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Knee Pain

knee pain

Knee Pain

Knee pain is a common complaint among adults and most often associated with general wear and tear from daily activities like walking, bending, standing and lifting. Athletes who run or play sports that involve jumping or quick pivoting are also more likely to experience knee pain and problems. But whether an individual’s knee pain is caused by aging or injury, it can be a nuisance and even debilitating in some circumstances.

Knee pain is a common complaint that affects people of all ages. 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.

Sign and Symptoms of Knee Pain

The location and severity of knee pain may vary, depending on the cause of the problem. Signs and symptoms that sometimes accompany knee pain include:

  • Swelling and stiffness
  • Redness and warmth to the touch
  • Weakness or instability
  • Popping or crunching noises
  • Inability to fully straighten the knee
  • Knee pain that persists beyond a few days
  • Knee pain that occurs at night or while resting

Knee Pain After an Injury

Knee symptomsPossible cause
Pain after overstretching, overusing or twisting, often during exerciseSprains and strains
Pain between your kneecap and shin, often caused by repetitive running or jumpingTendonitis
Unstable, gives way when you try to stand, unable to straighten, may hear a popping sound during injuryTorn ligament, tendon or meniscus, cartilage damage
Teenagers and young adults with pain and swelling below kneecapOsgood-Schlatter’s disease
Kneecap changes shape after a collision or sudden change in directionDislocated kneecap
Possible causes

Knee Pain with No Obvious Injury

Knee symptomsPossible cause
Pain and stiffness in both knees, mild swelling, more common in older peopleOsteoarthritis
Warm and red, kneeling or bending makes pain and swelling worseBursitis
Swelling, warmth, bruising, more likely while taking anticoagulantsBleeding in the joint
Hot and red, sudden attacks of very bad painGout Or Septic arthritis
Causes of knee pain without injury

How Physiotherapist Can Help

Physiotherapy is aimed at providing:

  • Accurate diagnosis
    • It is important to differentiate the diagnosis from chondromalacia patellae and patellar tendinopathy as the treatment and prognosis is very different.
  • Activity modification
    • Your physio is an expert at helping you still stay engaged in the activities that are most important to you while not aggravating your symptoms, as usually you will not have to stop activity all together.
  • Pain relief
    • There is an arsenal of treatments that a physiotherapist can provide, which includes manual therapy (massage/joint mobilisations), bracing, taping, stretching, dry needling.
  • Exercises
    • Depending on the cause of the symptoms, your physiotherapist will use their expertise to analyse your biomechanics to identify what is driving the symptoms, and provide a structured, tailored exercise plan to rebuild your strength to be able to tolerate all your previous activities once more.

Exercises that You Can Apply at Home

knee pain

Inner range quadriceps

This exercise is to strengthen the quadriceps muscle that act as one of the knee muscle stabilizer. During walking or standing, this muscle works to support the knee, thus reducing the impact receive by the knee. Perform this movement and hold the position for 10 -20 seconds and repeats 10 times, 3 sets.

Frequently Ask Questions

Can knee pain be healed?

Knee pain due to injuries to the ligaments or meniscus, whether it is overstretched or tear, it still can be treated if as soon after injury, you receive a proper treatment. In some cases, it may heal on its own depending on its severity. But most cases like osteoarthritis which means thinning of the space at the knee joint, making bones friction towards each other, here is where the healing is normally unable to reach due to its underlying causes itself. Doctor or even therapist will suggest for surgery as an option if the pain is too severe.

What can I do to reduce the pain?

When you feel pain at the knee area after doing activities or even when taking normal steps, try to rest for a while, elevate your legs using pillow when lying down and apply ice at the pain area for 10-20 minutes to reduce the pain sensation. If no changes, seek for medical advice.

How long it needs to be back to normal?

According to the protocol, ACL reconstruction, patella tendon tear protocol, it takes up to 6 months and above to recover from injury but to be able to do normal routine as pre-injury, that will be depending on the rehabilitation process. Some people may recover accordingly as they are younger, others may be delay due to age or diseases such as diabetes or infection.

If I have done surgery, can I still do physiotherapy treatment?

Yes, after surgery you will even recommended by doctor or specialist to do physiotherapy to enable your knee function and avoid from any secondary complications from the surgery done.

How can I modify my posture and activities to reduce the pain?

If you do run or jog weekly, take a rest for a few weeks until the pain slowly reduces. If your daily routine involves prolonged standing and walking, have a sit every one hour. You can put a box to rest your leg and alternately change it.

If I had knee pain before, am I at risk of developing it again?

Tendency of having the same pain is very high if you do not have proper recovery. Another reason is that the injured part may reduce in strength. When a muscle is not strong enough to hold the knee structure, you can be in imbalance and can easily trip.

How do I know if my knee pain is serious?

Call your doctor if you:

  • Can’t bear weight on your knee or feel as if your knee is unstable (gives out)
  • Have marked knee swelling.
  • Are unable to fully extend or flex your knee.
  • See an obvious deformity in your leg or knee.
  • Have a fever, in addition to redness, pain and swelling in your knee.
Is walking good for knee pain?

Walking helps ease knee pain and disability from osteoarthritis (OA). You may worry that a walk will put extra pressure on your joints and make the pain worse. But it has the opposite effect. Walking sends more blood and nutrients to your knee joints.

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