Knee Pain in Teenagers: Causes and Solutions - Orthopedics

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Knee pain


Hello doctor, my knee experiences abnormal soreness and pain when climbing stairs, often after just 10 steps.
Additionally, I sometimes feel sudden pain during class, but if I ignore it, it usually goes away after about 10 minutes.
I'm only 16 years old, and my usual exercise consists of playing basketball.
This issue has been present since I was in the second year of junior high school.
What could be the possible causes of this?

Kawhi, 10~19 year old female. Ask Date: 2016/03/23

Dr. Chen Yongxue reply Orthopedics


Hello, I believe you may have a condition known as patellar valgus.
I recommend that you visit an orthopedic clinic for further evaluation.
Thank you.

Reply Date: 2016/03/23

More Info


Knee pain in teenagers is a common issue that can arise from various causes, and understanding these causes is crucial for effective management and treatment. Given your description of experiencing pain while climbing stairs and during physical activities, it is important to consider several potential factors that could be contributing to your discomfort.

One of the most common causes of knee pain in adolescents is patellar tendinopathy, often referred to as "jumper's knee." This condition is prevalent among young athletes, particularly those involved in sports that require jumping or running, such as basketball. The repetitive stress on the knee joint can lead to inflammation of the patellar tendon, which connects the kneecap (patella) to the shinbone (tibia). Symptoms typically include pain around the kneecap, especially during activities that involve bending the knee, such as climbing stairs or jumping.

Another possibility is Osgood-Schlatter disease, which is characterized by pain and swelling just below the kneecap where the patellar tendon attaches to the tibia. This condition is common in active adolescents and is often exacerbated by physical activities. It is caused by the repeated stress on the knee joint during growth spurts, leading to irritation and inflammation.

Additionally, you might be experiencing patellofemoral pain syndrome, which is often described as a dull, aching pain around the front of the knee. This condition can be triggered by activities that put stress on the knee, such as running or climbing stairs. It can also result from muscle imbalances or weakness in the quadriceps, which can affect the alignment of the kneecap.

Given that you mentioned the pain occurs intermittently and can resolve after a short period, it may also be related to muscle fatigue or overuse. As a teenager, your body is still developing, and engaging in strenuous activities without adequate rest can lead to temporary pain and discomfort.

To address your knee pain, consider the following strategies:
1. Rest and Recovery: Allow your knee to rest, especially after activities that exacerbate the pain. Avoid high-impact sports or activities that involve running or jumping until the pain subsides.

2. Ice Therapy: Applying ice to the affected area for 15-20 minutes several times a day can help reduce inflammation and alleviate pain.

3. Strengthening Exercises: Focus on strengthening the muscles around the knee, particularly the quadriceps and hamstrings. Exercises such as straight leg raises, wall sits, and leg presses can be beneficial. However, it is essential to perform these exercises under the guidance of a physical therapist or coach to ensure proper technique and avoid further injury.

4. Stretching: Incorporate stretching exercises for the quadriceps, hamstrings, and calves to improve flexibility and reduce tension on the knee joint.

5. Footwear: Ensure that you are wearing appropriate footwear that provides adequate support and cushioning. Poor footwear can contribute to knee pain, especially during physical activities.

6. Consult a Specialist: If the pain persists or worsens, it is advisable to consult an orthopedic specialist or a sports medicine physician. They can perform a thorough evaluation, including physical examinations and imaging studies if necessary, to determine the underlying cause of your knee pain and recommend appropriate treatment options.

In conclusion, knee pain in teenagers can stem from various causes, including overuse, muscle imbalances, and growth-related conditions. By implementing rest, ice therapy, strengthening and stretching exercises, and seeking professional guidance, you can effectively manage your symptoms and continue to enjoy your activities with less discomfort. Remember, it is crucial to listen to your body and not push through pain, as this can lead to more significant issues down the line.

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