Knee Pain When Kneeling: Causes and When to Seek Medical Help - Orthopedics

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Knee pain when kneeling can be a frustrating and debilitating issue, especially for someone who has been active in sports or dance. Based on your description, it sounds like you are experiencing significant discomfort localized around the knee joint, particularly when kneeling, which can be indicative of several underlying conditions.


Possible Causes of Knee Pain When Kneeling
1. Patellar Tendonitis: This condition, often referred to as "jumper's knee," occurs due to overuse or strain on the patellar tendon, which connects the kneecap to the shinbone. It can cause pain when kneeling, jumping, or running.

2. Bursitis: The knee has several bursae (small fluid-filled sacs) that help reduce friction between the bones and soft tissues. Inflammation of these bursae, particularly the prepatellar bursa (located in front of the kneecap), can lead to pain during kneeling.

3. Cartilage Damage: Previous injuries, such as falls or impacts, can lead to damage to the cartilage in the knee joint. This can result in pain during specific movements, including kneeling.

4. Patellofemoral Pain Syndrome: This syndrome is characterized by pain around the kneecap and can be exacerbated by activities that put pressure on the knee, such as kneeling.

5. Osteoarthritis: Although more common in older adults, early signs of osteoarthritis can manifest as pain during certain movements, including kneeling, especially if there has been a history of knee injuries.


When to Seek Medical Help
Given your history of knee pain, especially since it has been persistent since middle school and seems to have worsened over time, it is advisable to seek medical evaluation. Here are some signs that indicate you should see a healthcare professional:
- Persistent Pain: If the pain does not improve with rest or over-the-counter pain relief.

- Swelling or Bruising: If you notice swelling, bruising, or any visible deformity in the knee.

- Limited Range of Motion: If you find it difficult to fully extend or bend your knee.

- Pain During Daily Activities: If the pain interferes with your daily activities or your ability to participate in dance or sports.


What to Expect During a Medical Evaluation
When you visit a healthcare provider, they will likely perform a physical examination and may ask about your medical history, including any previous injuries. They may also recommend imaging studies, such as X-rays or MRI, to assess the condition of your knee joint, cartilage, and surrounding structures.


Treatment Options
Depending on the diagnosis, treatment options may include:
- Physical Therapy: A physical therapist can help you strengthen the muscles around the knee, improve flexibility, and teach you proper techniques to reduce strain on the joint.

- Rest and Activity Modification: Avoiding activities that exacerbate the pain, such as kneeling or high-impact sports, can help reduce symptoms.

- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help alleviate pain and reduce inflammation.

- Injections: Corticosteroid injections may be considered for inflammation, while hyaluronic acid injections can provide lubrication to the joint.

- Surgery: In severe cases, surgical options may be explored, especially if there is significant cartilage damage or other structural issues.


Conclusion
Knee pain when kneeling is not uncommon, especially for individuals with a history of knee injuries or high-impact activities. It is essential to listen to your body and seek medical advice when pain persists or worsens. Early intervention can prevent further complications and help you return to your activities with less discomfort. Remember, you are not alone in this, and many people experience similar issues. A healthcare professional can provide the guidance and treatment you need to manage your knee pain effectively.