Inner Knee Pain: Causes and Treatment Options - Orthopedics

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Inner knee pain can be a complex issue with various potential causes, especially considering your history of a knee injury during a taekwondo test six years ago. The sound you heard ("pop") at the time of injury could indicate a ligament or cartilage injury, which may have led to chronic issues that have resurfaced now. Let's explore some possible causes and treatment options for your knee pain.


Possible Causes of Inner Knee Pain
1. Ligament Injuries: The knee has several ligaments, including the medial collateral ligament (MCL), which is located on the inner side of the knee. An injury to the MCL can cause pain, especially during activities that put stress on the knee, such as running or climbing stairs.

2. Meniscus Tear: The meniscus is a C-shaped cartilage that acts as a cushion between your thigh bone and shin bone. A tear in the meniscus can occur during twisting movements, such as those in martial arts. Symptoms may include pain, swelling, and difficulty moving the knee.

3. Patellofemoral Pain Syndrome: This condition is often characterized by pain around the kneecap and can be exacerbated by activities like running or climbing stairs. It may be related to muscle imbalances or overuse.

4. Osteoarthritis: Given your history of knee injury, there is a possibility of developing osteoarthritis, which is the degeneration of joint cartilage and the underlying bone. Symptoms typically include pain, stiffness, and swelling, particularly after periods of inactivity or after extensive use.

5. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the knee joint) can also lead to pain, especially when bending or straightening the knee.


Treatment Options
1. Rest and Activity Modification: It's crucial to allow your knee to rest, especially if certain activities exacerbate the pain. Modify your activities to avoid those that trigger discomfort.

2. Physical Therapy: A physical therapist can design a rehabilitation program tailored to your needs. Strengthening the muscles around the knee can provide better support and reduce pain. Stretching exercises can also improve flexibility and range of motion.

3. Ice and Compression: Applying ice to the affected area can help reduce swelling and pain. Compression with an elastic bandage can also provide support.

4. Medications: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen or naproxen), can help alleviate pain and reduce inflammation. Always consult with a healthcare provider before starting any medication.

5. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and provide temporary relief from pain.

6. Surgery: If conservative treatments fail and the pain persists, surgical options may be considered. This could include arthroscopy to repair a meniscus tear or to address any ligament injuries.

7. Lifestyle Changes: Maintaining a healthy weight can reduce stress on the knees. Incorporating low-impact exercises, such as swimming or cycling, can help maintain fitness without exacerbating knee pain.


Conclusion
Given your history of knee injury and the current symptoms, it is advisable to consult with an orthopedic specialist for a thorough evaluation. They may recommend imaging studies, such as an MRI, to assess the condition of the ligaments and cartilage in your knee. Early intervention can help prevent further damage and improve your quality of life. Remember, each case is unique, and a personalized treatment plan is essential for effective management of knee pain.