Knee Pain: Is It Serious and What to Do Next? - Orthopedics

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Knee pain, especially when it has persisted over several years and is exacerbated by physical activity, can be indicative of underlying issues that may require medical attention. Given your history of knee pain during long-distance running in middle school and the ongoing discomfort during activities like ice skating and squatting, it is essential to take your symptoms seriously, particularly as you prepare for military training, which often involves rigorous physical activity.


Potential Causes of Your Knee Pain
1. Patellar Tendinopathy: This condition, often referred to as "jumper's knee," is common among athletes and can cause pain in the front of the knee, especially during activities that involve jumping or running.

2. Meniscus Injury: The meniscus is a cartilage that acts as a cushion between your thigh bone and shin bone. If you have experienced twisting motions or heavy impacts, you may have a tear that could lead to pain and swelling.

3. Iliotibial Band Syndrome: This occurs when the iliotibial band, which runs along the outside of the thigh from the hip to the shin, becomes tight or inflamed, often causing pain on the outer side of the knee.

4. Patellofemoral Pain Syndrome: This syndrome is characterized by pain around the kneecap, often worsened by activities such as squatting, running, or climbing stairs.

5. Osteoarthritis: Although you are young, repetitive stress on the knee joint over time can lead to early signs of osteoarthritis, which may cause pain and stiffness.


Next Steps
Given the complexity of knee pain and the potential for various underlying issues, it is advisable to seek a professional evaluation. Here are some steps you can take:
1. Consult a Specialist: You should consider seeing an orthopedic doctor who specializes in knee injuries. They can perform a thorough examination, including physical tests and imaging studies (like X-rays or MRIs), to determine the exact cause of your pain.

2. Physical Therapy: A referral to a physical therapist may also be beneficial. They can help you strengthen the muscles around your knee, improve flexibility, and teach you proper techniques to reduce strain on your knee during activities.

3. Activity Modification: Until you can see a specialist, it may be wise to modify your activities to avoid movements that exacerbate your pain. For instance, if running or squatting causes significant discomfort, consider low-impact exercises like swimming or cycling, which can help maintain your fitness without stressing your knees.

4. Pain Management: Over-the-counter pain relievers, such as NSAIDs (if you are not allergic), can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

5. Knee Support: Using a knee brace or support during activities may provide additional stability and help alleviate some discomfort.


Preparing for Military Training
As you prepare for military training, it is crucial to address your knee pain proactively. Military training can be physically demanding, and if your knee pain is not managed, it could hinder your performance and lead to further injury.
In conclusion, while your knee pain may not seem severe, it is essential to take it seriously, especially given your history and the upcoming physical demands of military service. Seeking a professional evaluation and following a structured rehabilitation plan can help you manage your symptoms effectively and prepare you for the challenges ahead.