Knee Pain: When to Seek Rehabilitation Help

Knee pain

Sometimes when I walk, my knees become so sore that I can't stand up and I have to squat for a few seconds to regain strength.
This has been happening for many years.
It doesn't occur very frequently, but it does happen consistently.
Is this normal? Which specialist should I see?

Li, 20~29 year old female. Ask Date: 2016/03/19

Dr. Zhou Jianwen reply Rehabilitation

It is recommended to visit the rehabilitation department outpatient clinic.

Reply Date: 2016/03/19

More Info

Knee pain can be a significant issue, especially if it affects your daily activities and quality of life. The symptoms you describe—experiencing knee pain to the point where you need to squat down to regain strength—are not typical and warrant further investigation. While occasional discomfort may be common, persistent pain that limits your mobility is a sign that something may be wrong.

When to Seek Help
You should consider seeking rehabilitation help if you experience any of the following:
1. Persistent Pain: If your knee pain has been ongoing for years and is not improving, it's essential to consult a healthcare professional. Chronic pain can indicate underlying issues that need to be addressed.

2. Functional Limitations: If your knee pain is affecting your ability to walk, climb stairs, or perform daily activities, it's time to seek help. Rehabilitation can help restore function and improve your quality of life.

3. Swelling or Instability: If your knee swells or feels unstable, this could indicate a more serious condition, such as ligament damage or meniscus tears.

4. Difficulty with Weight-Bearing Activities: If you find it challenging to bear weight on your knee or if you experience significant pain during activities like walking or running, professional evaluation is necessary.

5. Previous Injuries: If you have a history of knee injuries, such as sprains or fractures, it's crucial to have your knee assessed to prevent further complications.

Which Specialist to See
For knee pain, you typically have a few options for specialists:
- Orthopedic Surgeon: They specialize in the musculoskeletal system and can diagnose and treat various knee conditions, including injuries, arthritis, and structural problems.

- Physiatrist (Rehabilitation Physician): They focus on non-surgical treatments and rehabilitation for musculoskeletal conditions. They can develop a comprehensive rehabilitation plan tailored to your needs.

- Physical Therapist: After an initial evaluation by a physician, a physical therapist can help you with exercises and treatments to strengthen the muscles around your knee, improve flexibility, and reduce pain.

- Rheumatologist: If your knee pain is suspected to be related to an autoimmune condition or arthritis, a rheumatologist may be the appropriate specialist.

Possible Conditions
Several conditions could be contributing to your knee pain, including:
- Osteoarthritis: A degenerative joint disease that can cause pain and stiffness in the knee.

- Patellofemoral Pain Syndrome: Often referred to as "runner's knee," this condition can cause pain around the kneecap.

- Meniscus Tears: Damage to the cartilage in the knee can lead to pain and swelling.

- Ligament Injuries: Injuries to the ACL, PCL, or other ligaments can cause instability and pain.

Rehabilitation Options
Once you consult a specialist, they may recommend various rehabilitation options, including:
- Physical Therapy: A tailored exercise program can help strengthen the muscles around your knee, improve flexibility, and enhance overall function.

- Manual Therapy: Techniques such as joint mobilization can help alleviate pain and improve range of motion.

- Modalities: Treatments like ultrasound, electrical stimulation, or ice/heat therapy can help manage pain and inflammation.

- Education: Learning about proper body mechanics and activity modifications can help prevent further injury.

Conclusion
In summary, while occasional knee discomfort may be normal, the symptoms you describe suggest that it would be wise to seek professional help. Consulting an orthopedic surgeon or a physiatrist can provide you with a proper diagnosis and a tailored rehabilitation plan. Early intervention can lead to better outcomes and help you regain your mobility and quality of life. Don't hesitate to reach out for help; your knees are essential for your overall well-being.

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