Knee Pain: When to See an Orthopedic Specialist - Orthopedics

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Knee issues


Hello, doctor.
Recently, I experienced some pain in the soft tissues around the inner side of my knee joint, but it subsided after a while.
Now, I feel a bit of soreness and weakness around the inner joint area of my knee extending to my thigh when walking or sitting.
Additionally, I notice a catching sensation and some noise in my kneecap when bending my leg.
Which specialty should I consult for diagnosis and further management?

AFA, 40~49 year old female. Ask Date: 2022/01/02

Dr. Shi Guozheng reply Orthopedics


It may be caused by inflammation of the medial tendons or muscles.
If the pain persists, it is advisable to see an orthopedic specialist.

Reply Date: 2022/01/02

More Info


When it comes to knee pain, especially when it involves the inner side of the knee joint and surrounding soft tissues, it is essential to understand the underlying causes and when to seek professional help. Based on your description, it seems you are experiencing discomfort that has transitioned from acute pain to a more chronic sensation of weakness and stiffness, particularly when walking or sitting. The presence of a "catching" sensation and audible sounds during movement can also indicate potential issues within the knee joint.


When to See an Orthopedic Specialist
1. Persistent Pain: If you have ongoing pain that does not improve with rest, ice, compression, or elevation (the RICE method), it is advisable to consult an orthopedic specialist. Chronic pain can be a sign of underlying conditions such as tendinitis, bursitis, or even early signs of arthritis.

2. Swelling and Stiffness: If your knee is swollen or feels stiff, especially after periods of inactivity, this could indicate inflammation or joint effusion. An orthopedic evaluation can help determine the cause and appropriate treatment.

3. Mechanical Symptoms: The "catching" sensation and sounds you describe could suggest issues such as meniscal tears or loose bodies within the joint. These mechanical symptoms warrant a thorough examination, as they can lead to further joint damage if left untreated.

4. Weakness: The feeling of weakness in the knee can be concerning, as it may affect your ability to perform daily activities. This could be due to muscle imbalances, ligament injuries, or joint instability, all of which require professional assessment.

5. Impact on Daily Life: If your knee pain is affecting your ability to walk, sit, or engage in activities you enjoy, it is time to seek help. Quality of life is crucial, and an orthopedic specialist can provide treatment options to alleviate pain and restore function.


Which Specialist to See
For knee-related issues, you should consider seeing an orthopedic surgeon who specializes in knee problems. Orthopedic surgeons are trained to diagnose and treat a wide range of musculoskeletal issues, including those affecting the knee joint. They can perform physical examinations, order imaging studies (like X-rays or MRIs), and recommend appropriate treatments, which may include physical therapy, medication, or surgical options if necessary.

If your symptoms are more related to muscle or soft tissue issues, you might also consider consulting a physiatrist (a specialist in physical medicine and rehabilitation). They can help with non-surgical management and rehabilitation strategies to strengthen the knee and improve function.


Additional Considerations
- Physical Therapy: Regardless of the specialist you choose, physical therapy can be an integral part of your recovery. A physical therapist can design a personalized exercise program to strengthen the muscles around your knee, improve flexibility, and enhance overall joint stability.

- Imaging Studies: Depending on your symptoms, your doctor may recommend imaging studies to get a clearer picture of what is happening inside your knee. This can help in diagnosing conditions like meniscal tears, ligament injuries, or degenerative changes.

- Lifestyle Modifications: In addition to seeking medical advice, consider lifestyle modifications such as weight management, low-impact exercises (like swimming or cycling), and avoiding activities that exacerbate your symptoms.

In summary, if you are experiencing persistent knee pain, weakness, or mechanical symptoms, it is advisable to see an orthopedic specialist. They will provide a comprehensive evaluation and guide you through the appropriate treatment options to help you regain function and alleviate pain. Remember, early intervention can often lead to better outcomes and a quicker return to your normal activities.

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