Knee Pain After Sleep: When to See an Orthopedic Specialist

Knee pain from sleeping?

Hello: Last night while I was sleeping, I suddenly felt my right knee cap slide outward a bit (I have had both knees experience patellar dislocation, and my right knee has undergone surgery).
The pain was excruciating (exactly like the pain I felt during the dislocation), and it woke me up.
However, when I got up, I didn't see it dislocated, but the pain has persisted.
This has happened 2 or 3 times this year, and both knees have experienced this.
Should I see an orthopedic doctor? @.@?
Additionally, I would like to ask about my left knee.
About 7 or 8 years ago, after a dislocation, I didn't see a doctor after the emergency treatment.
In the past 1 or 2 years, I have noticed that when I jog for about 5 to 10 minutes and then stop, my left knee becomes painful and weak, and sometimes it feels like it is catching (but it doesn't hurt while running).
Lifting heavy objects and going up and down stairs also causes pain.
Is it necessary for me to see an orthopedic doctor for this? Thank you for your help.

Xiao Lei, 20~29 year old female. Ask Date: 2004/10/08

Dr. Shi Guozheng reply Orthopedics

It is necessary to see a physician for these symptoms, as the presence of joint pain indicates that there may be issues with the joint alignment or the cartilage.
If there has been a previous dislocation, it could lead to the recurrence of subluxation.

Reply Date: 2004/10/08

More Info

It sounds like you're experiencing significant knee pain and discomfort, which can be quite distressing, especially given your history of knee issues. Based on your description, it would be advisable to consult an orthopedic specialist for a thorough evaluation. Here’s why:
1. History of Knee Problems: You mentioned that both of your knees have experienced issues, including a previous surgery on your right knee and a dislocation of your left knee several years ago. Given this history, it’s crucial to have a professional assess the current state of your knees. Chronic knee pain, especially after a history of injury or surgery, can indicate underlying issues such as ligament damage, cartilage wear, or even the development of osteoarthritis.

2. Symptoms of Instability: The sensation of your knee "sliding out" during sleep, coupled with severe pain, is concerning. This could suggest instability in the knee joint, possibly due to weakened ligaments or other structural problems. Such symptoms warrant a detailed examination, including imaging studies like X-rays or MRI, to determine the exact cause of your pain and instability.

3. Recurring Pain and Functional Limitations: The fact that you experience pain and weakness in your left knee after running, along with a "catching" sensation, further indicates that there may be mechanical issues at play. These symptoms can be associated with conditions like patellar tendinopathy, meniscal tears, or other knee joint pathologies. An orthopedic evaluation can help identify the specific cause and guide appropriate treatment.

4. Impact on Daily Activities: If your knee pain is affecting your ability to perform daily activities, such as running, lifting heavy objects, or climbing stairs, it is essential to seek medical advice. Persistent pain can lead to compensatory movement patterns, which may cause additional strain on other joints and muscles, leading to further complications.

5. Preventing Further Injury: Early intervention is key in preventing further injury. An orthopedic specialist can provide you with a tailored rehabilitation program, which may include physical therapy to strengthen the muscles around the knee, improve stability, and enhance overall function. They may also discuss options for pain management, which could include medications, injections, or even surgical interventions if necessary.

In summary, given your history of knee issues, the current symptoms you are experiencing, and the impact on your daily life, it is highly advisable to consult an orthopedic specialist. They can perform a comprehensive assessment, including a physical examination and imaging studies, to determine the best course of action for your knee pain. Early diagnosis and treatment can significantly improve your quality of life and help you return to your normal activities with less discomfort.

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