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Why Does My Knee Hurt When I Bend Down

Burning Pain In The Back Of The Knee

Why does my knee hurt when going down steps | Total Performance Physical Therapy | 215.997.9898

Pain behind your knee could come from any of a handful of causes. You may have an overuse injury similar to what causes runner’s knee.

You could also have something more severe like a ligament tear. If you tear a ligament or cartilage, you will most likely have pain no matter what you do, even if you stop the activity. You will also have swelling shortly after you injure your knee.

You could also have a Baker’s cyst. A Baker’s cyst is an accumulation of fluid in the bursa behind your knee. You may have pain, or you may just have swelling.

The burning pain behind your knee could be your only symptom. Best of all, a Baker’s cyst isn’t a debilitating diagnosis. You can get the fluid drained and then return to normal activities.

If you suspect a cartilage or ligament tear, begin with cold therapy. This could include a sleeve with an ice pack that you slide over your knee and keep on the knee for fifteen minutes at a time.

Why Does It Hurt To Bend My Knee

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Why Does Bending Cause Knee Pain

Knee pain when bending can be split into two types:

Weight-Bearing:when there is weight going through the knee as you bend it such as when you squat down, go up and down stairs and as you sit down in a chair

Non Weight-Bearing:when there is no weight going through the knee when you bend it e.g. when sitting in a chair and moving the knee or standing but with the leg lifted off the floor as you bend it

Knee pain when bending tends to be worse when there is weight going through the knee as you bend it due to the compression and pressure on the different structures in the knee.

This should come as no surprise when we realise how large the forces going through different parts of the knee.

For example, when bending the knee to climb stairs, a force approximately three times body weight goes through the knee.

When squatting down the force is even greater at seven times body weight and when jumping, a huge force ten times body weight goes through part of the knee.

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Stay In The Groove To Avoid Knee Pain When Climbing The Stairs

Similar to other activities, proper form is necessary when climbing stairs, especially if your knees are tender. But, as we were learning to climb stairs as children, our parents were more focused on preventing falls than teaching us the proper stair-climbing technique.

If climbing stairs causes pain, assess your posture and the alignment of your feet and legs. Here are three tips to remember.

  • Align your knee over your second toe.
  • Dont lead with your foot, lead with your body. Bend your torso forward to redistribute the force of your weight from the knee to the hamstrings at the back of the thigh.
  • Place the heel of your foot on the step before you step up.
  • Repeat the steps for each stair you climb.

    If your knee pain increases or lasts for more than two weeks, its time to contact your orthopedic specialist. Continuing to walk on a sore knee can cause significant internal damage to the tendons and ligaments inside your knee.

    Why Do My Knees Hurt When Bending

    How to bend forward without stressing the spine

    Knee pain has many origins unrelated to an underlying disease. Injuries due to trauma, overuse or overexertion are common causes of knee pain. Many Americans experience knee pain when bending specifically, which can be troublesome when we dont know the exact reason behind it.

    Experts estimate that for every pound we weigh, our knees can be subject to four to six times that pressure when we bend them and/or place them in a weight bearing position. Therefore, bending, climbing stairs and squatting can make certain areas of the knee ache with pain.

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    Where Does Your Knee Hurt

    • Knee pain on the front of the jointcould be patellar arthritis or patellar tendonitis. These conditions tend to hurt when bending the knee, kneeling and/or squatting. Typically the deeper the knee bend the worse it will hurt.
    • The discomfort localized to the medial or inside of the knee could indicate tibiofemoral arthritis or meniscal irritation.
    • Nagging pain or pressure that is localized to the back of the knee could be a sign that youve damaged your meniscus. It is also possible that you irritated the popliteal muscleand surrounding area.

    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.

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    What Causes Knee Pain When Squatting Or Bending

    Knee, being one of the most important joint, is used during most of the activities. Movements ranging from running, exercising, squatting and other regular activities can cause strain on the knee joint. The knee may also be easily subjected to injuries, infections or other joint disorders. The body posture, form and involvement of other joints too play an important role in gait, proper movement of the legs and knee pain.

    While there are various conditions in which knee pain can be experienced, one of the commonest complaint is knee pain when squatting or knee pain on bending.1 It requires good range of motion to be able to bend the knees fully and while squatting, the knees have to bear entire body weight while being bent.

    Top Causes Of Knee Pain When Bending

    Why do your knees hurt?
    Runners Knee

    Runners knee is a painful condition that develops as a result of repeated bending of the knee joint. However, it can also occur because of poor alignment, a direct blow to the knee, or due to flat feet or weak thigh muscles. Pain from runners knee is usually just below or to the sides of the kneecap in the front. Symptoms include swelling around and behind the kneecap, knee pain when bending, possible crepitus, or cracking and popping noises in the knees when walking. Runners knee pain usually begins gradually and increases in severity as symptoms worsen.


    Each of your knees has fluid filled sacs called bursa, which cushion and protect the structures of the knees. Bursitis occurs when the bursa become inflamed when kneeling, squatting, or in the presence of excess friction in the joint. Repetitive or prolonged kneeling or falling onto the knee can also cause inflammation of the prepatellar bursa below the kneecap on the front of the knee. Excess fluid in the knee joint that seeps back into the bursa can cause swelling and pain on the back of the knee. Although bursitis is not the most severe condition, it can cause significant discomfort.

    Sprains or Injuries to Ligaments
    Meniscus Tear
    Arthritis or Osteoarthritis
    Poor Alignment

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    What Does It Mean When The Back Of Your Leg Hurts Behind The Knee

    Pain at the back of your knee when bending depends on several factors. These include how the pain started, your age, medical history, and so on.

    If you are an athlete and/or play contact sports often, you could have:

    • A hamstring or gastrocnemius tendinitis
    • Pes anserine bursitis

    If youre over 60 years old, you could have:

    • A leg cramp
    • Bakers cyst
    • Knee arthritis
    • DVT.

    If youre not sure or if youve had pain for more than 6 weeks, go to the doctor to find out whats going on.

    How To Prevent Knee Pain At Night

    There are means to help you reduce knee pain at night, such as resting the knee and applying heat or ice to the area before heading to bed. You may also consider taking an over-the-counter pain medication to reduce inflammation prior to going to sleep.

    During the day, take the time to exercise the leg muscles in order to strengthen the surrounding muscles of the knee for greater support.

    If knee pain at night persists, you will then want to speak to your doctor to uncover exactly what the underlying issue is and get into any treatment plan they may put you on.

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    Knee Pain Treatment In Boynton Beach Fl

    If you are experiencing knee pain, the orthopedic specialists at Personalized Orthopedics of the Palm Beaches can examine your knee and quickly diagnose the condition or injury responsible for it. Part of the customized treatment plans we offer our patients is top-notch physical therapy to restore knee strength, flexibility, range of motion, and function.

    To diagnose and treat your knee pain, make an appointment with one of our orthopedic doctors today. Call 733-5888 or use our online request form. We look forward to serving you in our state-of-the-art facility.

    Symptoms Of Outer Knee Pain

    Knee Pain Q &  A

    Pain may be dull and aching, or sharp and localised. You may have swelling from fluid collecting or your knee may click or lock .

    With iliotibial band syndrome, you may have pain all over the outside of your knee or the pain may be sharp and in one area. You may get pain when running and when doing anything that causes you to bend and straighten your leg repeatedly, such as cycling or going up and down stairs.

    Lateral collateral ligament injury causes pain over the outside of the knee, which may focus on the mid-point of the knee joint. This ligament helps to keep the knee stable, so you may feel as if your knee is going to give way. You may have swelling around the knee or pins and needles in the foot. Some people find the pain worse when walking or running on uneven ground.

    Symptoms of a torn meniscus cartilage generally come on up to a day after the initial injury. Pain and swelling may increase and you may have difficulty fully straightening your leg. Pain can come and go. Swelling may improve over days or weeks but get worse again after exercise. The knee may also feel stiff and lock or catch.

    Pain from an anterior cruciate ligament injury will be sudden and you may hear a pop. The knee is likely to swell from internal bleeding and may feel as if it is going to give way.

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    Knee Injury: 6 Things To 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 you’re 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.
  • 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.

    Gradually Increase The Load

    In order to tolerate a higher load again, you will need to expose your knee to gradually increasing loads over time. This will allow the structures around your knee to adapt positively so that they can learn to tolerate those higher loads and forces again.

    The following approaches can be used to achieve this:

    Smaller Moment Arm

    The best way to build this tolerance in your knee is to strengthen your muscles in a position with a shorter moment arm. In this position you can start to load the muscles with heavier weights.

    An example of this would be a box squat. Place a raised surface behind you that allows you to perform a shallow squat but stops you from going so deep that you provoke your pain. A shallower squat has a smaller moment arm than a deeper squat, so is likely to be tolerated.

    If the box squat is comfortable with your bodyweight then you can start to add a weight that you are able to tolerate. In order to progress further, the weight that you use can gradually be increased. Alternatively you can slowly reduce the height of the surface.

    Longer Moment Arm with Less Resistance

    Alternatively, you can choose an exercise with a larger moment arm but reducing the resistance that you use.

    An example of an exercise with a longer moment arm is a knee extension . The seated position means that your bodyweight is not being placed through your knee. You can set the machine so that you are moving a weight that is less than your bodyweight, one that you are able to tolerate.

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    How Is Knee Cartilage Damaged

    Knee cartilage fails for many reasons. Accidents, injury, genetic deformities, overuse, and age are five common reasons for chondromalacia.

    Fractured bones or lacerated muscles can cause an imbalance of strength in the leg and pull the kneecap to one side of the groove or another. The added stress can cause misalignment and pain.

    Overuse injuries cause damage to the cartilage, especially in young athletes. Growing bones and excessive stress create a recipe for a chronic condition. If young athletes complain of knee pain at practice or during a competition, they should stop playing. Prolonged knee pain after activity indicates a more serious condition than normal muscle soreness from a strenuous workout. If you experience knee pain after practice or a game that does not diminish in 72 hours, you may need medical attention. Call your primary care provider, sports medicine physician or an orthopedic specialist.

    Genetic deformities and age are risk factors you cannot change, but you there are some things you can do to avoid damaging the cartilage.

    Why Has My Knee Suddenly Started Hurting

    Why does my knee hurt? Common causes & symptoms of knee pain | BMI Healthcare

    Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. Medical conditions including arthritis, gout and infections also can cause knee pain. Many types of minor knee pain respond well to self-care measures. Physical therapy and knee braces also can help relieve pain.

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    It Is Painful When I Bend My Knee What Does This Mean

    If you are experiencing knee pain, especially when you bend it to walk, kneel, sit, squat, and more, it is likely that you have a condition or injury that needs treatment. There are many causes of knee pain, and it is incredibly difficult to self-diagnose yourself correctly. This is why it is critical to see an orthopedic specialist with a wealth of experience diagnosing and treating knee conditions and injuries.

    Anterior Knee Pain In Middle

    • Osteoarthritis : Arthritis of the patella causes pain because the cartilage under the kneecap is thinning. Arthritis, which only involves the patella in your knee, is more common in women. Physical therapy can be very effective in the early stages of osteoarthritis of the patella. Injections and over the counter medications may have a role in some patients. In some situations, when the arthritis is severe, a patient will need to consider a tibial tubercle osteotomy, replacement of the patella, or a total knee replacement if the arthritis is elsewhere within the knee.

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    Potential Causes Of Knee Pain When Bending

    Patients who cant bend their knee without experiencing pain are often diagnosed with one of these conditions:

  • Muscle strains The muscles around the knee can become tight and strained, actually making it painful to bend.
  • Arthritis Breakdown of knee cartilage and the drying out of lubricating joint fluid can cause joint inflammation and associated stiffness and pain.
  • Meniscal injuries The meniscus is a pad of cartilage that cushions the knee and can become easily torn or sprained due to high-impact physical activities.
  • MCL or ACL injuries The medial collateral ligament and the anterior cruciate ligament are important pieces of connective tissue that allow the knee to function. Strains and sprains caused by strenuous activities can occur that make it painful to bend the knee.
  • Runners knee Running and other sports can lead to inflammation of the cartilage under the kneecap, causing pain during normal knee movement.
  • For nearly any type of knee injury, physical therapy can be a highly effective form of treatment.

    Why Your Knee Crackles When Bending

    Why does it hurt to bend my knees?

    The medical term crepitus is basically the occurrence of joint noises. These noises are common and can range from mild rubbing or vibrations to loud popping sounds. Soft-tissues can produce the same grinding sounds and sensations as joints.

    1. Gas Bubbles

    When carbon dioxide gets trapped in your joint fluid, it creates gas bubbles that make a popping noise when the pressure in the joint changes. It sounds similar to when cracking your finger’s knuckles. Medical professionals refer to this as cavitation. Most of the time, it is nothing to concern yourself over. Cracking your joints does not lead to permanent damage like arthritis as some would have you believe.

    2. Stretched Soft Tissue

    All the joints in your body are located near tendons and ligaments. Considered soft tissue, they stretch in order to keep joints and bones in their proper positions. Occasionally, one might snap back in place when repositioning. This may result in a popping noise. Sometimes this is what causes knee crackles when bending down and getting back up.

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