Severe Knee Pain When Squatting Slowly: Causes and Treatment Options - Orthopedics

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Severe knee pain during slow squatting can be a frustrating and debilitating issue, especially for someone active like yourself who plays basketball. The pain you're experiencing, particularly at the inner upper part of your knees, could be attributed to several underlying causes, including soft tissue injuries, cartilage damage, or even issues related to the patellar tendon.


Possible Causes
1. Patellar Tendonitis: This condition, often referred to as "jumper's knee," is common among athletes who engage in jumping sports like basketball. It occurs due to overuse and results in pain around the kneecap, particularly when bending the knee.

2. Meniscus Tear: Although you mentioned not recalling a specific injury, a meniscus tear can occur from twisting motions or even from repetitive stress. Symptoms often include pain during squatting or twisting movements, and you may also experience a sensation of locking or catching in the knee.

3. Chondromalacia Patella: This condition involves the softening and breakdown of the cartilage on the underside of the kneecap. It can lead to pain during activities that put pressure on the knee, such as squatting or climbing stairs.

4. Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the knee joint, can cause pain, especially during movement. This condition can be exacerbated by repetitive activities or prolonged kneeling.

5. Ligament Strain: Although you may not recall a specific injury, ligaments can be strained through repetitive stress or sudden movements. This can lead to pain during specific activities, such as slow squatting.


Treatment Options
1. Rest and Ice: Initially, it's crucial to rest the knee and apply ice to reduce inflammation and pain. Avoid activities that exacerbate the pain, such as deep squatting or jumping.

2. Physical Therapy: A physical therapist can help you develop a tailored rehabilitation program that focuses on strengthening the muscles around the knee, improving flexibility, and restoring proper movement patterns. This can be particularly beneficial for addressing any muscular imbalances that may contribute to your pain.

3. Anti-inflammatory Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation. However, consult with a healthcare provider before starting any medication.

4. Knee Bracing: A knee brace can provide additional support during activities and help alleviate pain by stabilizing the joint.

5. Gradual Return to Activity: Once the pain subsides, gradually reintroduce activities. Start with low-impact exercises like swimming or cycling before returning to basketball. Focus on proper form and technique to avoid re-injury.

6. Consultation with a Specialist: If symptoms persist despite conservative treatment, it may be beneficial to consult an orthopedic specialist. They may recommend imaging studies, such as an MRI, to assess for any structural damage to the knee.


Conclusion
The pain you're experiencing during slow squatting is likely related to one of the conditions mentioned above. It's essential to listen to your body and avoid movements that cause pain. Implementing rest, physical therapy, and gradual reconditioning can significantly improve your symptoms. If the pain continues or worsens, seeking professional medical advice is crucial to ensure a proper diagnosis and treatment plan. Remember, early intervention can prevent further complications and help you return to your active lifestyle sooner.