Knee Pain: Causes and When to See a Doctor - Orthopedics

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Knee pain can be a common issue, especially for individuals who engage in physical activities such as playing sports or exercising. Based on your description, it seems that you are experiencing intermittent pain in the inner side of your right knee, which started after playing the piano and has been persistent for about three days. You also mentioned that you played basketball two weeks ago after a long break and that you cycle regularly.

Possible Causes of Your Knee Pain
1. Overuse Injury: Given that you recently returned to playing basketball after a long hiatus, it's possible that your knee is experiencing an overuse injury. This can occur when the muscles, tendons, or ligaments around the knee are stressed beyond their normal limits, especially if they are not accustomed to the activity level.

2. Patellar Tendonitis: This condition, often referred to as "jumper's knee," occurs when the tendon connecting the kneecap (patella) to the shinbone becomes inflamed. It can cause pain in the front of the knee but may also lead to discomfort on the inner side, especially if the knee is compensating for weakness or tightness elsewhere.

3. Medial Meniscus Tear: The meniscus is a cartilage that acts as a cushion between your thigh bone and shin bone. A tear in the medial meniscus can cause pain on the inner side of the knee, especially during twisting movements or when bearing weight.

4. Ligament Strain: The knee has several ligaments that can be strained during physical activities. A strain in the medial collateral ligament (MCL), which runs along the inner side of the knee, could also lead to pain in that area.

5. Patellofemoral Pain Syndrome: This condition is characterized by pain around the kneecap and can be exacerbated by activities such as jumping, squatting, or climbing stairs. It may also cause discomfort on the inner side of the knee.


When to See a Doctor
While some knee pain can resolve on its own with rest and conservative treatment, there are specific signs that indicate it may be time to consult a healthcare professional:
- Persistent Pain: If the pain continues for more than a few days without improvement, it is advisable to seek medical attention.

- Swelling or Inflammation: If you notice significant swelling, warmth, or redness around the knee, this could indicate an underlying issue that requires evaluation.

- Limited Range of Motion: If you find it difficult to bend or straighten your knee, or if you experience locking or instability, you should see a doctor.

- Pain During Rest: If the pain persists even when you are not active, this could be a sign of a more serious condition.

- Previous Injuries: If you have a history of knee injuries, it’s important to get any new pain evaluated to prevent further damage.


Conclusion
In your case, since the pain is localized to the inner side of the knee and has persisted for several days, it would be wise to consult a healthcare professional, preferably an orthopedic specialist. They may recommend imaging studies such as X-rays or an MRI to assess the structures of the knee and determine the exact cause of your pain. In the meantime, consider resting the knee, applying ice to reduce any swelling, and avoiding activities that exacerbate the pain.
Early intervention can help prevent further complications and ensure a quicker recovery, allowing you to return to your activities without discomfort.