Knee issues
Left knee pain that occurs with specific movements (such as going up and down stairs, standing up, or sitting down) but is manageable on flat surfaces may indicate issues such as patellofemoral pain syndrome, meniscus injury, or osteoarthritis.
It is advisable to consult a healthcare professional for a thorough evaluation and appropriate diagnosis.
Wu, 20~29 year old female. Ask Date: 2023/06/21
Dr. Chen Yongxue reply Orthopedics
Hello, based on your letter, it may be an issue with the patellofemoral joint.
Please visit the orthopedic outpatient clinic for an examination.
Thank you.
Reply Date: 2023/06/21
More Info
Left knee pain can be a complex issue with various potential causes, especially when it manifests during specific movements like bending, climbing stairs, or transitioning from sitting to standing. Given your description of the pain being particularly acute at certain angles, it is essential to consider several orthopedic conditions that could be contributing to your symptoms.
One common cause of knee pain during movement is patellofemoral pain syndrome (PFPS), often referred to as "runner's knee." This condition occurs when the patella (kneecap) does not track properly in the femoral groove, leading to pain, especially during activities that involve bending the knee. Symptoms may include a grinding sensation or a feeling of instability, particularly when going up or down stairs or sitting for prolonged periods.
Another possibility is osteoarthritis, which is characterized by the degeneration of cartilage in the knee joint. This condition can lead to pain, stiffness, and swelling, particularly after periods of inactivity or after engaging in activities that put stress on the knee. As we age, the risk of developing osteoarthritis increases, and it can be exacerbated by previous injuries or repetitive stress on the joint.
Meniscus tears are also a common source of knee pain, particularly if there has been a history of twisting or impact injuries. The meniscus acts as a cushion between the femur and tibia, and tears can cause pain, swelling, and a sensation of the knee "catching" or locking during movement. This is particularly relevant if you have experienced any previous knee injuries.
Ligament injuries, such as those to the anterior cruciate ligament (ACL) or medial collateral ligament (MCL), can also lead to pain and instability in the knee. These injuries often result from sudden stops, changes in direction, or direct impacts to the knee. Symptoms may include swelling, pain, and difficulty bearing weight on the affected leg.
Given that your pain occurs at specific angles, it may also be related to issues with the iliotibial (IT) band, which runs along the outside of the thigh and can become tight or inflamed, leading to lateral knee pain. This is particularly common in individuals who engage in repetitive activities such as running or cycling.
To address your knee pain effectively, it is crucial to undergo a thorough evaluation by an orthopedic specialist. They may recommend imaging studies, such as X-rays or an MRI, to assess the condition of the bones and soft tissues in your knee. Based on the findings, treatment options may include physical therapy to strengthen the muscles around the knee, improve flexibility, and correct any biomechanical issues. In some cases, anti-inflammatory medications or corticosteroid injections may be prescribed to reduce pain and swelling.
Additionally, modifying your activities to avoid movements that exacerbate the pain can be beneficial. Using supportive devices, such as knee braces or orthotics, may also provide relief and improve function.
In conclusion, left knee pain can arise from various orthopedic issues, and understanding the underlying cause is essential for effective management. If your symptoms persist or worsen, seeking professional medical advice is crucial to ensure appropriate treatment and to prevent potential long-term complications.
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