Inner Knee Pain: Causes and Treatment Options - Orthopedics

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Understanding inner knee pain can be quite complex, as it can arise from various causes, particularly in individuals who engage in high-impact sports or activities. Based on your description, it seems that your pain occurs primarily during activities that involve significant bending of the knee, such as squatting or running, and is accompanied by a sensation of nerve compression and audible crepitus (a grinding or popping sound).

Possible Causes
1. Patellar Tendonitis: This condition, often referred to as "jumper's knee," occurs when the patellar tendon, which connects the kneecap to the shinbone, becomes inflamed. It is common in athletes who engage in sports that involve jumping or running.

2. Medial Meniscus Tear: Given that your pain is localized to the inner side of the knee and occurs during activities that require bending, a tear in the medial meniscus could be a possibility. This cartilage acts as a cushion between your thigh bone and shin bone, and tears can lead to pain, swelling, and a sensation of catching or locking.

3. Iliotibial Band Syndrome: This condition occurs when the iliotibial band, a ligament that runs along the outside of the thigh, becomes tight and rubs against the outer part of the knee. While this typically causes pain on the outer side of the knee, it can also lead to compensatory movements that affect the inner knee.

4. Patellofemoral Pain Syndrome: This syndrome is characterized by pain around the kneecap and can be exacerbated by activities that put stress on the knee joint, such as squatting or climbing stairs. It may also be associated with muscle imbalances or improper tracking of the kneecap.

5. Bursitis: Inflammation of the bursa, small fluid-filled sacs that cushion the knee joint, can lead to pain, especially during movement.

Treatment Options
1. Rest and Activity Modification: Since you've noted that the pain improves with rest, it's crucial to allow your knee to recover. Avoid activities that exacerbate the pain, particularly high-impact sports like basketball or running.

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.

3. Physical Therapy: Engaging in a physical therapy program can help strengthen the muscles around the knee, improve flexibility, and correct any biomechanical issues. A physical therapist can design a tailored exercise program that focuses on strengthening the quadriceps, hamstrings, and hip muscles.

4. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help alleviate pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.

5. Knee Bracing: A knee brace can provide additional support during activities and help stabilize the joint, potentially reducing pain.

6. Gradual Return to Activity: Once the pain subsides, gradually reintroduce activities. Start with low-impact exercises, such as swimming or cycling, before returning to high-impact sports.

7. Consultation with a Specialist: If the pain persists despite conservative measures, it may be beneficial to consult an orthopedic specialist. They may recommend imaging studies, such as an MRI, to assess for any structural damage, such as tears or inflammation.


Conclusion
In summary, inner knee pain can stem from various causes, particularly in active individuals. It is essential to listen to your body and modify your activities accordingly. If symptoms persist or worsen, seeking professional medical advice is crucial for an accurate diagnosis and appropriate treatment plan. Remember, early intervention can often prevent more serious issues down the line, allowing you to return to your activities pain-free.