What’s The Outlook For Teenagers With Pain In Their Knees
Most knee pain in teenagers can be managed with simple treatments. However, many soft-tissue tears and bone breaks require surgery. Most teenagers recover without long-term problems if they follow the recover plan provided by their healthcare providers. Because there are many causes of knee pain, be sure to ask your healthcare provider for specific information on long-term prognosis for your teen’s knee condition.
Can Someone With Pfp Syndrome Play Sports
Most people with PFP syndrome need to cut back or stop sports for some time. Follow the health care provider’s instructions on when it’s safe for you to go back to sports. This usually is when:
- Hip, leg, and core strength is near normal.
- Flexibility, especially in the hamstring muscle, has improved.
- There’s no pain with everyday activities, such as walking and going up/down stairs.
- Any pain with activity is very mild and goes away within a few minutes of starting the activity.
How Should I Treat Runners Knee
Treatment for runners knee depends on the specific problem that is causing the pain. Fortunately, runners knee rarely requires surgery, and most cases heal in time. Regardless of the cause of your particular case of runners knee, here are some things you should do at the first sign of pain:
- Stop doing activities that hurt your knee. This means no running, cycling, or skiing until the pain goes away and you can resume your activities without pain.
- Use the RICE formula as soon as you can:
Rest: Try to avoid putting weight on your knee as much as you can.
Ice: Use a bag of ice wrapped in a towel or cold compress to help reduce swelling.
Compress: Wear an elastic bandage or snug-fitting knee sleeve with the kneecap cut out.
Elevate: Lie down and keep your knee raised higher than your heart.
On rare occasions, someone might need surgery for runners knee. If your doctor decides this is your best option, he or she may recommend one of two surgeries:
Reviewed by: Kathleen B. OBrien, MDDate reviewed: June 2013
Read Also: Can Knee Replacement Cause Neuropathy
Should I Get A Bone Scan Or Mri
In all my research, personal experience, interviews, and coaching experience, Ive never found mention of MRI or CT Scans being helpful in diagnosing Patellofemoral Pain Syndrome.
However, bone scans have shown to be worthwhile for chronic sufferers who want a more definitive diagnosis. If the patella is truly distressed or tired like we discussed in the previous section, it will show up on a bone scan. A bone scan works when youre given an injection with a tiny amount of radioactive material. It shows up on the scan and spreads wherever your blood goes .
Bone scans are expensive and Id ask your doctor if its appropriate if you have chronic PFPS. My research has concluded that this type of scan can confirm a PFPS diagnosis and help isolate the overused tissue.
Is Patellofemoral Pain Syndrome Caused By Degenerated Cartilage
Unlikely! The cartilage underneath the patella and on the femur doesnt have any nerves so its not what is causing you pain. Its relatively inert.
What actually hurts is probably the synovial lining, a fancy word for the soft tissue and fluid that surrounds your knee joint. It acts as lubrication between the moving parts of your knee. Its capable of irritation which is why its the specific part of your anatomy that hurts.
Don’t Miss: How To Get Rid Of Dark Spots On Your Knees
How Did You Hurt Your Knee
Traumatic injuriesare noticeable right away and worsen dramatically the next day as pain and inflammation set in. traumatic injuries typically occur playing sports, during slips, falls, and other work-related accidents. The trauma is caused by the injury exceeding the tolerance of knee structures leading to breaks, ruptures or tears.
Knee ligaments, bones, and menisci are the most commonly damaged structures in the knee joint. Injuries to bone and connective tissue result in long term pain and will impede normal knee function for some time after the initial injury. Less serious traumatic injuries may result in only painful, superficial contusions which heal relatively quickly. If you believe you have incurred serious knee trauma you should visit a doctor as soon as possible. If bone or connective tissue within your joint is damaged a surgical assessment could be required.
Overuse injuriestypically cause knee pain that comes and goes and varies in intensity. Sometimes our favorite activities subject our knees to stressful movement patterns repetitively. Think jumping, squatting, kneeling, running, lunging type movements. Moving in this way over and over again can irritate knee structures such as bursae, tendons, and articular cartilage.
Degenerative Joint Disease is the number one cause of long term disability relating to knee pain. Pain often comes on slowly and over time those affected by arthritis will experience constant pain while performing weight-bearing activities.
How To Safely Return To Running
You can start running again after runner’s knee when you’re able to run without changing your form due to pain. Stick to running on flat surfaces when you first return and only increase time and distance 5% to 10% a week.
Shortening your stride and striking the ground directly underneath your center of gravity may also help alleviate the problem. Make sure you have the right kind of running shoes for your foot type.
Make sure you’re not running in worn-out shoes. You should replace your shoes every 300 to 400 miles. You may also want to consider buying over-the-counter arch supports.
Recommended Reading: How Long After Knee Replacement Can You Fly
Running Knee Pain Questions
What Causes Outside Knee Pain Running? Most common cause of outer knee pain when running is iliotibial band syndrome – an overuse injury causing inflammation of the ITB. It can usually be self-treated with rest, ice, exercises and wearing a knee strap.
What Causes Inner Knee Pain After Running?Inner knee pain when running may be a sign that you are overloading the cartilage on the inner side of the knee which can result in a meniscus injury. Altered foot biomechanics, decreased knee stability and poor glutes strength all affect the angle of the knee so more force goes through the inner side of the knee. There’s generally a sharp pain that comes and goes.
Another possibility is pes anserine bursitis which causes inner knee pain about 2cm below the knee cap.
What Causes Front Knee Pain When Running?The most common cause of pain at the front of the knee when running is Runners Knee. It develops when there is excess friction on the back of the kneecap, usually due to a problem in how the kneecap moves as you run.
With Runners Knee there tends to e a general ache at the front of the knee and pain comes and goes, typically worse after prolonged activity or more surprisingly prolonged inactivity e.g. sitting for long periods.
Is It Safe To Run On Sore Knees?If you are getting knee pain when running, it’s usually your bodies way of saying you are doing too much. It might be a simple case of changing your shoes, easing up on your training regime, or switching to off-road.
Kneecap To Shinbone Pain: Jumper’s Knee
Pain from the top of the kneecap to the top of the shinbone may be an indication of patellar tendinitis, a common overuse injury. The condition is also called jumper’s knee because it is common in sports that involve jumping.
Those who have jumper’s knee feel pain, tenderness, and possibly swelling near the patellar tendon . When the condition is in its early stages, you might only notice it when running. As it gets worse, however, you’ll notice it throughout the day, even when you are not exercising.
You May Like: Regrow Knee Cartilage Naturally
What Is Runner’s Knee
Runner’s knee also known as patellofemoral pain syndrome is an overuse injury that affects as many as 30% of female runners and 25% of male runners. That makes it the most common running-related injury.
In runner’s knee, the cartilage in your kneecap gets irritated. This causes pain while you’re running, squatting, bending or even sitting for awhile. I often see patients come in with runner’s knee after they start running at an incline or increase miles or speed.
What To Expect At Your Office Visit
Your provider will perform a physical exam, and look at your knees, hips, legs, and other joints.
Your provider may do the following tests:
- MRI of the knee if a ligament or meniscus tear could be the cause
- CT scan of the knee
- Joint fluid culture
Your provider may inject a steroid into your knee to reduce pain and inflammation.
You may need to learn stretching and strengthening exercises. You also may need to see a podiatrist to be fitted for orthotics.
In some cases, you may need surgery.
Don’t Miss: Rollator Knee Scooter
Bonus #6 Rest Smart Rest More
Make sure that you are getting adequate sleep while you rehabilitate your knee. This seems like such a simple option, but few people include this in their recovery plan.
Increasing sleep can help increase muscle protein synthesis, therefore increasing your leg muscle development, and eventual return to sport performance .
It is also during sleep that Human Growth Hormone is maximally released . HGH has many benefits, increased protein synthesis, increased lean muscle development, and increased rate of healing in your bones, muscles, and even tendons and ligaments.
In other words, the more you sleep, the more HGH you will have in your system, and the faster you will recover.
Along with sleep, it is crucial that you are getting enough rest between workouts, especially when training atrophied muscles that you are just starting to rebuild. There isnt an exact rule I can give for the recovery you will need, so listen to your body.
After both of my knee surgeries, I lost more than 2 inches from the circumference of my thigh. My quads and hamstrings were very weak, and they took noticeably longer to recover post-workout compared to my healthy leg. If you typically take 2 days off between leg workouts, be prepared to give yourself a third day, remembering that more work is not always better when it comes to building muscle and strength.
Ways To Avoid Shin Splints
Increase mileage gradually .
Run on softer surfaces. It is helpful to switch up your surfaces, especially if you are doing high mileage. Grass and dirt, for example, are a bit easier on the body than asphalt or cement.
Cross-training is another tactic. Especially if you do a non-impact activity such as swimming or cycling.
Proper running shoes are also a good idea. Dont skimp on shoes. Get yourself fitted so your shoes fit properly and if you start to experience pain and the shoes are getting old, replace them.
Read Also: Inversion Table Knees
Orthopaedic Specialists Talk Common Causes Of Knee Pain
Knee and joint pain may be common complaints among runners, but chances are slim that arthritis is the culprit. In fact, multiple studies have shown that regular running strengthens the joints and actually protects against development of osteoarthritis later in life.
Its very common for people to say, How do you run? Doesnt that ruin your knees? says Steven Mayer, MD, a physician in physical medicine and rehabilitation at Northwestern Medicine Orthopaedics. There have been several recent studies that have debunked that myth. In fact, they have shown the opposite that running tends to be protective of knee arthritis.
Getting Rid Of Your Knee Pain
If you are lucky, your knee pain may get better on its own with rest. However, more than likely you will need to engage in rehab exercises to overcome the injury. Physiotherapists specialize in providing specific exercises and treatment regimes that increase the strength, stability, and mobility of your joint.
Don’t Miss: How To Get Rid Of Fat Around Knees
What Causes Knee Pain While Running
To maintain pain-free knees, the muscles from your core down to your ankles need to work in sync to support your joints. But if these muscles are too weak to keep your hips and ankles in their proper place, the pain will centralize at your knees. So, unfortunately, whether or not youre hit with runners knee is pretty much out of your hands, since it depends on how youre built.
Naturally weak or under-active hips, for example, will cause your knees to collapse toward each other during any activity where weight is carried through the leg. And if your core isnt strong enough to keep your hips steady, your knees will be forced to do the hard work of stabilizing your body. Cue pain.
And the sour cherry on top, says Carter, is that the lower limb misalignments that cause runners knee painwide-set pelvises, out-turned thighsare more common in female bodies.
Now, before you go cursing your knees , you should note runners knee is common and treatable.
The Knee Pain Treatment Plan In A Nutshell
To sum up what you need to do in case of knee pain, here are the steps you need to take:
Read Also: Inversion Table After Hip Replacement
Understanding Pain Behind The Knee
More often than not, pain behind the knee is diagnosed as patellofemoral pain syndrome . Patello is the patella, so the kneecap. Femoral refers to the femur, which is the thighbone and pain and syndrome is PFPS, patella femoral pain syndrome. It usually happens to runners and cyclists and hikers.
However, people who sit for most of the day in sedentary jobs or sedentary lifestyles, it can also happen to them. There are a couple of muscles involved with this. The quadriceps muscle is the big muscle at the front of the thigh. The calves are the sizable muscles behind the shin, and the hamstrings are the muscles behind the thigh.
So these control the joints of the lower body.
PFPS can be caused by overuse , biomechanical abnormalities or muscle dysfunction .
PFPS typically feels like mild or severe discomfort that radiates from the back of the knee cap touching the thigh bone.
How To Heal Runners Knee
Getting healthy from PFPS is quite possible. In fact, its often not as difficult as many think.
But that doesnt mean it will be easy. Because runners knee is not as fully understood as other injuries, the treatment is less conclusive and more oriented toward rest and training modifications.
If youre patient and willing to try new things, you might be able to start running in just a week or two without any pain.
Check out our Injury Prevention for Runners program, which includes a full treatment protocol for runners knee:
- A daily treatment approach so you know exactly what to do to get healthy on a daily basis
- Video demonstrations of effective exercises to treat PFPS
- Tips & tricks on how to heal faster and get back to running
- Training advice on when to stop running, how to focus on pain management, and more
The program also includes training plans tailored for prevention, an expert interview series, 5 more injury treatment protocols, a collection of runner-specific core and strength routines, and more.
See all the details here and I hope that you recover from your runners knee injury as soon as possible!
Also Check: Inversion Table For Knee Pain
Can Knee Pain In Teens Be Prevented
Most knee pain that is caused by injury or overuse can be prevented with some attention and work by your teen, including:
- Make sure your teen wears proper shoes for the activity/sport and wears knee pads and leg guards . Replace worn out footwear and gear.
- Engage in muscle strength training exercises. Check with a trainer to make sure proper form and body alignment are being followed. Always do warm up and cool down exercises before and after workouts.
- Keep your muscles flexible by proper stretching exercises or yoga.
- Dont engage in activities that cause or worsen knee pain.
Runners Knee Physical Therapy:
Your physical therapist may suggest:
Rehabilitation exercises: Specific exercises can strengthen muscles around your knee and control limb alignment. Correcting inward movement of the knee during squatting is a primary goal.Supportive braces: Knee braces and arch supports might be helpful.Taping: Your physical therapist may show you how to tape your knee to reduce pain and help your movement.Ice: Icing your knee after repetitive use may be helpful.Low-impact activities: During recovery, you may want to restrict yourself to knee-friendly activities such as bicycling, swimming and running.