Side Knee Pain: Causes and Recovery Tips for Athletes - Rehabilitation

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Pain on both sides of the knee?


I play basketball and run on the track every day, and I might be overexerting myself.
For the past few days, I've been experiencing significant pain on both sides of my knees.
I can only walk slowly, especially on slightly sloped surfaces.
Could this be a ligament strain? Thank you!

Utm, 30~39 year old female. Ask Date: 2008/08/17

Dr. Chen Xianchang reply Rehabilitation


Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions: 1.
Walking on an incline places greater stress on the muscles and ligaments, which may lead to muscle or tendon strains, or injuries to the collateral ligaments (both lateral and medial), and even cartilage damage.
2.
It is advisable to visit a rehabilitation specialist for a physical examination or joint ultrasound assessment before proceeding with treatment.
Lastly, I wish you safety and happiness!

Reply Date: 2008/08/17

More Info


Understanding side knee pain, especially for athletes who engage in high-impact activities like basketball and running, is crucial for both recovery and prevention of further injury. Your symptoms suggest that you may be experiencing issues related to the ligaments, tendons, or even the cartilage in your knees, particularly if the pain is localized to the sides of the knees.


Possible Causes of Side Knee Pain
1. Ligament Strain or Tear: The knee is supported by several ligaments, including the medial collateral ligament (MCL) and lateral collateral ligament (LCL). Overuse or sudden movements can lead to strains or tears in these ligaments, causing pain on the inner or outer sides of the knee.

2. Tendonitis: The tendons around the knee, particularly the patellar tendon, can become inflamed due to repetitive stress from activities like jumping or running. This condition, known as tendonitis, can cause pain and discomfort.

3. Meniscus Injury: The meniscus is a cartilage structure that acts as a cushion between the femur and tibia. Twisting motions or heavy impact can lead to tears in the meniscus, resulting in pain, swelling, and difficulty moving the knee.

4. Iliotibial Band Syndrome (ITBS): This condition occurs when the iliotibial band, a ligament that runs down the outside of the thigh, becomes tight or inflamed. ITBS is common in runners and can cause pain on the outer side of the knee.

5. Patellofemoral Pain Syndrome: Often referred to as "runner's knee," this condition involves pain around the kneecap and can be exacerbated by activities that put stress on the knee joint.


Recovery Tips
1. Rest and Ice: The first step in managing knee pain is to rest the affected area. Avoid activities that exacerbate the pain, and apply ice to reduce swelling and inflammation. Ice should be applied for 15-20 minutes every few hours.

2. Compression and Elevation: Use a compression bandage to help reduce swelling. Elevating the knee can also assist in minimizing swelling.

3. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore mobility and stability to the knee. Focus on exercises that strengthen the quadriceps, hamstrings, and hip muscles, as these are crucial for knee support.

4. Physical Therapy: If pain persists, consider consulting a physical therapist. They can provide a tailored rehabilitation program that includes specific exercises to strengthen the knee and improve flexibility.

5. Gradual Return to Activity: Once you feel ready, gradually return to your normal activities. Start with low-impact exercises and slowly increase intensity as tolerated. Pay attention to your body and avoid pushing through pain.

6. Proper Footwear: Ensure that you are wearing appropriate shoes that provide adequate support and cushioning for your activities. Worn-out shoes can contribute to knee pain.

7. Cross-Training: To prevent overuse injuries, incorporate cross-training into your routine. Activities like swimming or cycling can provide cardiovascular benefits without putting excessive strain on your knees.


Prevention Strategies
1. Warm-Up and Cool Down: Always include a proper warm-up before engaging in sports and a cool-down afterward. This helps prepare your muscles and joints for activity and aids recovery.

2. Strength Training: Regular strength training, particularly for the legs and core, can help stabilize the knee joint and prevent injuries.

3. Listen to Your Body: Pay attention to any signs of discomfort or pain. If you experience persistent pain, it’s essential to seek medical advice rather than pushing through it.

4. Maintain a Healthy Weight: Excess body weight can put additional stress on the knees, increasing the risk of injury. Maintaining a healthy weight through diet and exercise can help alleviate this pressure.

In conclusion, while your symptoms may indicate a ligament strain or other knee-related issues, it’s essential to approach recovery with a comprehensive plan that includes rest, rehabilitation, and preventive strategies. If pain persists or worsens, consulting a healthcare professional for a thorough evaluation and tailored treatment plan is advisable.

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