Pain and Stiffness After Bending the Right Knee - Surgery

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Pain in the right leg when bending and then straightening?


Hello Doctor: One night, I suddenly experienced severe pain on the outer side of my right knee.
The pain would come and go, but when I woke up the next day, it was only sore and did not hurt anymore.
Now, I don't feel pain when walking, but after bending my right leg for a while, it becomes difficult to straighten it.
I feel soreness in the area near the back of my calf close to the knee, as if there is a tendon that is sore.
I would like to know what this might be.
Thank you!

Niming, 30~39 year old female. Ask Date: 2023/12/09

Dr. Li Zhonghuai reply Surgery


Hello! For young individuals, it's important to check for any injuries.
Sometimes, they may feel fine, but there could be damage to the meniscus or the cruciate ligaments, and there may be bone contusions as well.
It is recommended to see an orthopedic specialist for an examination.
Take care! Changhua Hospital cares about you!

Reply Date: 2023/12/09

More Info


Hello! Thank you for reaching out with your concerns regarding the pain and stiffness in your right knee. Based on your description, it sounds like you may be experiencing a combination of muscle tightness and possibly some underlying issues related to the knee joint itself.

Firstly, the sudden onset of pain on the outer side of your knee, followed by a feeling of soreness the next day, could indicate a few possibilities. One common issue could be related to the iliotibial band (IT band), which runs along the outer thigh and crosses the knee. If this band becomes tight or inflamed, it can cause pain on the outer side of the knee, especially during activities that involve bending and straightening the knee.

The stiffness you experience when trying to straighten your knee after bending it for a while may be due to muscle tightness in the calf or hamstring muscles. When these muscles are tight, they can restrict the range of motion in the knee joint, making it difficult to fully extend the leg. The sensation of a "cord" or tightness near the back of your knee could be related to the gastrocnemius muscle (one of the calf muscles) or the hamstring muscles, which may be overworked or strained.

Another possibility is that there could be some mild irritation or inflammation in the knee joint itself, such as bursitis or tendinitis. These conditions can cause pain and stiffness, especially after periods of inactivity or after holding a position for too long.
To address your concerns, here are some recommendations:
1. Rest and Ice: If you experience pain after certain activities, it’s important to rest the knee and apply ice to reduce any inflammation. This can help alleviate pain and stiffness.

2. Gentle Stretching: Incorporate gentle stretching exercises for your hamstrings, calves, and the IT band. This can help improve flexibility and reduce tightness.
3. Strengthening Exercises: Strengthening the muscles around the knee, particularly the quadriceps and hamstrings, can provide better support for the joint and help prevent future issues. Focus on low-impact exercises that do not exacerbate your pain.

4. Physical Therapy: If the pain persists or worsens, consider consulting a physical therapist. They can provide a tailored rehabilitation program that addresses your specific needs and helps improve your knee function.

5. Monitor Symptoms: Keep track of your symptoms. If you notice swelling, persistent pain, or a decrease in your range of motion, it may be necessary to consult with an orthopedic specialist for further evaluation.

6. Avoid Prolonged Positions: If you find that bending your knee for extended periods leads to stiffness, try to change positions frequently and avoid staying in one position for too long.

In conclusion, while your symptoms may be related to muscle tightness or mild irritation, it’s essential to listen to your body and seek professional advice if necessary. Early intervention can often prevent more serious issues down the line. I hope this information helps you understand your situation better, and I wish you a speedy recovery!

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