Knee Pain: Causes and Solutions for Joint Discomfort - Orthopedics

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Joint pain and lower back pain?


Hello Doctor: For the past month, I have been experiencing an unexplained pain in my right knee.
It’s not too bad when I walk, but I feel pain when I squat down to a certain angle, and I experience the same discomfort when going up stairs.
It’s not very intense, just a brief pain.
Additionally, when I squat, I hear some sounds from the front of my knee that resemble small stones knocking together, as well as some cracking noises.
This happens every time I squat.
I wonder if this is related to my recent basketball activities, as my job also requires me to squat and stand for long periods.
I hope you can help clarify this for me.
Thank you, Doctor.

Mr. Lan, 20~29 year old female. Ask Date: 2017/01/07

Dr. Shen Boquan reply Orthopedics


Hello, internet user: Lower back pain and knee pain are quite common issues.
Poor posture, overexertion, or sports injuries can all contribute to these discomforts.
Based on your description, tendonitis, meniscus injury, or other causes may be possible.
If the pain is severe, it is advisable to reduce physical activity, pay attention to posture, and even take anti-inflammatory pain medications; most people can alleviate their symptoms this way.
Wishing you good health.

Reply Date: 2017/01/07

More Info


Knee pain can be a complex issue, often stemming from various underlying causes, particularly when it comes to joint discomfort. Based on your description, it seems you are experiencing pain primarily when squatting or climbing stairs, accompanied by a sensation of grinding or popping in the knee. This could indicate several potential issues, particularly related to the knee joint's structure and function.


Possible Causes of Your Knee Pain
1. Patellar Tendonitis: This condition, often referred to as "jumper's knee," is common among athletes, especially those involved in sports that require jumping or quick changes in direction. It occurs when the patellar tendon becomes inflamed due to overuse, leading to pain around the kneecap.

2. Chondromalacia Patella: This condition involves the softening and breakdown of the cartilage on the underside of the kneecap. It can cause pain during activities that put pressure on the knee, such as squatting or climbing stairs, and is often accompanied by a grinding sensation.

3. Meniscus Tear: The meniscus is a C-shaped cartilage that cushions your knee joint. A tear can occur due to sudden twisting movements or overuse, leading to pain, swelling, and a popping sound during movement.

4. Patellofemoral Pain Syndrome: This syndrome is characterized by pain in the front of the knee and around the patella. It can be exacerbated by activities that put stress on the knee, such as squatting or climbing stairs.

5. Osteoarthritis: Although more common in older adults, early signs of osteoarthritis can manifest as knee pain, particularly after prolonged activity or weight-bearing activities.


Recommendations for Relief and Management
1. Rest and Activity Modification: Since you mentioned that your work involves prolonged periods of standing or squatting, it’s essential to take breaks and avoid positions that exacerbate your pain. Consider alternating between sitting and standing to reduce strain on your knees.

2. Ice Therapy: Applying ice to the knee for 15-20 minutes after activities can help reduce inflammation and alleviate pain.

3. Strengthening Exercises: Focus on strengthening the muscles around the knee, particularly the quadriceps, hamstrings, and calves. Exercises like straight leg raises, wall sits, and step-ups can be beneficial. However, avoid any exercises that cause pain.

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

5. Proper Footwear: Ensure that you are wearing supportive shoes, especially if you are active in sports. Proper footwear can significantly impact knee alignment and reduce pain.

6. Physical Therapy: If the pain persists, consider consulting a physical therapist who can provide a tailored exercise program and manual therapy techniques to address your specific knee issues.

7. Consult a Specialist: If symptoms do not improve with conservative measures, it may be wise to consult an orthopedic specialist. They may recommend imaging studies, such as an MRI, to assess for any structural damage to the knee.


Conclusion
Knee pain, especially when associated with specific movements like squatting or climbing stairs, can often be linked to overuse or minor injuries, particularly in active individuals. By modifying your activities, incorporating rest, and focusing on strengthening and flexibility, you can often alleviate symptoms. However, if pain persists or worsens, seeking professional medical advice is crucial to rule out any serious conditions and to receive appropriate treatment. Remember, early intervention can often prevent more significant issues down the line.

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