Investigation Of Pain Inside The Knee
Your doctor will ask you about the type of pain you are feeling, and also note the size of your affected knee compared to your unaffected knee. Any discolouration and warmth will be noted as will the range of movement you are able to effect. The doctor may need further investigation in the form of medical imaging to detect fluid or a possible fracture, and perhaps a blood test to identify any rheumatoid factor or antinuclear antibodies. Fluid may also be drawn from the knee to test for uric acid or bacteria if an infection or inflammation is suspected.
Gradual Onset Medial Knee Pain
Gradual onset or chronic knee pain develops over time. You will probably not be able to pinpoint the exact time your injury occurred. Overuse is a likely cause, resulting in wear and tear or degeneration.
Chronic medial knee pain can also develop following an acute injury which is not treated properly. As a result, it fails to heal properly.
Youre Trying To Relax
When your body is at rest, you may notice the mild to moderate pains that you could more easily ignore when your mind was preoccupied with busy thoughts during your waking hours.Additionally, when you sleep, your body produces less cortisol. While high cortisol levels can lead to heart disease, healthier levels can help your body reduce inflammation.
Since most joint pains are caused by or worsened by inflammation, moderate amounts of cortisol can help your body manage this inflammation. But when your body is relaxed, such as when youre trying to go to sleep, your body has less cortisol to mitigate the swelling and irritation in your knees.
Treatment Options And Pain Relief
Usually, your treatment will vary depending on the severity of your injury. The inner meniscus do not have a huge blood supply and sometimes, surgery may be required. However, it isnt always necessary. Rest and ice can go a long way in helping you recover from a meniscus injury. When the pain has begun to subside, proper stretching and strengthening exercises targeting muscles around the knee can help the area heal further, as well as prevent future injury.
Where Is Your Pain
The hunt for the cause of knee pain is like the search for a home:Location matters.
For example, pain below your kneecap might be a sign of patellar tendinitis, or inflammation in the tendon that connects the kneecap to the shinbone, says rheumatologist Scott Burg, DO. Pain above the kneecap often means quadriceps tendinitis.
Pain on the inside or outside of your knee could be a sign of a torn ligament , Dr. Burg says. But it also could indicate a torn or degenerative meniscus, which is the cartilage that lines and cushions your knee joint.
Those are just a couple of causes, not including various types of arthritis. Location is important, but we also ask other questions, Dr. Burg explains.
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Medial Collateral Ligament Injury
The medial collateral ligament runs along the outside of your inner knee to stabilize the joint. If the ligament overstretches, you may have an MCL sprain.
The MCL can also tear partially or fully. An MCL injury most commonly occurs after force is applied to the outer knee, such as in contact sports.
Symptoms of an MCL injury include:
Taking It On The Kneecap
Diagnosing and treating patellofemoral pain.
Studies have shown that roughly half of recreational runners will suffer an injury during their training year, with the knee as the most common site of injury. Kneecap pain can be debilitating and frustrating, and the prolonged pain and dysfunction lead many to abandon or limit running. Kneecap pain is sometimes referred to as runners knee, chondromalacia patella or patellofemoral pain.
The knee joint is comprised of three bones: the tibia, the femur and the kneecap or patella. The patellofemoral joint generally refers to the kneecap and its underlying groove or trochlea, with which it articulates. The four muscles of the quadriceps share a common attachment on the patella. The kneecap plays an important role as it lengthens the lever arm of the muscles and tendons of the quad and protects the front of the knee from direct trauma. Because its subjected to forces up to 8 times bodyweight with running and jumping, the cartilage underneath the kneecap is among the thickest in the body. This cartilage is a natural shock absorber and protects the bony surfaces of the joint from stress. While cartilage doesnt have any nerve supply, the underlying bone is highly innervated and becomes vulnerable when no longer protected by the padding of the cartilage.
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Symptoms and Sources
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Vrikshasana Helps With Enhancing Your Concentration Level
Because vrikshasana yoga poses promote a sense of fine balance in your body, it also has a positive impact on your mental health, as it helps in improving your concentration and focus, making your mind much sharper than before and less prone to frequent wandering. It also aids in the stabilization of your neurological system to a much larger extent, allowing you to perform at its best.
Apart from enhancing your mental performance to a greater extent, vrikshasana pose is also beneficial for your self-esteem and prevents melancholy and frequent mood swings. It may also help in the prevention of various severe diseases like Parkinson’s and Alzheimer’s disease.
When Will My Kneecap Start To Feel Better
One broad caveat to keep in the back of your mind. Many of you are thinking that a few weeks are enough time to start to see improvements with treatments such as exercise or physical therapy. Sadly thats not going to happen. It is not unusual for it to take 3-4 months before you start to see significant improvement in your pain. Furthermore, it is not uncommon for it to take 8-12 months for a complete resolution of your symptoms. This is important I wouldnt want to seek a surgeons consultation because 4-6 weeks of therapy and exercise left you with persistent pain.
Down below.. under coping strategies, we list a few things to try that can calm down your pain while we give the exercise time to work.
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Practice Good Sleep Hygiene
While pain can disrupt your sleep, you can promote a more restful night when you include these sleep hygiene strategies into your daily routine:
- Avoid taking long naps during the day.
- Make your bedroom cool and dark.
- Avoid eating heavy foods or exercising right before you sleep.
- Talk to your healthcare provider about taking melatonin supplements or other sleep aids.
- Dont use phones or computers before bed since the blue light from the screen can disrupt sleep.
- Use a pillow and supportive mattress to avoid straining your back or your knees.
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When To See A Healthcare Provider
Not all knee pain needs medical treatment, but delaying care when it’s needed can lead to more pain and disability. Symptoms to watch for are:
- Pain lasting more than 48 hours
- Inflammation lasting more than 48 hours
- Reduced range of motion
- Signs of infection
Your knee injury may need immediate care if:
- The joint looks deformed.
- You have sudden inflammation or swelling.
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Preventing It Band Issues
To prevent IT band issues from occurring, its important that you take care of your body while working out. Practice good form and dont exert yourself beyond your limits. Always stretch, warm up, and cool down when working out. You may wish to use a foam roller to loosen up your IT band.
Continue doing exercises to strengthen and stretch your body. This will also help to balance out your body if youre often doing the same type of repetitive activity. Do the exercises at least three times per week. Take at least one full day of rest per week to allow yourself time to recover between workouts.
How Is Knee Pain On The Outside Of The Knee Diagnosed
When you see a doctor about lateral knee pain, theyll first ask you to describe the location and type of pain, for example is the pain sharp or aching? Theyll also ask you when the pain started and what activity you were doing when your symptoms began.
Theyll then perform a physical examination that will typically involve extending and flexing your knee, as well as moving it gently from side to side. This may reveal whether theres any swelling, areas of tenderness, or looseness in any of the ligaments.
Imaging tests may also be appropriate, including one or more of the following:
- X-ray to see bones
- Magnetic resonance imaging to get detailed images of ligaments, tendons, muscles, and cartilage
- Computed tomography scan provides a more detailed image of the bone than is possible with a standard X-ray
Based on your symptoms, the physical exam and imaging, a doctor should be able to diagnose the cause and severity of your knee injury and propose a treatment plan.
For minor lateral knee injuries, rest and conservative measures are all that are needed to allow them to heal. However, ligament tears, meniscus tears, and advanced arthritis may require surgery.
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Anterior Cruciate Ligament Injuries
The anterior cruciate ligament is a band of tissue that runs through the front of the knee joint, connecting the bones and helping keep the knee joint stable.
ACL strains often happen due to sudden stops or changes in direction. Similarly to meniscus tears, a strain in the ACL may cause a popping sound, followed by pain and swelling.
A torn ACL is a well-known, serious injury, often side-lining an athlete for a long time. Torn ACLs usually require reconstructive surgery.
Other Knee Injuries And Conditions
Because the knee is the largest joint in your body, it is prone to injury and strain. If you fall or bump your knee, you may experience pain from bruising. If youve fractured any of the three bones in your knee, you may experience weakness, sharp pain, or deep throbbing sensations.
Rheumatoid arthritis can present similar symptoms to osteoarthritis, but this autoimmune condition may require different treatments than joint damage caused by the typical wear and tear of aging.
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Anterior Knee Pain: The Basics
Pain in the front of the knee or anterior knee pain can affect people in all age groups. Approximately 25% of people will suffer from pain in the front of their knees at some time in their lives. I have seen teenagers who can longer participate in sports, and I have 70 years olds who can no longer walk downstairs without fear of their knee giving way. Why is our kneecap or patella so prone to bothering us like this?
The cause of anterior knee pain might vary based on your age, level of activity, and your chosen sports. We can see people who are inactive and suffer from pain in the front of the knee, and we can also see people who are highly trained and disciplined who are suffering from pain around the kneecap. The majority of people who have pain in the front of their knee do not recall any injury.
In the majority of cases of anterior knee pain, we do not find anything significant wrong with your X-rays or MRI scans. It seems that the pain in the front of the knee is often due to imbalances, weakness patterns, movement patterns, and complex issues that can take a while to figure out. Yes, some of you might have a cartilage defect or some early arthritis in the front of your knee but believe it or not, the majority of you will have pretty normal-appearing imaging studies. That has led to a significant change in our approach to anterior knee pain over the years.
Anterior knee pain is particularly common in young women and many runners.
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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How Do You Describe Your Pain
I know, its a tough question sometimes, Dr. Burg says. But you probably can tell the difference between a dull, throbbing pain and a sharp, burning sensation.
Thats important. A sharp, burning sensation moreoften indicates an irritated nerve rather than a joint or ligament problem. Onthe other hand, you might describe pain from arthritis as more constant andachy.
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.
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Less Common Causes Of Knee Pain
Less-common causes of significant knee pain include conditions and injuries. Injuries include:
- Dislocated kneecap: Causes are sharp blows to the knee or twisting. Severe pain in the front of the knee plus buckling, slipping, or catching during movement.
- Kneecap fracture: Causes are a direct blow or falling onto the knee. Pain, difficulty straightening the leg, bruising, and swelling can occur. Sometimes there’s visible deformity.
- Plica syndrome: Irritation of the synovium . Pain is in the middle and front of the knee. Worsens with inactivity or squatting, running, or kneeling. The knee may pop when bent.
- Osgood-Schlatter disease: Strikes after growth spurts in kids between 9 and 14. Pain is in the front of the knee. It improves with rest and worsens with activities like running and jumping.
- Osteochondritis dissecans: In children, lack of blood supply weakens the bone and cartilage. The knee may separate from the underlying bone. Causes pain with activity.
- Knee joint infection: Causes significant pain, swelling, warmth, painful movements, and fever. It may result from a bacterial infection in the bloodstream.
- Bone tumor: Very rarely the source of knee pain. Symptoms include fever, unintentional weight loss, and pain that’s worse at night.
Exercise Program For Pain In The Front Of Your Knee :
Many of you are afraid to exercise. Yes, some of you may have pain with a few of these exercises. You can start with quadriceps isometric exercises, or simply dont go too low with the squat, lunge or wall sit until your strength improves. Most of you will find that after doing these exercises 3 days/week for two weeks that your pain will start to improve. As I mentioned previously, this is a program that can take 6-12 months to fully correct the weakness pattern that led to pain in the front of your knee. So stick with it.
Squat: I like the variations that this group throws in. You do not and should not start with 100 if you are just starting out.
Chair Squats are the place to start if you dont have the strength or confidence.
Wall Sits: A great quadriceps exercise. This video is a little mechanical, but it contains the dos and donts of how to perform a wall sit.
Reverse Lunges: Easier than forward lunges. Dont lunge back further than you can handle. That distance will get further over time. Focus on your front knee so it doesnt wobble back and forth.
Planks: This video includes a good description of the proper technique, and it gives you 10 different variations to try.
Hamstring bridge exercise. If this is too easy you can rest a barbell across your pelvis, or a kettlebell on your lower abdomen.
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Other Symptoms Of Bone Cancer To Look Out For
The symptoms of chondrosarcoma can vary depending on the location and stage of the cancer. Pain is a common symptom of chondrosarcoma. The pain might feel worse at night, might not improve after significant rest, and might gradually worsen over time, per the University of Virginia. Some weakness and/or limitation of movement may also be present in the affected bone, explains the University. According to the Cedars Sinai Medical Center, you might also notice a large lump and feel pressure around the mass. Other possible symptoms include weakness or bladder and bowel control problems, if the tumor pushes on the spinal cord, explains the Mayo Clinic.
Generally speaking, it’s important to note that these symptoms can also be caused by other conditions, so it’s essential to see a doctor for a proper diagnosis if you are experiencing these symptoms persistently. It is also important to note that symptoms may not be present in the early stages of chondrosarcoma.