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Why Is The Back Of My Knee Sore

Overload And Spring Knee

Doctor Recommended Stretch To Fix Pain In The Back Of Knee

Finally there are cases where a cyclist suffers from knee pain simply because theyve done too much, too soon. Commonly called spring knee its frequently a result of a sudden increase in mileage in an attempt at last minute fitness gains.

George says: You can get tendinitis in there often riders have a break over winter then they go out and carry on riding like they were theyll get tendinitis because the muscle just isnt ready. From that point of view, they need load strength work in the hamstring if theyre getting a dull aching pain. Its important to stretch the hamstring then too.

He adds: From a coaching perspective only ever add 10% of duration if someone suddenly goes from nothing to 4 hours, theyre going to get pain. Same for intensity if you increase intensity you need to back down on volume and ensure youre getting rest.

Spring knee is also sometimes associated with over-gearing, so it’s often a good idea to use smaller gears and higher cadence until the problem subsides.

Torn Anterior Cruciate Ligament

You hear a pop and can’t move after you suddenly change direction — often while playing soccer, football, or basketball. You may have torn your ACL, which connects the femur and the tibia and prevents the tibia from moving too far forward. Your knee will hurt and swell and feel unstable.

You can tear or strain any of the tissues that hold your knee together: Ligaments connect bones to each other tendons connect muscle to bone. Irritated tendons from using them too much? That’s tendinitis.

Pain Behind Your Knee From Popliteal Cysts Or Baker’s Cyst

This is a fluid-filled cyst that creates a bulge on the back of your knee or the area specifically called the popliteal fossa. This occurs when a problem with your join causes your knee to produce too much fluid. Any type of condition that causes joint swelling can lead to a popliteal cyst.

Symptoms of a popliteal cyst:

  • Swelling behind knee and leg
  • Knee pain
    • Muscle imbalance between adductors and abductors
    • Repeated stress on knee joints

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    What Does It Mean If I Have Pain Behind My Knee While Running

    Medical Perspectives | Lifestyle & Wellness | | OptimizePMD | Wellness

    Whether youve just started a couch-to-5K running program or youre a seasoned marathoner, youre probably no stranger to aches and pains in your legs and knees as you grow muscle and improve your stamina. But how do you know if the pain is normal or part of a bigger issue? Ahat does it mean if you have pain behind your knee when you run?

    Watch this video from Greenville health coach Aaron Benator and read on to find out.

    When Should I See A Doctor

    Pain behind knee when walking

    The majority of knee injuries, especially minor ones, can be treated at home. However, if you have any of the following symptoms you should seek medical assistance.

    • Severe pain in or around the knee, especially during walking.
    • Severe swelling in the knee.
    • An audible pop or crack in the knee joint that is painful.
    • A giving way feeling in the knee during walking or going up/downstairs.
    • A feeling when the knee locks whilst bending or straightening it.
    • Altered sensation in the foot such as a feeling of pins and needles or a loss of feeling in the lower leg.
    • Inability to complete your normal daily activities after the initial 72 hours.

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    What Are The Possible Causes Of Back

    If your back-of-knee pain is not due to any specific accident or incident, it could be caused by a wide array of factors. According to Dr. Celeste Holder, who holds a B.S. in behavioral neuroscience from Northeastern University, a doctorate in chiropractic medicine from the University of Bridgeport, and is a 1AND1 LIFE doctor, back-of-knee pain presents itself less often than other kinds of knee discomfort, but when it does appear, the “differential diagnosis is rather broad.” Holder continues that diagnoses for this kind of pain can include “pathology to the bones, musculotendinous structures, ligaments, nerves, vascular components, and/or to the bursas,” which makes pinning down the main reason quite challenging.

    Apart from musculotendinous injuries, one of the most common causes of posterior knee pain is a Baker’s cyst. Dr. Patrick Jean-Pierre, board certified internal and nonoperative sports medicine doctor and part of the 1AND1 LIFE team, cites Baker’s cysts as cysts that “develop from the breakdown of cartilage or arthritis in your knee, causing an out pocket of swelling and fluid. Sometimes this swelling can become very painful, resulting in the pain behind your knee joint.” Dr. James adds that these cysts “can be caused by repeated irritation of structures in the knee. This also can be caused by poor movement habits or muscle imbalances.”

    Is It Possible For Adults To Have Growing Pains

    No one knows for certain what causes âgrowing pains.â They are defined as self-limited and recurrent pains in the extremities of children with no other explanation or clear musculoskeletal causes. These usually occur during sleep and may awaken the child. Some physicians believe they occur due to fatigue, overuse, and mild orthopedic abnormalities, but the cause is still unknown. No matter what causes growing pains, we know that adults do not have them â most growing pains occur between age 2 and 12. It is possible to have similar pains, however, due to very mild injuries or overuse of muscles.

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    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.

    What Causes Pain Behind The Knee After Sitting

    Top 5 Causes Of Knee Pain – Why Does My Knee Hurt

    Pain behind the knee after sitting for prolonged periods is often caused by arthritis. When we sit still, the fluid that lubricates the knee joint dries out slightly so when we then stand up, there is less cushioning.

    The wear and tear associated with arthritis mean you can end up with the knee bones rubbing together, causing knee pain. Once you are up and moving about, the joint produces more synovial fluid so, after a few minutes of moving around, the back of knee pain eases off.

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    If It Hurts When You Try To Straighten Your Knee:

    You may have a popliteal cyst . This is a bulge in the back pit of your knee, called the popliteal fossa, that is filled with fluid and causes tightness behind your knee. The pain may increase when you while participating in physical activity. You may also feel swelling, pain and stiffness or tightness behind your knee.

    Treatment For Knee Pain

    The first step in treating knee pain is finding the underlying cause. A thorough examination at one of our ProBack Clinics will help identify exactly whats causing the problem. After a diagnosis is made, treatmentcan be undergone to relieve the pain, correct the problem or prevent it from recurring in the future.

  • For conditions that cause swelling and inflammation, our K-Laser therapy can be the best approach. The K-Laser passes through the skin into the tissues of your knee, generating energy into the cells. This can increase blood flow to the area which helps to pump nutrients into the knee. This quickens the natural healing process of damaged tissues.
  • For many forms of knee pain and stiffness, shockwave therapy is especially effective as it helps break down scar tissue around the joint and improves movement. Shockwave can be a fantastic therapy for a condition like tendonitis. Tendon injuries can be much slower to heal due to the lack of blood flow in the area. Shockwave is able to increase the blood flow to the area this helps the condition heal much better.
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    When To See A Bike Fitter Or Physiotherapist

    There is only so much you can learn from the internet – and it’s important to understand that lack of strength, flexibility and bike fit are all very intertwined. If you’re struggling from long term, persistent, or ride stopping pain – it’s a good idea to check yourself in with a physiotherapist, osteopath or medical professional. You should also aim to book in for a bike fit carried out by someone who will look at your own flexibility and weaknesses, as well as riding style and volume.

    What Painkiller Is Best For Knee Pain

    Inner Knee Pain: Why Does the Inside of My Knee Hurt?

    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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    Questions Your Doctor May Ask About Pain In The Back Of The Knee

    To diagnose this condition, your doctor would likely ask the following questions:

    • Is the knee pain affecting one or both knees?
    • Do you often feel your knees buckling?
    • Where is your knee pain?
    • How would you explain the cause of your knee pain?

    Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

    Lateral And Medial Knee Pain

    Lateral and Medial knee pains are gotten from biking. Lateral pain is pain on the outer side of the knee, while medial pain is anterior knee pain. It is felt inside the knee. Cleat positioning is a very common cause of lateral knee pain and medial knee pain. Outside-the-knee pain is prevalent, and the culprits are often the feet or improperly adjusted pedal cleats. As a result, such pain is felt during or after the first ride with cleats and new shoes or replacement cleats.

    The collateral ligaments, which sit on the outsides of the knee joint and prevent it from bending in the wrong direction, are the structures generating the pain, and they hurt because your cleats have been positioned wrongly.

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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.

    Causes Of Pain Behind The Knee

    Pain In Back Of Knee – A Quick Fix

    Pain behind the knee can be simple or difficult to diagnose, depending upon the cause. Here are some of the most common causes of posterior knee pain:

    Baker’s cyst

    A lump-like swelling behind the knee is characteristic of Baker’s cyst, making it fairly easy to diagnose. This type of cyst is also called a popliteal cyst because it is located in the popliteal fossa, a small hollow at the back of the knee.

    It forms when synovial fluid gathers at the back of the knee. Injury or stress from arthritis can trigger the accumulation of fluid.

    Different forms of arthritis

    Arthritis is the generic name given to diseases that affect the joint. Arthritis can cause pain anywhere in the knee joint, including the back.

    Knee pain is most often associated with osteoarthritis, the type that is related to aging or overuse. Knee pain can also occur with rheumatoid arthritis, but it will occur in both knees at once.

    Gout is a type of arthritis that first attacks the big toe, but later attacks may strike the knees. Septic or infectious arthritis is caused by an infection that lodges in a joint, usually a knee.


    Besides infection in the knee joint , posterior knee pain could result from several other infections, including:

    • Infection in the bone
    • Infection of one of the fluid-filled sacs called bursae

    These infections have different causes and symptoms, although pain, redness, heat, and swelling are typical of most infections.



    Deep vein thrombosis

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    How Can Shockwave Therapy Help With Knee Pain

    Some knee conditions are difficult to heal because there isnt enough blood flow in the area or a lack of mobility in the body is putting more pressure on the knees. Shockwave therapy works by using a tapping motion to break down scar tissue and improve the movement in the joint. It also helps the circulation of blood flow to the joint, allowing nutrients to enter the area creating the ideal healing environment.

    What Does It Mean When The Back Of Your Knee Hurts

    According to Dr. Jeremy James, DC, CSCS, and founder of the exercise program FitForever, pain at the back of your knee can be caused by a multitude of things. Dr. James advises to first ask this question: “If there was a recent incident in which you experienced a ‘pop,’ twist, fall, or painful incident in, or around, the knee.” If the answer is yes, you could be dealing with a hamstring strain, or “a microscopic tear in the muscles on the back of the thigh,” a meniscal tear, or “a tear in the c-shaped, shock-absorbing cartilage that lies between the upper and lower leg” , or a posterior cruciate ligament tear, which is the ligament on the back of the knee. However, if your pain is not a result of a specific accident, the answer becomes much more complex.

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    Knee Pain Caused By Weak Core

    When we look at pro cyclists, we see rippling superiority in their quads and calves because they are more intentional about looking superior that they forget that the legs are supported by the core, which includes the lower back, abs, glutes, and hip flexors. The core of a cyclist must be strong, or else smaller, less efficient muscles will be pushed to work too hard, resulting in pain.

    Core strength is important to every human because most activities hinge on the core. A strong core provides a firm foundation from which to deal with change. Cyclists are notoriously bad at keeping their core strength. The glutes are supposed to be the powerhouse, and they should be powerful and stable.

    If The Back Of Your Knee Hurts Here Are The Likely Reasons

    Pain Behind Knee

    If you’ve been experiencing pain at the back of your knee, it’s important to inform yourself about all the possible reasons it might be occurring, whether it’s due to a specific incident or not. By learning more about the causes of this body pain, you can make a thought-out plan for your next steps with your healthcare provider, as well as consider treatments or methods to relieve your discomfort. This kind of pain is actually quite common, so we spoke to three doctors about the causes behind back-of-knee pain, and what their recommendations are if you’re dealing with this. Ahead, find all of the information you need to take the next steps.

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    Common Causes Of Pain Behind Knee

    Where do we start with making an accurate diagnosis? Generally, most doctors use a methodological process to confirm or rule out causes. Firstly, we perform a thorough assessment to test the joints, ligaments, and tendons that pass across the back of the knee. Then, we consider imaging to confirm our thinking. X-rays often pick up major arthritis in the knee. MRI can detect soft tissue problems such as tendonitis or muscle tear. Occasionally, we perform other tests such as blood, ultrasound, or nerve studies depending on the presentation.

    Generally, the more common causes of pain behind the knee include:

    What Causes Tightness Behind The Knee

    Tightness behind the knee is often caused by tightness in the hamstring or calf muscles. The hamstring muscles run down the back of the thigh attaching behind the knee, and one of the calf muscles, gastrocnemius, starting from the back of the knee, travels down to the heel.

    Tightness in these muscles is a common problem, particularly in men, and makes the back of the knee feel very tight. Simple knee stretches are the best way to treat the tightness and relieve back of knee pain.

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