Lateral Tibial Plateau Fracture
The tibial plateau is located at the top of the shin at the knee. A break on the outer or lateral part of the tibial plateau can cause considerable knee pain. A lateral tibial plateau fracture is often the result of a vehicle accident or a bad fall that impacts the outer knee directly.
If the bones are still aligned, surgery may not be required to treat the injury. If not, you may need surgery to place the affected bones in their proper position and secure them with screws or plates.
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Diagnosing Inner Knee Pain
If you experience consistent pain, speak to your doctor as soon as possible. Your doctor will ask questions about the pain and other symptoms and will perform a physical examination with special tests specifically for the knee.
He or she may also order a diagnostic test, such as an MRI or X-ray for more conclusive results or ruling out certain injuries. It is also important for your doctor to rule out other possible issues such as a low back injury-known as lumbar radiculopathy.
Osteoarthritis Of The Knee
Osteoarthritis is a common cause of knee pain and usually affects people over fifty years old. It occurs when cartilage which protects the bones degenerates. Symptoms include:
- Knee pain develops gradually over time.
- Initially, this may be a deep, aching pain in the inner knee.
- Pain is worse after exercise.
- You are likely to have stiffness and sometimes swelling in the joint.
- Sometimes clicking or cracking noises are heard when moving your knee.
- More on Osteoarthritis of the knee
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To Treat A Meniscus Tear
A meniscus tear is the most common cause of a true knee lock. To treat a meniscus tear, your doctor will likely recommend rest, ice, and anti-inflammatory medication. They are also likely to recommend physical therapy to strengthen the muscles around your knee and in your legs, which will help stabilize your knee joint and reduce pain and locking.
If you keep having symptoms, and especially if locking continues, your doctor will probably recommend surgery. In children and young adults, meniscus tears can usually be repaired. However, in older people and in severe tears, surgical repair may not be possible. In this case, a surgeon will try to trim your meniscus to prevent it from getting caught in your knee.
After your surgery, you will need a period of rest for your knee to heal. Later, youll need to perform therapeutic exercises to boost your knee strength and stability.
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Pain Located In The Inner Knee
Pain on the inside of the knee can occur for a number of different reasons, including:
- Bursitis: This is a form of bursitis called pes anserine bursitis that occurs in between the tibia and the tendons of the hamstring muscle.
- Knee osteoarthritis: This occurs when arthritis develops in the medial compartment of the knee.
- Medial collateral ligament injuries: Also known as an MCL tear, this is often caused by sudden turning, twisting, or “cutting” motions in sports like skiing, football, basketball, and volleyball.
- Medial meniscus tears: This is usually a sport-related injury caused when you forcefully twist or rotate the knee, such as occurs during football or soccer.
Why Do My Knees Hurt When I Bend Them Or Go Up And Down Stairs
Many knee pain patients will report that they have trouble with deep bending through the knee, or going up and down stairs due to an increase in anterior knee pain. When you bend the knee under load, such as when you go down or up the stairs, there are a lot of muscles that are working, and putting pressure on the kneecap via their strong tendinous attachments. The patella sits above a groove in the femur when we are standing. When we start to bend the knee, the kneecap glides into this groove. This groove keeps the kneecap stable and in place. Within the groove, there will be building pressure within the patellofemoral space . Under normal circumstances, we will be able to tolerate this increase in joint pressure without any concerns. However, when there is thinning of the cartilage on the underside of the kneecap, as is the case of chondromalacia patella, our tolerance for compression is lessened, and this may provoke feelings of pain. Further, if there is osteoarthritis in the knee, affecting the joint space or shape of the bone, this can slightly change the way the kneecap tracks and alter the forces seen acting on the knee.
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Treat Inner Knee Pain With Impact Physical Therapy
Inner knee pain can be a major disruption to your everyday life, but it doesnt have to be. The team at IMPACT Physical Therapy is here to manage your symptoms and get you back to your full range of motion without pain. Request an appointment to set up a treatment plan for the pain inside your knee today.
Diagnosis Of Inner Knee Pain
If you see your doctor with knee pain, theyll examine your knee and are likely to ask:
- when your pain started and if theres anything that makes it worse
- if theres any activity, accident or injury that could have caused it
- if you have any other symptoms such as your knee giving way or clicking, or pain in any other joints
If you have cartilage or ligament damage, your doctor may suggest a procedure to look inside your knee. This is called an arthroscopy . It involves making a small cut in your knee and inserting a thin tube and a camera. As well as helping with diagnosis, damaged tissue can be repaired or removed during the procedure.
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What Is Causing My Inner Knee Pain
Let’s have a look at the common symptoms associated with medial knee pain and what they typically indicate:
Inner Knee Pain When Straightening Leg:Pes Anserine Bursitis is the main culprit here as the bursa can easily get squashed when straightening the knee.
Medial Knee Pain With Flexion: Most medial knee pain gets worse with knee flexion, especially when weight bearing through the leg. If it’s worse when standing, it may indicate an MCL tear or meniscus tear. If it happens when you are sitting or bending the knee, it may be pes anserine bursitis or plica syndrome.
Anterior Medial Knee Pain: If your inner knee pain is coming round to the front of the knee, it may actually be a problem with the knee cap or Runners Knee rather than one of the structures on the inner knee.
Medial Knee Pain When Sitting Cross Legged: Pain in the inner side of knee when sitting cross legged is most likely due to a meniscus tear as this position places extra stress on the cartilage.
Pain Located At The Back Of The Knee
Pain at the back of the knee is commonly caused by things like:
- Baker’s cyst: This is a fluid-filled sac that occurs when excess synovial fluid sees through the back of the knee capsule .
- Posterior cruciate ligament injuries: Also known as a PCL tear, this usually occurs when the knee is directly hit, such as during contact sports like soccer, football, or rugby.
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What Causes Inside Knee Pain
Published on: 5th August 2022
Pain on the inner side of the knee is probably the most common kind of knee pain there is. Youll often hear it called medial knee pain medial simply meaning middle, since this part of your knee is situated towards the middle of your body.
Most knee pains are mild and clear up naturally. But persistent or recurring knee pain needs to be investigated. And the location of the pain gives us an early clue about what might be causing it.
So what are the biggest causes of persistent inside knee pain? Here are some possibilities.
Exercises For Inner Knee Pain
For most cases of inner knee pain, exercise is a sufficient and effective way to improve your pain levels, regain functionality, and prevent future pain. For the knee, in particular, stretching and strengthening of the muscles surrounding the thighs can provide support and stability to the knee. These include the hamstrings, the muscles on the back of the thighs, and the quadriceps, the muscles on the front of the thighs. Here are four exercises to get you started
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Medial Collateral Ligament Tear Or Sprain
The MCL is a band of tissue that runs along the inner edge of your knee. It plays a role in connecting your shin and thigh bones to keep your knee stable and working properly. The MCL can tear when it stretches far enough or if the outside of your knee is hit very hard. When your MCL is injured, your knee has the capability to over-extend itself, or bend too far in a direction its not supposed to. That is why its important to get treatment. In order to tend to an MCL tear and reduce pain and swelling, RICE treatment can help.
Most Common Inner Knee Pain Causes
In children the most common causes of inner knee pain are:
- Osgood-Schlatter disease
- Patellar tendonitis also known as jumpers knee
In adults, there are a range of other common causes of inner knee pain, including:
Osteoarthritis is one of the most common forms of arthritis, which causes the cartilage and bones in your joints to break down. If osteoarthritis affects your knees, you may find that pain worsens throughout the day because of the pressure applied to your knee when climbing up and down the stairs, walking and sitting.
Rheumatoid arthritis is a chronic inflammatory disease where your bodys immune system mistakenly attacks the tissues in your joints. If rheumatoid arthritis affects your knees, you may find that pain gets better through the day as the inflammation and stiffness reduces.
Medial collateral ligament injury
The medial collateral ligament runs along the outside of your inner knee and stabilises it. If this ligament is overstretched, you can develop an MCL sprain, or a partial or full tear. MCL injuries usually occur when playing contact sports where there is a lot of twisting and turning of your knee joints. Symptoms include:
- A popping noise on injury followed by sudden pain
- Feeling unsteady when standing or walking
- Locking of your knees
Medial meniscus injury
- Bucket handle tear
Symptoms of a medial meniscus tear include:
Pes anserine bursitis
Pes anserine bursitis can be caused by:
Medial plica irritation
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If You Feel Inner Knee Pain Locking Of Your Knee Or Hear A Clicking Sound:
You might be feeling symptoms of medial knee plica syndrome. A lot of people with this syndrome say that their knee doesnt feel stable during daily activities. The Patella Stabilizer Knee Brace can help to feel stability within your knee and aid in the healing process. It also may hurt to walk up and down the stairs or when running. The knee may feel achy or worse at night or when you are active. It may hurt to squat, bend, or get up after you sit for a long period of time.
Treating Lateral Knee Pain
Many of the aforementioned conditions, especially if its onset is gradual, are caused by overuse and poor training habits. For example, adding too heavy a load, too quickly or suddenly increasing the intensity of your workouts can be bad news for your knees.
Even playing sports on uneven, poorly maintained fields can cause major lateral knee pain. Of course, structural abnormalities can also prove to be the culprit, but most often, you can work with a Exercise Physiologist to fix any habits that arent serving you.
When you visit your physiotherapist to treat your lateral knee pain, youll likely be working on various knee flexion exercises using proper form. By increasing flexion of the knee and improving its range of motion, youre also less likely to experience an injury since youll have the tools to protect your knees from further damage, therefore relieving lateral knee pain.
For example, by applying pressure to the fibula and manually rotating the lower leg posteriorly, your physiotherapist can help increase the range of motion in your knee flexion with less lateral knee pain. If this therapy method helps, your physiotherapist can then use kinesthetic tape to hold the posterior rotation of the fibula in place for about 48 hours, giving your knee more range of motion while allowing your body to heal.
Check out our video going into more detail about this process
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Inner Knee Pain Causes
There are a number of causes of inner knee pain, not all of which are as obvious as a direct blow to the knee. Often, what causes inner knee pain is not easy to identify, particularly when the pain has come on gradually.
A meniscus injury, for example, might happen during a sporting event. However, normal overuse of the cartilage can lead to a breakdown of the meniscus, particularly as we age.
Among the most common causes of inner knee pain are:
- Repetitive stress
- Poor technique during everyday activities, sports, or exercise
- Dysfunctional lower body or core mechanics
- Weak leg muscles
- People who are inactive or sedentary
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Causes Of Knee Pain By Location
Where your knee pain occurs can hint at why it’s happening
The location of knee pain can say a lot about its possible causes. For example, a healthcare provider may consider certain diagnoses if the pain is on the inside of the knee versus the outside. Likewise, they may rule certain causes in or out if the pain is felt under the kneecap while bending the knee or at the top of the knee when walking upstairs.
To better understand why the location of knee pain can be so telling, it helps to learn about the structures of the knee and the various conditions that can affect them.
This article takes a concise look at the anatomy of the knee joint and describes the processes and conditions that cause pain in the different aspects of the knee.
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Knee Pain On Inside Of Joint: 5 Reasons Why
Aug 12, 2022 | Knee Pain
Do you have pain on the inside or inner side of your knee joint? Learn why and what you can do about it.
Over 25% of adults will experience persistent knee pain in their lifetimes.1 The inside of the knee is a common area of discomfort. If you are experiencing pain in this area here are five common injuries that may be the culprit.
What Can You Do For The Pain
Your plan will depend on your specific injury. Mild to moderate issues will often get better on their own. To speed the healing, you can:
- Rest your knee. Take a few days off from intense activity.
- Ice it to curb pain and swelling. Do it for 15 to 20 minutes every 3 to 4 hours. Keep doing it for 2 to 3 days or until the pain is gone.
- Compress your knee. Use an elastic bandage, straps, or sleeves to wrap the joint. It will keep down swelling or add support.
- Elevate your knee with a pillow under your heel when youre sitting or lying down to cut down on swelling.
- Take anti-inflammatorymedications. Nonsteroidal anti-inflammatory drugs such as ibuprofen or naproxen will help with pain and swelling. Follow the instructions on the label. These drugs can have side effects, so you should only use them now and then unless your doctor says otherwise.
- Practice stretching and strengthening exercises if your doctor recommends them. You may want to do physical therapy, too.
Make an appointment with a doctor if you still have pain after 2 weeks of home treatment, if the knee becomes warm, or if you have fever along with a painful, swollen knee.
Some people with knee pain need more help. For instance, if you have bursitis, your doctor may need to draw out extra fluid from the bursa in your knee. If you have arthritis, you may need an occasional corticosteroid shot to settle down inflammation. And if you have a torn ligament or certain knee injuries, you may need surgery.
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