Knee Pain: Possible Ligament or Meniscus Issues - Orthopedics

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Knee issues


Hello, doctor.
I have been experiencing pain in my left knee when sitting for long periods, standing, and when I exert force to straighten it.
Additionally, I feel pain when I try to stand with my left leg resting on a chair and bend it inward, but there is no redness or swelling on the surface of the knee.
This condition has persisted for over two weeks.
I am unsure if there is an issue with my ligaments or meniscus.
Thank you very much for your response.

Niming, 20~29 year old female. Ask Date: 2020/04/29

Dr. Shi Guozheng reply Orthopedics


It may be caused by ligament inflammation.
Typically, issues with the meniscus arise from sports injuries.
If the meniscus is torn, it can lead to a locking sensation in the knee joint, as well as pain or swelling.
Additionally, there may be limitations in bending the knee.

Reply Date: 2020/04/29

More Info


Knee pain can be a complex issue, often stemming from various underlying causes, particularly when it comes to the ligaments and meniscus. Based on your description, it seems you are experiencing pain in your left knee during specific movements, such as standing after sitting for a long time and when extending your leg. The absence of visible swelling or redness is noteworthy, but it does not rule out potential internal injuries.


Possible Causes of Your Knee Pain
1. Ligament Injuries: The knee is stabilized by several ligaments, including the anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). Injuries to these ligaments can occur due to sudden movements or stress on the knee. Symptoms often include pain, instability, and difficulty bearing weight.

2. Meniscus Tears: The meniscus is a C-shaped cartilage that acts as a cushion between your thigh bone and shin bone. A tear can occur from twisting motions or heavy lifting, leading to pain, swelling, and difficulty moving the knee. The pain you feel when bending your knee could indicate a meniscus issue.

3. Patellar Tendonitis: Also known as "jumper's knee," this condition arises from overuse of the knee, particularly in activities that involve jumping or running. It can cause pain below the kneecap, especially when straightening the leg.

4. Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the knee joint, can lead to pain and discomfort, particularly when moving the knee.

5. Osteoarthritis: Although more common in older individuals, osteoarthritis can develop in younger people, especially if there is a history of knee injuries. It results in the degeneration of cartilage, leading to pain and stiffness.


Recommended Actions
1. Rest and Ice: Initially, it’s crucial to rest the knee and apply ice to reduce any potential inflammation. Avoid activities that exacerbate the pain.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around the knee, improve flexibility, and restore function.

3. Imaging Studies: If the pain persists, consider consulting a healthcare professional for an evaluation. They may recommend imaging studies, such as an MRI, to assess for ligament tears or meniscus damage.

4. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication, especially if you have other health conditions.

5. Activity Modification: Avoid activities that put excessive strain on your knee, such as running or jumping, until you have a clearer understanding of the injury.


Conclusion
Given that your symptoms have persisted for over two weeks, it is advisable to seek a professional evaluation. A healthcare provider can conduct a thorough examination, possibly including physical tests and imaging, to determine the exact cause of your knee pain. Early diagnosis and appropriate treatment are crucial for preventing further damage and ensuring a full recovery. Remember, while self-care measures can provide temporary relief, they should not replace professional medical advice and treatment.

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