-0031697 | ACSS<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.dt-shortcode-soc-icons.soc-icons-d45686d09a63baba6497efe6c6ad3c1e a {\n  margin-right: 4px;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e {\n  margin-right: 4px;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:last-child {\n  margin-right: 0;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:before,\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e:after {\n  padding: inherit;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e.dt-icon-border-on:before {\n  border:  solid ;\n}\n.dt-shortcode-soc-icons a.soc-icons-d45686d09a63baba6497efe6c6ad3c1e.dt-icon-hover-border-on:after {\n  border:  solid ;\n}<\/style><div class=\"dt-shortcode-soc-icons  soc-icons-d45686d09a63baba6497efe6c6ad3c1e soc-icons-right\" ><style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc {\n  min-width: 26px;\n  min-height: 26px;\n  font-size: 16px;\n  border-radius: 100px;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:last-child {\n  margin-right: 0;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:before,\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:after {\n  min-width: 26px;\n  min-height: 26px;\n  padding: inherit;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc.dt-icon-border-on:before {\n  border: 0px solid ;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc.dt-icon-hover-border-on:after {\n  border: 0px solid ;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover {\n  font-size: 16px;\n}\n#page .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover .soc-font-icon,\n#phantom .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover .soc-font-icon,\n#page .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover .soc-icon,\n#phantom .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:hover .soc-icon {\n  color: rgba(255,255,255,0.75);\n  background: none;\n}\n#page .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:not(:hover) .soc-font-icon,\n#phantom .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:not(:hover) .soc-font-icon,\n#page .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:not(:hover) .soc-icon,\n#phantom .dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc:not(:hover) .soc-icon {\n  color: #ffffff;\n  background: none;\n}\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc .soc-font-icon,\n.dt-shortcode-soc-icons a.single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc .soc-icon {\n  font-size: 16px;\n}<\/style><a title=\"Instagram\" href=\"https:\/\/www.instagram.com\/davidosteopata\/\" class=\"instagram single-soc-icon-4e4f278c408213ddb82c8b416bc69fdc dt-icon-bg-on dt-icon-border-on dt-icon-hover-border-on dt-icon-hover-bg-on\" target=\"_blank\" rel=\"noopener\"><i class=\"soc-icon soc-font-icon dt-icon-instagram\"><\/i><span class=\"screen-reader-text\">Instagram<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1760519213582\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><strong>Reference articles<\/strong><\/p>\n<ul>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Dubois B, Esculier JF. Soft-tissue injuries simply need PEACE and LOVE. Br J Sports Med. 2020;54(2):72-73. doi:10.1136\/bjsports-2019-101253.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Fern\u00e1ndez-Mat\u00edas R, Garc\u00eda-P\u00e9rez F, Gav\u00edn-Gonz\u00e1lez C, et al. Effectiveness of exercise versus arthroscopic partial meniscectomy plus exercise in the management of degenerative meniscal tears at 5-year follow-up: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2022;30(10):3426-3436. doi:10.1007\/s00167-021-06838-4.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Grindem H, Snyder-Mackler L, Moksnes H, Engebretsen L, Risberg MA. Simple decision rules can reduce the risk of reinjury by 84% following ACL reconstruction: the Delaware-Oslo ACL cohort study. Br J Sports Med. 2016;50(13):804\u2013808. doi:10.1136\/bjsports-2016-096031.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Hewett TE, Myer GD, Ford KR, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med. 2005;33(4):492-501. doi:10.1177\/0363546504269591.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Khan M, Suhaimi SA, Alhazmi R, et al. Effects of FIFA 11+ injury prevention program in reducing knee injuries in soccer players: a systematic review and meta-analysis. J Sci Med Sport. 2022;25(12). doi:10.1016\/j.jsams.2022.10.003.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Kotsifaki R, King E, Bahr R, Whiteley R. Is 9 months the sweet spot for male athletes to return to sport after anterior cruciate ligament reconstruction? Br J Sports Med. 2022.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Martinez-Calderon J, Infante-Cano M, Matias-Soto J, et al. The incidence of sport-related anterior cruciate ligament injuries: an overview of systematic reviews including 51 meta-analyses. J Funct Morphol Kinesiol. 2025;10(2):174. doi:10.3390\/jfmk10020174.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39045713\/\" target=\"_blank\" rel=\"noopener\">Ophey M, Ko\u00ebter S, van Ooijen L, et al. Dutch multidisciplinary guideline on anterior knee pain: patellofemoral pain and patellar tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2024. doi:10.1002\/ksa.12367.<\/a><\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Riboh JC, Saltzman BM, Yanke AB, Cole BJ. Meniscus rehabilitation 2024 consensus: an ESSKA-AOSSM-AASPT initiative. Part II \u2014 prevention, non-operative treatment and return to sport. JOSPT Open. 2025. doi:10.2519\/josptopen.2025.13539.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Sell KE, Ferreira LDA. ACL-RSI scores over time after anterior cruciate ligament reconstruction: a systematic review with meta-analysis. Sports Med Open. 2024;10:49. doi:10.1186\/s40798-024-00716-8.<\/p>\n<\/li>\n<li data-start=\"10354\" data-end=\"10496\">\n<p data-start=\"10356\" data-end=\"10496\">Sell KM, Ferreira LDA. Most anterior cruciate ligament injuries in professional athletes occur without contact to the injured knee: a systematic review of video<\/p>\n<\/li>\n<\/ul>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1689951960351\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>This website and its content are for information purposes only and are not a substitute for medical or health professional advice. Each person's treatment should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1678987635945\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_border_width_1 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\"   style=\"width: 100%;\"><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Related articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-top-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" 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.blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.hide-arrows .owl-nav a {\n    display: none;\n  }\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-prev {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    left: 10px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-next {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    right: 10px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e.reposition-arrows .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-9a5ae833d49cc299dea7a2f956f5444e classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-4926 type-post status-publish format-standard has-post-thumbnail hentry category-nervo-vago category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa category-osteopatia-integrativa-osteopatia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-58 category-33 category-42 category-32 category-34 description-off\" data-name=\"Inflama\u00e7\u00e3o, dor e Nervo Vago: a vis\u00e3o da Osteopatia Integrativa\" data-date=\"2025-10-16T13:46:35+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" class=\"post-thumbnail-rollover layzr-bg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-768x512.jpg\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-768x512.jpg 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-1152x768.jpg 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" title=\"Inflammation, pain and the vagus nerve: the Integrative Osteopathic view\" rel=\"bookmark\">Inflammation, pain and the vagus nerve: the Integrative Osteopathic view<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/inflamacao-dor-e-nervo-vago-a-visao-da-osteopatia-integrativa\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Inflammation, Pain, and the Vagus Nerve: An Integrative Osteopathy Perspective\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3460 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-atm category-bruxismo category-fisioterapia category-osteopata-david-brandao category-osteopatia-craniana tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-41 category-135 category-6 category-33 category-42 description-off\" data-name=\"Quando o stress morde: o bruxismo como resposta ao stress\" data-date=\"2024-06-14T09:10:58+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/quando-o-stress-morde-o-bruxismo-como-resposta-ao-stress\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/quando-o-stress-morde-o-bruxismo-como-resposta-ao-stress\/\" title=\"When stress bites: bruxism as a response to stress\" rel=\"bookmark\">When stress bites: bruxism as a response to stress<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/quando-o-stress-morde-o-bruxismo-como-resposta-ao-stress\/\" class=\"post-details details-type-link\" aria-label=\"Read more about When stress bites: bruxism as a response to stress\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-5548 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa-osteopatia category-osteopatia-integrativa category-osteopatia-visceral category-psiconeuroimunologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-33 category-42 category-34 category-32 category-31 category-48 description-off\" data-name=\"Osteopatia Cr\u00e2nio-Visceral: uma vis\u00e3o integrativa do corpo\" data-date=\"2025-11-21T09:41:44+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-cranio-visceral-uma-visao-integrativa-do-corpo\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Integrativa-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Integrativa-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-Integrativa-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Integrative Cranial Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-cranio-visceral-uma-visao-integrativa-do-corpo\/\" title=\"Cranio-Visceral Osteopathy: an integrative view of the body\" rel=\"bookmark\">Cranio-Visceral Osteopathy: an integrative view of the body<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-cranio-visceral-uma-visao-integrativa-do-corpo\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Cranio-Visceral Osteopathy: an integrative view of the body\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3782 type-post status-publish format-standard has-post-thumbnail hentry category-dores-de-cabeca category-nervo-vago category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-52 category-58 category-33 category-42 category-32 description-off\" data-name=\"Osteopatia Craniana e o Nervo Vago: uma abordagem para o equil\u00edbrio fisiol\u00f3gico\" data-date=\"2025-04-08T19:02:58+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-e-o-nervo-vago-uma-abordagem-para-o-equilibrio-fisiologico\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/04\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/04\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/04\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Cranial Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-e-o-nervo-vago-uma-abordagem-para-o-equilibrio-fisiologico\/\" title=\"Cranial osteopathy and the vagus nerve: an approach to physiological balance\" rel=\"bookmark\">Cranial osteopathy and the vagus nerve: an approach to physiological balance<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-e-o-nervo-vago-uma-abordagem-para-o-equilibrio-fisiologico\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Cranial Osteopathy and the Vagus Nerve: an approach to physiological balance\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3681 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-atm category-bruxismo category-dores-de-cabeca category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa-osteopatia category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-41 category-135 category-52 category-33 category-42 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href=\"https:\/\/integrativa.pt\/en\/complexo-trigemino-cervical-e-dor-cervical-a-relacao-com-a-articulacao-temporomandibular-atm-numa-perspetiva-osteopatica\/\" class=\"post-details details-type-link\" aria-label=\"The trigeminocervical complex and neck pain: the relationship with the temporomandibular joint (TMJ) from an osteopathic perspective\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-1745 type-post status-publish format-standard has-post-thumbnail hentry category-osteopatia category-dores-de-cabeca category-osteopata-david-brandao category-osteopatia-craniana category-osteopatia-integrativa tag-fisioterapia tag-osteopatia tag-pilates-clinico category-17 category-52 category-33 category-42 category-32 description-off\" data-name=\"Osteopatia Craniana para al\u00edvio de dores de cabe\u00e7a e enxaqueca: mecanismos e evid\u00eancias\" data-date=\"2023-01-21T15:50:48+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-para-alivio-de-dores-de-cabeca-e-enxaqueca-mecanismos-e-evidencias\/\" class=\"post-thumbnail-rollover layzr-bg\"><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-1-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-1-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/ATM-Fisioterapia-Osteopatia-Bruxismo-Osteopatia-Craniana-1-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"TMJ Physiotherapy Osteopathy Bruxism Cranial Osteopathy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-para-alivio-de-dores-de-cabeca-e-enxaqueca-mecanismos-e-evidencias\/\" title=\"Cranial osteopathy for headache and migraine relief: mechanisms and evidence\" rel=\"bookmark\">Cranial osteopathy for headache and migraine relief: mechanisms and evidence<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/osteopatia-craniana-para-alivio-de-dores-de-cabeca-e-enxaqueca-mecanismos-e-evidencias\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Cranial Osteopathy for headache and migraine relief: mechanisms and evidence\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>The knee is one of the joints most put under strain during sporting activity. Running, jumping, stopping, changing direction, or pivoting on a foot planted on the ground exposes the knee's various structures to considerable forces. When the applied load exceeds the capacity of the muscles, tendons, ligaments, menisci, or other tissues, an injury can occur. In other...<\/p>","protected":false},"author":1,"featured_media":4813,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[17,6,55,54],"tags":[4,27,8],"class_list":["post-7444","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-osteopatia","category-fisioterapia","category-fisioterapia-desportiva","category-fisioterapia-musculo-esqueletica","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-17","category-6","category-55","category-54","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7444","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=7444"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/7444\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/4813"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=7444"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=7444"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=7444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}