Knee Pain and Ligament Tightness: Causes and Remedies - Orthopedics

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Knee joint soreness with a sensation of ligament tightness?


Hello, about a month ago, I started feeling soreness around the patella of my right knee due to increased frequency and intensity of playing tennis.
After consulting a physician, I was informed that it was due to cartilage wear and was advised to rest.
After taking medication for a week, I felt recovered and returned to playing.
However, I then experienced tightness in the inner tendons of both knees (similar to the feeling of stretching in yoga but without pain), and sometimes I could hear a popping sound in my knees while walking (but without pain).
Upon a follow-up visit, the doctor diagnosed me with ligament inflammation (there was some pain when the doctor pressed on the inner ligament of the knee).
After taking medication, my symptoms improved, but after playing again, I still felt tightness in the inner tendons of my knees.
After resting for two weeks without playing, I noticed that not only did the tightness persist, but I also experienced sudden sensations of weakness and soreness at the front edge of both knees (the fitness coach mentioned it might be related to the cruciate ligament), which felt like it was coming from inside the bones but was not painful.
This sensation lasted about 5-6 seconds and occurred more than ten times a day.
Additionally, when squatting and standing up, I sometimes heard a cracking sound and occasionally felt slight pain.

1.
What is the diagnosis?
2.
What treatment is needed?
3.
How can I maintain my health?
4.
Are shark cartilage and supplements like "MOVE FREE" effective? Thank you.

Xiong Xiansheng, 40~49 year old female. Ask Date: 2004/09/14

Dr. Xu Zhaoren reply Orthopedics


It could be due to jumping or patellofemoral arthritis, possibly from overuse, and a physical examination is necessary for diagnosis.
Treatment options include: 1.
Reducing activity level 2.
Performing quadriceps exercises 3.
Taking glucosamine (MOVE FREE) 4.
Using anti-inflammatory and pain relief medications.

Reply Date: 2004/09/14

More Info


Knee pain and ligament tightness can arise from various causes, especially in individuals who engage in high-impact sports like tennis. Your symptoms suggest a combination of soft tissue injury, possible ligament inflammation, and perhaps early signs of osteoarthritis or patellofemoral pain syndrome. Let's break down your concerns and provide a comprehensive understanding of your situation.


1. Possible Conditions
Given your description, the following conditions may be relevant:
- Patellar Tendonitis: This condition, often referred to as "jumper's knee," occurs due to overuse, especially in sports that involve jumping or sudden stops. It can cause pain around the kneecap and may lead to tightness in the surrounding muscles.

- Ligament Strain or Inflammation: The tightness you feel in the inner knee and the pain upon pressing the ligaments could indicate inflammation of the ligaments, possibly due to repetitive strain from increased activity levels.

- Chondromalacia Patella: This condition involves the softening and breakdown of the cartilage on the underside of the kneecap, leading to pain and a grinding sensation during movement.

- Meniscus Injury: Although you mentioned no specific pain during certain movements, a meniscus tear can sometimes present with a feeling of tightness or instability in the knee.


2. Treatment Options
Treatment for knee pain and ligament tightness typically involves a combination of rest, physical therapy, and possibly medication. Here are some recommendations:
- Rest and Activity Modification: Since you’ve experienced pain after playing tennis, it’s crucial to allow your knee to rest. Avoid high-impact activities until the pain subsides.

- Physical Therapy: A physical therapist can provide targeted exercises to strengthen the muscles around the knee, improve flexibility, and enhance stability. This can help alleviate pain and prevent future injuries.

- Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Always consult your doctor before starting any medication.

- Ice and Compression: Applying ice to the knee can help reduce swelling and pain. Compression wraps can provide additional support.


3. Preventive Care
To maintain knee health and prevent future injuries, consider the following:
- Warm-Up and Cool Down: Always perform a proper warm-up before engaging in sports and cool down afterward to prevent muscle tightness.

- Strength Training: Focus on strengthening the quadriceps, hamstrings, and calf muscles. Strong muscles can better support the knee joint.

- Flexibility Exercises: Incorporate stretching routines to improve flexibility in the legs and hips, which can help reduce tension on the knee.

- Proper Footwear: Ensure you wear appropriate shoes that provide good support and cushioning, especially during sports activities.


4. Supplements
Regarding the use of supplements like shark cartilage and "MOVE FREE":
- Shark Cartilage: While some people believe that shark cartilage can help with joint health, scientific evidence supporting its effectiveness is limited. It may not provide significant relief for knee pain.

- MOVE FREE: This supplement contains glucosamine and chondroitin, which some studies suggest may help with joint health and reduce pain in individuals with osteoarthritis. However, results can vary from person to person.


Conclusion
In summary, your symptoms may indicate a combination of overuse injuries and possible ligament inflammation. It’s essential to rest, consider physical therapy, and modify your activities to prevent further damage. If symptoms persist or worsen, further evaluation by an orthopedic specialist may be necessary, including imaging studies to rule out any structural damage. Always consult with your healthcare provider before starting any new treatment or supplement regimen.

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