Knee Pain: Causes and Solutions for Young Athletes - Orthopedics

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Knee problems


Hello Doctor, my knee has been painful since I was in the second year of junior high school, and it often feels sore.
I can feel discomfort after climbing just five flights of stairs.
Sometimes, while sitting in class, I start to experience pain halfway through.
Even when I stretch my leg out to watch TV, my knee can feel sore.
The only exercise I usually do is playing basketball, but now my frequency has decreased to about three times a month.
Could you please tell me what might be causing my knee issues?

Kawhi, 10~19 year old female. Ask Date: 2016/10/02

Dr. Shi Guozheng reply Orthopedics


Possible causes include patellar malalignment, chondromalacia patellae, arthritis, or tendinitis, among others.
Therefore, it is essential to consult a physician for an accurate diagnosis.

Reply Date: 2016/10/02

More Info


Knee pain in young athletes is a common issue that can arise from various causes, particularly due to the physical demands placed on the body during sports and activities. Based on your description, it seems that your knee pain has been persistent since you were in the eighth grade, and it occurs during activities such as climbing stairs, sitting in class, and even while watching TV. This suggests that the pain may not be solely related to acute injuries but could be indicative of underlying conditions that require attention.

One potential cause of your knee pain could be patellar tendinopathy, commonly known as "jumper's knee." This condition is characterized by pain in the tendon connecting the kneecap (patella) to the shinbone (tibia), often exacerbated by activities that involve jumping or running. Given that you play basketball, which involves a lot of jumping and quick direction changes, this could be a plausible explanation for your symptoms. The pain typically manifests below the kneecap and can worsen with activity.

Another possibility is patellofemoral pain syndrome, which is often seen in young athletes. This condition results from improper tracking of the kneecap within the femoral groove, leading to pain around the kneecap, especially during activities like climbing stairs or sitting for prolonged periods. It can be exacerbated by muscle imbalances, particularly weakness in the quadriceps or hip muscles, which are crucial for stabilizing the knee joint.

Additionally, given your mention of feeling pain even when sitting or with minimal activity, it could also be related to overuse or strain on the knee joint due to your previous activity levels. If you have reduced your basketball frequency to about three times a month, it may not be enough to maintain the strength and flexibility of the muscles surrounding the knee, leading to discomfort.

To address your knee pain, it is essential to first consult with a healthcare professional, preferably an orthopedic specialist or a sports medicine physician, who can perform a thorough examination and possibly imaging studies to determine the exact cause of your pain. Here are some general recommendations that may help alleviate your symptoms:
1. Rest and Activity Modification: Allow your knee to rest and avoid activities that exacerbate the pain. This may include reducing basketball practice or other high-impact activities until you can assess the situation with a doctor.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can design a rehabilitation program that focuses on strengthening the muscles around the knee, improving flexibility, and correcting any biomechanical issues that may contribute to your pain.

3. Ice and Compression: Applying ice to the affected area after activity can help reduce inflammation and pain. Compression wraps can also provide support and minimize swelling.

4. Strengthening Exercises: Focus on strengthening your quadriceps, hamstrings, and hip muscles. Exercises like straight leg raises, squats, and lunges can help improve muscle balance and support the knee joint.

5. Proper Footwear: Ensure that you are wearing appropriate shoes for basketball and other activities. Proper footwear can provide the necessary support and cushioning to reduce stress on the knees.

6. Gradual Return to Activity: Once your symptoms improve, gradually return to your normal activity level. Start with low-impact exercises and slowly increase intensity to avoid re-injury.

In conclusion, knee pain in young athletes can stem from various causes, including overuse injuries, muscle imbalances, and improper biomechanics. It is crucial to seek professional evaluation to determine the specific cause of your pain and to develop an appropriate treatment plan. By addressing these issues early on, you can prevent further complications and ensure a healthier return to your favorite activities.

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