What Are Knee Pain Symptoms And Signs
- Chronic use/overuse conditions: osteoarthritis, chondromalacia, IT band syndrome, patellar syndromes, tendinitis, and bursitis
Below is a list of some of the more common causes of knee pain. This is not an all-inclusive list but rather highlights a few common causes of knee pain in each of the above categories.
Acute knee injuries
Fractures: A direct blow to the bony structure can cause one of the bones in the knee to break. This is usually a very obvious and painful knee injury. Most knee fractures are not only painful but will also interfere with the proper functioning of the knee or make it very painful to bear weight . All fractures need immediate medical attention. Many fractures require significant force, and a thorough examination is performed to detect other injuries.
Ligament injuries: The most common injury is the ACL injury. An ACL injury is often a sports-related injury due to a sudden stop and change in directions. The remaining ligaments are injured less frequently.
Meniscus injuries: The menisci are made of cartilage and act as shock absorbers between bones in the knee. Twisting the knee can injure the meniscus.
Dislocation: The knee joint can be dislocated, which is a medical emergency that requires immediate attention. Knee dislocation can compromise blood flow to the leg and have other related problems. This injury often occurs during a motor-vehicle accident when the knee hits the dashboard.
Start Your Journey To A Life Without Knee Pain
If you realise that your knee pain is only getting worse, and you are missing out on creating treasured memories with your friends and family and you want expert help from the best physio for knee pain in the North East arrange a FREE taster consultation today.
A taster consultation is the first step to a happier, healthier and more active life so click the link below to arrange your FREE taster consultation we cant wait to meet you!
Alternatively, you can call us on 01429 866 771.
Want to read more about knee exercises?
Check out Pauls weekly column in the newspaper The Hartlepool Mail.
Frequent Blood Tests Are Important
Fortunately, most people on warfarin have blood checks weekly or multiple times per week. If something that you ate or another medication that you took changes the activity of the drug, you will know quickly and be able to modify things.
As you can understand, hundreds of substances could potentially interfere with the CYP2C9 enzyme. You will need to discuss this and your entire diet with your treating physician before taking any health-enhancing substances.
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What Are The Causes Of Sciatica
Sciatica is a term that describes a group of symptoms brought on by an underlying medical disease it is not a medical diagnosis.
The following conditions may cause sciatica,
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Muscle spasm or inflammation of the pelvic or lumbar muscles.
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Dysfunction of the sacroiliac joint.
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Lumbar degenerative disk disease.
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Other rare causes – Blood clots, tumors, or conditions affecting the lower back spine.
You Participate In High
Its important to stay active, and maintaining an exercise routine can actually help knee pain. But high-impact activities can make knee pain worse. Exercise like running, kickboxing, or high intensity interval training can jar your joints and make your knee pain worse. Some stretching exercises, like squats and lunges, can put extra pressure on your knees as well.
Whatever the cause of your knee pain, we can help. Dr. Shults and the team at Coastal Empire Orthopedics offer a range of knee pain treatments for patients. From physical therapy and bracing to reconstruction or knee replacement surgery, were committed to getting you back to your active lifestyle.
You shouldnt have to live with knee pain. Dr. Shults and his team can help diagnose your pain and find a treatment plan that works for you. Get back to enjoying your life with compassionate care at Coastal Empire Orthopedics. Call our Savannah, Georgia, office today or book your first appointment online and start finding relief from your knee pain.
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What Is The Treatment For Knee Pain
Treatments for knee pain are as varied as the conditions that can cause the pain.
Medications
Medications might be prescribed to treat an underlying medical condition or for pain relief.
If you are taking over-the-counter anti-inflammatory pain medications regularly for your knee pain, you should see your doctor to be evaluated.
Physical therapy
Sometimes physical therapy sessions to strengthen the muscles around the knee will make it more stable and help guarantee the best mechanical movements. Working with a physical therapist can help avoid injuries or further worsening of an injury.
Injections
Injecting medications directly into your knee might help in certain situations. The two most common injections are corticosteroids and lubricants. Corticosteroid injections can help arthritis and other inflammations of the knee. They usually need to be repeated every few months. Lubricants that are similar to the fluid already in your knee joint can help with movement and pain.
What Is The Knee Joint
Three bones come together to form your knee joint. They include the:
- Thighbone .
- Shinbone .
- Kneecap .
A smooth substance called cartilage covers the ends of each bone. Its a cushion between the bones that keeps them from rubbing together. The synovial membrane, a type of tissue that surrounds the joint, lubricates the cartilage.
Arthritis of the knee causes pain and swelling in the joint
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Common Causes Of Knee Pain
Your knee is a complex structure. It includes three bones:
- The lower part of the thighbone
- The upper part of the shinbone
- The kneecap
Strong ligaments and tendons hold these bones together. Cartilage under the kneecap cushions and stabilizes the bones.
Any damage or disease in these structures can cause knee pain.
Common causes of knee pain include:
- Arthritis
Chronic Use & Overuse Pain Or Degenerative Conditions
Patellar tendinitis This condition occurs when the tendon connecting the kneecap to the tibia becomes inflamed or painful. This is a chronic condition from repetitive motion, especially in runners and cyclists. For others, patellar tendinitis will happen naturally just from overall degeneration due to chronic low-grade inflammation and oxidative stress changes in the collagen of the body.
Osteoarthritis OA is a condition defined by the wearing down of cartilage in joints due to overuse and/or age. This is the most common form of arthritis and can affect any joint in the body. It most commonly affects the knees and many people seek knee replacement surgery. OA is a very complicated condition and involves the entire joint structure to include the capsule, ligaments, tendons and internal structures of the knee. OA is basically a systemic non-communicable chronic condition and is a result of chronic low-grade inflammation and oxidative stress. While replacement surgery is quite common, there are many other way to mitigate the symptoms of osteoarthritis.
INR stands for the International Normalized Ratio. This is a calculation based on a prothrombin time test that measures how long before a clot starts forming in a blood sample. These tests are performed most commonly on those with abnormal blood clotting and to test the effectiveness of the blood-thinning medication Coumadin .
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What Are The Symptoms
The main thing is pain. You might notice it:
- Usually in front of your kneecap, though it could be around or behind it
- When you bend your knee to walk, squat, kneel, run, or even get up from a chair
- Getting worse when you walk downstairs or downhill
The area around your knee could swell, or you might hear popping or have a grinding feeling in the knee.
Facts You Should Know About Knee Pain
- Knee pain is a common problem with many causes, from acute injuries to complications of medical conditions.
- Knee pain can be localized to a specific area of the knee or be diffuse throughout the knee.
- Knee pain is often accompanied by physical restriction.
- A thorough physical examination will usually establish the diagnosis of knee pain.
- The treatment of knee pain depends on the underlying cause.
- The prognosis of knee pain, even severe knee pain, is usually good although it might require surgery or other interventions.
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Whether You’re Active Or Not Stretching Is Good For The Knees
Stretches that focus on the calf, hamstring and quadriceps muscles take pressure off of the knees and kneecaps. “Many people often say there is no aerobic value in stretching, so they see it as a waste of time,” says Bush-Joseph. “But a well-conditioned, flexible body is less likely to develop overuse problems in the knees.”
Some good stretches to protect the knees include step-ups, hamstring curls and straight-leg lifts. Additionally, stretches that focus on building flexibility in the hips, including a butterfly stretch and a standing hip flexor with a resistance band, can help alleviate knee pain.
People who do not like to stretch before a workout can still protect their knees by slowly ramping up to top speed rather than jumping full speed into their workout.
When To Call Your Doctor
If your pain and swelling are gettingworse and you can no longer put weight on your knee, see your doctor. A simpleX-ray can show if there is osteoarthritis and, if needed, an MRI scan can checkfor meniscal tears or loose chips of cartilage.
Arthroscopic surgery can sometimes remove loose cartilage. Partial or total knee replacements are other surgical options, especially for those who can no longer stay as active as theyd like. Sometimes computer assistance is used for some complicated knee replacements.
Surgery is a last resort, though,says Dr. Nickodem. Its something to consider when nonoperative treatmentsarent helping.
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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.
Conditions include:
- Gout: High uric acid levels form sharp crystals inside the joint. Affects the knee, hip, fingers, and especially the big toe. Pain can be severe.
- 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.
Exercises To Reduce Knee Pain
Knee pain is one of the most common orthopedic conditions for which people seek medical treatment. It includes pain felt behind and around the knee cap, especially during activities like stair climbing, squatting, running, and walking while carrying a heavy load. Knee pain can prevent you from participating in your favorite activities and performing daily tasks. Without proper treatment, it can linger for years.
Knee pain can be caused by a variety of factors, some of which include knee stiffness, incorrect positioning of the knee cap at rest or with movement, flat feet, improper exercise form, and weakness of the muscles that control the hip and knee.
A physical therapist can work with you to address your knee pain. After an evaluation, a physical therapist will design an individualized comprehensive treatment program to address the specific factors causing your knee pain. You can contact a physical therapist directly for an evaluation.
To find a physical therapist in your area, visit Find a PT.
These exercises are proven by research to reduce pain and improve your ability to participate in the activities you love.
Consult your health care provider before starting these exercises to determine if they are right for you. If you experience any symptoms such as pain, shortness of breath, or dizziness at any time, you should stop immediately. These exercises are provided for educational information only.
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What Questions Might A Healthcare Provider Ask To Diagnose Arthritis Of The Knee
Your healthcare provider will interview you when you report your symptoms. Some questions might include:
- Does anyone in your family have arthritis of the knee?
- Does your knee swell up?
- Is your skin often red?
- Is your skin often warm?
- Do you have symptoms in one knee or both?
- How long have you had these symptoms?
- What medications do you take?
- How severe is your pain?
- Do you struggle to walk?
- Do the symptoms interfere with your daily activities?
The Most Common Cause Of Knee Pain When Walking
Knee pain when walking can be caused by many reasons, but generally the pain will fall into two categories:
- A sharp, shooting pain behind the knee when walking
This type of pain is commonly associated with a pulled muscle following a sporting injury, a trip or fall, or an accident. The severity of the pulled muscle will vary, and it may heal by itself, or you may need professional support to recover fully.
If you are suffering with a sharp, shooting pain behind your knee when walking, then this is more likely to be related to a pulled muscle, and we have an entire blog article specifically related to this problem.
- A dull ache, or throbbing pain behind the knee when walking
The second type of pain is commonly caused by a condition called Osteoarthritis which causes joints to become painful and stiff. It usually affects people over the age of 50, and its the most common type of arthritis in the UK.
After a period of walking , the knee pain will typically flare up and cause discomfort behind the knee and surrounding area.
If the knee pain is caused by Osteoarthritis, and aggravated by walking, the pain will usually subside after a few hours once you have stopped.
However, if you have a particularly busy day , then the knee pain may last for several days.
For example, if you do the weekly shop, have a lot of housework to do, and then take the grandchildren out to the park, you may find knee pain lasts for days afterwards.
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Why Do My Knees Hurt After Running
Why do you run? Because it feels good. Because it relieves stress. Because it enables you to eat cake. I get that, because running is also important to me. Im a 32-time marathoner who knows how frustrating it is to be injured. Its the reason I became a sports doctor. Ripping my anterior cruciate ligament playing football when I was in medical school was devastating, but it was the single most important event to influence my work. Its what drives me to help my patients. Almost every day I treat runners with achy knees. Many are freaked out: can I still run? Will I have to switch to swimming? Thankfully, most knee problems wont keep you off the road for long. Heres what you need to know about common knee injuries.
What Are The Complications Of Knee Pain
Frequently, knee pain will disappear without ever finding a specific cause. Depending on the underlying cause of the pain, the condition can progress and lead to more serious injuries or complications. Usually, these complications are long term and result in worsening pain or an increasing difficulty to walk.
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How Can I Ease Knee Pain At Home
Your doctor or physical therapist can recommend home care to relieve knee pain. These may include:
- Applying heat or ice packs.
- Modifying activities to avoid causing pain.
- Practicing gentle stretches or exercises.
- Taking over-the-counter pain relievers such as ibuprofen or acetaminophen.
- Topical treatments such as muscle creams or rubs.
- Wearing a brace to support the knee.
What Is Wear And Tear Arthritis
How can you tell if you have osteoarthritis?
If you have pain inside your knee, under your kneecap,especially when kneeling, squatting or going up and down steps, its usuallywear-and-tear arthritis, says Dr. Nickodem.
Cartilage, the cushioning betweenbones, deteriorates throughout life. It can erode more quickly in some peopledue to injury or genetics. As cartilage thins, your bones begin to rubtogether, causing pain, swelling and stiffness.
Sometimes the level of pain does notalways correlate to the severity of the condition.
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What Are Other Knee Injuries Runners Have
Athletes can also have injuries to the anterior cruciate ligament , posterior cruciate ligament , collateral ligament, meniscus, cartilage and tendons. While these aren’t as common in runners, they’re still serious and require medical attention.
Knee injuries range from minor to serious, so it’s important to take a break from running and see your healthcare provider if pain persists.