Knee pain can be due to many things, including wear and tear on the surfaces of the joint itself; damage to the cartilage pads within the knee; sprains of the ligaments that hold the knee together; strains on the muscles which surround the knee and help it to move; problems with the kneecap due to muscular imbalance; referred pain from the back, pelvis, hip or ankle. It may follow a traumatic onset (e.g. Sports injury) or be related to age-related degenerative change. Chiropractors treat knee pain using a package of care that may include manual therapies, acupuncture, exercise prescription and onward referral when indicated.