Right Knee Pain: Causes and Treatment Options - Orthopedics

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Right knee pain?


Hello, doctor.
I have not had any injuries to my right knee, but over the past year, I suddenly started experiencing a small pain on the outer side of my right knee, which began at the back.
The pain appeared overnight, and it hurts when I straighten or bend my knee, making it difficult to walk.
The pain has persisted until now, and I have visited the hospital and undergone rehabilitation, but they all say it's tendonitis.
I have had this issue before, but it has never lasted this long.
It is already affecting my daily life.
What could be the problem, doctor?

Lu Xiaoyu, 30~39 year old female. Ask Date: 2016/03/26

Dr. Shi Guozheng reply Orthopedics


Tendonitis may be caused by strains or overuse, which can result from excessive walking, climbing hills, or going up and down stairs.
These activities can increase the stress on the knee joint ligaments, potentially leading to inflammation.
The lateral aspect of the knee includes the lateral collateral ligament and the iliotibial band, both of which can become inflamed due to increased activity.
Treatment typically involves rest, heat application, and medication to alleviate symptoms.

Reply Date: 2016/03/26

More Info


Understanding right knee pain, particularly when it arises suddenly and affects mobility, can be complex. Based on your description, it seems you are experiencing pain on the outer side of your right knee, which has persisted and worsened to the point where it affects your ability to walk. This situation can be attributed to several potential causes, and understanding these can help guide you toward appropriate treatment options.


Potential Causes of Right Knee Pain
1. Tendonitis: Inflammation of the tendons around the knee, particularly the iliotibial band (IT band) or the patellar tendon, can cause pain on the outer side of the knee. This condition often arises from overuse, repetitive activities, or sudden increases in physical activity.

2. Bursitis: The knee contains several bursae (small fluid-filled sacs) that help reduce friction between tissues. Inflammation of the bursae, particularly the lateral (outer) bursae, can lead to localized pain and swelling.

3. Meniscus Tear: Although you mentioned not having a specific injury, a meniscus tear can occur due to wear and tear over time or from twisting movements. This can lead to pain, swelling, and difficulty moving the knee.

4. Ligament Injuries: Injuries to the ligaments, such as the lateral collateral ligament (LCL), can also cause pain on the outer side of the knee. These injuries can occur from sudden movements or impacts.

5. Osteoarthritis: Degenerative changes in the knee joint can lead to pain, especially if there is a history of previous injuries or wear and tear.

6. Referred Pain: Sometimes, pain in the knee can be referred from other areas, such as the hip or lower back, particularly if there are underlying issues in those regions.


Recommended Treatment Options
1. Rest and Activity Modification: Avoid activities that exacerbate the pain, such as running or jumping. Allowing the knee to rest can help reduce inflammation.

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

3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around the knee, improve flexibility, and restore function.

4. Anti-inflammatory Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation.

5. Knee Brace or Support: Using a knee brace can provide stability and support, which may alleviate some discomfort during activities.

6. Corticosteroid Injections: If conservative treatments do not provide relief, a doctor may recommend corticosteroid injections to reduce inflammation.

7. Surgical Options: In cases where conservative treatments fail, and if there are structural issues (like a significant meniscus tear or ligament injury), surgical intervention may be necessary.


Conclusion
Given that your pain has persisted and is affecting your daily life, it is crucial to follow up with a healthcare provider for a comprehensive evaluation. This may include imaging studies such as X-rays or MRI to assess the underlying structures of the knee. A proper diagnosis will guide you toward the most effective treatment plan tailored to your specific condition. Remember, early intervention can often lead to better outcomes, so seeking medical advice sooner rather than later is advisable.

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