Rheumatoid Arthritis Of The Knee
Rheumatoid arthritis is an autoimmune condition that causes the tissue around the joint to become inflamed and thickened. Chronic inflammation often leads to damage and loss of cartilage.
Rheumatoid arthritis occurs in about 0.6 percent of the U.S. population and is two to three times more common in women.
Symptoms of rheumatoid arthritis are similar to other types of arthritis in the knee:
Osteoarthritis Of The Knee
The most common type of arthritis is osteoarthritis, which is a progressive wearing of the cartilage in the knee joint. It occurs more frequently in people age 50 and older.
After 50, the impact of osteoarthritis can worsen due to accumulated use and the wearing down of cartilage that occurs with age.
Osteoarthritis is often the result of bone rubbing on bone, and yes, thats as painful as it sounds. Osteoarthritis can also be caused by age, weight, genetics, previous injuries, infections, illness , and certain occupations, such as construction and manufacturing.
Can Dehydration Cause Pain In The Back Of The Knee
In general, dehydration does not cause pain in the back of the knee. However, if you are dehydrated, you may experience cramping of your muscles. This is due to electrolyte imbalances leading to muscle irritation. This can lead to pain in the back of your leg if those muscles cramp. Most commonly, dehydration leads to exhaustion, thirst, muscle cramps, and dizziness.
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Pain In The Front Of The Knee: 6 Common Causes
Pain in the front of the knee or anterior knee pain is very common. Do any of these scenarios seem familiar to you? You come to a stairway and cringe at the thought of having to walk downstairs. You love to run, but the anterior knee pain you have when running downhill has taken the joy out of running. If youve been sitting for a while, the thought of having to get up is becoming too much to bear. While I could say youre not alone, thats not very comforting. You are here for answers. Lets see how we can help educate you on why the front of your knee hurts so much.
Brief Anatomy Of The Knee
The knee is a vulnerable joint that bears a great deal of stress from everyday activities, such as lifting and kneeling, and from high-impact activities, such as jogging and aerobics.
The knee is formed by the following parts:
Tibia. This is the shin bone or larger bone of the lower leg.
Femur. This is the thighbone or upper leg bone.
Patella. This is the kneecap.
Each bone end is covered with a layer of cartilage that absorbs shock and protects the knee. Basically, the knee is 2 long leg bones held together by muscles, ligaments, and tendons.
There are 2 groups of muscles involved in the knee, including the quadriceps muscles , which straighten the legs, and the hamstring muscles , which bend the leg at the knee.
Tendons are tough cords of tissue that connect muscles to bones. Ligaments are elastic bands of tissue that connect bone to bone. Some ligaments on the knee provide stability and protection of the joints, while other ligaments limit forward and backward movement of the tibia .
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Inner Knee Pain Here Are Some Of The Top Causes Symptoms Diagnoses And Treatments
- AposHealth Staff
Inner knee pain can show up at the oddest times and can make a normal outing feel more like an inconvenience than a joy! Whether youve just finished watching a movie and go to stand up, or whether youre out running and just when youre in your stride you get this terrible ache in your knee. From squats to lunges to all the different ways your knees support you throughout the day, its important to know that in many cases your knee can feel better. It just requires the right care and approach.
Knee pain can be difficult to understand. Your knee is actually a complex joint made up of many different parts, any or all of which can be painful. Fun right? However, the most common place where knee pain is felt is on the inner side of the knee.
What were referring to is medial knee pain, which is the pain found in the inner side of your knee, the part closest to your other leg. Meaning, you feel pain on the left side of your right knee, or on the right side of your left knee. If youre looking for information about pain inside your knee joint, check out our article on internal knee pain.
Treating Knee Pain From Arthritis
Knee pain usually becomes worse as arthritis progresses. Many people with severe pain from arthritis choose to have surgery to relieve their symptoms and help repair the joint.
But surgery isnt right for everyone. Some of the more conservative options for treating knee pain from arthritis include medication and at-home strategies like exercise.
The exact treatment plan thats recommended for your knee pain will depend on factors such as severity of your pain, your age, your activity levels, and any other medical conditions you have.
Typically, your doctor will try the least invasive type of treatment, such as weight loss and medication, and then move down the line to consider surgery.
Because there are many considerations before turning to surgery, its crucial to discuss and explore all treatment options with your doctor.
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Ripped Knee Cartilage Material
One more sort of injury that can cause discomfort as well as swelling behind the knee is a cartilage material cells tear in the knee.
According to Dr. Benjamin Wedro on MedicineNet, knee cartilage rips prevail among athletes. Cartilage in the knee can easily tear creating discomfort if an individual unexpectedly turns and quits. It is also usual amongst weightlifters bowing as well as raising hefty items, basketball, as well as tennis gamers. Age can additionally place an individual in danger for knee cartilage material damages.
Doctors from the American Academy of Orthopedic Surgeons report that some of the common signs of cartilage material tear in the knee are knee discomfort, swelling around the knee joint, and also trouble moving the knee.
What Is Pain Behind The Knee
Since the knee is the largest and most complex joint in the body, it makes sense that it might hurt sometimes. Although knee pain is a common complaint, it is less common behind the knee.
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When Will My Knee Feel Better
The recovery time depends on your injury. Also, some people naturally heal faster than others.
While you get better, ask your doctor if you can do an activity that won’t aggravate your knee pain. For instance, runners could try swimming or other types of lower-impact cardio.
Whatever you do, don’t rush things. Donât try to return to your regular level of physical activity until you notice these signs:
- You feel no pain in your knee when you bend or straighten it.
- You feel no pain in your knee when you walk, jog, sprint, or jump.
- Your injured knee feels as strong as the other knee.
Anterior Knee Pain Causes In Young Athletes:
Before you read this, it is worth repeating the majority of you will not have the issues that I outline below. The majority of you will have pain due to a gait abnormality or muscle imbalance. We all feel the need to have a specific label for why our knee hurts. Anterior knee pain due to muscle imbalance just doesnt cut if for some of you you want something more specific. I understand that.
The point I am trying to make is, if you assign the cause of your pain to a specific structural finding or something that your MRI report mentioned, then you may have difficulty getting past that and buying into the PT or exercise strategies that have been shown to work.
- Chondromalacia: Chondromalacia is likely a very early sign of arthritis. It involves the softening of the cartilage under your patella . As the cartilage softens, it is thought that it irritates other tissue in the knee with certain activities. Im not convinced that this is a common cause of anterior knee pain. Chondromalacia is very common, even in people with no pain.
We find chondromalacia in so many people at the time of surgery for other things, such as an ACL tear. And those people rarely have pain in the front of their knee. So it is not entirely clear why some people might have pain due to chondromalacia, and others do not. Surgery is rarely needed.
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Patellar Tendonitis And Tear
Patellar tendonitis is inflammation of the patellar tendon. That’s a large tendon connecting your kneecap to the top of your tibia.
Patellar tendonitis is most common in athletes who do a lot of running and jumping. It’s often described as a constant dull pain that becomes sharp when you’re active.
In some cases, a weak patellar tendon can tear. A patellar tendon tear causes:
- Severe pain
- Swelling over the knee
- A tearing or popping sensation
If it’s a bad tear, you might notice an indentation at the bottom of your kneecap. The knee may give out when you walk.
Is Anything Strange Happening
Or really, Is anything strange happening beyond your knee pain?
For example, can you still flex your knee all the way? Most people get frightened when their knee locks and cant straighten anymore. Often the culprit is called Bakers cyst, a fluid-filled sac behind the knee caused by inflammation.
A also triggers concern for many people. Nobody wants to hear a click with every step. Sometimes, its harmless, but if that clicking comes with pain, you might have a mechanical problem such as a torn meniscus, Dr. Burg says.
These are just a few examples among many. The knee is a complicated andcritical part of your everyday life. So when you have pain that comes withserious symptoms or lasts for more than a week or two, seek the right diagnosisby getting a physical exam and any necessary imaging that comes with it.
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What Are The Symptoms Of An Lcl Injury
Symptoms of an LCL injury can be mild or severe, depending on the severity of the sprain or if its torn. If the ligament is mildly sprained, you may not have any symptoms at all. For a partial tear or complete tear of the ligament, your symptoms may include:
- swelling of the knee
- stiffness of the knee joint that can cause locking of the knee
- pain or soreness on the outside of the knee
- instability of the knee joint
Burning Pain On The Sides Of The Knee
If you have experienced a burning on the left or right side of your knee, you know that this type of pain is excruciating. Many have compared it to sticking a dagger into the knee joint.
What is generally going on in this situation is that your knee joint is pushing down on your meniscus, which is the knees shock absorber, and forcing it to squeeze out the sides of the knee. Just like if you were to put bubble gum between two bricks and press down, it can ooze out the sides. If there is excess tension in your knee, the meniscus will start to do the same thing and squeeze out the sides of your knee joint, causing the intense pain to emerge.
Many times this can cause the knee to feel unstable because that shock absorber that guided and cushioned the knees movements is dislocated. Fortunately for you, there is a pain free solution to this burning pain.
The first thing you need to do if you have this type of knee pain is to relax. If your knee is in a comfortable position and the tension is removed, the nerves in your knee will relax as well. The key here is to create space in your knee joint so that the meniscus can go back into its normal position. Once this happens, the relief is immediate.
The stretches you need for this condition are presented in my group coaching program called Knee Club. For info on that click here: Join Knee Club
Leave me some feedback and comments here on the page. I look forward to hearing from you.
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What You Need To Know
- The most common causes of knee pain are related to aging, injury or repeated stress on the knee.
- Common knee problems include sprained or strained ligaments, cartilage tears, tendonitis and arthritis.
- Diagnosing a knee injury or problem includes a medical examination and usually the use of a diagnostic procedure such as an x-ray, MRI, CT scan or arthroscopy.
- Both non-operative and surgical treatment options are available to treat knee pain and problems depending on the type and severity of the condition.
When To See A Doctor
If you are experiencing chronic pain or pain more associated with serious injury, see your doctor promptly. Not addressing your pain properly can lead to increased pain, joint damage, and disability. Depending on the cause of your knee pain, your doctor may suggest the following treatments:
- Medications: Your doctor may prescribe medications to help relieve pain in the back of the knee and swelling and treat underlying conditions like arthritis.
- Physical therapy: Your doctor may prescribe stretching exercises or a physical therapy/rehabilitation program to help you restore range of motion, strength and stability to your knee.
- Injections: In some situations, your doctor may suggest injecting medications and other substances directly into the knee joint in order to reduce inflammation, lubricate the knee and promote healing.
- Surgery: If conservative measures do not provide relief, your doctor may recommend surgical options.
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What Is The Long
For minor injuries, the ligament may heal without any issue. However, its important to note that if the ligament got severely stretched, it may never regain its prior stability. This means that its more likely that the knee will be somewhat unstable and you could easily injure it again. The joint could become swollen and sore simply from physical activity or minor injury.
For those with a major injury who dont have surgery, the joint will most likely remain unstable and easily injured. You may not be able to do physical activities that require repetitive use of the knee, including running, climbing, or biking. Pain could result from minor activities like walking or standing for extended periods. You may have to wear a brace to protect the joint during physical activity.
For those who have surgery, the outlook will depend on the severity of the original injury and the surgical procedure. Generally, youll have improved mobility and stability after the joint completely heals. You may have to wear a brace or limit physical activities in the future to help prevent reinjuring the knee.
In knee injuries involving more than just the LCL, treatment and outlook may be different, as those injuries could be more severe.
What Painkiller Is Best For Knee Pain
Seeking interventional orthopedics treatments to address the source of your knee pain and injury should be the specific goal. If a painkiller is needed in the meantime, ditch the nonsteroidal anti-inflammatory drugs for pain and swelling and all of their dangerous side effects and opt for supplements that have been shown to be effective for knee pain and swelling in the joint, including curcumin,glucosamine, and chondroitin .
What about steroid injections for knee pain and swelling? Just dont do it! There is a long list of toxic side effects associated with these drugs, including spinal fracture risk, vaginal bleeding, adrenal problems, joint cartilage loss , diminishing relief with each injection, and so much more .
The upshot? You can likely diagnose your own cause of side of knee pain. Just realize that almost everything Ive discussed above doesnt require a big surgery to fix. Instead, highly precise injections of our own platelets or stem cells can usually heal these problems with minimal downtime.
However, be cautious out there as youll find lots of clinics that know very little about treating these issues and that want to charge big bucks to inject magic amniotic or umbilical cord stem cells in this area and then often IV. This is not legit treatment as these are dead tissues being hawked as live stem cells. So buyer beware!
Ann Intern MedChris Centeno, MD
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Burning Pain When Sitting Still
Some people feel more pain at night than during the day.
You might feel more pain when you’re sitting still. Some of us are just too busy to monitor pain. We need debilitating pain to tell us to slow down and be still.
So when you sit down and take a break, do not be surprised if the little niggles of pain begin to visit you.
Your nightly knee pain can also come from reduced hormone signals. When you rest, your hormone signals are reduced. These reduced hormone signals give way for pain signals to reach the brain.
So you’ll feel pain as you try to nod off.
Your blood vessels may also be the culprit for pain at night. When you sleep, your blood vessels increase in diameter. This is a natural process that allows more blood to come to muscles, allowing them to heal.
However, those expanding blood vessels can put pressure on your nerves. This will cause pain such as pain in your knee even as you try to sleep.