Knee Pain: Causes, Solutions, and Care Tips - Rehabilitation

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Knee pain


Dear Director Chen,
I have been experiencing unexplained pain in my right knee recently, to the point where I cannot put weight on my foot or walk.
Could you please advise on the possible causes and how to address this issue? Additionally, what are some recommended care practices? Thank you!
Best regards,
jui.snow

jui.snow, 50~59 year old female. Ask Date: 2006/06/30

Dr. Chen Xianchang reply Rehabilitation


(1) It may be an acute condition of patellar tendonitis or ligament inflammation.
(2) Ice therapy can be applied within the first 24 hours, followed by heat therapy and topical analgesics; rest and avoid movement.
(3) Once pain subsides, strengthen muscle training should be initiated.

Reply Date: 2006/06/30

More Info


Knee pain can be a complex issue, often stemming from various causes, including injuries, degenerative conditions, or even lifestyle factors. Given your description of sudden and severe pain in your right knee that prevents you from putting weight on it or walking, it’s essential to consider several potential causes and solutions.


Possible Causes of Knee Pain
1. Injury: If you have recently engaged in activities that put stress on your knee, such as running, jumping, or even climbing stairs, you might have sustained an injury. Common injuries include ligament tears (like ACL or MCL), meniscus tears, or patellar tendinitis. These injuries can lead to swelling, pain, and difficulty bearing weight.

2. Osteoarthritis: This degenerative joint disease is common, especially in older adults or those with a history of knee injuries. It occurs when the cartilage that cushions the knee joint wears down, leading to pain, stiffness, and swelling.

3. Bursitis: Inflammation of the bursae (small fluid-filled sacs that cushion the knee joint) can cause pain, especially when bending or straightening the knee.

4. Tendinitis: Inflammation of the tendons around the knee, often due to overuse or repetitive strain, can lead to pain and discomfort.

5. Gout or Pseudogout: These conditions involve the accumulation of crystals in the joint, leading to sudden and severe pain, often accompanied by swelling.


Solutions and Care Tips
1. Rest and Ice: If your knee is painful, the first step is to rest it. Avoid activities that exacerbate the pain. Applying ice to the knee for 15-20 minutes every few hours can help reduce swelling and numb the pain.

2. Compression and Elevation: Using a compression bandage can help reduce swelling. Elevating your knee above heart level can also assist in decreasing swelling.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help alleviate pain and reduce inflammation. However, consult with a healthcare provider before starting any medication, especially if you have underlying health conditions.

4. Physical Therapy: Once the acute pain subsides, engaging in physical therapy can be beneficial. A physical therapist can design a rehabilitation program tailored to strengthen the muscles around the knee, improve flexibility, and restore function.

5. Activity Modification: Avoid high-impact activities that put stress on the knee. Instead, consider low-impact exercises such as swimming or cycling, which can help maintain fitness without exacerbating knee pain.

6. Weight Management: If you are overweight, losing weight can significantly reduce the stress on your knees, potentially alleviating pain and improving function.

7. Consult a Specialist: If the pain persists or worsens, it’s crucial to consult an orthopedic specialist. They may recommend imaging studies like X-rays or MRIs to assess the condition of your knee and determine the underlying cause of your pain.

8. Diet and Supplements: Some studies suggest that certain dietary supplements, such as glucosamine and chondroitin, may help with joint health. Additionally, maintaining a balanced diet rich in anti-inflammatory foods (like omega-3 fatty acids found in fish, nuts, and seeds) can support overall joint health.


Conclusion
Knee pain can significantly impact your daily life, but understanding its potential causes and implementing appropriate care strategies can help manage and alleviate the discomfort. It’s essential to listen to your body and seek professional medical advice if the pain is severe or persistent. Early intervention can often lead to better outcomes and a quicker return to normal activities.

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