Inner Knee Pain: Causes, Exercises, and Recovery Tips - Rehabilitation

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Inner knee stabbing pain issue?


Dear Dr.
Lee,
I apologize for disturbing you during your busy schedule.
I would like to consult you regarding an issue I've been experiencing.
Since early February of this year, I have been experiencing unexplained sharp pain on the inner side of my knee.
During this period, I have had no record of injuries or trauma.
The pain is located just below the kneecap, and initially, I couldn't pinpoint the exact location of the pain, which has been intermittent.
However, after a week, the sharp pain below the kneecap intensified, making it increasingly difficult to walk normally for extended periods.
I visited a hospital for an examination, where the doctor arranged for MRI and X-ray tests.
The diagnosis indicated patellar ligamentitis and mild meniscus damage, but the doctor assessed that surgery was not necessary.
I have been resting for a month now, and I had been actively training with straight leg raises while seated.
However, it seems that the intensity of my practice has led to extreme pain and sharpness on the inner side of my knee and the pes anserinus tendon.
I have temporarily halted this rehabilitation exercise.
I would like to ask the doctor the following questions:
1.
Is it normal for the straight leg raise exercise to cause pain in the inner knee ligaments? How many times a day would be appropriate to perform this exercise? How long should each hold be?
2.
Five years ago, I had a collision that caused me to fall and injure my ligaments, which took five months to recover to normal walking.
However, this time, the ligamentitis occurred without any exercise or injury.
Do you think this is related to the injury from five years ago? Is it possible for a previously non-recurrent injury to flare up again after five years?
3.
If you have any recommended rehabilitation exercises, I would greatly appreciate your guidance.
I apologize again for taking your time, and I look forward to your response.
Thank you very much.

Miss Wang, 20~29 year old female. Ask Date: 2021/03/25

Dr. Li Yanheng reply Rehabilitation


1.
In cases of knee instability (due to incomplete repair after ligament injury), performing leg raises may indeed cause pain; however, continued exercise can enhance knee stability.
Therefore, it is recommended to continue exercising within tolerable limits or to find suitable exercises after assessment.
2.
Although the ligament injury is five years old, the ligament itself may not have fully healed due to the body's self-repair mechanisms, which can lead to ongoing instability.
It is essential to identify the underperforming tendons/ligaments, provide appropriate treatment, and undergo proper rehabilitation exercises to reduce pain and symptoms.

Reply Date: 2021/03/25

More Info


Understanding inner knee pain can be quite complex, especially when it involves structures like ligaments and cartilage. Based on your description, it seems you are experiencing pain in the inner part of your knee, which has been diagnosed as ligament inflammation and mild meniscus damage. Here’s a comprehensive overview of potential causes, exercises, and recovery tips.


Causes of Inner Knee Pain
1. Ligament Injuries: The inner knee pain you are experiencing could be due to inflammation of the ligaments, particularly the medial collateral ligament (MCL). This can occur from repetitive stress or minor injuries that may not have been significant enough to notice at the time.

2. Meniscus Damage: The meniscus is a cartilage that acts as a cushion between your thigh bone and shin bone. Even minor tears can lead to pain and instability, especially during activities that involve twisting or heavy loading.

3. Patellar Tracking Issues: Sometimes, the kneecap (patella) does not move smoothly in its groove, which can lead to pain on the inner side of the knee.

4. Overuse: Engaging in exercises like the seated leg raises too frequently or with improper form can exacerbate existing conditions, leading to increased pain.


Exercises for Recovery
1. Seated Leg Raises: This exercise is generally beneficial for strengthening the quadriceps without putting too much stress on the knee. However, if it causes pain, it may be wise to reduce the frequency or duration. Aim for 2-3 sets of 10-15 repetitions, holding each raise for about 5-10 seconds. If pain persists, consider reducing the intensity or consulting a physical therapist.

2. Hamstring Stretching: Gentle stretching of the hamstrings can help alleviate tension around the knee. Hold each stretch for 15-30 seconds and repeat 2-3 times.

3. Quadriceps Strengthening: Isometric exercises, such as pressing your knee down into the floor while sitting, can strengthen the quadriceps without moving the knee joint.

4. Balance and Stability Exercises: Incorporating exercises that improve balance, such as standing on one leg or using a balance board, can help stabilize the knee.


Recovery Tips
1. Rest and Ice: If you experience pain after certain activities, it’s crucial to rest and apply ice to reduce inflammation. Ice should be applied for 15-20 minutes every few hours as needed.

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

3. Physical Therapy: Consider working with a physical therapist who can tailor a rehabilitation program specific to your needs. They can provide guidance on proper techniques and monitor your progress.

4. Monitor Symptoms: Keep track of your pain levels and any changes in your knee's function. If symptoms worsen or do not improve, follow up with your healthcare provider.


Addressing Past Injuries
Regarding your previous injury five years ago, it is possible that the initial trauma could have contributed to your current condition. Sometimes, injuries can lead to chronic instability or predispose individuals to future injuries. While it’s not guaranteed that the old injury will cause problems again, it’s essential to be mindful of your knee's condition and to strengthen the surrounding muscles to support the joint.


Conclusion
In summary, while it is common to experience pain during rehabilitation exercises, it’s essential to listen to your body. If pain persists or worsens, it may be necessary to adjust your exercise regimen or seek further evaluation. Recovery from knee injuries can take time, and patience is key. By following a structured rehabilitation program and being mindful of your body’s signals, you can work towards a full recovery and return to your regular activities.

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