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Understanding Knee Anatomy: How Muscles, Ligaments, and Cartilage Work Together

The knee is one of the most powerful and complex joints in the body, responsible for supporting your weight, absorbing impact, and allowing you to move with strength and stability. Every time you walk, squat, climb stairs, or play sports, your knee relies on a coordinated network of muscles, ligaments, and cartilage.

At Southeast Orthopedic Specialists, we see firsthand how understanding this anatomy helps patients recognize early signs of injury and seek care before symptoms worsen.

Image of person holding knee in pain

The Key Structures of the Knee Joint

The knee is a hinge joint formed where the femur (thigh bone), tibia (shin bone), and patella (kneecap) meet. While the bones provide the framework, the surrounding soft tissues make movement possible and protect the joint from excessive stress.

Muscles: Powering and Supporting Knee Motion

If you suspect turf toe, look for these signs:
The muscles around the knee play a major role in mobility and alignment. The quadriceps at the front of the thigh help straighten the knee and guide the kneecap, while the hamstrings at the back assist with bending the knee and controlling deceleration during movement. The calf muscles, particularly the gastrocnemius, help with both knee flexion and stability. Even muscles that sit above the knee, the glutes and hip stabilizers, have an enormous influence on knee alignment. Weakness in the hips often causes the knee to collapse inward, creating excess strain on the joint.

Ligaments: Providing Stability and Control

The knee’s ligaments serve as strong stabilizers that prevent excessive movement.

  • ACL (Anterior Cruciate Ligament): Controls rotational stability and prevents the tibia from sliding forward.
  • PCL (Posterior Cruciate Ligament): Prevents the tibia from sliding backward, often injured in high-impact trauma.
  • MCL (Medial Collateral Ligament): Protects the inner knee from inward forces.
  • LCL (Lateral Collateral Ligament): Supports the outer knee and prevents outward bending.

When any of these ligaments are sprained or torn, patients frequently notice instability, pain, or difficulty pivoting or bearing weight.

Your Turf Toe Treatment Plan

The vast majority of turf toe injuries can be treated by our expert team without surgery:

  • Rest and skipping high-impact activities are recommended first
  • Ice therapy and elevation help bring down swelling
  • Specialized taping, bracing, or stiff-soled shoes limit harmful motion
  • Over-the-counter medication (like ibuprofen) reduces inflammation
  • Our in-house physical therapy program supports flexibility and joint recovery

If the injury is severe, a walking boot, cast, or surgical repair may be considered, but less than 2% of turf toe injuries at Southeast Orthopedic Specialists require surgery.

Cartilage: Protecting the Joint and Absorbing Shock

Cartilage is another crucial component of knee function. The smooth articular cartilage covering the ends of the bones allows them to glide without friction, absorbing shock during impact-heavy activities like running or jumping. Deeper within the joint, the medial and lateral meniscus act as C-shaped shock absorbers that cushion the knee and help distribute weight evenly. Because these structures endure significant pressure and twisting forces, meniscus tears and cartilage damage are among the most common causes of knee pain.

How These Structures Work Together

For the knee to work efficiently:

  • Muscles create movement and alignment
  • Ligaments maintain stability
  • Cartilage cushions impact and prevents friction

When muscles, ligaments, and cartilage all function properly, the knee moves fluidly and maintains strength during even the most demanding activities. But when one structure becomes strained, weakened, or injured, the entire system is affected. Pain, swelling, stiffness, catching, or instability often follow. That’s why understanding knee anatomy is so important as it empowers patients to identify symptoms early and get the right treatment before the injury progresses.

“At Southeast Orthopedic Specialists, we emphasize the importance of understanding how the knee works because it helps patients recognize issues sooner and take control of their joint health. When we identify the exact structure causing pain, whether it’s a ligament, muscle, or cartilage, we can tailor a treatment plan that restores long-term stability and function. Early evaluation often leads to better outcomes and fewer long-term complications.”

– Dr. Colin Murphy, Sports Medicine Specialist at Southeast Orthopedic Specialists

Why Knee Anatomy Matters for Your Health

At Southeast Orthopedic Specialists, our team uses advanced imaging, detailed physical exams, and personalized treatment planning to identify the exact source of knee pain and restore optimal function. Whether you’re dealing with a sports injury, chronic knee discomfort, or sudden instability, we’re here to help you get back to moving comfortably and confidently.

 

What Is Turf Toe? Causes, Symptoms & Treatment in Jacksonville

At Southeast Orthopedic Specialists, turf toe is one of the most common foot injuries treated in both athletes and non-athletes. Turf toe happens when the big toe bends too far upward, stretching or tearing the soft tissues around its base at the metatarsophalangeal joint. The nickname “turf toe” began when the injury was first noticed on artificial turf fields, but our Jacksonville and Florida area patients develop it from a variety of sports, or even simple outdoor activities.

African American man feel ache painful leg pain injured foot after workout outdoors male sportsman footballer guy suffer injury bone finger callus health problem trauma accident on city sport ground. High quality 4k footage

Why Does Turf Toe Happen?

Our experts at Southeast Orthopedic Specialists see turf toe most often in people who play soccer, football, basketball, or dance and gymnastics, but it can affect anyone. Artificial turf, which is common across many Florida sports fields, raises the risk due to its higher surface tension, particularly when paired with flexible athletic footwear. Quick sprints, abrupt stops, or a misstep at the pool or beach can all trigger this toe injury.

Recognizing Turf Toe Symptoms

If you suspect turf toe, look for these signs:

  • Pain at the base of the big toe (sudden or increasing in intensity)
  • Swelling or bruising
  • Less movement or stiffness in your toe joint
  • Tenderness while walking or running
  • Trouble pushing off, jumping, or sprinting

Ignoring symptoms can lead to chronic pain or arthritis, so our team encourages early evaluation if pain or swelling lingers more than a few days.

How We Diagnose Turf Toe

Southeast Orthopedic Specialists uses a thorough physical exam and, when needed, advanced imaging techniques (X-rays, MRI) to accurately diagnose turf toe and rule out other injuries. Prompt diagnosis is key to the best outcome.

Your Turf Toe Treatment Plan

The vast majority of turf toe injuries can be treated by our expert team without surgery:

  • Rest and skipping high-impact activities are recommended first
  • Ice therapy and elevation help bring down swelling
  • Specialized taping, bracing, or stiff-soled shoes limit harmful motion
  • Over-the-counter medication (like ibuprofen) reduces inflammation
  • Our in-house physical therapy program supports flexibility and joint recovery

If the injury is severe, a walking boot, cast, or surgical repair may be considered, but less than 2% of turf toe injuries at Southeast Orthopedic Specialists require surgery.

Southeast Orthopedic Specialists Difference

Our board-certified, fellowship-trained foot and ankle specialists provide tailored care, from conservative treatments to minimally invasive surgical options, if ever needed. Our physical therapists build custom rehab plans for a safe, strong return to sports, work, and recreation.

  • Up to 45% of NFL players have had turf toe, 83% occurring on artificial turf.
  • In college sports, turf toe constitutes over 11% of all foot injuries.
  • With our approach, less than 2% of turf toe cases need surgery; most recover fully with non-surgical treatment.

Preventing Turf Toe

Our specialists recommend:

  • Choosing supportive, stiff-soled shoes- especially on turf
  • Taping your big toe if you’ve had an injury before
  • Warming up thoroughly before any activity
  • Paying attention to pain signals and not “walking it off”

Ready to Help Northeast Florida Stay Active

If you suspect turf toe or any foot or ankle trouble, Southeast Orthopedic Specialists makes it easy to schedule an appointment at one of our convenient Northeast Florida locations. Our advanced imaging, on-site physical therapy, and collaborative approach ensure a smooth, full recovery. Get back to your favorite Florida activities, pain free, our team is standing by to help.

 

Jacksonville Orthopedic Surgeon Earns Award for Invention to Repair Achilles Tendon

Jorge Acevedo Headshot

Dr. Jorge Acevedo wins prestigious Edison Award, recognized for innovative implant and technique

JACKSONVILLE, FL (June 19, 2024) – Not too many doctors can say they have invented something to help their patients. However, Dr. Jorge Acevedo, a nationally recognized Foot and Ankle surgery expert with Southeast Orthopedic Specialists, cannot only say he helped invent an important advance in orthopedic care, but also won an award for it.

 

Recently, the Jacksonville orthopedic surgeon earned the prestigious Edison Award – often referred to as the “Oscars of Innovation.” Just like the Olympics, winners in various categories are given a gold, silver, or bronze award. Dr. Acevedo and New York-based Dr. James McWilliam won the gold award, recognized for developing the Arthrex MIS FiberTak Achilles SpeedBridge Repair Implant System. This innovative system is used to repair the Achilles tendon, the large tendon at the back of the heel.

 

“We are proud to support Dr. Acevedo and Dr. McWilliam in their quest to revolutionize Achilles tendon repair,” said a spokesperson for Arthrex, Inc. “Their innovative implant system exemplifies our commitment to empowering surgeons with cutting-edge technology that improves patient outcomes.”

 

The Achilles tendon is comprised of strong tissues that connect the calf muscle to the heel. In some instances, the tendon may get damaged through overuse, physical activity or repeated stress and may require surgery.

 

With traditional Achilles tendon surgery, surgeons may need to open the back of the heel to repair the tendon. There may be large incisions, potential damage to surrounding tissue, major scarring and recovery time could be extensive.

 

Dr. Acevedo’s invention involves a minimally invasive procedure and specialized technique that minimizes damage to surrounding tissue. A series of innovative instruments and implants are used. Small incisions are made in the back of the heel and strong sutures are placed to hold the tendon against the heel bone.

MIS Achilles Blue Wire Illustration

As the area heals, patients are left with minimal scarring and a faster recovery time compared to traditional surgery.

“We are honored to receive the Thomas Edison Gold Award for our work in advancing orthopedic care,” said Dr. Acevedo. “Our goal was to develop a solution that not only effectively addresses Achilles tendon pathology but also prioritizes patient comfort and recovery.”

 

For more information, please visit www.se-ortho.com. Click “here” to view an animation of the Arthrex system.

 

About Southeast Orthopedic Specialists

Established in 2001, Southeast Orthopedic Specialists is a regional leader in musculoskeletal care. Southeast Orthopedic Specialists was founded on the principle of providing high-quality, comprehensive care in the Northeast Florida region. The entire spectrum of orthopedic care is provided to patients, including orthopedic surgery, spine care, physiatry, pain management, chiropractic, podiatry and physical therapy. Physicians at Southeast Orthopedic Specialists are leading experts in their field with decades of experience, including the completion of multiple fellowships and groundbreaking research. Visit www.se-ortho.com to learn more.

 

About Healthcare Outcomes Performance Company (HOPCo)

Healthcare Outcomes Performance Company (HOPCo) is the national leader of integrated musculoskeletal value-based health outcomes management, practice management and health system service line management. This includes comprehensive expertise across all MSK specialties, including orthopedics, spine, neurosurgery, hand, pain management, rehabilitation and neurology. HOPCo’s integrated care, analytics, and facilities development and management platforms have proven to increase the quality of patient care while reliably reducing the total cost of care across the care continuum for practices, health systems and payors alike. HOPCo’s affiliated payors, practices, and health systems successfully participate in highly efficient value-based contracting (bundled payments, chronic episodes of care initiatives, population health programs, and other advanced risk-based arrangements) utilizing HOPCo’s proprietary platforms, IT solutions, integrated analytics, and evidence-based comprehensive care pathways. Visit https://hopco.com to learn more.

 

For media inquiries, please contact:

 

David Lozano
Senior Director of Communications
Healthcare Outcomes Performance Company (HOPCo)
18444 N. 25th Ave.
Phoenix, AZ 85023
623.241.8779
David.lozano@hopco.com

Everything You Need to Know About Plantar Fasciitis

Plantar fasciitis is the most common diagnosis for those experiencing heel pain, with almost 2 million people seeking treatment for this condition each year according to the American Academy of Orthopaedic Surgeons. It involves inflammation of a thick band of tissue that runs through the bottom of the foot and connects the heel bone to the toes. A stabbing pain is usually the most defining symptom for those that have plantar fasciitis.

What are the Symptoms of Plantar Fasciitis?

Those who experience plantar fasciitis complain of a stabbing pain in the bottom of their foot near the heel. Typically, the pain is most noticeable when the first steps are taken when you first wake up.

  • Pain on the bottom of the foot, specifically near the heel
  • Pain in your first steps of the day, after long rest periods or long-standing periods
  • Significant pain after spending a long time on your feet

What is the Cause Behind Plantar Fasciitis?

At the bottom of the foot runs a long, thin ligament called the plantar fascia. It is meant to absorb the high stress and strains that are placed on the feet. However, if there is too much pressure, tissues can be torn. Irritation and inflammation are the responses to the repeated stretching and tearing of the facia which then causes heel pain.

Who is at Higher Risk for Plantar Fasciitis?

  • Those with flat feet or high arches
  • People who have tight Achilles tendons
  • Those who wear high-heeled shoes often
  • Anyone who spends multiple hours on their feet in a day
  • Typically, 40 to 60-year-olds

Ways to Treat Plantar Fasciitis

Even though there are no clinically proven ways to cure plantar fasciitis, there are a plethora of ways to curb your discomfort.

  • Pain Relievers: to relieve the inflammation and pain associated with plantar fasciitis, pain relievers such as ibuprofen and naproxen sodium can be taken
  • Conservative Treatment: most people with plantar fasciitis typically recover with conservative methods such as icing the area, stretching and modifying any activities that cause discomfort
  • Physical Therapy: By working with a Physical Therapist, you can stretch the plantar fascia and Achilles Tendon. Another technique that a Physical Therapist might use to ease plantar fasciitis pain is athletic taping. This gives support to the bottom of the foot and has been proven very effective.
  • Night Splints: a night splint keeps the ankle in a neutral position while you are sleeping which promotes stretching the lower leg muscles and plantar fascia
  • Injections: If conservative methods are unsuccessful, a doctor can inject anti-inflammatory agents into the tender area. This doesn’t heal your heel, but it does mask the pain. Platelet-rich plasma can also be injected utilizing your own blood. This injection promotes tissue healing to the afflicted area.

If you are experiencing heel or foot pain or discomfort, Dr. Jorge Acevedo at Southeast Orthopedic Specialists is dedicated to finding the right solution for you.  Schedule your appointment online today!

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