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The OmKnee Five · 01 Understand

Know your knee, and know where it stands today.

Understanding your knee has two halves. The first is knowing what the joint is and how it works. The second is knowing the current state of your own: how it feels, what it can do, and how that compares with last year. Most people skip both until something hurts.

The anatomy in brief

Femur above, tibia below, patella at the front. Articular cartilage covers the bone ends and gives the joint a surface smoother than ice on ice. Two C-shaped menisci sit between the bones, spreading load. The ACL and PCL cross in the centre and control front-to-back movement and rotation; the MCL and LCL guard the sides. Muscles power it all, tendons transmit the force, and the whole joint is sealed in a capsule of synovial fluid that lubricates and nourishes the cartilage.

The biomechanics

From outside the knee looks like a hinge. It isn’t. It rolls, glides and rotates as it bends, which is what lets you squat, land, cut and climb. It also means the knee never works alone: the hip above and the ankle below decide how force arrives at the joint. This is why so much knee rehabilitation is really about the rest of the leg.

TAKE THE KNEE SCORE

Go deeper

For structure-by-structure anatomy and biomechanics, the Knee Passport lives at SportsHealing.

EXPLORE THE KNEE PASSPORT

The OmKnee principle

Know the joint. Know your own. Track the difference.

NEXT: NOURISH

The physiology

The knee is living tissue, not machinery. Cartilage, bone, muscle and tendon all respond to how they’re used: loaded sensibly, they adapt and strengthen; unloaded, they quietly lose capacity. Cartilage has a poor blood supply, which is why cartilage problems are taken seriously and why prevention beats repair. It’s also what the rest of this framework is for: nutrition, sleep, metabolic health and sensible loading are how you look after tissue that can’t easily be replaced.

Now assess your own

General knowledge about knees is useful. Specific knowledge about yours is more useful.

The Knee Score is a structured self assessment of how your knee currently feels and functions: pain, everyday activity, confidence, sport. It takes a few minutes, it gives you a number you can track over time, and it’s the starting point for everything else on this site. It is not a diagnosis; it’s a snapshot, and snapshots taken regularly become a story.