Sharp Knee Pain: Causes and Treatment Options - Rehabilitation

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There is a sharp, needle-like pain on the inner side of the knee?


Hello, doctor.
I would like to ask about a sudden sharp, needle-like pain I have been experiencing on the inner side of my left knee for the past few days.
It feels like being pricked by a needle when touched.
Although it does not affect my ability to walk, I often feel discomfort because my pants frequently brush against it.
What could this condition be? Are there any methods to alleviate it? Should I visit a hospital? Additionally, I previously experienced a similar sensation between my calf and the sole of my foot.
Although the sharp pain has subsided, there is still a lingering odd feeling.
Is this the same condition?

Ray, 20~29 year old female. Ask Date: 2009/11/02

Dr. Chen Wayda reply Rehabilitation


Based on your description, it seems to be a case of soft tissue inflammation.
It would be best to visit a hospital for evaluation.

Reply Date: 2009/11/02

More Info


Understanding sharp knee pain can be quite complex, as it can stem from various underlying causes. Based on your description of experiencing a sharp, needle-like pain on the inner side of your left knee, it’s essential to consider several potential factors that could be contributing to your discomfort.


Possible Causes
1. Patellar Tendonitis: This condition, often referred to as "jumper's knee," occurs when the patellar tendon becomes inflamed. It can lead to sharp pain, especially when the knee is engaged in activities that require bending or pressure.

2. Meniscus Tear: The meniscus is a cartilage structure in the knee that can tear due to sudden twisting motions or degeneration over time. A tear can lead to sharp pain, particularly when pressure is applied to the knee.

3. Bursitis: Inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues, can cause localized pain. If the bursa on the inner side of the knee is inflamed, it may lead to sharp pain when touched.

4. Nerve Entrapment: Sometimes, nerves can become compressed or irritated, leading to sharp, shooting pains. This could explain the sensation you described as feeling like being pricked by a needle.

5. Osteoarthritis: While this condition typically presents with more generalized pain and stiffness, it can also cause sharp pain during specific movements or pressure.

6. Referred Pain: The sensation you felt in your calf and foot could be related to the knee pain. Sometimes, issues in one area can manifest as pain in another due to nerve pathways.


Treatment Options
1. Rest and Ice: If the pain is acute, resting the knee and applying ice can help reduce inflammation and alleviate pain.

2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and reduce inflammation.

3. Physical Therapy: Engaging in physical therapy can strengthen the muscles around the knee, improve flexibility, and help alleviate pain.

4. Avoiding Aggravating Activities: Since you mentioned that wearing pants aggravates the pain, consider wearing looser clothing or avoiding direct contact with the knee until the pain subsides.

5. Knee Bracing: A knee brace can provide support and stability, potentially reducing pain during movement.

6. Consulting a Healthcare Professional: Given that the pain is sharp and persistent, it would be wise to consult a healthcare professional. They may recommend imaging studies, such as an MRI or ultrasound, to assess the structures of the knee and determine the exact cause of your pain.


When to Seek Medical Attention
If the pain worsens, becomes persistent, or is accompanied by swelling, redness, or difficulty in moving the knee, it is crucial to seek medical attention. A healthcare provider can perform a thorough examination and provide a tailored treatment plan based on the specific diagnosis.


Conclusion
In summary, the sharp pain you are experiencing on the inner side of your knee could be due to various conditions, including tendonitis, meniscus tears, bursitis, or nerve issues. While some self-care measures may provide relief, consulting a healthcare professional is advisable for a proper diagnosis and treatment plan. Additionally, the previous sensations you experienced in your calf and foot may be related, and a comprehensive evaluation can help clarify the situation. Taking proactive steps now can help prevent further complications and improve your overall knee health.

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