Knee Pain When Moving: and Managing Symptoms - Traditional Chinese Medicine

There is pain in the knee during a specific movement, as if it is getting stuck?

Sometimes I experience pain while walking, particularly during certain movements, such as when I exert force on my foot, which causes a sudden, sharp pain that feels like it's getting stuck.
However, once the movement is completed, the pain subsides, although it occasionally returns.
I have tried heat therapy and massage, but for the past three days, I have been experiencing these symptoms consistently.
The pain is located just below the kneecap, around the cartilage area.
I have been climbing stairs frequently, but it doesn't feel like a bone-related pain; rather, I feel a lack of strength.
What solutions are available for this issue?

Dà yú, 20~29 year old female. Ask Date: 2018/05/02

Dr. Lai Jianhong reply Traditional Chinese Medicine

Hello, Miss.
Seeking a solution should first focus on the causes of knee pain, including reflecting on any history of injuries, such as car accidents, falls, or sports injuries.
These high-intensity activities may lead to joint damage.
Additionally, prolonged low-intensity activities, such as long-term dance practice, can also result in joint wear and even stress fractures.
From your description, it seems that the pain is related to movement, which leans towards joint cartilage damage or inflammatory conditions like bursitis.
Please observe for any local swelling or signs of redness and heat.
When seeking medical attention, it is essential to provide this information and undergo basic imaging studies, including X-rays and/or ultrasound, to diagnose the injured area.
Self-care methods include resting or applying ice during acute pain; once the pain subsides, heat therapy or massage can be utilized, and it is important to reduce squatting and avoid climbing stairs.
Additionally, please seek medical attention nearby to confirm the diagnosis; acupuncture, including electroacupuncture, and medication can also be considered to fundamentally address knee pain issues.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2018/05/02

More Info

Knee pain during movement can be a frustrating and debilitating experience, especially when it interferes with daily activities like walking or climbing stairs. Based on your description, it seems that you are experiencing pain localized around the kneecap (patella) and possibly involving the cartilage beneath it. This type of pain can arise from several underlying conditions, and understanding these can help in managing your symptoms effectively.

Potential Causes of Knee Pain
1. Patellofemoral Pain Syndrome (PFPS): This is a common condition characterized by pain around the kneecap, often exacerbated by activities like climbing stairs, squatting, or sitting for long periods. It can result from overuse, muscle imbalances, or improper tracking of the patella.

2. Chondromalacia Patella: This condition involves the softening and breakdown of the cartilage on the underside of the kneecap, leading to pain and discomfort, especially during movement.

3. Tendinitis: Inflammation of the tendons around the knee, such as patellar tendinitis (jumper's knee), can cause pain during activities that involve jumping or running.

4. Meniscus Tear: A tear in the knee's cartilage can lead to pain, swelling, and a sensation of the knee locking or giving way during movement.

5. Osteoarthritis: Degenerative changes in the knee joint can lead to pain, stiffness, and reduced range of motion, particularly after periods of inactivity.

Management Strategies
1. Rest and Activity Modification: Since you mentioned that climbing stairs exacerbates your pain, it may be beneficial to reduce activities that put stress on your knee. Consider avoiding stairs and high-impact activities until the pain subsides.

2. Ice Therapy: Applying ice to the affected area can help reduce inflammation and numb the pain. Aim for 15-20 minutes of ice application several times a day, especially after activities that aggravate your symptoms.

3. Physical Therapy: A physical therapist can design a personalized exercise program to strengthen the muscles around your knee, improve flexibility, and enhance overall function. Strengthening the quadriceps, hamstrings, and hip muscles can help stabilize the knee joint and reduce pain.

4. Pain Relief Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help alleviate pain and reduce inflammation. However, it’s essential to follow the recommended dosage and consult with a healthcare provider if you have any underlying health conditions.

5. Knee Bracing or Taping: Using a knee brace or kinesiology tape can provide additional support and stability to the knee during movement, potentially alleviating pain.

6. Gradual Return to Activity: Once your symptoms improve, gradually reintroduce activities. Start with low-impact exercises, such as swimming or cycling, before progressing to more strenuous activities.

7. Consultation with a Specialist: If your symptoms persist despite these measures, it may be beneficial to consult with an orthopedic specialist. They can perform a thorough evaluation, including imaging studies like X-rays or MRI, to rule out any significant structural issues.

Conclusion
Knee pain during movement can stem from various causes, and effective management often involves a combination of rest, physical therapy, and pain relief strategies. It's crucial to listen to your body and avoid activities that exacerbate your symptoms. If pain persists or worsens, seeking professional medical advice is essential to ensure appropriate diagnosis and treatment. Remember, early intervention can often lead to better outcomes and a quicker return to your normal activities.

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