Knee Pain: Causes and Solutions for Athletes - Orthopedics

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Hello, doctor.
Recently, after playing badminton and weight training, I suddenly experienced pain in the front side of my right knee.
Sometimes it also hurts when I walk, and my knee often makes noises.
Could you please explain why I am experiencing these symptoms?

zero zero, 10~19 year old female. Ask Date: 2018/08/24

Dr. Shi Guozheng reply Orthopedics


It could be patellar cartilage inflammation or tendonitis.
Resting and avoiding intense exercise may help improve the condition.

Reply Date: 2018/08/24

More Info


Knee pain is a common issue among athletes, especially those involved in high-impact sports like badminton and weight training. Your symptoms—sudden pain in the front of the knee, occasional pain while walking, and audible sounds from the knee—can be attributed to several potential causes, which I will outline below, along with suggested solutions.


Potential Causes of Knee Pain:
1. Patellar Tendonitis: Often referred to as "jumper's knee," this condition is common among athletes who engage in jumping activities. It occurs due to overuse of the patellar tendon, which connects the kneecap (patella) to the shinbone (tibia). Symptoms include pain at the front of the knee, especially during activities that involve jumping or squatting.

2. Patellofemoral Pain Syndrome (PFPS): This syndrome is characterized by pain around the kneecap and is often exacerbated by activities like running, squatting, or climbing stairs. It can be caused by muscle imbalances, improper tracking of the kneecap, or overuse.

3. Meniscus Injury: The meniscus is a cartilage structure that acts as a cushion between your thigh bone and shin bone. Twisting motions during sports can lead to tears in the meniscus, resulting in pain, swelling, and sometimes a locking sensation in the knee.

4. Ligament Injuries: Injuries to the ligaments, such as the anterior cruciate ligament (ACL) or medial collateral ligament (MCL), can occur during sudden stops or changes in direction. These injuries often present with swelling, instability, and pain.

5. Osteoarthritis: Although more common in older adults, athletes can develop early-onset osteoarthritis due to repetitive stress on the knee joint. Symptoms include joint stiffness, swelling, and pain during movement.

6. Iliotibial Band Syndrome: This condition occurs when the iliotibial band, a ligament that runs along the outside of the thigh, becomes tight or inflamed. It can cause pain on the outer side of the knee, especially during activities like running.


Suggested Solutions:
1. Rest and Ice: Initially, it's crucial to rest the knee and avoid activities that exacerbate the pain. Applying ice to the affected area for 15-20 minutes several times a day can help reduce swelling and pain.

2. Physical Therapy: A physical therapist can assess your knee and develop a tailored rehabilitation program. This may include strengthening exercises for the quadriceps and hamstrings, stretching, and techniques to improve your knee's range of motion.

3. Proper Footwear: Ensure that you are wearing appropriate shoes for your sport. Footwear that provides adequate support and cushioning can help alleviate stress on the knee.

4. Modify Activities: Temporarily reduce the intensity and frequency of activities that cause pain. Gradually reintroduce these activities as your knee improves.

5. Strengthening and Flexibility Exercises: Focus on strengthening the muscles around the knee, including the quadriceps, hamstrings, and calf muscles. Incorporating flexibility exercises can also help maintain a healthy range of motion.

6. Consult a Specialist: If the pain persists despite conservative measures, it may be beneficial to consult an orthopedic specialist. They can perform a thorough evaluation, which may include imaging studies like X-rays or MRI, to determine the exact cause of your knee pain and recommend appropriate treatment options.

7. Consider Anti-Inflammatory Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

In conclusion, knee pain in athletes can arise from various causes, and understanding the underlying issue is essential for effective treatment. By taking appropriate measures, including rest, physical therapy, and possibly consulting a specialist, you can work towards alleviating your knee pain and returning to your athletic activities safely. Always listen to your body and prioritize recovery to prevent further injury.

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