Knee Pain: When to Seek Rehabilitation for Your Legs - Rehabilitation

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Posterior knee


Hello, doctor.
I previously had a habit of running and swimming with the frog stroke, but recently I've noticed that while walking, the area behind my left knee, where the knee connects to the thigh, feels like it catches a bit when I straighten my leg.
Although there is no discomfort, it feels strange.
Additionally, I've noticed that after exercising, my left calf tends to feel more sore than my right calf.
I would like to know which specialist I should see or if I might be overexerting myself.

Qiang Ni, 20~29 year old female. Ask Date: 2016/07/24

Dr. Zhou Jianwen reply Rehabilitation


You may want to see a rehabilitation specialist, as it could be due to insufficient muscle flexibility.

Reply Date: 2016/07/24

More Info


When it comes to knee pain, particularly in the area behind the knee where it connects to the thigh, it is crucial to understand the underlying causes and when to seek rehabilitation. Based on your description, it seems you are experiencing a sensation of "catching" or "locking" in your left knee, particularly when straightening your leg. This could be indicative of several issues, including potential ligament or meniscus problems, muscle imbalances, or even early signs of patellofemoral pain syndrome.

Given your history of running and swimming, it is possible that overuse or improper biomechanics during these activities could contribute to your current symptoms. The fact that you notice increased soreness in your left calf compared to your right could suggest a muscular imbalance or compensatory movement patterns that have developed over time.

When to Seek Rehabilitation
1. Persistent Symptoms: If the sensation of catching in your knee persists or worsens, it is advisable to seek medical attention. This could be a sign of a meniscal tear or other structural issues within the knee joint.

2. Pain During Activity: If you begin to experience pain during activities that were previously pain-free, this is another indicator that rehabilitation may be necessary. Early intervention can prevent further injury and promote a quicker recovery.

3. Swelling or Instability: Any swelling or feelings of instability in the knee should prompt a visit to a healthcare professional. These symptoms can indicate underlying issues that need to be addressed.

4. Difficulty with Daily Activities: If your knee pain starts to interfere with your daily activities or your ability to exercise, it is time to consult a specialist.


Recommended Specialists
For knee-related issues, you would typically want to see an orthopedic specialist or a sports medicine physician. They can perform a thorough evaluation, which may include physical examinations and imaging studies (like an MRI) to assess the condition of your knee structures.

Rehabilitation Options
If your symptoms warrant rehabilitation, a physical therapist can help you develop a tailored exercise program focusing on strengthening the muscles around the knee, improving flexibility, and correcting any biomechanical issues. Here are some common rehabilitation strategies:
1. Strengthening Exercises: Focus on strengthening the quadriceps, hamstrings, and calf muscles. Exercises like leg presses, squats, and calf raises can be beneficial.

2. Flexibility Training: Stretching exercises for the hamstrings, quadriceps, and calves can help improve flexibility and reduce tension around the knee.

3. Balance and Proprioception Training: Incorporating exercises that improve balance and proprioception can help stabilize the knee joint and prevent future injuries.

4. Activity Modification: It may be necessary to modify your running or swimming technique to reduce strain on the knee. A physical therapist can provide guidance on proper form and technique.

5. Manual Therapy: Techniques such as joint mobilization or soft tissue massage may be employed by your therapist to alleviate pain and improve function.


Conclusion
In summary, while it may be tempting to ignore minor symptoms, it is essential to listen to your body. If you experience persistent sensations of catching, increased soreness, or any other concerning symptoms, seeking rehabilitation is a wise decision. Early intervention can lead to better outcomes and help you return to your favorite activities without pain. Remember, maintaining a balanced exercise routine that includes strength, flexibility, and proper technique is key to preventing future knee issues.

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