Inner Knee Pain: Causes and Treatment Options - Orthopedics

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Medial knee pain?


Doctor, I started experiencing pain on the inner side of my knee for an unknown reason about two weeks ago.
Walking a lot or quickly exacerbates the pain, and sometimes it becomes so severe that I can't walk at all.
I had a sprained ankle on my right foot about two years ago, and I consulted a traditional Chinese medicine practitioner who suggested that the unresolved ankle injury is causing pain that radiates from the ankle to the inner side of my right knee.
However, this week, my ankle hardly hurts at all; the pain is mostly concentrated in the inner side of my knee.
I sought medical attention last Friday, but there has been no improvement.
I would like to know the possible causes and recommended treatment options.
Thank you.

Ms. Lin, 20~29 year old female. Ask Date: 2018/06/06

Dr. Shi Guozheng reply Orthopedics


It could be inflammation of the medial ligaments or fascia, which usually improves with rest and medication.

Reply Date: 2018/06/06

More Info


Inner knee pain can be a frustrating and debilitating condition, especially when it affects your ability to walk or perform daily activities. Based on your description, there are several potential causes for your inner knee pain, and understanding these can help guide treatment options.


Possible Causes of Inner Knee Pain
1. Medial Meniscus Injury: The meniscus is a C-shaped cartilage in your knee that acts as a cushion between your thigh bone and shin bone. A tear in the medial meniscus, which is located on the inner side of the knee, can cause pain, swelling, and difficulty in movement. This type of injury is common in sports or activities that involve twisting motions.

2. Ligament Injuries: The medial collateral ligament (MCL) is located on the inner side of the knee and provides stability. An injury or strain to this ligament can result in pain, especially when walking or putting weight on the knee.

3. Patellofemoral Pain Syndrome: This condition occurs when the cartilage on the underside of the kneecap becomes irritated. It can lead to pain around the kneecap and may be exacerbated by activities such as climbing stairs or squatting.

4. Osteoarthritis: Degenerative changes in the knee joint can lead to osteoarthritis, which may cause pain, stiffness, and swelling. This condition is more common in older adults but can occur in younger individuals, especially if there has been a previous injury.

5. Referred Pain: Sometimes, pain in the knee can be referred from other areas, such as the ankle or hip. Given your history of ankle injury, it’s possible that compensatory movements may have led to stress on your knee.


Recommended Treatment Options
1. Rest and Activity Modification: It’s essential to give your knee a break. Avoid activities that exacerbate the pain, such as running or jumping. Instead, consider low-impact exercises like swimming or cycling that do not put excessive strain on the knee.

2. Ice Therapy: Applying ice to the affected area can help reduce swelling and alleviate 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 rehabilitation program tailored to your needs. This may include strengthening exercises for the muscles around the knee, flexibility training, and techniques to improve your gait and posture.

4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication, especially if you have underlying health conditions.

5. Orthotics or Knee Braces: Depending on the underlying cause, using orthotic inserts or a knee brace may provide additional support and alleviate pain during activities.

6. Consultation with a Specialist: If your symptoms persist despite conservative management, it may be beneficial to consult an orthopedic specialist. They may recommend imaging studies, such as an MRI, to assess for structural issues like meniscal tears or ligament injuries.

7. Surgical Options: In cases where conservative treatments fail and significant structural damage is identified, surgical intervention may be necessary. This could involve arthroscopic surgery to repair a meniscus tear or address ligament injuries.


Conclusion
Inner knee pain can stem from various causes, and identifying the underlying issue is crucial for effective treatment. It’s essential to listen to your body and seek professional medical advice if your symptoms do not improve. Early intervention can often lead to better outcomes and a quicker return to your normal activities. Remember to maintain open communication with your healthcare provider about your symptoms and any changes you experience during your treatment journey.

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